Differential diagnosis
Diagnoses to be considered in patients with symptoms of irritable bowel syndrome include:
- neoplasia:
- colonic adenocarcinoma
- villous adenoma
- inflammatory bowel disease
- chronic constipation:
- drugs
- pseudo-obstruction
- idiopathic
- chronic diarrhoea:
- drugs
- coeliac disease
- bacterial overgrowth
- vascular insufficiency:
- ischaemic colitis
- abdominal angina
- intestinal parasites:
- giardiasis
- gynaecological disorders:
- endometriosis
- psychiatric disorders:
- depression
- anxiety
- somatization
- panic disorders
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