CHRONIC DIARRHEA: Small Bowel

CHRONIC DIARRHEA: Small Bowel >3 Loose Stools/Day, > 14 days Exclude Chronic Inflammation Large Bowel Small Volume/Bloody/Painful/Tenesmus/Urgency Steatorrhea Oily/Foul/Hard to FlushSmall Bowel Large Volume/Watery Chronic Diarrhea Magnesium, Phosphate, Sulfate Carbohydrate Malabsorption Lactose Intolerance Disordered Motility Secretory Osmotic Tumors Mucosal Mucosal Neoplastic Irritable Bowel Syndrome (diagnosis of exclusion) Diabetic Neuropathy Hyperthyroidism Crohn's Disease (Screen with CBC, albumin, ESR, endoscopy) Celiac Disease (screen with TTG) Chronic Inflammation Whipple's Disease Adenocarcinoma Lymphoma Gastrinoma Carcinoid Syndrome Mastocytosis