Ulcerative colitis [top]

  • Recurrent diarrhoea with rectal bleeding
  • Lower abdominal pain
  • Fever, Raised inflammatory markers
  • Large joint polyarthritis, sacroilitis

Carcinoid syndrome [top]

  • Episodic attacks of diarrhoea recurrent diarrhoea
  • Facial flushing
  • Wheeze

Hyperthyroidism [top]

  • Weight loss
  • Fine tremor, palpitations
  • Recurrent diarrhoea
  • Amenorrhoea
  • Increased sweating
  • Goitre

HIV [top]

  • Recurrent diarrhoea
  • Weight loss, Lymphadenopathy
  • Opportunistic infections: Candidiasis, PCP pneumonia, Crytococcal meningitis

Faecal impaction with overflow [top]

  • Recurrent diarrhoea alternating with constipation or faecal incontinence
  • Usually elderly patient
  • Impacted faeces palpable on PR examination

Irritable bowel syndrome [top]

  • Recurrent diarrhoea
  • Abdominal bloating
  • Intermittent abdominal pain

Malabsorption [top]

  • Recurrent diarrhoea, weight loss
  • Light coloured, bulky foul-smelling stools that float in the pan
  • Causes include chronic pancreatitis, coeliac disease, Whipple's disease

Chron's disease [top]

  • Recurrent diarrhoea with rectal bleeding
  • Central abdominal pain
  • Right lower quadrant mass
  • Weight loss, Mouth ulcers, Fistulae
  • Large joint polyarthritis, sacroilitis

Colon cancer [top]

  • Abdominal pain
  • Weight loss
  • Recurrent diarrhoea alternating with constipation
  • Change in bowel habit, rectal bleeding
  • Tumour of descending colon can causeTenesmus

Drug-induced change in bowel habit [top]

  • Recurrent diarrhoea or change in bowel habit
  • History of consumption of relevant drug e.g. antibiotics, laxatives, opioids etc

Diverticular disease [top]

  • Recurrent diarrhoea
  • Lower abdominal pain, Left iliac fossa pain
  • Fever, raised inflammatory markers
  • Rectal bleeding