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[2] [4] Symptoms may include flushed skin, sweating, headache, itchiness, blurred vision, abdominal cramps and diarrhea. [2] [5] Onset of symptoms is typically 10 to 60 minutes after eating and can last for up to two days. [2] Rarely, breathing problems, difficulty swallowing, redness of the mouth, or an irregular heartbeat may occur. [2] [5]
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The differential diagnosis can be complicated somewhat if the person exhibits only vomiting or diarrhea (rather than both). [1] Appendicitis may present with vomiting, abdominal pain, and a small amount of diarrhea in up to 33% of cases. [1] This is in contrast to the large amount of diarrhea that is typical of gastroenteritis. [1]
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A persistent (chronic) history of diarrhea, with watery or mushy, unformed stools, (types 6 and 7 on the Bristol stool scale), sometimes with steatorrhea, increased frequency and urgency of defecation are common manifestations, often with fecal incontinence and other gastrointestinal symptoms such as abdominal swelling, bloating and abdominal pain.
Fats in feces can be measured over a defined time (often five days). [14] Other tests include the (13)C-mixed triglycerides test and fecal elastase , to detect possible fat maldigestion due to exocrine pancreatic insufficiency , [ 14 ] or various specific tests to detect other causes of malabsorption such as celiac disease .
One of the causes of abnormal bloating is excessive eating and air swallowing, known as aerophagia. [2] Other causes of bloating and distension include inflammatory bowel diseases such as Crohn's disease [3] [4] and ulcerative colitis, irritable bowel syndrome, diabetes, functional dyspepsia, or transient constipation.