Mkb 10 functional constipation

Constipation: ICD code 10

Constipation is a very common disorder of the human intestines.
They cause a lot of discomfort and discomfort in the patient’s life. If you do not begin to treat this problem in a timely manner, you can get worse in the form of the formation of hemorrhoids. To classify diseases, a special International Classification of Diseases ICD-10 is used. It is constantly updated, now the ICD-10 code for constipation is numbered K59.0. Let's take a closer look at what this classification is.

Constipation according to ICD-10 and methods of its treatment

In addition to diagnoses, the global classifier indicates methods of treating diseases of a certain type. Chronic constipation was no exception; ICD-10 suggests the use of three treatment options used at different stages of the disease. Each method involves the use of special methods. There are three types of treatment for constipation:

• integral therapy;
• rehabilitation;
• prevention.

The table shows the methods used at different stages and for different treatments of chronic constipation.

Remember that consulting a doctor is necessary even on such a delicate issue as constipation, since self-medication can be dangerous to health.

Source

Constipation concept

What is constipation? This is a violation of the proper functioning of the intestines, which consists in the fact that feces pass through the rectum with difficulty . Constipation can be acute or chronic.

In the acute form of the disease, a person experiences episodic disruption of the bowel movement process; in the case of chronic constipation, the act of defecation may be absent for more than 2 days.

This is a very unpleasant condition, a person suffers from pain, bloating, and severe intoxication may begin .

Constipation can occur due to poor diet (constant snacking, eating unhealthy foods) and lifestyle (sedentary occupations).

Difficulties in emptying are very common among older people, in this case this process is caused by impaired muscle contractions in the rectum and anus.

It is recommended to treat this problem, since frequent bowel movements can lead to deterioration in the form of inflammation of hemorrhoids, severe intoxication of the body due to the accumulation of feces in the body.

Constipation code ICD 10

Constipation is a very common disorder of the human intestines. They cause a lot of discomfort and discomfort in the patient’s life. If you do not begin to treat this problem in a timely manner, you can get worse in the form of the formation of hemorrhoids.

To classify diseases, a special International Classification of Diseases ICD-10 is used. It is constantly updated, now the ICD-10 code for constipation is numbered K59.0. Let's take a closer look at what this classification is.

Constipation concept

What is constipation? This is a violation of the proper functioning of the intestines, which consists in the fact that feces pass through the rectum with difficulty . Constipation can be acute or chronic.

In the acute form of the disease, a person experiences episodic disruption of the bowel movement process; in the case of chronic constipation, the act of defecation may be absent for more than 2 days.

This is a very unpleasant condition, a person suffers from pain, bloating, and severe intoxication may begin .

Constipation can occur due to poor diet (constant snacking, eating unhealthy foods) and lifestyle (sedentary occupations).

Difficulties in emptying are very common among older people, in this case this process is caused by impaired muscle contractions in the rectum and anus.

It is recommended to treat this problem, since frequent bowel movements can lead to deterioration in the form of inflammation of hemorrhoids, severe intoxication of the body due to the accumulation of feces in the body.

ICD codes and classification of constipation

The International Classification of Diseases has been revised 10 times to date, which is why it is called ICD-10. It is regularly revised and supplemented with new types of diseases.

It contains 21 sections with various diseases and their descriptions . The classification was created specifically to systematize data on diseases; it clearly states the diagnosis and symptoms, and calculates the frequency with which a particular disease occurs among people.

The development of ICD dates back to the 18th century thanks to the scientific works of Francois Bossier de Lacroix.

Today, ICD-10 is used, which is supplemented by knowledge about possible postoperative complications.

It is based on three numbers that form a kind of disease code.

ICD-10 has 3 volumes, each of which contains separate information about using the classifier, an alphabetical index and the main classification of diseases. The classification contains a description of 22 classes; accordingly, the first letter in the code is the name of the class.

ICD-10 code for chronic constipation K59.0 This abbreviation means:

• K - intestinal diseases;
• 59.0 is the serial number of the disease in the classifier.

Using this code you can find the main symptoms and methods of treating the disease . Let's consider this issue in more detail.

Find out from this article which doctor you should contact if you experience frequent constipation.

Code 59.0 description

Constipation refers to intestinal dysfunction; according to the ICD-10 classification, it is a condition of obstruction of feces in the rectum. The main causes are considered to be poor diet and lifestyle, nervous tension and constant stress, and chronic gastrointestinal diseases.

The main features are:

• bowel movements less than 3 times a week;
• hard stool;
• pushing during the act of defecation.

The ICD-10 code for functional constipation is also K59.0. This group includes a complete description of this condition.

ICD codes and classification of constipation

The International Classification of Diseases has been revised 10 times to date, which is why it is called ICD-10.
It is regularly revised and supplemented with new types of diseases. It contains 21 sections with various diseases and their descriptions .
The classification was created specifically to systematize data on diseases; it clearly states the diagnosis and symptoms, and calculates the frequency with which a particular disease occurs among people. The development of ICD dates back to the 18th century thanks to the scientific works of Francois Bossier de Lacroix.

Today, ICD-10 is used, which is supplemented by knowledge about possible postoperative complications.

It is based on three numbers that form a kind of disease code.

ICD-10 has 3 volumes, each of which contains separate information about using the classifier, an alphabetical index and the main classification of diseases. The classification contains a description of 22 classes; accordingly, the first letter in the code is the name of the class.

ICD-10 code for chronic constipation K59.0 This abbreviation means:

• K - intestinal diseases;
• 59.0 is the serial number of the disease in the classifier.

Using this code you can find the main symptoms and methods of treating the disease . Let's consider this issue in more detail.

Find out from this article which doctor you should contact if you experience frequent constipation.

Code 59.0 description

Constipation refers to intestinal dysfunction; according to the ICD-10 classification, it is a condition of obstruction of feces in the rectum. The main causes are considered to be poor diet and lifestyle, nervous tension and constant stress, and chronic gastrointestinal diseases.

The main features are:

• bowel movements less than 3 times a week;
• hard stool;
• pushing during the act of defecation.

The ICD-10 code for functional constipation is also K59.0. This group includes a complete description of this condition.

Chronic constipation ICD 10

Constipation (constipation, obstipation) is difficulty in emptying the colon (colostasis) or rectum (coprostasis).

• Constipation is characterized by the following symptoms •• decreased frequency of stool less than 3 times per week •• denser stool consistency (“sheep feces”) •• passage of a small amount of feces (less than 100 g) •• feeling of incomplete bowel movement after bowel movement •• prolonged or a multi-stage act of defecation, the implementation of which requires additional straining efforts or the use of special techniques and postures (straining time is more than 25% of the time of the act of defecation) • Normally, food taken within 8 hours after defecation is evacuated over the next 24 hours • Constipation may be a random episode (episodic or situational constipation) under temporary unfavorable conditions •• Long travel, the need to use an inadequate toilet •• Significant physical activity •• Steam bath •• Pregnancy •• Consumption of certain products (tea, cocoa, low content of ballast substances in food) •• Emotional factors (mental overload, depression) •• Iatrogenic constipation.

Frequency. Constipation occurs in 1–6% of healthy people, more often among children, and in people over 60 years of age, especially with a sedentary lifestyle, the incidence of the disease reaches 80%.

Constipation is a polyetiological syndrome of prolonged defecation retention.

Constipation is distinguished: 1) neurogenic (with functional or organic diseases of the central nervous system, frequent conscious suppression of the reflex to defecate, caused by living or working conditions - lack of a toilet, work as a driver, salesman, etc.); 2) reflex (with organic lesions of the digestive organs, as well as other organs and systems), including proctogenic ones;

3) toxic (in case of chronic poisoning with lead drugs, morphine, nicotine, nitrobenzene, long-term use in large doses of anticholinergics and antispasmodics); 4) “endocrine” - with decreased function of the pituitary gland, thyroid gland, ovaries; 5) nutritional (with insufficient intake of fiber from food); 6) hypokinetic (with insufficient physical activity, predominantly sedentary lifestyle); 7) mechanical (due to narrowing of the intestine by a tumor, scars, or congenital pathological elongation of the colon, underdevelopment of its intramural nerve plexuses - megacolon, Hirschsprung's disease). The listed reasons can cause predominantly intestinal motor disorders or disturbances of secretion and absorption, or vasomotor disorders; however, in most cases, the final result (clinical manifestations) is a consequence of a combination of several disorders.

Symptoms, course. Characterized by a long delay in defecation.

With atonic constipation, feces are abundant, shaped, sausage-shaped; Often the initial portion is very dense, larger than normal in diameter, the final portion is half-formed.

Defecation is carried out with great difficulty and is very painful; Due to tears in the mucous membrane of the anal canal, streaks of fresh blood may appear on the surface of the stool.

With spastic constipation, stool takes the form of sheep feces (fragmented stool). Constipation is often accompanied by flatulence, a feeling of pressure, expansion, and cramping pain in the abdomen. Long-term constipation is often accompanied by fatigue, lethargy, and decreased performance. X-ray examination reveals a slowdown in the movement of feces through the intestines.

Classification of constipation according to ICD - 10

According to the international classification, constipation (K-59.0) is divided into organic and functional.

With organic constipation, the process of bowel movement is disrupted due to a mechanical obstacle to the movement of contents through the intestinal cavity.

Functional constipation is a functional disorder of the intestines, in which difficult, infrequent or incomplete bowel movements occur.

Depending on the duration of stool retention, the following forms of the disease are distinguished:

• acute – prolonged absence of bowel movement for several days;
• chronic – symptoms of the disease are observed for more than 3 months);
• episodic – symptoms of the disease last less than 3 months out of 12 calendar months.

Causes

Etiology • Primary constipation (with intestinal diseases) •• Functional (habitual) constipation ••• Rectal constipation - disappearance or absence of the defecation reflex ••• Cologenic constipation - slowing of the intestinal passage of chyme as a manifestation of dyskinetic disorders ••• Dyssynergia of the pelvic floor muscles - disorder evacuation of feces associated with the lack of adequate relaxation of the sphincters of the anus and/or puborectal muscle loop during defecation •• Organic constipation (colitis, colon strictures, cancer and benign tumors, dolichosigma, idiopathic megacolon, etc.

), as well as diseases of the rectum, accompanied by a pain syndrome that inhibits the urge to defecate (acute or chronic anal fissure, cryptitis, internal incomplete fistula of the rectum, hemorrhoids) • Secondary constipation is associated with extraintestinal diseases •• Reflex (with peptic ulcer, cholecystitis , nephrolithiasis, etc.

myopathies, scleroderma and other diseases with damage to the muscles (diaphragm, abdominal wall) involved in the passage of feces and the act of defecation •• Psychogenic (psychopathy, schizophrenia, etc.

) • Other causes: a diet low in plant fiber combined with reduced fluid intake and insufficient physical activity, and frequent holding of bowel movements (the most common cause).

Genetic aspects - see Hirschsprung's disease.

Risk factors • Poor nutrition • Uncontrolled use of laxatives • Gastrointestinal diseases • Pathological processes in the anus and rectum • Disorders of nervous and endocrine regulation • Physical inactivity • Change of place of residence • Hereditary predisposition.

Symptoms (signs)

Clinical picture • Absence of stool for several days or weeks. In case of prolonged absence of stool, intestinal obstruction may occur • Local (abdominal) signs •• Feeling of pressure, distension in the rectum, its incomplete emptying after defecation (with rectal constipation); migrating pain, transfusion;

rumbling in the abdomen and bloating (with colonic constipation) •• Hemorrhoids, papillitis, fissures and ulcerations of the anus due to damage by hard and copious feces •• Palpation of the abdomen - dilated and spastically contracted areas of the colon, in which it is often possible to detect dense feces masses, most often in the descending colon and sigmoid colon •• During digital examination of the rectum, fecal stones may be detected • Reflex symptoms •• Pain in the buttocks, sacrum, thighs, which arise due to the pressure of fecal masses on the sacral nerve roots •• Headache , dizziness, tachycardia, disappearing after defecation • General manifestations - weakness, malaise, loss of appetite, unpleasant taste in the mouth, coated tongue, nausea, low-grade body temperature, etc.

Functional gastrointestinal disorder

By “functional disorder of the stomach and intestines” we mean a number of disorders of the gastrointestinal tract that are not associated with changes in the structure of the digestive organs. FGIT (functional disorder of the gastrointestinal tract) is characterized by the presence of:

• Functional bloating.
• Functional constipation.
• Diarrhea.
• Irritable colon or small intestine syndrome (gastrointestinal dysfunction).

FRF appears due to:

• Hereditary predisposition.
• Mental instability (severe stress, constant worries).
• Heavy physical work.
• Infectious diseases of the gastrointestinal tract.

FGIT is spoken of when its symptoms have bothered the patient for 6 months or more. Moreover, symptoms must actively manifest within 3 months.

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What causes intestinal colic?

Colic is a consequence of irritation of the intestinal walls by a provoking factor. G

The smooth muscles respond to this with a strong contraction (spasm). Intense physical activity can trigger colic. During this, tension in the mesentery occurs, which leads to stabbing pain in the left side of the abdomen.

Colic occurs due to:

• Immaturity of gastrointestinal tract structures, flora insufficiency (in children).
• Eating heavy foods that contribute to the formation of gases (flour products, fried foods, soda).
• Exposure to large amounts of air when eating. This can happen if you talk during a meal or eat on the go.
• Constipation.
• Entry of a foreign body into the gastrointestinal tract.
• Food allergy (to lactose).
• Allergic reactions.
• Disorders of blood supply to various parts of the intestine. This occurs due to ulcerative formations and diverticulosis.
• Intestinal obstruction.

Classification of intestinal colic according to ICD 10

• Abdominal pain
• Seething in the intestines
• Bloating
• Severe abdominal muscle tension
• Dizziness
• Constipation
• Difficulty defecating
• Diarrhea
• Spread of pain to other areas
• Vomit
• Weakness
• Mucus in stool
• Nausea
• Rumbling in the stomach

Intestinal colic is a sharp pain in the intestines that is paroxysmal and cramping in nature and occurs against the background of impaired tone and peristalsis of the organ. Often, this pathology develops when overstretching of the intestinal loops occurs, which leads to irritation of the nerve endings that are adjacent to its walls. According to ICD-10, the code for intestinal colic is not noted, since it is a consequence of other disorders in the gastrointestinal tract. However, according to ICD-10, this symptom is coded K59.9, which sounds like “unspecified functional bowel disorder.”

Causes

The causes of this spasmodic pain syndrome in the intestines can be very different. The most common ones include:

• intestinal obstruction;
• helminthiases;
• poisoning with salts of heavy metals;
• the entry into the intestines of a large amount of poorly digested food due to disturbances in the functioning of the stomach, pancreas and other organs of the gastrointestinal tract;
• acute infectious diseases;
• inflammatory processes in this organ.

Often the cause of a pathology such as intestinal colic is excessive participation in sports - significant physical activity can provoke irritation of the intestinal loops. In addition, people who are exposed to constant stress and emotional overload suffer from this disorder.

Separately, it should be said that intestinal colic in newborns is a common functional disorder of the intestines, which is associated with insufficient development of the baby’s gastrointestinal tract and nervous system.

In addition, in medical practice, a special place is given to such a phenomenon as the occurrence of intestinal colic in pregnant women, which is associated with the active work of the uterus during the movement of the fertilized egg through the fallopian tubes, and at a later date - with the active growth of the fetus in the womb.

Symptoms

Intestinal colic in adults has pronounced symptoms. A person notices bloating and tension in the abdomen in a certain place. In this case, spastic pain occurs, which lasts for some time, then subsides, but after a few seconds or minutes it appears again.

In adults, you can also hear rumbling sounds in the intestines. Sometimes nausea and vomiting may develop. The general condition is usually not disturbed and the temperature does not rise.

Other symptoms of this disorder in adults are:

• the appearance of problems with stool (development of constipation or diarrhea);
• the appearance of mucus in the stool that looks like white ribbons or tubes;
• appearance of weakness, dizziness.

The duration of this condition can be several hours or even days. In this case, pain in women often radiates to the labia area, and in men – to the testicles and glans penis.

Symptoms of intestinal colic in newborns differ from the symptoms of pathology in adults.

Intestinal colic occurs in infants against the background of a disturbance in the feeding process, which can occur either due to mother’s mistakes or due to insufficient development of swallowing processes in children.

Symptoms in babies develop either immediately after feeding or after 10–15 minutes. The child becomes restless, spits up, and screams. His stomach is tense and painful, he refuses to eat, and in some cases the baby may even vomit.

Symptoms of colic in adults

The pathological condition is characterized by pain in the abdomen with tingling. The localization of painful sensations is different, because spasms gradually move from one part of the intestine to another. Pain syndrome is accompanied by:

• Nausea.
• The urge to vomit.
• Increased gas formation.
• Bloating.

To ease the attack, the person takes a position that helps reduce pain - leaning forward with the body.

Manifestation of colic in children, their causes

In an infant, intestinal colic is a widespread phenomenon. It often occurs in 1-4 months of a baby’s life. A child reacts to the appearance of colic as follows:

• Facial hyperemia.
• Constant screaming and anxiety.
• Pressing your knees towards your stomach.

The baby's tummy is tense. Its palpation brings painful sensations to the little patient. The attacks occur at certain hours at night and recur within a week or two.

In children under 4 months of age, colic is not a pathology, but a consequence of enzymatic disorders. Its symptoms are observed in children, both bottle-fed and natural-fed.

The cause of discomfort in the intestinal area may be:

• Infection.
• Allergy to dairy products or breast milk.
• Inflammation.
• Psychogenic factor (tense family situation, mother's depression).

Intestinal colic

Intestinal colic is a rather painful spasmodic attack in the abdominal area. The concept of intestinal colic according to ICD 10 belongs to the class “Diseases of the digestive organs”.

Since colic is considered a symptomatic manifestation and is not an independent disease, its coding according to the international classification contains some features.
Therefore, in ICD 10, the code for intestinal colic may have several options :

• If we mean a functional disorder without the presence of organic disorders, then the pathology will be coded “K 58” and have the name “Irritable Bowel Syndrome”.
• If there is a disorder of the digestive system in the form of acute obstruction, diarrhea or other pathology with the presence of such a symptom, then the disease is classified as “Other functional intestinal disorders” and encrypted “K 59”. This category has seven subcategories (“K 59.0” #8212; Constipation, “K 59.1” #8212; Functional diarrhea, “K 59.2” #8212; Neurogenic intestinal excitability, “K 59.3” #8212; Megacolon, “K 59.4” # 8212; Anal sphincter spasm", "K 59.4" #8212; Other specified functional intestinal disorders, "K 59.9" #8212; Unspecified functional intestinal disorder).

According to the ICD, intestinal colic refers to the underlying disease of which it is a manifestation, and therefore, when writing the final diagnosis, the coding and name of the underlying pathology are written.

Provoking reasons

The etiology of the appearance of this symptom can be different:

• poisoning and intoxication;
• infectious diseases and damage to the gastrointestinal tract by helminths;
• dysfunction of the stomach, liver, gallbladder, pancreas;
• neonatal period;
• birth defects and inflammatory conditions in the intestines.

Manifestation of colic

There are several associated symptomatic manifestations:

• severe nausea and possible vomiting;
• severe pain of a piercing and cutting nature in the abdominal area;
• intense gas formation and bloating.

To make a correct diagnosis and prescribe appropriate treatment, you must contact a medical institution for qualified medical help.

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Short description

Constipation (constipation, obstipation) is difficulty in emptying the colon (colostasis) or rectum (coprostasis). • Constipation is characterized by the following symptoms •• decreased frequency of stool less than 3 times per week •• denser stool consistency (“sheep feces”) •• passage of a small amount of feces (less than 100 g) •• feeling of incomplete bowel movement after bowel movement •• prolonged or a multi-stage act of defecation, the implementation of which requires additional straining efforts or the use of special techniques and postures (straining time is more than 25% of the time of the act of defecation) • Normally, food taken within 8 hours after defecation is evacuated over the next 24 hours • Constipation may be a random episode (episodic or situational constipation) under temporary unfavorable conditions •• Long travel, the need to use an inadequate toilet •• Significant physical activity •• Steam bath •• Pregnancy •• Consumption of certain products (tea, cocoa, low content of ballast substances in food) •• Emotional factors (mental overload, depression) •• Iatrogenic constipation.

Code according to the international classification of diseases ICD-10:

• K56.4 Other types of lumen closure
• K59.0 Constipation

Frequency. Constipation occurs in 1–6% of healthy people, more often among children, and in people over 60 years of age, especially with a sedentary lifestyle, the incidence of the disease reaches 80%.

Constipation ICD-10

ICD-10 constipation is included in a separate group with code K59.0. The regulatory document prescribes the classification of the disease, its symptoms, and treatment methods. When diagnosing a patient, doctors are guided by the International Classification of Diseases. The use of generally accepted measures helps to achieve maximum effectiveness in diagnosing and combating constipation.

The disease in the global classification

Based on the worldwide classification, which has been in effect since the beginning of 2007, the diagnosis of Constipation, ICD 10 code K59.0, belongs to the block of Other intestinal diseases of the Digestive Organ Diseases class.
The document assumes that the disease is chronic constipation. The ICD-10 code is further divided into two subtypes, differing in the symptoms of the disease and the cause of its manifestation. The code K59.0.0 classifies hyponic and atonic constipation caused by weakening of the intestinal muscles. As a rule, the main reasons are poor nutrition and poor mobility during the day. Code 59.0.1 is assigned for the diagnosis of spastic constipation. This type of disease is caused by disturbances in the functioning of the nervous system. Spastic constipation is characterized by spasms in the intestinal area, but no organic changes occur inside it.

Constipation according to ICD-10 and methods of its treatment

In addition to diagnoses, the global classifier indicates methods of treating diseases of a certain type. Chronic constipation was no exception; ICD-10 suggests the use of three treatment options used at different stages of the disease. Each method involves the use of special methods. There are three types of treatment for constipation:

• integral therapy;
• rehabilitation;
• prevention.

The table shows the methods used at different stages and for different treatments of chronic constipation.

Constipation according to ICD-10

Constipation is a violation of the emptying process, which is a retention of stool for a long time, exceeding the individual physiological norm of a certain person. In addition, constipation is also recognized as difficulty in passing stool during normal bowel movements. With constipation, incomplete bowel emptying may occur. When the process of defecation occurs rarely, is difficult or does not occur completely, we are talking about functional constipation.

The individual physiological norm of bowel movement is different for each person. According to ICD-10, the frequency of bowel movements varies from 3/day to 3/week.

Between 30 and 50% of the adult population suffers from constipation. Statistics show that women are much more likely to experience constipation than the stronger sex. If earlier constipation was more common among the urban population, today it is often found among rural residents.

A number of studies have shown which diseases contribute to constipation. According to the ICD, the following diseases are distinguished:

1. Anomaly in the development of the large intestine (for example, Hirschsprung's disease, etc.);
2. Appendicitis;
3. Diseases of the rectum (hemorrhoids, rectal prolapse, fissures, paraproctitis, etc.);
4. Physical inactivity;
5. Diseases of the nervous system (psychogenic constipation, multiple sclerosis, damage to the pelvic nerve plexuses, paraplegia);
6. Tumors in the colon;
7. Metabolic disorders (hypercalcemia, hypokalemia);
8. Cholecystitis;
9. IBS with constipation;
10. Somatic disorders (pulmonary emphysema, portal hypertension with ascites, heart failure, etc.);
11. Endocrinological diseases (diabetes mellitus, hypothyroidism, etc.).

Medicines that reduce colon motility: antidepressants, neuroleptics, diuretics, narcotic analgesics, iron supplements, antacids with aluminum or calcium, bismuth-containing and caffeine-containing drugs, non-steroidal anti-inflammatory drugs, antihypertensive (calcium channel blocker) drugs, monoamine oxidase inhibitors, cholestyramine, anticholinergics (atropine , scopolamine), sedatives, antiepileptic and antiparkinsonian drugs.

Idiopathic constipation is a rare form of the disease, the cause of which is not fully established.

WHO also identifies episodic constipation due to the psycho-emotional state of a person. Such constipation is temporary and, as a rule, occurs due to nervous tension. According to the classification, episodic constipation includes constipation of tourists, pregnant women and others. Most often, episodic constipation occurs in people prone to stool retention.