Gastritis

Functional disorder of the intestine mkb code 10

Excluded:

  • changes in the state of the intestinal NOS (R19.4)
  • functional indigestion (K31.-)
  • impaired intestinal absorption (K90.-)
  • psychogenic intestinal disorders (F45.3)

Colon dilation

If necessary, identify the toxic agent using an additional code of external causes (class XX).

Excluded: megacolon (when):

  • Chagas disease (B57.3)
  • caused by Clostridium difficile (A04.7)
  • congenital (aganglionic) (Q43.1)
  • Hirschsprung disease (Q43.1)

In Russia International Classification of Diseases 10th revision (ICD-10) adopted as a single regulatory document to account for the incidence, causes of public calls to medical institutions of all departments, causes of death.

ICD-10 introduced into the practice of health care throughout the territory of the Russian Federation in 1999 by order of the Ministry of Health of Russia dated May 27, 1997. №170

The release of the new revision (ICD-11) is planned by WHO in 2022.

What is FRG?

Functional indigestion is the occurrence of pain, digestive disorders, motility, secretion of gastric juice in the absence of any anatomical changes. This kind of diagnosis is an exception. When all organic methods have not revealed any organic disorders, and the patient has complaints, they determine this diagnosis. Functional disorders include:

  • Functional dyspepsia, which can manifest itself in different ways - weight in the stomach, rapid saturation, discomfort, feeling of fullness, bloating. Nausea, vomiting, aversion to a certain type of food, belching can also be observed. However, no changes in the gastrointestinal tract is not detected.
  • Air ingestion (aerophagia), which is then either regurgitated or absorbed in the intestinal tract.
  • Functional pylorospasm - the stomach is cramped, food does not pass into the duodenum and vomiting of food eaten develops.

With these complaints, an X-ray examination, ultrasound and FEGDS are necessarily carried out - however, no changes and irregularities are observed.

A functional impairment of the gastrointestinal tract is treated symptomatically since the exact cause of the disease is not known. Diet, enzyme preparations, antispasmodics, adsorbents, gastroprotectors, drugs that reduce gastric acidity and normalize motility. Often used and sedatives.

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Intestinal colic

Intestinal colic is quite a painful spasmodic attack in the abdomen. 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 encoding according to the international classification contains some peculiarities. Therefore, in ICD 10 intestinal colic code may have several options :

  • If you mean a functional disorder without the presence of organic disorders, the pathology will be ciphered "K 58" and have the name "Irritable Bowel Syndrome".
  • If there is a violation 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 irritability of the intestine, "K 59.3" # 8212, Megacolon, "K 59.4" # 8212, Spasm of the anal sphincter "," K 59.4 "(# 8212, Other specified functional intestinal disturbances," K 59.9 "(8212, Functional intestinal disturbance, unspecified).

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

Provoking reasons

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

  • poisoning and intoxication,
  • infectious diseases and damage to the digestive tract worms,
  • dysfunction of the stomach, liver, gallbladder, pancreas,
  • neonatal period,
  • birth defects and inflammation in the intestine.

Colic manifestation

There are several associated symptomatic manifestations:

  • severe nausea and possible vomiting,
  • strong pain in piercing character in the abdomen,
  • intense gas formation and bloating.

In order to make the correct diagnosis and assign the appropriate treatment, it is necessary to contact a medical institution for qualified medical assistance.

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Constipation ICD-10

Constipation ICD-10 Included in a separate group with code K59.0. In the regulatory document spelled out the classification of the disease, its symptoms, methods of treatment. Doctors in the diagnosis of the patient are guided by the International Classification of Diseases. The application of generally accepted measures helps to achieve maximum efficiency in the diagnosis and the fight against constipation.

The disease in the world classification

Focusing on the world classification, which has been in effect since the beginning of 2007, the diagnosis Constipation, ICD code 10 - K59.0, belongs to the block of Other diseases of the intestine of the class Diseases of the digestive organs. The document assumes that the disease is chronic constipation. the ICD-10 code is additionally divided into two subspecies differing in the symptoms of the disease and the cause of its manifestation.

Under the code K59.0.0 classify hyponic and atonic constipation caused by the weakening of the muscles of the intestine. As a rule, the main causes are poor nutrition and poor mobility during the day. Code 59.0.1 is assigned to the diagnosis of spastic constipation. This type of disease is caused by impaired functioning of the nervous system. Spastic constipation is characterized by spasms in the intestinal area, but there is no organic change inside it.

Constipation by ICD-10 and methods for its treatment

In addition to diagnoses, the world classifier specifies methods for the treatment of diseases of a certain type. Chronic constipation has not become an exception, ICD-10 involves the use of three treatment options used at different stages of the disease. Each method involves the use of special methods. There are three ways to treat constipation:

  • integral therapy,
  • rehabilitation,
  • prevention.

The table shows the methods used at different stages and with different treatment of chronic constipation.

ICD-10: Code K is:

Lesions of the esophagus in other diseases classified in other headings

The following subcategories are for use with categories. K25 — K28.

.0 - acute with bleeding
.1 - sharp with perforation
.2 - acute with bleeding and perforation
.3 - acute without bleeding or perforation
.4 - chronic or unspecified with bleeding
.5 - chronic or unspecified with perforation
.6 - chronic or unspecified with bleeding and perforation
.7 - chronic without bleeding or perforation
.9 - not specified as acute or chronic without bleeding or perforation

Including: erosion (acute) stomach, peptic ulcer, pyloric
If necessary, identify the lexicologic agent that caused the damage, use the additional code of external causes (class XX)
Except: acute hemorrhagic erosive gastritis (K29.0), peptic ulcer NOS (K27)

Including: erosion (acute) of the duodenum, peptic ulcer of the duodenum, peptic ulcer of post-pyloric part
If necessary, identify the lexicologic agent that caused the damage, use the additional code of external causes (class XX)
Except: peptic ulcer NUU (K27)

Peptic ulcer of unspecified site

Including: gastroduodenal ulcer BDU, peptic ulcer BDU
Except: peptic ulcer of the newborn (P78.8)

  • aseptic peritonitis (T81.6)
  • benign paroxysmal peritonitis (E85.0)
  • chemical peritonitis (T81.6)
  • peritonitis caused by a talcum or other foreign substance (T81.6)
  • neonatal peritonitis (P78.0 — P78.1)
  • female peritonitis in women (N73.3 — N73.5)
  • recurrent familial peritonitis (E85.0)
  • postpartum peritonitis (O85)
  • peritonitis that occurred after:
    • abortion, extramural or molar pregnancy (O00-O07, O08.0)
    • appendicitis (K35)
    • in combination with diverticular bowel disease (K57)

If necessary, identify the infectious agent using an additional code (B95 — B97).

International Classification of Diseases

Date of posting in the database 03/22/2010

Relevance of the classifier: 10th revision of the International Classification of Diseases

Showing 7 records

DIGESTIVE DISEASES

OTHER INTESTINAL DISEASES

Other functional intestinal disorders

Date of posting in the database 03/22/2010

Relevance of the classifier: 10th revision of the International Classification of Diseases

Showing 7 records

DIGESTIVE DISEASES

OTHER INTESTINAL DISEASES

Other functional intestinal disorders

Functional indigestion is considered as an independent pathology, as well as the initial stage of peptic ulcer, chronic gastritis and other gastrointestinal diseases. This form of disorder is most often affected by children and adolescents. Various factors can provoke pathology. When prescribing treatment and preventive measures, the indications of ICD 10 are taken into account.

The international classification by disease distinguishes a functional disorder as an independent nosological unit. According to ICD 10, the FSR is classified as Class XI, namely, diseases of the digestive system. According to this classification, pathology is inherent in a special code - K00-K93. This section is quite large and multifaceted.

Functional indigestion according to ICD 10 has a K31 mark belonging to the section of other diseases of the gastrointestinal tract and duodenum.

Functional disorder is a kind of disturbance of the digestive function, secretion of hydrochloric acid and motility, which develops in the absence of anatomical changes. The diagnosis of FRG is made only if the examination does not detect any organic changes or disturbances, but at the same time the person has symptoms.

The following manifestations can be considered a functional disorder:

  • Dyspeptic syndrome, having a functional character. The clinical picture of such an illness is manifested as follows: abdominal distension, excessive gas formation, a feeling of heaviness in the epigastric region, nausea, rapid saturation, pain in the abdomen, and also a feeling of discomfort. In some cases, there is aversion to any food and belching.
  • Aerophagia is a process where a person swallows a lot of air, which later erupts or is sucked into the intestinal cavity.
  • Pilorospasm functional - a condition when the stomach is in a state of spasm. As a result, the food is not able to get into the duodenum, there is vomiting with pieces of undigested food.

With similar symptoms, the patient is offered to undergo an ultrasound examination, eg, femheral phycnematosis (FSHD), X-ray, but the events do not reveal failures.

Functional indigestion is treated with symptomatic drugs. For therapy prescribed a special diet. Adsorbents, antispasmodics, gastroprotectors, enzymes, as well as anti-acid drugs are prescribed. In some cases, it is recommended to take sedatives, because the cause of many diseases of the gastrointestinal tract is stress, neurosis, emotional overstrain.

Intestinal colic is a common symptom that looks like a cramp in the abdomen. According to the international classification of diseases, colic is a functional disorder, they are referred to as the pathologies of the digestive organs. The etiology of intestinal colic is very diverse: intoxication of the body, poisoning of a different nature, the presence of irregularities in the digestive organs, worms, infectious diseases, inflammatory processes and anomalies in the intestinal cavity. Symptomatic manifestations of this type of disorder: vomiting and nausea, excessive gas formation, bloating, the presence of severe sharp pain, which is inherent in cutting, piercing character.

With regard to the classification, in accordance with the form of clinical manifestations of functional indigestion is:

Given the type of violation of the digestive process, distinguish such forms:

  • normostenic,
  • hypersthenic,
  • hyposthenic,
  • asthenic.

In addition to these, there are special forms of functional disorders, which include: vomiting, acute and sudden expansion of the stomach, as well as aerophagia.

With regard to the treatment and prevention of FSR, the main goal of all the activities carried out is to normalize the motor-evacuation and secretory activity of the stomach. Therapy is carried out on an outpatient basis, hospitalization is necessary only in the case of persistent pain syndrome, as well as in the exacerbation of the underlying pathology, which provoked a secondary disorder in the activity of the gastrointestinal tract.

According to ICD 10, a functional digestive disorder is considered to be an independent disease. Whatever the symptoms accompanying this pathology, it is necessary to consult a doctor, diagnosis and treatment.

What does pathology mean?

A functional bowel disorder contains several types of intestinal disorders. All of them are united by the main symptom: the intestinal motor function is impaired. Disorders usually appear in the middle or lower digestive tract. They are not the result of tumors or biochemical disorders.

We list which pathologies include:

  • Irritable bowel syndrome.
  • The same pathology with constipation.
  • Irritable bowel syndrome with diarrhea.
  • Chronic functional pain.
  • Incontinence.

The class “diseases of the digestive system” includes functional intestinal disorders, in ICD-10 pathology the code K59 is assigned. Consider the most common types of functional disorders.

Irritable Bowel Syndrome

This disease refers to a functional bowel disorder (in ICD-10 code K58). In this syndrome, there are no inflammatory processes and the following symptoms are observed:

  • Impaired colon motility.
  • Bloating.
  • Rumbling in the intestines.
  • Flatulence.
  • The stool changes, either diarrhea or constipation.
  • When viewed characterized by pain in the area of ​​the cecum.
  • Chest pain.
  • Headache.
  • Cardiopalmus.

There may be several types of pain:

  • Bursting
  • Pressing.
  • Stupid.
  • Constrictor.
  • Intestinal colic.
  • Migration pain.

It is worth noting that the pain may increase as a result of positive or negative emotions, in case of stress, as well as during exercise. Sometimes after eating. Reduce pain syndrome may discharge of gas, stool. As a rule, with functional disorders, intestinal pains pass at night with falling asleep, but may resume in the morning.

The following course of the disease is observed:

  • After defecation comes relief.
  • Gases accumulate, there is a feeling of bloating.
  • The chair changes its texture.
  • Violated the frequency and process of defecation.
  • May produce mucus.

If several symptoms persist for some time, the doctor diagnoses irritable bowel syndrome. Constipation is also referred to as functional bowel disorder (ICD-10 identifies this pathology).Consider further the features of the occurrence of this disorder.

Constipation - bowel disorder

According to the international classification, such a functional bowel disorder according to the ICD-10 code is numbered K59.0. In case of constipation, the transit is slowed down and the dehydration of fecal masses increases, and coprostasis forms. When constipation has the following symptoms:

  • Emptying the intestines less than 3 times a week.
  • Lack of feeling of complete emptying of the intestines.
  • The act of defecation is difficult.
  • The chair is hard, dry, fragmented.
  • Spasms in the intestines.

Constipation with spasms, as a rule, in the intestine has no organic changes.

Constipation can be divided by severity:

  • Easy Chair 1 time in 7 days.
  • Average. Chair 1 time in 10 days.
  • Heavy Stools less than 1 time in 10 days.

In the treatment of constipation use the following areas:

  • Integral therapy.
  • Rehabilitation measures.
  • Preventive actions.

The disease is caused by insufficient mobility during the day, unhealthy diet, disturbances in the work of the nervous system.

This disease as a functional violation of the colon ICD-10 classifies according to the duration and extent of damage to the intestinal mucosa. The disease of infectious nature refers to A00-A09, non-infectious - to K52.9.

This functional disorder is characterized by a watery, liquefied, unformed chair. Defecation occurs more often 3 times a day. There is no feeling of bowel movement. This disease is also associated with impaired intestinal motility. It can be divided by severity:

  • Easy Chair 5-6 times a day.
  • Average. Chair 6-8 times a day.
  • Heavy Chair more than 8 times a day.

May turn into a chronic form, but at the same time be absent at night. Lasts for 2-4 weeks. The disease may have a relapse. Often, diarrhea is associated with the patient's psycho-emotional state. In severe cases, the body loses a large amount of water, electrolytes, protein, valuable substances. This can lead to death. Also note that diarrhea can be a symptom of a disease that is not associated with the gastrointestinal tract.

Common causes of functional disorders

The main reasons can be divided into:

  • External. Psycho-emotional problems.
  • Internal. Problems are associated with weak intestinal motor function.

There are several common causes of functional disorders of intestinal activity in adults:

  • Improper nutrition.
  • Long-term use of antibiotics.
  • Dysbacteriosis.
  • Chronic fatigue.
  • Stress.
  • Poisoning.
  • Infectious diseases.
  • Urinary problems in women.
  • Hormonal disruptions.
  • Menstruation, pregnancy.
  • Insufficient water intake.

These reasons are typical for adults. Next, a few words about violations in children.

Causes and symptoms of functional disorders in children

Due to the underdevelopment of intestinal flora, functional disorders of the intestine in children are often found. The reasons may be the following:

  • Inability of the intestine to external conditions.
  • Infectious diseases.
  • Infection of the body with various bacteria.
  • Disturbance of a psychoemotional state.
  • Heavy food.
  • Allergic reaction.
  • Insufficient blood supply to certain parts of the intestine.
  • Intestinal obstruction.

It should be noted that in more adult children the causes of the manifestation of functional disorders are similar to those in adults. Small children and infants are much harder to suffer bowel disease. In this case, it is impossible to manage only with a diet, it is necessary to have drug treatment and a doctor’s consultation. Severe diarrhea can lead to the death of a child.

The following symptoms may be noted:

  • The child becomes lethargic.
  • Complains of abdominal pain.
  • Irritability appears.
  • Reduced attention.
  • Flatulence.
  • Increased stool or lack thereof.
  • In the feces mucus or blood.
  • The child complains of pain during bowel movements.
  • Temperature may rise.

In children, functional disorders of the intestine can be infectious and non-infectious. Determine can only pediatrician. If you notice any of the above symptoms, you need to show the child to the doctor as soon as possible.

According to ICD-10, a functional violation of the large intestine in a teenager is most often associated with a violation of the diet, under stress, medication, intolerance to a number of products. Such disorders are more common than organic intestinal lesions.

Common symptoms

If a person has a functional bowel disorder, the symptoms may be as follows. They are characteristic of many of the above diseases:

  • Pain in the abdomen.
  • Bloating. Involuntary discharge of gases.
  • Lack of stools for several days.
  • Diarrhea.
  • Frequent belching.
  • False urge to defecate.
  • The stool consistency is thin or solid and has mucus or blood.

The following symptoms are also possible, which confirm the intoxication of the body:

  • Headaches.
  • Weakness.
  • Abdominal cramps.
  • Nausea.
  • Heavy sweating.

What needs to be done and which doctor to ask for help?

ICD-10 classes

In Russia International Classification of Diseases 10th revision (ICD-10) adopted as a single regulatory document to account for the incidence, causes of public calls to medical institutions of all departments, causes of death.

ICD-10 introduced into the practice of health care throughout the territory of the Russian Federation in 1999 by order of the Ministry of Health of Russia dated May 27, 1997. №170

The release of a new revision (ICD-11) is planned by WHO in 2017 2018

Megacolon, not elsewhere classified

Colon dilation

If necessary, identify the toxic agent using an additional code of external causes (class XX).

Excluded: megacolon (when):

  • Chagas disease (B57.3)
  • caused by Clostridium difficile (A04.7)
  • congenital (aganglionic) (Q43.1)
  • Hirschsprung disease (Q43.1)

What diagnosis is needed?

First of all, it is necessary to go for an examination to a therapist who will determine which narrow specialist you should contact. It can be:

  • Gastroenterologist.
  • Nutritionist.
  • Proctologist.
  • Psychotherapist.
  • Neurologist.

The following studies can be used to make a diagnosis:

  • General analysis of blood, urine, feces.
  • Blood chemistry.
  • The study of feces for the presence of hidden blood.
  • Coprogram.
  • Rectoromanoscopy.
  • Colon Fibroscopy
  • Irrigoscopy.
  • X-ray examination.
  • Intestinal tissue biopsy.
  • CT
  • Ultrasound procedure.

Only after a full examination, the doctor prescribes treatment.

We make a diagnosis

It should be noted that in cases of functional disturbance of the intestine, unspecified, the diagnosis is made on the basis that the patient has the following symptoms for 3 months:

  • Abdominal pain or discomfort.
  • Defecation is either too frequent or difficult.
  • The stool consistency is either watery or compacted.
  • The process of defecation is broken.
  • There is no feeling of complete emptying of the intestines.
  • There is mucus or blood in the stools.
  • Flatulence.

Important palpation when viewed, should be superficial and deep sliding. Attention should be paid to the condition of the skin, to the increased sensitivity of individual areas. If you consider a blood test, as a rule, it does not have pathological abnormalities. An X-ray examination will show signs of dyskinesia of the colon and possible changes in the small intestine. An irrigoscopy will show a painful and uneven filling of the large intestine. Endoscopic examination will confirm swelling of the mucous membrane, an increase in the secretory activity of the glands. It is also necessary to exclude peptic ulcer and 12 duodenal ulcers. Coprogram will show the presence of mucus and excessive fragmentation of fecal masses. Ultrasound reveals the pathology of the gallbladder, pancreas, pelvic organs, osteochondrosis of the lumbar spine and atherosclerotic lesion of the abdominal aorta. After examining the feces on bacteriological analysis, an infectious disease is excluded.

If there are postoperative sutures, it is necessary to consider adhesive disease and functional bowel disease.

What treatments are available?

In order for the treatment to be as effective as possible if a diagnosis of a functional bowel disorder is made, it is necessary to carry out a set of measures:

  1. To adjust the mode of work and rest.
  2. Use methods of psychotherapy.
  3. Follow the recommendations of a nutritionist.
  4. Take medications.
  5. Apply physiotherapy.

Now a little more about each of them.

Several rules for the treatment of intestinal diseases:

  • Regularly walk in the fresh air.
  • Do exercises. Especially if the work is sedentary.
  • To refuse from bad habits.
  • Avoid stressful situations.
  • To be able to relax, meditate.
  • Take a warm bath regularly.
  • Do not resort to snacking junk food.
  • Eat probiotic products and containing lactic acid bacteria.
  • When diarrhea limit the consumption of fresh fruits and vegetables.
  • Perform a belly massage.

Methods of psychotherapy help to cure functional disorders of the intestine, which are associated with stressful conditions. So, it is possible to use in the treatment of the following types of psychotherapy:

  • Hypnosis.
  • Methods of behavioral psychotherapy.
  • Abdominal autogenic training.

It should be remembered that with constipation it is first of all necessary to relax the psyche, not the intestines.

  • Food should be varied.
  • Drink should be plentiful, at least 1.5-2 liters per day.
  • Do not eat foods that are poorly tolerated.
  • Do not eat cold or very hot food.
  • Do not eat vegetables and fruits in raw form and in large quantities.
  • Do not abuse products with essential oils, products from whole milk and with the content of refractory fats.

Treatment of a functional bowel disorder includes the use of the following drugs:

  • Antispasmodic: "Buscopan", "Spasmomen", "Ditsetep", "No-shpa".
  • Serotonergic drugs: "Ondansetron", "Buspirone".
  • Carminatives: Simethicone, Espumizan.
  • Sorbents: "Mukofalk", "Activated carbon".
  • Antidiarrheal drugs: Linex, Smekta, Loperamide.
  • Prebiotics: Lactobacterin, Bifidumbacterin.
  • Antidepressants: “Tazepam”, “Relanium”, “Fenazepam”.
  • Neuroleptics: Eglonil.
  • Antibiotics: Cefix, Rifaximin.
  • Laxative drugs for constipation: "Bisacodil", "Senaleks", "Lactulose."

Prescribe medicines should the attending physician, taking into account the characteristics of the body and the course of the disease.

Physiotherapy

Each patient is prescribed physiotherapy individually, depending on the functional disorders of the intestine. They may include:

  • Baths with carbon dioxide bischofite.
  • Treatment by interference currents.
  • The use of diadynamic currents.
  • Reflexology and acupuncture.
  • Therapeutic sports complex.
  • Electrophoresis with sulphate magnesia.
  • Massage intestines.
  • Cryomassage.
  • Ozone therapy.
  • Swimming.
  • Yoga.
  • Laser therapy
  • Autogenic exercises.
  • Warming compresses.

Good results were observed when using mineral waters in the treatment of the gastrointestinal tract. It is worth noting that, after undergoing physiotherapeutic procedures, sometimes medication is not required. Work intestines getting better. But all procedures are possible only after a full examination and under the supervision of a physician.

Prevention of functional bowel disorders

Any disease is easier to prevent than to cure. There are rules for the prevention of intestinal diseases that everyone should know. We list them:

  1. Food should be varied.
  2. It is better to eat fractional, in small portions 5-6 times a day.
  3. The menu should include whole-grain bread, cereals, bananas, onions, and bran containing large amounts of fiber.
  4. Exclude gas products from the diet, if you have a tendency to flatulence.
  5. Use natural laxative products: plums, lactic acid products, bran.
  6. To live an active lifestyle.
  7. Control your weight. Obesity leads to diseases of the digestive system.
  8. To refuse from bad habits.

By following these simple rules, you can avoid such a disease as a functional bowel disorder.

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