Fecal incontinence
ICD-10 R15 is a billable code used to indicate a diagnosis of fecal incontinence.
Fecal incontinence is the involuntary loss of bowel control, leading to the unintentional passage of stool. This condition can range from occasional leakage of stool to complete loss of bowel control. It is often associated with various underlying conditions, including neurological disorders, gastrointestinal diseases, and pelvic floor dysfunction. Symptoms may include urgency, inability to reach the toilet in time, and the presence of stool in the underwear. The condition can significantly impact a patient's quality of life, leading to social isolation and psychological distress. Clinical evaluation typically involves a thorough history and physical examination, including assessment of bowel habits, dietary factors, and any associated symptoms such as abdominal pain or rectal bleeding. Diagnostic tests may include anorectal manometry, endoscopy, and imaging studies to identify structural abnormalities. Treatment options vary based on the underlying cause and may include dietary modifications, pelvic floor exercises, medications, or surgical interventions.
Detailed patient history, including bowel habits, dietary intake, and associated symptoms.
Patients presenting with chronic diarrhea, constipation, or neurological conditions affecting bowel control.
Consideration of comorbidities such as diabetes or neurological disorders that may contribute to fecal incontinence.
Acute assessment of fecal incontinence, including onset, duration, and associated symptoms.
Patients presenting with acute abdominal pain or rectal bleeding alongside fecal incontinence.
Rapid assessment of potential acute causes, such as bowel obstruction or infection.
Used when fecal incontinence is suspected to be due to structural abnormalities.
Indication for colonoscopy must be clearly documented.
Gastroenterology specialists should ensure thorough documentation of findings.
Fecal incontinence can be caused by a variety of factors, including neurological disorders, pelvic floor dysfunction, and gastrointestinal diseases. It is essential to evaluate each patient individually to determine the underlying cause.
