Fecal urgency
ICD-10 R15.2 is a billable code used to indicate a diagnosis of fecal urgency.
Fecal urgency is characterized by a sudden and compelling need to defecate, often accompanied by anxiety and distress. This symptom can lead to involuntary loss of stool if not addressed promptly. It may arise from various underlying conditions, including gastrointestinal disorders, neurological issues, or psychological factors. Common causes include inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), infections, and rectal prolapse. Patients may report a sensation of incomplete evacuation, frequent bowel movements, or an inability to control bowel movements. The urgency can significantly impact quality of life, leading to social withdrawal and anxiety. Clinicians should conduct a thorough history and physical examination, focusing on bowel habits, dietary factors, and any associated symptoms such as abdominal pain or weight loss. Laboratory tests may include stool studies, colonoscopy, or imaging studies to identify underlying causes. Accurate diagnosis is crucial for effective management and treatment planning.
Detailed patient history including bowel habits, dietary intake, and associated symptoms. Documentation of any diagnostic tests performed.
Patients presenting with chronic diarrhea, abdominal pain, or unexplained weight loss.
Consideration of comorbidities such as diabetes or neurological disorders that may contribute to fecal urgency.
Acute presentation documentation, including vital signs, immediate interventions, and any diagnostic imaging or lab tests performed.
Patients with acute abdominal pain and sudden onset of fecal urgency, possibly indicating an acute gastrointestinal event.
Rapid assessment and documentation are crucial due to the potential for serious underlying conditions.
Used when fecal urgency is suspected to be due to an underlying gastrointestinal condition.
Indication for colonoscopy must be clearly documented, including symptoms and prior treatments.
Gastroenterology may require additional documentation regarding findings and biopsies.
Fecal urgency refers to the strong, immediate need to defecate, while fecal incontinence is the inability to control bowel movements, which may occur with or without urgency.
