Vomiting of fecal matter
ICD-10 R11.13 is a billable code used to indicate a diagnosis of vomiting of fecal matter.
Vomiting of fecal matter is a rare but serious clinical symptom that indicates a severe underlying gastrointestinal obstruction or dysfunction. This condition occurs when the contents of the intestines, including fecal material, are regurgitated through the mouth. It is often associated with conditions such as bowel obstruction, severe constipation, or advanced gastrointestinal diseases. The presence of fecal matter in vomit suggests that the obstruction is distal to the point of fecal accumulation, leading to a backup of intestinal contents. Patients may present with additional symptoms such as abdominal pain, distension, and signs of dehydration. Laboratory findings may reveal electrolyte imbalances, elevated white blood cell counts, or imaging studies showing obstruction. Prompt recognition and management are crucial, as this condition can lead to severe complications, including perforation, sepsis, and death if not treated urgently.
Detailed history of present illness, including onset, duration, and associated symptoms. Documentation of physical exam findings and any imaging or lab results is essential.
Patients presenting with abdominal pain and vomiting of fecal matter due to bowel obstruction or severe constipation.
Consideration of comorbidities that may complicate the clinical picture, such as diabetes or chronic kidney disease.
Acute care documentation must include vital signs, initial assessment findings, and any immediate interventions performed.
Patients presenting to the emergency department with acute abdominal pain and fecal vomiting, requiring urgent imaging and surgical consultation.
Rapid assessment and intervention are critical; documentation should reflect the urgency of the situation.
Used when a patient presents with fecal vomiting and requires urgent evaluation.
Documentation must reflect the high severity of the condition and the complexity of the visit.
Emergency medicine providers should ensure that all findings are documented to support the level of service.
Documentation should include a clear description of the vomiting, the presence of fecal matter, associated symptoms, and any diagnostic findings that support the diagnosis.
