
Reporting Of Ulcerative Colitis
Ulcerative colitis is a inflammatory bowel disease (IBD) - chronic condition of gastrointestinal tract, causing inflammation and ulcers in mucosa of the large intestine or colon and rectum. Patient with symptoms of ulcerative colitis should visit a physician for an evaluation.
The main symptoms of ulcerative colitis are abdominal pain and diarrhea with blood and mucus. Other symptoms are loss of appetite, tiredness, weight loss, anemia, low grade fever, dehydration or a constant urge to pass stools.
This condition affects people of all ages, mainly between the ages of 15 and 35. Chronic inflammation in large intestine may cause colonic dysplasia or colorectal cancer.
Types and Symptoms:
1. Ulcerative Proctitis: Mildest type and only rectum is affected and symptoms are rectal bleeding, rectal pain or inability to pass stools despite frequent urges.
2. Proctosigmoiditis: Rectum and sigmoid colon are affected and symptoms are bloody diarrhea, abdominal cramps or pain and a constant urge to pass stool.
3. Left-sided Colitis: Rectum and the left side of the sigmoid and descending colon is affected and symptoms are bloody diarrhea, abdominal cramping on the left side, or weight loss.
4. Pancolitis : Whole colon is affected and the symptoms are fatigue, weight loss, occasionally bloody diarrhea, abdominal pain and cramps.
5. Fulminant Colitis: Rare and life-threatening condition affecting whole colon with a risk of colon rupture and toxic megacolon. The symptoms are severe abdominal pain, diarrhea, dehydration and shock.
If left untreated, ulcerative colitis inflammation, lead to serious complications, and also cause physical and mental health issues like depression, arthritis, eye inflammation, or even liver and kidney damage.
Diagnosis:
Colonoscopy and flexible sigmoidoscopy are performed to diagnose ulcerative colitis.
ICD-10 Codes for Ulcerative Colitis:
K51 - Ulcerative colitis
K51.0 - Ulcerative (chronic) pancolitis
K51.00 - Ulcerative (chronic) pancolitis without complications
K51.01 - Ulcerative (chronic) pancolitis with complications
K51.011 - Ulcerative (chronic) pancolitis with rectal bleeding
K51.012 - Ulcerative (chronic) pancolitis with intestinal obstruction
K51.013 - Ulcerative (chronic) pancolitis with fistula
K51.014 - Ulcerative (chronic) pancolitis with abscess
K51.018 - Ulcerative (chronic) pancolitis with other complication
K51.019 - Ulcerative (chronic) pancolitis with unspecified complication
K51.2 Ulcerative (chronic) proctitis
K51.20 - Ulcerative (chronic) proctitis without complications
K51.21 - Ulcerative (chronic) proctitis with complications
K51.211 - Ulcerative (chronic) proctitis with rectal bleeding
K51.212 - Ulcerative (chronic) proctitis with intestinal obstruction
K51.213 - Ulcerative (chronic) proctitis with fistula
K51.214 - Ulcerative (chronic) proctitis with abscess
K51.218 - Ulcerative (chronic) proctitis with other complication
K51.219 - Ulcerative (chronic) proctitis with unspecified complications
K51.3 - Ulcerative (chronic) rectosigmoiditis
K51.30 - Ulcerative (chronic) rectosigmoiditis without complications
K51.31 - Ulcerative (chronic) rectosigmoiditis with complications
K51.311 - Ulcerative (chronic) rectosigmoiditis with rectal bleeding
K51.312 - Ulcerative (chronic) rectosigmoiditis with intestinal obstruction
K51.313 - Ulcerative (chronic) rectosigmoiditis with fistula
K51.314 - Ulcerative (chronic) rectosigmoiditis with abscess
K51.318 - Ulcerative (chronic) rectosigmoiditis with other complication
K51.319 - Ulcerative (chronic) rectosigmoiditis with unspecified complications
K51.4 Inflammatory polyps of colon
K51.40 - Inflammatory polyps of colon without complications
K51.41 - Inflammatory polyps of colon with complications
K51.411 - Inflammatory polyps of colon with rectal bleeding
K51.412 - Inflammatory polyps of colon with intestinal obstruction
K51.413 - Inflammatory polyps of colon with fistula
K51.414 - Inflammatory polyps of colon with abscess
K51.418 - Inflammatory polyps of colon with other complication
K51.419 - Inflammatory polyps of colon with unspecified complications
K51.5 Left sided colitis
K51.50- Left sided colitis without complications
K51.51 - Left sided colitis with complications
K51.511 - Left sided colitis with rectal bleeding
K51.512 - Left sided colitis with intestinal obstruction
K51.513 - Left sided colitis with fistula
K51.514 - Left sided colitis with abscess
K51.518 - Left sided colitis with other complication
K51.519 - Left sided colitis with unspecified complications
K51.8 Other ulcerative colitis
K51.80 - Other ulcerative colitis without complications
K51.81 - Other ulcerative colitis with complications
K51.811 - Other ulcerative colitis with rectal bleeding
K51.812 - Other ulcerative colitis with intestinal obstruction
K51.813 - Other ulcerative colitis with fistula
K51.814 - Other ulcerative colitis with abscess
K51.818 - Other ulcerative colitis with other complication
K51.819 - Other ulcerative colitis with unspecified complications
K51.9 Ulcerative colitis, unspecified
K51.90 - Ulcerative colitis, without complications
K51.91 - Ulcerative colitis, unspecified, with complications
K51.911 - Ulcerative colitis, unspecified with rectal bleeding
K51.912 - Ulcerative colitis, unspecified with intestinal obstruction
K51.913 - Ulcerative colitis, unspecified with fistula
K51.914 - Ulcerative colitis, unspecified with abscess
K51.918 - Ulcerative colitis, unspecified with other complication
K51.919 - Ulcerative colitis, unspecified with unspecified complications
Treatment:
Line of treatment for ulcerative colitis is medications, diet, or surgery. Symptomatic medications suggested are antidiarrheal, aminosalicylates, corticosteroids, immunomodulators, biologics and other dietary supplements. In severe cases, surgical removal of the colon suggested. Lifestyle modifications as more liquid intake or replacing large meals with smaller and more frequent ones are also recommended.
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