K25.1 Acute gastric ulcer with perforation

ICD10CM code

#### Name of the Condition
- Acute Gastric Ulcer with Perforation
- Medical term: Perforated Peptic Ulcer

#### Summary
Acute gastric ulcer with perforation refers to a condition where a sore develops on the lining of the stomach and creates a hole, leading to the contents of the stomach leaking into the abdominal cavity. This is a medical emergency due to the risk of infection and requires immediate attention.

#### Causes
- Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs)
- Infection with Helicobacter pylori (H. pylori) bacteria
- Excessive alcohol consumption
- High levels of stress

#### Risk Factors
- Long-term NSAID use
- History of ulcers
- Smoking
- Excessive alcohol use
- Advanced age

#### Symptoms
- Sudden, severe abdominal pain
- Nausea and vomiting
- Abdominal tenderness
- Rigid, board-like abdomen
- Fever

#### Diagnosis
- Physical examination
- Gastroscopy to visualize the ulcer
- Imaging tests such as an X-ray or CT scan to detect perforation
- Blood tests to check for infection and inflammation

#### Treatment Options
- Emergency surgery to repair the perforation
- Antibiotics to prevent infection
- Proton pump inhibitors to reduce stomach acid production
- Intravenous fluids to maintain hydration and blood pressure stabilization

#### Prognosis and Follow-Up
- Timely surgical intervention leads to a good prognosis
- Regular follow-ups to monitor healing and prevent recurrence
- Importance of adhering to medications and lifestyle modifications to prevent future ulcers

#### Complications
- Peritonitis (infection of the abdominal lining)
- Sepsis (infection spreading throughout the body)
- Recurrent ulcers

#### Lifestyle & Prevention
- Avoid NSAIDs or use them under medical supervision
- Eliminate or reduce alcohol consumption
- Quit smoking
- Manage stress through healthy coping mechanisms
- Regular medical check-ups for those with a history of ulcers

#### When to Seek Professional Help
- Sudden onset of severe abdominal pain
- Signs of shock such as paleness, sweating, or fainting
- Uncontrolled vomiting
- Fever with abdominal pain

#### Additional Resources
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- American Gastroenterological Association
- Patient support groups such as the Peptic Ulcer Foundation

#### Tips for Medical Coders
- Ensure accurate identification of the condition as "acute gastric ulcer with perforation"
- Avoid confusion with chronic ulcers or ulcers without perforation
- Use the ICD code K25.1 to represent this specific condition accurately

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