Search all medical codes
Mixed irritable bowel syndrome
ICD10CM code
Name of the Condition
- Mixed Irritable Bowel Syndrome (Mixed IBS, IBS-M)
Summary
- Mixed Irritable Bowel Syndrome is a type of irritable bowel syndrome where individuals experience both diarrhea and constipation. It is a common functional gastrointestinal disorder that affects the quality of life but does not cause permanent damage to the digestive tract.
Causes
- The exact cause of IBS-M is unknown, but several factors may contribute, including abnormal intestinal muscle contractions, nerve abnormalities in the digestive system, inflammation in the intestines, severe infection, or changes in gut microflora.
Risk Factors
- Factors that may increase the risk of developing IBS-M include being under 50 years old, having a family history of IBS, mental health issues like anxiety or depression, and experiencing stressful life events.
Symptoms
- Common symptoms include alternating episodes of diarrhea and constipation, abdominal pain and cramping, bloating, and changes in bowel habits. Symptoms can vary widely in intensity and duration.
Diagnosis
- Diagnosis typically involves a comprehensive medical history and physical exam. Additional tests, such as stool samples, blood tests, colonoscopy, or flexible sigmoidoscopy, may be used to rule out other conditions.
Treatment Options
- Treatment may involve dietary changes, such as increasing fiber intake or following a low FODMAP diet. Medications, including antispasmodics, laxatives, or anti-diarrheal agents, may be prescribed. Psychological therapies and stress management techniques can also be beneficial.
Prognosis and Follow-Up
- The prognosis for IBS-M varies; while it's a chronic condition, symptoms can often be managed effectively with treatment. Regular follow-up with healthcare providers is recommended to monitor and adjust treatment plans.
Complications
- While IBS-M itself typically doesn't lead to serious complications, the symptoms can lead to a decreased quality of life and may contribute to anxiety or depression if not managed appropriately.
Lifestyle & Prevention
- Incorporating regular exercise, stress-reduction techniques, and maintaining a balanced diet can help manage symptoms. Avoiding caffeine, alcohol, and certain trigger foods may prevent flare-ups.
When to Seek Professional Help
- Seek medical advice if experiencing significant changes in bowel habits, unexplained weight loss, or severe symptoms that disrupt daily life, such as intense pain or rectal bleeding.
Additional Resources
Tips for Medical Coders
- Ensure accurate documentation of both diarrhea and constipation symptoms to differentiate Mixed IBS from other types of IBS.
- Verify the specificity of the diagnosis in medical records to assign the correct ICD-10 code K58.2.
- Be cautious of ambiguous notes that might lead to incorrect coding of other IBS types.