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Chronic cholecystitis
ICD10CM code
#### Name of the Condition
- Chronic Cholecystitis
- Medical term: K81.1
#### Summary
Chronic cholecystitis is a long-term inflammation of the gallbladder, typically caused by repeated episodes of acute inflammation. The gallbladder is a small organ that aids in the digestion of fats.
#### Causes
- Often caused by gallstones obstructing the bile ducts.
- Other causes can include ongoing bacterial infections or chemical irritants.
#### Risk Factors
- Gallstones are a major risk factor.
- Being female, obesity, and certain diets can increase risk.
- Age and family history also contribute.
#### Symptoms
- Persistent abdominal pain, particularly in the upper right quadrant.
- Nausea and vomiting.
- Jaundice or fever in some cases.
#### Diagnosis
- Ultrasound or CT scans to detect gallstones or inflammation.
- Blood tests to check liver function and signs of infection.
#### Treatment Options
- Medications to dissolve gallstones or manage pain and inflammation.
- Surgery, such as cholecystectomy, to remove the gallbladder when necessary.
- Dietary changes to avoid fatty foods can help manage symptoms.
#### Prognosis and Follow-Up
- Chronic cholecystitis can lead to complications without treatment.
- Long-term prognosis is generally good after gallbladder removal.
- Regular follow-up checks for potential liver or digestive issues.
#### Complications
- Untreated, it may cause gallbladder rupture, infection, or bile duct obstruction.
- Increases risk of developing gallbladder cancer.
#### Lifestyle & Prevention
- Maintaining a healthy weight and balanced diet low in fat.
- Regular exercise to reduce gallstone formation.
- Avoid rapid weight loss diets which can contribute to gallstones.
#### When to Seek Professional Help
- Sudden severe abdominal pain.
- Fever or jaundice.
- Persistent nausea or vomiting.
#### Additional Resources
- American Gastroenterological Association: [gastro.org](https://www.gastro.org/)
- Mayo Clinic: [mayoclinic.org](https://www.mayoclinic.org/)
#### Tips for Medical Coders
- Ensure ICD code K81.1 is used for chronic cases, distinct from acute cholecystitis (K81.0).
- Verify accompanying conditions like gallstones (K80) or complications are coded accurately.