From the Research
The appropriate ICD-10 code for Saruman impaction, which is essentially fecal impaction, would be K56.41, representing fecal impaction, as identified in the most recent and relevant medical literature 1. This code falls under the intestinal obstruction category and specifically identifies a condition where hardened stool becomes lodged in the rectum, causing blockage.
Key Considerations
- When documenting this condition, it's crucial to include any contributing factors such as medication side effects (particularly opioids or anticholinergics), dehydration, or immobility.
- Treatment typically involves digital disimpaction, enemas, or oral laxatives depending on severity, with polyethylene glycol being a commonly used and effective treatment option for fecal impaction, as supported by studies 2, 3.
- For prevention after resolution, a bowel regimen including stool softeners like docusate sodium, stimulant laxatives such as senna, adequate hydration, and increased dietary fiber is recommended.
Prevention and Management
- The use of polyethylene glycol with or without electrolytes has been shown to be efficacious in the treatment of functional constipation and fecal impaction, with great safety and tolerability 3.
- Early recognition and treatment of fecal impaction are essential to minimize complications and patient discomfort, as highlighted in recent studies 1, 4.
- A systematic review of fecal impaction complications underscores the importance of prompt diagnosis and management to prevent severe medical complications, particularly in high-risk groups such as the elderly and those with underlying neuropsychiatric diseases 4.