What Are Fecal Abnormalities?
Fecal abnormalities refer to any unusual changes in your stool's color, shape, texture, or contents. You may notice blood, mucus, pus, or stools that are too hard or too loose. Physicians often assign the ICD-10 code K92.8 for -other fecal abnormalities- when no specific diagnosis applies.
Common Causes and Risk Factors
- Low dietary fiber intake
- Dehydration
- Gastrointestinal infections (e.g., bacterial gastroenteritis)
- Hemorrhoids or anal fissures
- Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
- Certain medications (aspirin, iron supplements)
- Colorectal cancer risk factors (age over 50, family history)
Signs and Symptoms
- Bright red or black, tarry stools
- Visible mucus or pus in stool
- Persistent diarrhea or constipation
- Positive fecal occult blood test
- Abdominal pain, bloating, or cramping
How Dr. Rishi Diagnoses Fecal Abnormalities?
Dr. Rishi uses a step-by-step approach:
Medical History and Physical Exam
He reviews your stool changes (color, shape, consistency), diet, medications, family history, and risk factors. A focused abdominal and anorectal exam checks for tenderness, masses, hemorrhoids, or fissures.
Fecal Tests
We perform a fecal occult blood test to detect hidden bleeding and a stool culture (including ova & parasites) to identify infectious causes.
Endoscopic Evaluation
- Colonoscopy - direct visualization of the colon lining, with polyp removal and biopsy as needed.
- Capsule endoscopy - non-invasive inspection of the small intestine when indicated.
Imaging Studies
- CT scan or MRI enterography - detailed images to spot inflammation, strictures, or masses in the bowel.
Advanced Testing (if needed)
For complex motility or functional issues, we may order anorectal manometry or colonic transit studies to assess bowel movement patterns.
Frequently Asked Questions
What does black, tarry stool mean?
Black, tarry stool (melena) often indicates bleeding in the upper GI tract (stomach or small intestine). Iron supplements or bismuth medicines can also darken stool.
When should I worry about a positive fecal occult blood test?
A positive result can signal hidden bleeding. You should follow up with your doctor for colonoscopy or other diagnostics to identify the cause.
What is the ICD-10 code for other fecal abnormalities?
The code K92.8 is used for -other fecal abnormalities- when no more specific code applies to your stool changes.
How do I prepare for a colonoscopy?
You'll need to follow a clear-liquid diet the day before and take prescribed bowel prep solutions to fully cleanse your colon.
Can changing my diet help with stool issues?
Yes. Increasing fiber, staying hydrated, and adding probiotics often improve stool consistency and gut health.
Are fecal abnormalities life-threatening?
Most aren-t. However, it's important to rule out serious conditions'like GI bleeding or cancer-through proper testing.
How fast does treatment work?
Many patients notice improvement within a few days of starting diet changes, hydration, and medications as prescribed.
Do hemorrhoids affect stool results?
Yes. Hemorrhoids or anal fissures can cause visible bleeding, leading to positive stool-blood tests or red streaks on the stool.
What does -other fecal abnormalities- mean?
It's a general term used when changes in your stool (color, consistency, contents) don-t fit a more specific diagnosis.
Will insurance cover these tests and treatments?
Most health plans cover necessary stool tests, imaging, colonoscopies, and treatments. Always verify benefits with your provider.