What Is Stercoral Colitis?
Stercoral colitis is a rare but serious inflammation of the colon caused by prolonged pressure from hard, impacted stool. The constant pressure lowers blood flow to the bowel wall, leading to swelling, ulceration, perforation, or even infection if left untreated.
Common Causes and Risk Factors
- Ongoing or severe constipation
- Low-fiber diet (too few fruits, vegetables, whole grains)
- Inadequate fluid intake
- Chronic opioid or narcotic painkiller use
- Prolonged immobility or bed rest
- Nervous system disorders affecting bowel motility
Signs and Symptoms
- Persistent, severe abdominal pain
- Swelling or bloating of the abdomen
- Constipation that does not improve with laxatives
- Tenderness when the abdomen is touched
- Fever, rapid heart rate, or other signs of infection
How Dr. Rishi Diagnoses Stercoral Colitis?
1. Medical History
Dr. Chadha reviews your bowel habits, diet, fluid intake and any medications (including opioids or painkillers) that may contribute to constipation.
2. Physical Exam
He gently presses on your abdomen to assess for tenderness, bloating or signs of a mass.
3. CT Scan
A CT scan is obtained to look for thickened colon walls, impacted stool and to rule out perforation or abscess formation.
4. Lab Tests
Blood work checks for markers of infection, inflammation and dehydration.
5. ICD-10 Coding
Our team ensures accurate documentation and coding-commonly K56.6 (other and unspecified intestinal obstruction) or K57.50 (diverticulosis of large intestine without perforation or abscess)-to streamline your insurance coverage.
Frequently Asked Questions
What's the first step to treat stercoral colitis?
Start by drinking more water, eating fiber, and seeing a doctor.
Do all cases need surgery?
No. Most improve with diet, medications, and close monitoring.
When are antibiotics needed?
If there's an infection or abscess seen on the CT scan or indicated by lab tests.
How long is recovery?
Most patients feel better within 3-7 days with proper care.
Can stercoral colitis be life-threatening?
Rarely-only if a perforation occurs or infection spreads.
Do I need a CT scan?
Yes. A CT scan is the best way to confirm the diagnosis and assess severity.
Will insurance cover the visit?
Yes. We accept most plans and handle correct ICD-10 coding (e.g., K56.6, K57.50) for you.
Can I prevent it from coming back?
Yes'stay hydrated, eat a high-fiber diet, and stay active.
Is stercoral colitis common in Houston?
It's rare but can occur in individuals with severe, ongoing constipation.
How should I prepare for my visit?
Write down your bowel habits, current medications, and any past test results to share with Dr. Chadha.