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Gastrointestinal Conditions & Chronic Pelvic Pain Discussion

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Discussion 6

Chronic pelvic pain can be described as pain that is in the area below the belly button in between the hips that lasts 6 months or more (Mayo Clinic, 2021).  Chronic pelvic pain has various symptoms and clinical manifestations.  Chronic pelvic pain symptoms include severe steady pain, intermittent pain, dull aching pain, sharp cramping pain, heaviness, or pressure deep within the pelvis.  Other symptoms may include pain with sexual intercourse, and while having bowel movements or urinating.  Pain when you sit for long periods of time, sometimes the pain may be relieved when lying down. Sometimes the pain may be mild or severe and can cause impairments and interfere with life and work. 

Three examples with the definition of chronic pelvic pain of gynecologic origin with ICD 10 numbers is Endometriosis N80.9 (ICD10Data, 2021).  Endometriosis is a condition in which tissue similar to the tissue lining of the uterus grows outside of the uterine cavity (Health Line, 2021).  The tissue can grow on the ovaries, bowels, and tissues lining the pelvis.  This causes pelvic pain, cramps, infertility, and discomfort with bowel movements.  Another example of chronic pain of gynecologic origin with ICD 10 number is Leiomyoma of the uterus D25.9 (ICD10Data, 2021), which are non-cancerous uterine fibroids.  The symptoms include chronic pelvic pain and pressure to include heavy menstrual bleeding.  Another example of chronic pelvic pain of gynecologic origin is Female Pelvic Inflammatory disease N73.9 (ICD10Data, 2021).  Female pelvic inflammatory disease is an infection of a woman’s reproductive organs.  It is usually caused by STIs.  Symptoms includes lower abdominal pain, and vaginal discharge. 

Non-gynecologic examples of chronic pelvic pain with ICD 10 include Irritable bowel syndrome K58.0 (ICD10Data, 2021).  Irritable bowel syndrome is a painful inflammatory problem with the intestines. This causes sever lower abdominal pain that radiates to the pelvic region, therefore causing chronic pelvic pain.  Another example of non-gynecologic example of chronic pelvic pain with ICD 10 is Interstitial cystitis (chronic) N30.1 (ICD10Data, 2021).  This condition is associated with recurrent pain in the bladder with frequent urination.  This causes the bladder to fill and causes pelvic pain.  Other causes of non-gynecological chronic pelvic pain include Unspecified Acute Appendicitis K35.80 (ICD10Data, 2021).  This condition causes severe right upper quadrant pain that can radiate to the pelvic region. 

Patient education on chronic pelvic pain includes recognizing signs and symptoms and seeking medical attention as both gynecological and non-gynecological chronic pelvic pain can cause serious complications if left untreated.  The pharmacological plan includes OTC NSAIDs such as ibuprofen to relieve pain, as well as Tylenol.  Non-pharmacological treatment includes the use of a heating pad depending on the diagnosis.  OTC supplements such as Mg can help relax smooth muscle and reduce inflammation.  Non-pharmacologic measures include relaxation techniques such as yoga and meditation to help with the pain.        

References

2021 ICD-10-CM index > ‘Endometriosis’. (n.d.). The Web’s Free 2021 ICD-10-CM/PCS Medical Coding Reference. https://www.icd10data.com/ICD10CM/Index/E/Endometriosis (Links to an external site.)

Chronic pelvic pain in women – Symptoms and causes. (2021, July 17). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/chronic-pelvic-pain/symptoms-causes/syc-20354368 (Links to an external site.)

Mohamed, A. W. (n.d.). Endometriosis: Causes, complications, and treatment. Healthline. https://www.healthline.com/health/endometriosis (Links to an external site.)

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