Chronic liver disease and cirrhosis

icd 10 code for cirrhosis

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Cirrhosis

liver cirrhosis; chronic liver disease; End-stage liver disease; liver failure – end-stage liver disease; Ascites – end-stage liver disease. Cirrhosis involves the liver’s scarring and impaired function, representing the final phase of chronic liver disease.

icd 10 code for cirrhosis

Cirrhosis is often the end result of chronic liver damage caused by chronic (chronic) liver disease. Frequent contributors to chronic liver disease in the United States consist of:

icd 10 code for cirrhosis
  • Hepatitis B or Hepatitis C infection.
  • Alcohol abuse.
  • Fat builds up in the liver that is not caused by drinking too much alcohol (called nonalcoholic fatty liver disease [NAFLD] and nonalcoholic steatohepatitis [NASH]). It is closely related to overweight, having high blood pressure, diabetes or pre-diabetes, and high cholesterol.icd 10 code for cirrhosis

Less common causes of cirrhosis include:

  • When immune cells mistake normal liver cells for harmful invaders and attack them, it is called autoimmune hepatitis (AH).
  • Bile duct disorders
  • Certain medications
  • Liver diseases run in families

Symptoms

Depending on how well the liver is working, there may be no symptoms or the symptoms may come on gradually. Often, it is discovered by chance when an X-ray is done or blood is drawn for other reasons.

Early symptoms include:

  • Fatigue and loss of energy
  • Poor appetite and weight loss
  • Nausea or stomach pain
  • Small, red spider-like blood vessels in the skin

As liver function worsens, symptoms may include:

  • • Accumulation of fluid in the legs (edema) and in the abdomen (ascites).
  • • Yellowing of the skin, mucous membranes, or eyes (jaundice)
  • • Redness on palms
  • • Impotence, testicular shrinkage, and breast swelling in men
  • • Bruising easily and bleeding abnormally, often from swollen veins in the digestive tract

Confusion or problem-thinking

  • Pale or clay-colored stools
  • Hemorrhaging from either the upper or lower parts of the intestinal tract.

Tests and tests

Your healthcare provider will do a physical exam to look for:

  • An enlarged liver or spleen
  • Excess breast tissue
  • Abdominal swelling due to excess fluid
  • Reddened palate
  • Red spidery blood vessels in the skin
  • Small testicles
  • Wide veins in the abdominal wall
  • Yellow eyes or skin (jaundice)

The assessment of liver function may involve the following tests:

  • Complete blood count
  • Prothrombin time
  • Liver function tests
  • Blood albumin levels

Additional examinations for evaluating potential liver damage encompass:

  • Computed tomography (CT) of the abdomen
  • Performing magnetic resonance imaging (MRI) on the abdominal region.
  • Conducting an endoscopy to examine for irregular veins in the esophagus or stomach.
  • Abdominal ultrasound

You may need a liver biopsy to confirm the diagnosis.

treatment

Lifestyle changes

There are things you can do to take care of your liver disease:

  • Do not drink alcohol.
  • Consume a nutritious diet characterized by ,reduced salt, fat, and simple carbohydrates.
  • Receive vaccinations against illnesses like influenza, hepatitis A and B, and pneumococcal pneumonia.
  • Talk to your provider about all the medications you take, including herbs and supplements and over-the-counter medications.
  • Exercise.
  • Control your underlying metabolic problems such as high blood pressure, diabetes and high cholesterol.

Medicines from your doctor

  • Water pills (diuretics) to relieve fluid retention
  • Vitamin K or blood products to prevent excessive bleeding
  • Medications for mental confusion
  • Antibiotics for infections

Other treatments

  • Endoscopic treatment for enlarged veins in the esophagus (varies)
  • Removal of fluid from the abdomen (paracentesis)
  • Placement of a transjugular intrahepatic portosystemic shunt (TIPS) to restore blood flow to the liver
  • When cirrhosis progresses to end-stage liver disease, a liver transplant may be necessary.

support group

You can often reduce the stress of illness by joining a liver disease support group whose members share common experiences and problems.

Outlook

Liver scarring leads to end-stage liver disease. In most cases, liver damage cannot heal or return to normal function once it becomes severe. Cirrhosis can lead to serious complications.

Possible complications

Complications may include:

• Bleeding disorders

Accumulation of fluid in the abdomen (ascites) and infection of the fluid (spontaneous bacterial peritonitis)

  • Enlarged veins in the esophagus, stomach, or intestines that bleed easily (varies)
  • Elevated pressure within the blood vessels of the liver, known as portal hypextension.
  • Kidney failure (hepatorenal syndrome)
  • Liver cancer (hepatocellular carcinoma)
  • Mental confusion, altered level of consciousness, or coma (hepatic encephalopathy)
Chronic liver disease

When to Contact a Medical Professional

Reach out to your healthcare provider if signs of end-stage liver disease manifest.

Get emergency medical help right away if you have:

  • Abdominal or chest pain
  • Abdominal bloating or ascites that is new or suddenly worsens
  • Elevated body temperature (exceeding 101°F or 38.3°C).
  • Diarrhea
  • Confusion or change in alertness, or it gets worse
  • Rectal bleeding, vomiting blood, or blood in the urine
  • Noise

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