Stool Occult Blood Test Results: What You Need to Know - Gastroenterology and Hepatology

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I apologize for the confusion earlier.
My report only includes the Stool Occult Blood Immunochemical Test result, which is 75 with a biological reference range of <100 ng/ml.
I would like to know if this is considered normal, as the physician did not specify whether it is negative or positive.
Additionally, should a colonoscopy be performed based on this data? Thank you for your response.

Wen, 20~29 year old female. Ask Date: 2019/01/09

Dr. Chen Qifeng reply Gastroenterology and Hepatology


In the case of a negative reaction, there is currently no need for a colonoscopy regarding the occult blood test.

Reply Date: 2019/01/09

More Info


Understanding the results of a stool occult blood test is crucial for assessing gastrointestinal health. The stool occult blood test is designed to detect hidden (occult) blood in the stool, which can be an indicator of various conditions, including colorectal cancer, polyps, or gastrointestinal bleeding.
In your case, the report indicates a result of 75 ng/ml, which falls within the biological reference range of <100 ng/ml. This suggests that your test result is considered normal, as it does not exceed the threshold that would typically raise concern. Generally, a result below 100 ng/ml is interpreted as negative for occult blood, meaning that there is no significant bleeding detected in the gastrointestinal tract at the time of testing.

However, it’s important to note that while a normal result is reassuring, it does not completely rule out the possibility of gastrointestinal issues. Factors such as diet, medications, and even the timing of the test can influence the results. For instance, certain foods (like red meat) and medications (like NSAIDs) can cause false positives. Therefore, if you have symptoms such as unexplained weight loss, changes in bowel habits, abdominal pain, or if there is a family history of colorectal cancer, further investigation may be warranted.

Regarding your question about whether a colonoscopy is necessary based on this result, it typically depends on several factors, including your age, family history, and any symptoms you may be experiencing. If you are over the age of 45, or if you have risk factors for colorectal cancer, many healthcare providers recommend regular screening, which may include a colonoscopy, regardless of the stool occult blood test results.
In summary, your stool occult blood test result of 75 ng/ml is within the normal range, suggesting no significant bleeding. However, it’s essential to consider your overall health context, including any symptoms and risk factors, when deciding whether to pursue further testing like a colonoscopy. If you have any concerns or if your symptoms persist, it is advisable to consult with your healthcare provider for personalized recommendations. Regular screenings and being proactive about gastrointestinal health are key components of preventive care.

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