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

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Fecal occult blood


Hello, doctor.
I recently had a fecal occult blood test (immunochemical) and the result was less than 7, which is negative.
Does this mean everything is fine? I have a question regarding the sample collection; I used the stick to dig into the stool, but I heard that I should have taken a sample from the surface.
Did I do it incorrectly? Should I redo the test? If there is too much stool, could that affect the results? If the report is normal, can I feel reassured for the time being? I have health anxiety and I'm very concerned about colorectal cancer.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2023/04/19

Dr. Chen Shidian reply Gastroenterology and Hepatology


It's normal, so there's no need to worry for now.

Reply Date: 2023/04/19

More Info


Understanding the results of a Fecal Occult Blood Test (FOBT) is crucial for assessing gastrointestinal health, particularly in the context of screening for conditions such as colorectal cancer. The FOBT is designed to detect hidden (occult) blood in the stool, which can be an early sign of various gastrointestinal issues, including polyps, hemorrhoids, or malignancies.

In your case, the report indicates a result of "less than 7," which is interpreted as negative for occult blood. This means that no significant blood was detected in your stool sample, which is generally a reassuring sign. However, it is essential to understand that a negative result does not completely rule out the possibility of gastrointestinal issues, especially if you have symptoms or a family history of colorectal cancer.

Regarding your method of stool collection, it is typically recommended to collect a sample from different areas of the stool, ideally from the surface, to ensure a representative sample. If you inadvertently collected from deeper within the stool, it may not significantly affect the outcome, but it is always best to follow the instructions provided with the test kit. If you are concerned about the accuracy of your sample, it may be prudent to discuss with your healthcare provider whether a repeat test is necessary.

As for the quantity of stool collected, while it is important to have an adequate sample size, excessive stool should not inherently skew the results of the FOBT. The test is designed to work with a range of sample sizes, but if you suspect that the sample was too large or improperly collected, consulting with your healthcare provider for further guidance is advisable.

Given your concerns about colorectal cancer, it is understandable to feel anxious, especially if you have a history of gastrointestinal issues. A negative FOBT is a positive indicator, but it is essential to maintain regular screenings and follow up with your healthcare provider, particularly if you experience any symptoms such as changes in bowel habits, unexplained weight loss, or abdominal pain.

In summary, while your FOBT result is negative and generally indicates no immediate concern, it is crucial to continue monitoring your health and consult with your doctor about any ongoing symptoms or risks. Regular screenings, including colonoscopies as recommended based on your age and risk factors, are vital for early detection and prevention of colorectal cancer. Always feel empowered to ask your healthcare provider any questions you may have about your results or the testing process to ensure you are fully informed and comfortable with your health management.

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