Positive Stool Test Results: Next Steps and Considerations

Q: Positive Stool Test Results: Next Steps and Considerations

Hello, Miss： The meaning of "30 positive" should be inquired from the testing unit, and if necessary, a repeat test can be conducted to rule out menstrual contamination factors. <br>Changhua Hospital cares about your health. <br>Chen Shidian

Stool examination

Doctor, I had a stool test done a few days ago, and the results came back positive, with a report stating "30 positive." Do I need to go to the hospital for further examination? I had the test 4-5 days after my menstrual period ended; does that have any impact?

Si, 20~29 year old female. Ask Date: 2015/11/02

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss: The meaning of "30 positive" should be inquired from the testing unit, and if necessary, a repeat test can be conducted to rule out menstrual contamination factors.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2015/11/02

More Info

When you receive a positive result from a stool test, particularly one that indicates a value of 30, it is essential to understand the implications and the necessary next steps. A positive stool test, especially one that measures for occult blood (i.e., hidden blood), can be concerning as it may indicate underlying gastrointestinal issues, including polyps, inflammatory bowel disease, or even colorectal cancer.
First and foremost, it is crucial to consider the context of your test. The timing of your menstrual cycle can indeed influence stool test results, particularly if there was any possibility of menstrual blood contaminating the stool sample. However, the presence of blood in the stool that is not related to menstruation is what the test is designed to detect. If you are confident that the sample was not contaminated, then the positive result should be taken seriously.

Given the positive result, it is advisable to follow up with your healthcare provider for further evaluation. This may include additional testing, such as a repeat stool test to confirm the result, or more definitive procedures like a colonoscopy. A colonoscopy allows for direct visualization of the colon and rectum, and it can also enable the physician to take biopsies or remove any suspicious lesions.

In addition to the stool test, your healthcare provider may also consider your medical history, any symptoms you may be experiencing (such as changes in bowel habits, abdominal pain, or weight loss), and any family history of gastrointestinal diseases. These factors can help guide the decision on the urgency and type of follow-up testing required.

It is also worth noting that certain dietary factors and medications can affect stool test results. For example, consuming red meat, certain vegetables (like beets), or taking iron supplements can lead to false-positive results. Therefore, it is essential to discuss your diet and any medications you are taking with your healthcare provider.

In summary, a positive stool test result warrants further investigation. It is crucial to consult with your healthcare provider to determine the appropriate next steps, which may include repeat testing or a colonoscopy. Early detection and intervention are key in managing potential gastrointestinal issues, so do not hesitate to seek medical advice promptly.

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