Fecal occult blood test

Mayo Clinic Health Manager

Get free personalized health guidance for you and your family.

Get Started

Free

E-Newsletter

Subscribe to receive the latest updates on health topics. About our newsletters

  • Housecall
  • Alzheimer's caregiving
  • Living with cancer

What you can expect

By Mayo Clinic staff

Typically, your doctor will provide a fecal occult blood test kit to be used at home. You also can buy over-the-counter test kits at most pharmacies.

With some kits, you'll collect a stool sample and store it in a supplied container. With other kits, you'll use an applicator stick to smear the sample on a chemically treated card. In some cases, you may be able to use flushable pads that detect occult blood in the toilet bowl after a bowel movement, without the need to collect stool samples. Because cancers may bleed intermittently, you'll generally be asked to take stool samples on two or three consecutive days.

After you collect the samples, you'll deliver them to a lab or your doctor's office — either by mail or in person. The samples will be treated with a special chemical. If blood is present, the chemical reacts and appears as a different color from the rest of the sample. For accurate results, it's important to return the samples promptly.

References
  1. Levin B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology. 2008;134:1570.
  2. Hundt S, et al. Comparative evaluation of immunochemical fecal occult blood tests for colorectal adenoma detection. Annals of Internal Medicine. 2009;150:162.
  3. Fecal occult blood test: The test sample. American Association for Clinical Chemistry. http://www.labtestsonline.org/understanding/analytes/fecal_occult_blood/sample.html. Accessed March 12, 2009.
  4. Fecal occult blood test: The test. American Association for Clinical Chemistry. http://www.labtestsonline.org/understanding/analytes/fecal_occult_blood/test.html. Accessed March 12, 2009.
  5. Bynum TE. Evaluation of occult gastrointestinal bleeding. http://www.uptodate.com/home/index.html. Accessed March 12, 2009.
  6. Pignone M, et al. Meta-analysis of dietary restriction during fecal occult blood testing. Effective Clinical Practice. 2001;4:150.
  7. Van Rossum LG, et al. Random comparison of guaiac and immunochemical fecal occult blood tests for colorectal cancer in a screening population. Gastroenterology. 2008;135:82.

MY00620

June 20, 2009

© 1998-2009 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Reliable tools for healthier lives," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

Print Share Reprints

Text Size: smaller largerlarger