Fecal occult blood test

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Why it's done

By Mayo Clinic staff

Your doctor may recommend a fecal occult blood test to:

  • Screen for colon cancer. If you're age 50 or older and at average risk of colon cancer, your doctor may recommend a fecal occult blood test every year to screen for colon cancer. In addition, however, you may need other screening tests that allow the doctor to examine the colon directly.
  • Evaluate possible causes of unexplained anemia. Anemia is a condition in which there aren't enough healthy red blood cells to carry adequate oxygen to your tissues. Sometimes a fecal occult blood test is used to determine whether gastrointestinal bleeding — such as a bleeding ulcer — is contributing to anemia.
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

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