What is a Stool Occult Blood Test?
The Stool Occult Blood test (also called the Faecal Occult Blood Test or FOBT) is a specialized diagnostic test used to detect hidden (occult) blood in the stool that is not visible to the naked eye. Even a small amount of bleeding anywhere along the gastrointestinal tract — from the oesophagus to the rectum — can release tiny quantities of blood into the stool that cannot be seen but can be detected chemically. This test is a critical colorectal cancer screening tool and is used to investigate unexplained iron deficiency anaemia, gastrointestinal ulcers and polyps.
Why is the Stool Occult Blood Test Performed?
The FOB test identifies conditions causing slow or intermittent GI bleeding that would otherwise be missed:
- Colorectal Cancer Screening — the most important use; detects early-stage colorectal cancer when treatment is most effective, before symptoms appear
- Polyp Detection — colorectal polyps bleed intermittently; occult blood is often the first detectable sign before polyps become cancerous
- GI Ulcer Screening — gastric and duodenal ulcers bleed slowly into the upper GI tract
- Anaemia Investigation — occult blood is the most common missed cause of unexplained iron deficiency anaemia
- Inflammatory Bowel Disease — slow bleeding from Crohn's disease or Ulcerative Colitis
- NSAID-induced gastropathy — long-term aspirin and NSAID use causes silent gastric bleeding
Types of Faecal Occult Blood Tests
- Guaiac FOBT (gFOBT) — detects the peroxidase activity of haemoglobin using a chemical reaction. Requires dietary restriction (no red meat, raw vegetables, Vitamin C, NSAIDs for 3 days). Less expensive and widely used for screening.
- Immunochemical FIT (Faecal Immunochemical Test) — uses antibodies specific to human haemoglobin. More specific for lower GI bleeding. No dietary restrictions needed. More sensitive for colorectal cancer detection. Now preferred over gFOBT by most international guidelines.
- Which is available at Apollo Diagnostics? — Please confirm with our team at time of booking which method is available and which your doctor has requested.
Normal and Abnormal Results
| Result | Interpretation | Next Step |
|---|---|---|
| Negative | No detectable blood in stool sample | Routine repeat screening as advised by doctor (annually for colorectal cancer screening) |
| Positive | Blood detected in stool — source of bleeding must be identified | Colonoscopy, upper GI endoscopy or further investigation as directed by doctor |
A positive FOBT does not confirm cancer — it only indicates that blood is present. Further investigation with colonoscopy is required to identify the source. A negative result does not completely rule out cancer as bleeding is intermittent and may not be present in every stool sample.
Who Should Get a Stool Occult Blood Test?
This test is recommended for:
- Adults above 45 years for routine colorectal cancer screening (annually)
- Anyone with a family history of colorectal cancer or polyps
- Patients with unexplained iron deficiency anaemia
- Patients on long-term aspirin, NSAIDs or anticoagulants
- Anyone with change in bowel habits (constipation alternating with diarrhoea) persisting more than 4 weeks
- Patients with unexplained weight loss and abdominal discomfort
- Patients with known gastric or duodenal ulcers requiring monitoring
- Patients with inflammatory bowel disease (Crohn's disease, Ulcerative Colitis)
- Anyone with rectal bleeding that has been evaluated but not fully explained
What Conditions Does FOBT Help Diagnose?
- Colorectal cancer (early stage)
- Colorectal polyps (pre-cancerous)
- Gastric and duodenal ulcers
- Oesophageal varices (bleeding from dilated oesophageal veins in liver disease)
- Inflammatory bowel disease (Crohn's disease, Ulcerative Colitis)
- Diverticular disease
- Angiodysplasia (abnormal blood vessels in the bowel)
- NSAID-induced gastropathy
- Unexplained iron deficiency anaemia
Stool Occult Blood Test Price in Kolkata
No fasting required | Dietary restrictions apply (see above) | Submit within 2 hours | Free home collection above ₹2,000
Tests Commonly Ordered Alongside FOBT
- Stool Routine & Microscopy — ordered alongside FOBT when GI infection is also suspected as a cause of bleeding
- CBC (Complete Blood Count) — checks for iron deficiency anaemia caused by chronic occult GI bleeding
- Serum Iron & Ferritin — confirms iron deficiency anaemia when occult blood is positive
- Liver Function Test (LFT) — oesophageal varices causing upper GI bleeding occur in liver disease
- Colonoscopy — the definitive follow-up investigation after a positive FOBT result
- Upper GI Endoscopy — if upper GI source of bleeding is suspected (gastric ulcer, oesophageal varices)
Home Collection for Stool Occult Blood Test in Kolkata
Apollo Diagnostics provides home sample collection for Stool Occult Blood tests across Nagerbazar, Dum Dum, South Dum Dum and surrounding North and Central Kolkata areas. Our phlebotomist provides a sterile stool collection container at your doorstep with clear instructions on dietary restrictions and collection technique. Submit the sample within 2 hours for accurate results.
- Home collection available: 7:00 AM – 2:30 PM Daily
- No fasting required
- Follow dietary restrictions 3 days before collection (for gFOBT)
- Sterile collection container provided at your doorstep
- Submit sample within 2 hours of collection
- Free home collection on orders above ₹2,000
- Same-day digital reports delivered to WhatsApp
→ Apollo Diagnostics Nagerbazar → Full List of Individual Tests → Book Home Collection → Full Body Checkup Packages
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