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Stool Fecal Occult Blood (Hemoglobin) Test, Immunochemical (Fecal Immunochemical Guaiac-Free)

Published: August 9, 2026Updated: August 16, 2026

This test detects hidden blood in your stool, which may signal conditions like bleeding from the digestive tract.

Quick summary

["Early detection of hidden blood can help identify potential gastrointestinal issues before symptoms appear."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
34402-8
Short code
Copro/Hgb RBC
Synonyms
Copro/Hgb RBC
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85041
SNOMED
900000000000003001
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may recommend this test to check for signs of internal bleeding in the digestive system, such as ulcers, polyps, or cancer. It’s often used as a screening tool for colorectal cancer or to investigate symptoms like unexplained weight loss, abdominal pain, or changes in bowel habits.

How the Test Works

A small sample of stool is collected and tested for hidden blood using a sensitive chemical reaction. This method is more accurate than the traditional guaiac-based test and can detect even small amounts of blood.

Sample Collection

You’ll need to collect a stool sample at home using provided collection kits. Follow the instructions carefully to ensure accurate results. Bring the sample to your lab or clinic on the same day for testing.

What to Expect Before the Test

No special preparation is usually needed, but avoid using certain foods or supplements (like vitamin C or red meat) that could interfere with the test results for 3 days before collection.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: whole-blood

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test plays a crucial role in early detection of gastrointestinal bleeding, which could be caused by conditions like colorectal cancer, hemorrhoids, or peptic ulcers. Early identification can lead to timely medical intervention and better outcomes.

Short name

Fecal Occult Blood (FOB) Test

Frequently asked questions

What does a positive result mean?
A positive result indicates the presence of hidden blood in your stool, which may require further medical evaluation, such as additional tests or a colonoscopy, to determine the cause.
Can I eat normally before taking this test?
Yes, but avoid high-risk foods (like red meat, vitamin C supplements, or certain medications) for 3 days before collecting your stool sample to avoid false results.
How often is this test recommended?
The frequency depends on your risk factors. Doctors may recommend this test as part of routine screening (e.g., every 1–3 years for average-risk adults) or after certain medical conditions or procedures.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy