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Hemoglobin S Percentage in Blood (Gastrografin-Enhanced Study)

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

This test measures the proportion of hemoglobin S (the abnormal form of hemoglobin linked to sickle cell trait or disease) in your blood, often performed after a contrast study using Gastrografin (a radiopaque dye).

Quick summary

["Assessing your blood’s hemoglobin S levels can help diagnose or monitor sickle cell trait/disease or evaluate gastrointestinal issues after contrast imaging."]

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

Key facts at a glance

LOINC
14563-1
Short code
Hgb sp1 Stl gastro Ql
Synonyms
Hgb sp1 Stl gastro Ql
Category
hematology
Sample
stool
Container
Clean container
Units
N/A
Ref low
10
Ref high
40
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302774002
Specimen volume
5 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms of sickle cell trait (e.g., mild pain, fatigue) or if Gastrografin was used for imaging (e.g., CT scans of the abdomen or pelvis). It helps determine if the dye caused any changes in your red blood cells, including potential sickling.

What to Expect Before the Test

No special preparation is needed unless instructed by your doctor. If Gastrografin was used, you may have had a prior imaging study. Blood will be drawn from a vein, usually in your arm, and may cause a brief pinch or discomfort.

What the Test Results Mean

The percentage of hemoglobin S in your blood is compared to standard ranges for healthy individuals. Higher-than-normal levels may indicate sickle cell trait or disease, while abnormal findings after contrast exposure could signal complications like hemolysis (destruction of red blood cells).

Common Causes of Abnormal Results

Abnormal hemoglobin S percentages can result from genetic predisposition (sickle cell trait/disease), exposure to Gastrografin (which may cause red blood cell changes), or other underlying conditions affecting red blood cell health.

Reference range

Adult: 10-40 U/LN/A

Specimen: stool

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated hemoglobin S percentages are critical for diagnosing sickle cell trait (a genetic condition that may affect blood flow) or disease (which can cause severe pain, organ damage, or infections). After contrast imaging, abnormal results may prompt further evaluation for complications like hemolysis or kidney issues. This test helps guide treatment or monitoring plans.

Short name

Hemoglobin S % (Gastrografin)

Frequently asked questions

What does a positive result mean?
A positive result means your blood contains a higher-than-normal percentage of hemoglobin S. This could indicate sickle cell trait (usually 1–3% in most people) or disease (typically >50%). If Gastrografin was used, abnormal results may signal red blood cell changes that need further medical review.
Will I need follow-up tests if my results are abnormal?
Yes, if your hemoglobin S percentage is elevated or if you experienced symptoms after contrast exposure, your doctor may order additional tests (e.g., complete blood count, genetic testing, or imaging follow-up) to determine the cause and next steps.
Is this test painful?
The blood draw itself may cause slight discomfort or a brief pinch, but it’s generally quick. If Gastrografin was used, you may have had a prior imaging procedure that could have mild side effects (e.g., nausea or mild allergic reactions), but these are usually temporary.
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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