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Hemoglobin F (HbF) in stool by high-performance liquid chromatography (HPLC)

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

This test measures the amount of fetal hemoglobin (HbF) found in your stool. HbF is a form of hemoglobin present in newborns and some adults with certain blood disorders.

Quick summary

["HbF stool testing helps detect conditions affecting red blood cell production or gastrointestinal bleeding."]

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

Key facts at a glance

LOINC
14564-9
Short code
Hgb sp2 Stl gastro Ql
Synonyms
Hgb sp2 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 Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like unexplained fatigue, pale skin, or gastrointestinal bleeding, or if you’re being evaluated for conditions like hemochromatosis, thalassemia, or other blood disorders. It may also be used in research or specialized diagnostic scenarios.

What to Expect Before the Test

No special preparation is typically required, but you may need to collect a stool sample at home or in a lab. Follow your provider’s instructions carefully to ensure accurate results.

What the Test Results Mean

Results are interpreted based on clinical context rather than absolute numeric ranges. Elevated levels may suggest conditions affecting red blood cell production or gastrointestinal bleeding, while lower levels might indicate normal or underlying genetic factors.

Common Conditions Linked to HbF Testing

This test is less commonly used for routine screening but may be part of investigations for inherited blood disorders, gastrointestinal bleeding, or research studies. Results help guide further diagnostic testing or treatment planning.

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.

Clinical significance: HbF stool testing is primarily used in specialized settings, such as evaluating patients with suspected hereditary blood disorders or gastrointestinal bleeding. Elevated HbF can sometimes indicate conditions like alpha-thalassemia or other hemoglobinopathies, but interpretation depends on clinical history and additional testing. Always discuss results with your healthcare provider.

Short name

HbF stool test

Frequently asked questions

What does an abnormal HbF stool test result mean?
An abnormal result may suggest conditions affecting red blood cell production or gastrointestinal bleeding, but it doesn’t diagnose a specific condition alone. Your provider will consider your symptoms, medical history, and other test results to determine the next steps.
How is this test different from a standard hemoglobin test?
This test specifically measures HbF in stool, which is distinct from standard hemoglobin tests (e.g., in blood). HbF is a type of hemoglobin found in fetal blood and some adults with certain genetic conditions, making stool testing useful for detecting blood loss or blood disorders in specific contexts.
Is this test painful or uncomfortable?
No, this test involves collecting a stool sample, which is typically done at home or in a lab. There is no discomfort associated with the test itself, but you may need to follow specific instructions for sample collection.
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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