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Hemoglobin in stool (qualitative, occult)

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

This test checks for hidden (occult) blood in your stool, which may indicate bleeding from the digestive tract. It’s often used as part of screening for conditions like colorectal cancer or gastrointestinal ulcers.

Quick summary

["A positive result may signal an underlying digestive issue requiring further evaluation."]

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

Key facts at a glance

LOINC
48047-5
Short code
Hgb Vom gastro Ql
Synonyms
Hgb Vom gastro Ql
Category
hematology
Sample
serum
Container
Red-top tube (SST)
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 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Doctors may recommend this test if you have symptoms like unexplained weight loss, persistent abdominal pain, black or bloody stools, or if you’re at higher risk for digestive cancers. It can also be part of routine screening for older adults or those with a family history of colorectal issues.

How Is the Test Performed?

A small sample of your stool is collected in a special container, often during a bowel movement. The sample is then tested in a lab using chemical methods to detect hidden blood. No special preparation is needed, but you may be advised to avoid certain foods or medications that could interfere with results.

What Do the Results Mean?

A positive result means hidden blood is present, which could signal conditions like bleeding from the esophagus, stomach, intestines, or rectum. A negative result means no visible blood was detected in this sample, but further testing may still be needed if symptoms persist.

What Are Possible Causes?

Occult blood in stool can result from conditions such as hemorrhoids, polyps, inflammatory bowel disease, or cancers of the digestive tract. It can also occur from minor injuries or medications.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

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

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Occult blood in stool (qualitative)

Frequently asked questions

What does a positive occult blood test mean?
A positive result means hidden blood was detected in your stool, which could indicate bleeding from the digestive tract. This may prompt additional tests to find the cause, such as a colonoscopy or other diagnostic procedures.
Can diet affect this test?
Yes, certain foods (like red meat, fish, or vitamin C supplements) and medications (such as NSAIDs or blood thinners) can make the test more likely to detect hidden blood. Your doctor may advise you to avoid these for a few days before testing.
How often should I get this test?
The frequency depends on your health status and risk factors. Doctors may recommend this test as part of routine screening (e.g., every 1–3 years for adults over 50) or if you have symptoms or a higher risk of digestive issues.
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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