What can a routine stool examination reveal?

The state of stool is an important indicator of physical health. Healthy stool can often make people look refreshed. On the contrary, problems with stool can cause people to have various problems. Therefore, paying attention to stool problems is an important part of physical health. Paying attention to stool problems requires routine examination items. Let’s take a look at what routine stool examinations can reveal.

Routine stool tests include 7 items, and the various results represent different clinical significances.

1. Normal stool color: yellowish brown for adults and yellow or golden for babies.

Clinical significance: Tarry color, seen in upper gastrointestinal bleeding, etc. Red is seen in dysentery, colon cancer, hemorrhoidal bleeding, etc. Clay color, seen in obstructive jaundice caused by various reasons, etc. Green, seen in infants with indigestion, etc. Yellow-green, seen in pseudomembranous colitis, etc.

2. Normal stool shape: formed soft stool.

Clinical significance: Porridge-like or watery stools are seen in acute gastroenteritis, food poisoning, pseudomembranous enterocolitis, etc. Mucous or bloody stools are seen in dysentery, ulcerative colitis, colitis, enteritis, colon cancer, rectal cancer, etc. Curdled stools are seen in infants with milk indigestion, etc. Thin, strip-like stools are seen in rectal stenosis caused by colon cancer and other conditions. Rice-water-like stool is seen in cholera, paracholera, etc.

3. Normal reference values ​​of stool cells: red blood cells: 0/HP. Leukocytes: occasionally/HP.

Clinical significance: The appearance and increase of red blood cells are seen in dysentery, enteritis, colon cancer, hemorrhoidal bleeding, etc. The increase of white blood cells is seen in enteritis and bacterial dysentery.

4. Normal reference value for fecal occult blood: negative.

Clinical significance: Positive, seen in gastrointestinal bleeding caused by gastrointestinal malignant tumors, typhoid fever, ulcer disease, cirrhosis, etc.

5. Normal reference value of sterobilin: negative.

Clinical significance: Positive, seen in hemolytic jaundice and hepatic jaundice, etc.

6. Normal reference value of fecal bilirubin: negative.

Clinical significance: Positive, seen in hemolytic jaundice, obstructive jaundice, etc.

7. Normal reference value of fecal bacterial culture plus drug sensitivity: negative (no pathogenic bacteria).

Clinical significance: Positive, seen in bacterial dysentery, typhoid fever, intestinal tuberculosis, acute and chronic enteritis, etc. At the same time, effective antibiotics can be selected according to drug sensitivity.