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Doctor insights on: Fecal Calprotectin

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I've read some recent studies that show Fecal Calprotectin test is very sensitive for detecting IBD. Would you agree?

I've read some recent studies that show Fecal Calprotectin test is very sensitive for detecting IBD. Would you agree?

Yes: As with any sensitive rest it can be too sensitive, but I think as this market is used more it will become the diagnostic marker. I remember when myoglibin was used for CAD detection. It was just too sensitive. However calprorectin is a good marker. ...Read more

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I've read recent studies showing that fecal calprotectin test is very sensitive for IBD. true? I was only having mild SX compared to usual flare ups.

I've read recent studies showing that fecal calprotectin test is very sensitive for IBD. true? I was only having mild SX compared to usual flare ups.

Not 100%: This value is only part of a workup. A test that is super-sensitive usually lacks specificity. The real question is, do you want to be treated for a grim, incurable disease without a pathologist's tissue diagnosis with powerful, pricey meds that can themselves do you serious harm because of a promo for a test that is still not widely accepted? ...Read more

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580 value on fecal calprotectin is a sure indicator of crohn's disease?

580 value on fecal calprotectin is a sure indicator of crohn's disease?

NO: Fecal calprotectin is elevated in IBD, BUT it can also be elevated in: viral and bacterial enteritis(such as Salmonella, Shigella and C.diff),intestinal lymphoma, celiac disease, food allergy, immunodeficiency, juvenile polyps,NSAID treatment (excluding low dose aspirin circa 75mg), systemic malignancy, Septicemia, Cirrhosis of the liver. *Normal is <50-200 mcg/g SEE Comments
below: ...Read more

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My daughter has Crohn's disease. Her fecal calprotectin is raised but there are no white cells. Dr said this is very unusual. Why no cells?

My daughter has Crohn's disease. Her fecal calprotectin is raised but there are no white cells. Dr said this is very unusual. Why no cells?

How increased?: Fecal Calprotectin is mostly raised in IBD. It can be used to monitor disease activity and treatment response. ...Read more

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Pain in lower right stomach2cat scans with contrast urine blood and fecal calprotectin tests normal gastronolgist said IBS is endoscopy not required?

Pain in lower right stomach2cat scans with contrast urine blood and fecal calprotectin tests normal gastronolgist said IBS is endoscopy not required?

Pain by itself is : Not an indication for an endoscopy. If you have assoc GI symp such as vomiting, diarrhea, blood per rectum or in vomit, or any sb or large bowel abnormality on imaging studies then you will need an endoscopy. If your symp are not going away then talk to your GI doc as he/she may consider doing an upper or lower endoscopy depending on physical exam. ...Read more

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Positive fecal calprotectin test result showing inflammation. What next? Been struggling with constant diarrhoea, incontinence, pain and cramps. .

Positive fecal calprotectin test result showing inflammation. What next? 
Been struggling with constant diarrhoea, incontinence, pain and cramps.   .

Here are some...: For your current medical background, you should let your doctor to follow up your progress and receive more sensible counseling since she/he should know more about you than anyone online; besides, more online inquiry may generate more unwanted anxiety and fear. To get things done right, follow instructions as described in http://formefirst.com/eNewsletter06.html. Best wish... ...Read more

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What would a high level of calprotectin in a 1year old stool mean?

What would a high level of calprotectin in a 1year old stool mean?

Nothing by itself: Any of several inflammatory diseases, or it may be quite normal. This lab is famously not specific, but intended to support an impression from history, physical and imaging. Best wishes. ...Read more

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My lipase was 178 now its 238. Also my calprotectin from my stool sample is 75. I was told its not too high but what could all this possibly point to?

My lipase was 178 now its 238. Also my calprotectin from my stool sample is 75. I was told its not too high but what could all this possibly point to?

Nothing: I am a lab specialist. They are useful but it is of great importance that people not over interpret them. I would draw no conclusion whatever from your numbers beyond that your abdominal issues are not due to acute pancreatitis. Cal protection is just a helper and not very sensitive or specific for anything ...Read more

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Had stool test. Occult blood negative Wbc1-3 hpf Rbc 0-1 hpf calprotectin stool test negative CEA 0.43. Below 3.8 is normal What does that mean

Had stool test. 
Occult blood negative
Wbc1-3 hpf
Rbc 0-1 hpf
calprotectin stool test negative
CEA 0.43. Below 3.8 is normal
What does that mean

Sounds good.: Although it is impossible to definitively analyze lab results without knowing the patient and the results of all the rest of the lab tests, the portion that you have summarized here sound normal. You should get the opinion of the doctor who did the tests for a more definitive analysis, particularly if you're still having problems. Good luck. ...Read more

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Calprotectin in stool analysis is 112.5 whn normal is 50. What causes that, how to treat it &what food to eat to avoid that? Is that colon infection?

Calprotectin in stool analysis is 112.5 whn normal is 50. What causes that, how to treat it &what food to eat to avoid that? Is that colon infection?

It suggests presence: Or propensity to develop inflammatory bowel disease/ibd - crohns dse and ulcerative colitis. Discuss with your GI dr in details or read more info online (pls check link below ) certain genetic or environmental factors can contribute to these conditions. No particular diet is advised so it's observation on the food that triggers them is the key. ...Read more

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What to do if I have high calprotectin in my stool. I continue to cramp in the fetal position for hours. What can I do?

What to do if I have high calprotectin in my stool. I continue to cramp in the fetal position for hours. What can I do?

See a Doctor: Fecal Calprotectin is an indication of inflammation in your intestines. Please see a Gastrointestinal specialist. They will give you some medications for long term control. It is best to treat it by following your doctors instructions. Please see a nutritionist as well who will guide you with diet instructions. Till you see a doctor, please apply some ice packs for 20 minutes several times a day. ...Read more

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Calprotectin 680 with right abdomen pain. Colonoscopy clean, stool hard and sometimes liquid. Still got a bit of pain and bloating. 100% Crohns right?

Calprotectin 680 with right abdomen pain. Colonoscopy clean, stool hard and sometimes liquid. Still got a bit of pain and bloating. 100% Crohns right?

Ileitis: Your gastroenterologist is best qualified to answer this, but I wonder if Crohn involvement of the ileus explains the elevated calprotectin level and your symptoms. Apparently no involvement of the colon was visualized. I also assume that irritable bowel syndrome, lactose and gluten intolerance are ruled out. ...Read more

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Can cancer look like internal hemmorhoids on colonoscopy? Fecal calprotectin is high (250) but biopsy showed no IBD. Stomach cramps too. Misdiagnosed?

Can cancer look like internal hemmorhoids on colonoscopy? Fecal calprotectin is high (250) but biopsy showed no IBD. Stomach cramps too. Misdiagnosed?

NO: INTERNAL hemorrhoids look like INTERNAL hemorrhoids nothing else!.....have a frank discussion with your treating Health Care Provider about your concerns...they may be contributing to your GI symptoms!,,,Hope this is helpful...

Dr Z ...Read more

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Can you explain fecal bacteriotherapy?

Can you explain fecal bacteriotherapy?

Stool transfer: Quite simply, stool from a healthy individual is transferred by enema into the colon of a sick patient. In so doing, the bacterial population from the healthy subject is transplanted into the gut of a patient whose bacterial flora is impaired (as in refractory c.Difficile infection). This experimental technique has recently been picked up by the lay literature & popularized. Don't try it at home! ...Read more

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What is fecal globin?

What is fecal globin?

Blood in the stool: You are probably referring to a fecal (stool) hemoglobin test, which checks for microscopic blood in the stool, blood that you cannot see with your eyes. It is a colon cancer screening test, but it's not highly sensitive or specific. Get a colonoscopy when you're 50, or earlier if you have risk factors such as family history of colon cancer or personal history of polyps. ...Read more

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Whats fecal impaction?

Whats fecal impaction?

Can't defecate: Stool becomes hard and dry; it's difficult for the colon to move it along, and difficult (and painful) for the hard stool to pass through the anal canal. Lack of water in diet can contribute; chronic use of opiate pain medscan too. Rarely people can have motility disorders of the intestines that contribute to fecal impaction. In extreme cases hard stool can wear through the intestinal wall. ...Read more

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What a fecal impaction?

What a fecal impaction?

Fecal impaction is a: result of severe constipation,when a large mass of stool lodges in the outermost part of the large intestine,the rectum.It can be painful;some people then have liquid stool leaking around it,giving the appearance of diarrhea, but it is not.The cause of the constipation needs to be treated and the mass of stool needs to be removed, so enemas and stool softeners and laxative may be used. ...Read more

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What is fecal impaction?

What is fecal impaction?

Stoppage of stool: Fecal impaction occurs when fecal matter gets "stuck" inside the colon and cannot be moved by the colon's natural peristalsis. This constitutes a matter of medical urgency, because impaction raises the risk of perforating the colon due to the increased pressure, to mention nothing of the fact that it can be incredibly painful. ...Read more

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What is a fecal impaction?

What is a fecal impaction?

Severe constipation: Go see a doctor ASAP to get disimpacted ...Read more

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What causes fecal impaction?

What causes fecal impaction?

Most commonly: Due to dehydration or excessive caffeine intake/alcohol intake, medication that cause constipation. Of course must always consider physical problems causing blocckage such as adhesion, stricture, tumor or inflammation. Best to see your doctor and get a thorough exam. ...Read more

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How can I treat fecal impaction?

How can I treat fecal impaction?

Enema: Fecal impaction can be a painful and frustrating condition. A large buildup of stool in the rectum can obstruct passage of stool and gas behind the obstruction causing pain and bloating. Depending on the severity of the obstruction, sometimes an enema is needed. If someone has tried over the counter stool softeners and laxatives simultaneously without response, it's time for an enema. ...Read more

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How long does fecal bacteria live?

How long does fecal bacteria live?

Bacterial survival: Many gram-negative species, such as acinetobacter spp., escherichia coli, klebsiella spp., pseudomonas aeruginosa, serratia marcescens, or shigella spp. Can survive on inanimate surfaces for months. These are some of the organisms present in feces. The anaerobes may die more rapidly if exposed to elemental oxygen. ...Read more

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How can you tell if fecal impaction?

How can you tell if  fecal impaction?

Can't defecate: Stool becomes hard and dry; it's difficult for the colon to move it along, and difficult (and painful) for the hard stool to pass through the anal canal. Lack of water in diet can contribute; chronic use of opiate pain medscan too. Rarely people can have motility disorders of the intestines that contribute to fecal impaction. In extreme cases hard stool can wear through the intestinal wall. ...Read more

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How is a fecal impaction best treated?

How is a fecal impaction best treated?

Depends: If severe will require manual disimpaction. If less severe enemas may provide relief. ...Read more

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Is there help fecal retention syndrome?

Is there help fecal retention syndrome?

Outlet constipation?: Many people have poor coordination in the pelvic floor muscles that perform dual function: tighten up to hold things in during cough, sneeze, laugh or lifting; completely relax to allow easy passage of stool. If the relaxation is incomplete or the muscles tighten up when you push then passing stool will be difficult. Pelvic exercises guided with biofeedback can often improve relaxation. ...Read more