Garcia, Sheila D.
BSMT 2-4
ROUTINE FECALYSIS
Stool analysis: is a series of tests done on a stool sample to help diagnose certain conditions
affectingthe digestive tract, including infection (such as parasites, viruses, or bacteria) , poor
nutrient absorption or cancer
Color
the normal adult stool is brown due to bile pigments, and the color of stool is affected by
the type of food.
The presence of blood, mucus or pus. Blood and mucus, it is a case of amoebic dysentery
caused by Entameoba histolytica Blood and pus, the case is bacillary dysentery, caused
by Shigella, Compylobacter or E.coli.
Only blood, the diarrhea caused by Salmonella or E.coli or Clostridium difficile
The presence of adult worms can also be seen in a freshly passed stool eggs adult stages
of Ascaris lumbricoides and Enterobius vermicularis. Proglottid of Taenia species can
also be seen.
Color Clinical Findings
Brown normal
Watery (like rice water) the patient infected with cholera (Vibrio
cholerae)
Clay or white colored Obstructive jaundice or presence of barium
sulfate; lack of bile due to blockage of the
main bile duct
Reddish colored Blood from lower gastrointestinal tract, such
as the large intestine or rectum, often from
hemorrhoids; beef consumption
Black Bleeding from upper gastrointestinal tract
(melena), Iron, charcoal.
Green Ingestion of Spinach, antibiotics
Pale yellow, greasy, foul-smelling stool Excess fat in the stool, such as due to a
malabsorption disorder, for example, celiac
disease.
Consistency
Normal stools are well formed. In diarrhea and dysentery the stools are semi solid or
watery in nature.
The consistency of a stool specimen, whether formed, semi-formed, mushy, or liquid,
is of great importance, giving an indication of the types of organisms, which it may
contain.
Formed normal Cysts, Helminth eggs
Hard Constipation (sybala) Cysts, Helminth eggs
Garcia, Sheila D.
BSMT 2-4
Soft Increased fecal content trophozoites
Watery Diarrhea, steatorrhea trophozoites, Helminth eggs
Bristol Stool Chart
The ideal stool is generally type 3 or 4, easy to pass without being too watery.
If yours is type 1 or 2, you're probably constipated.
Types 5, 6, and 7 tend toward diarrhea.
Type Appearance
1 Hard and separate little constipated
lumps that look like nuts
and are hard to pass
2 Log-shaped but lumpy constipation
3 Log-shaped with some normal
cracks on the surface
4 Smooth and snake-like Smooth and snake-like
5 Soft blobs with clear-cut Lack of fibers
edges
6 Fluffy edges with ragged mild diarrhea
edges, mushy stool
7 Completely watery with no diarrhea
solid pieces.
Garcia, Sheila D.
BSMT 2-4