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What Does The Presence Of RBC In Fecalysis Indicate?

Posted on Sat, 18 Jun 2016

Question: Hi,

I am a 44 YO male. I recently had a fecalysis done and it showed RBC of 0-2. Ref range was<1
What does presence of RBC's indicate?
Other than a previous anemia studies from Nov 2015 showed Ferritin level of 24 and iron 10, low and borderline respectively. Present test shows improved Ferritin but still borderline. Could there be any relation between this and RBC in stool?

Answered by Dr. Amit Jain (4 hours later)

Brief Answer:
get colonoscopy and endoscopy examination

Detailed Answer:
Hello. Thanks for putting your query in hcm.

Presence of RBC in stool indicates bleeding from GI tract.

Also if there is loss of blood from GI tract it will lead to deficiency of iron in body leading to decrease in ferritin levels and iron store.

So I will suggest you to get endoscopy and colonoscopy to see for the cause of bleeding. So visit a Gastroenterologist for evaluation

I hope I have answered your query and this will help you. Wish you a good health

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Amit Jain (3 hours later)

Is the level of bleeding significant? Should I take more consecutive stool samples?

Answered by Dr. Amit Jain (7 hours later)

Brief Answer:
Get repeat stool examination

Detailed Answer:
Welcome back

No the bleeding is not significant since the Haemoglobin level is maintained

Yes you can get repeat stool examination. If still they are positive for RBC then go for above mentioned tests

Wish you a good health

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Above answer was peer-reviewed by : Dr. Prasad