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The fecal immunochemical test (FIT) is a diagnostic technique that examines stool samples for traces of non-visible blood, which could potentially indicate conditions including bowel cancer. [1] Symptoms which could be caused by bowel cancer and suggest a FIT include a change in bowel habit, anaemia , unexplained weight loss, and abdominal pain .
A multi-target stool DNA test was approved in August 2014 by the FDA as a screening test for non-symptomatic, average-risk adults 50 years or older. [8] A 2017 study found this testing to be less cost effective compared to colonoscopy or fecal occult blood testing. [ 9 ]
The test is fast and can be performed in a doctor's office. A patient must not be receiving antibiotics. At least half a milliliter of feces is collected, and a strip of nitrazine paper is dipped in the sample and compared against a color scale. A pH of less than 5.5 indicates an acidic sample. [5]
The fecal sample is obtained by catching the stool and transferring a sample with an applicator. Digital rectal examination specimens are also used but this method is discouraged for colorectal cancer screening due to very poor performance characteristics. [10] Both sides of the test card can be peeled open, to access the inner guaiac paper.
An elevated concentration of M2-PK in the stool should always be clarified by undergoing colonoscopy. The gold standard of early detection of colon polyp/cancer is the invasive colonoscopy, but with high expense about $557, while tumor marker M2-PK Test expense only about $15-$25. The invasive colonoscopy makes acceptance of it low among ...
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The container is thoroughly mixed to homogenize the feces, without using specific mixer equipment. A small sample from the feces is collected. The fat content is extracted with solvents and measured by saponification (turning the fat into soap). Normally, up to 7 grams of fat can be malabsorbed in people consuming 100 grams of fat per day.