Positive occult blood, ICD-01, refers to a medical condition in which blood is present in the stool but cannot be seen with the naked eye. Occult blood in the stool can indicate a number of underlying medical conditions, such as gastrointestinal bleeding, ulcers, polyps, colorectal cancer, or hemorrhoids. The term "occult" means hidden or concealed, which is why the blood cannot be seen without a specific test. To diagnose the presence of occult blood, a stool test called a fecal occult blood test (FOBT) is performed. This test detects tiny amounts of blood in the stool, which may not be visible to the naked eye. The FOBT is a non-invasive procedure that can be done at home using a test kit provided by a healthcare professional.
The FOBT is a non-invasive procedure that can be done at home using a test kit provided by a healthcare professional. If the FOBT comes back positive for occult blood, further diagnostic tests may be necessary to determine the cause. These tests may include a colonoscopy, sigmoidoscopy, or barium enema, which allow doctors to examine the inside of the colon and rectum for any abnormalities.
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Mount Rainier from Edgewood, WA a small town north of Puyallup – iStock by Getty Images photo by JeffGoulden
Treating positive occult blood depends on the underlying cause. If gastrointestinal bleeding is the cause, it may need to be addressed and treated. For example, if an ulcer is present, medications to reduce stomach acid may be prescribed. In cases of colorectal cancer, surgery, radiation therapy, or chemotherapy may be necessary. It is important to note that a positive occult blood test does not necessarily mean a person has a serious medical condition. There can be various reasons for the presence of blood in the stool, such as a minor injury or temporary inflammation. However, it is essential to follow up with a healthcare provider to determine the cause and appropriate treatment, if necessary. Regular screening for occult blood is recommended, especially in individuals over the age of 50, as it can help in the early detection of colorectal cancer, which generally has a better prognosis when diagnosed early. Implementing lifestyle changes, such as maintaining a healthy diet, exercising regularly, and avoiding smoking and excessive alcohol consumption, can also help reduce the risk of developing conditions that may lead to positive occult blood..
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