Stercobilin in the feces is positive. What does this mean, the reaction in a child, baby, adult

Positive reaction to stercobilin in feces - This is the result of microscopic examination of the contents of the rectum, which confirms the normal functioning of the liver, gallbladder and its ducts. Stercobilin itself is a biochemical pigment and a breakdown product of erythrocytes.

After the destruction of red blood cells, hemoglobin is released. This blood component enters the liver tissue, where it undergoes metabolic breakdown into bilirubin. This substance, together with the produced bile, is redirected to the intestinal cavity, where, under the action of enzymes of beneficial bacteria, it is converted into stercobilin.

By its nature, stercobilin is a dye, the presence of which gives the stool a brown color with darker or lighter shades. An increase in the indicators of this substance in feces is considered a hypercholic state of the digestive system. A decrease in the level of stercobilin indicates the presence of acholic symptoms.

An unstable concentration of this substance in the feces is a sign of an acute or chronic disease of internal organs, which requires laboratory and hardware diagnostics. Feces, in which stercobilin is significantly reduced or completely absent, represent a clay mass of gray or white color.

Indications for research

A positive reaction to stercobilin in feces is a guarantee that the functions of the liver, gallbladder and the pancreas is preserved, and the human gastrointestinal tract works without obvious signs violations.

A laboratory study on the level of coloring pigment in feces is indicated for patients with white or gray stools, the discharge of which is accompanied by the following symptoms:

• yellowing of the skin of the body and the whites of the eyes;
• sharp, aching or spasmodic pain in the right hypochondrium, which intensifies after eating;
• physical weakness and loss of strength;
• nausea, as well as the release of vomit;
• complete or partial loss of appetite;
• aversion to foods containing an increased concentration of vegetable and animal fats;
• fast fatigue, which appears after performing a minimum amount of physical activities;
• discomfort under the left rib;
• severe pallor or cyanosis of the skin;
• colic inside the abdominal cavity, which are localized in the area of ​​\ u200b \ u200bthe intestines;
• a sharp increase or decrease in body temperature;
• incessant itching of epithelial tissues;
• the urine has acquired a rich dark brown hue;
• there is prolonged diarrhea, which is aggravated immediately after eating or drinking again.

Stercobilin is a simple but very important marker of the functional state of the gastrointestinal tract and pancreas. In some cases, a change in the indicators of a given substance may be associated with hemolytic diseases, high-quality diagnosis of which is impossible without performing a comprehensive study feces.

People who have found the above symptoms in themselves should, as soon as possible, seek medical help from a general practitioner, hepatologist or gastroenterologist.

Depending on what kind of specialists are present in the medical institution at the place of registration of the patient. The doctor will conduct an initial examination of the patient, form an anamnesis, and then prescribe a coprogram with the release of stercobilin indicators.

This is a microscopic examination, during which the study of the biochemical composition and appearance of feces is carried out. In combination with the coprogram, the patient undergoes other types of laboratory tests, undergoes hardware examination of internal organs to confirm or exclude the possible presence of concomitant diseases.

Preparation for analysis

Reaction to stercobilin in feces (positive is a result that confirms the presence of this substance) carried out within 24-48 hours, depending on the material and technical base of the laboratory, as well as the workload of the medical composition.

Preparation for the delivery of biological material provides for the observance of the following rules:

1. It is necessary to purchase or receive from the laboratory department in advance a sterile plastic container with a lid and a spoon, in which the feces will be collected.
2. 3 days before the appointed date of the study, completely exclude from your diet food products that can stain feces. In this case, these are carrots, beetroot, blood sausage, berries.
3. Do not use rectal suppositories and oils, as their inclusion in the composition of feces can affect the level of stercobilin, as well as provoke the effect of pigmentation.
4. 72 hours before visiting the laboratory, it is necessary to stop taking laxatives, as well as drug therapy, which also cause staining of feces.
5. Lead a normal life, eating only food that does not accelerate the process of intestinal peristalsis.
6. A week before collecting biological material, stop drinking alcoholic beverages.
7. Collect only those feces that come as a result of the natural physiological urge to defecate. In this case, you cannot use an enema or any other methods that stimulate the process of cleansing the intestines.

All of the above rules for preparing for a coprogram to determine the level of stercobilin are performed if the patient is scheduled for a planned fecal study.

Patients admitted in serious condition can take this test without observing these conditions. For example, if a patient has signs of acute pancreatitis or hepatitis, then in this case there is not enough time to perform preparation with a duration of several days.

Analysis

The fecal stercobilin test (positive is a result that indicates the presence of a coloring pigment) is carried out in a private or public laboratory.

To carry out this type of research does not require a large number of chemical reagents, as well as complex technical equipment. The table below describes in detail the step-by-step procedure for the analysis of the level of stercobilin in the feces.

The procedure for performing laboratory diagnostics	Organization of the research process
Step 1. Collection of biological material.	At this stage of the examination of the patient for the indicators of stercobilin in the feces, it is required to ensure the receipt of feces. Biological material of this type is handed over to a hospital of a medical institution, if the patient is hospitalized in a hospital, or at his place of residence. The basic rule for collecting feces is to perform a voluntary bowel movement. A person who has felt the urge to use the toilet should take a sterile plastic container and then fill it with at least 2/3 of the container with feces. In the process of defecation, it is necessary to ensure that no drops of urine or biological fluid that is released from the genitals get into the plastic container.
Step 2. Delivery of feces to the laboratory.	After collecting the biological material, the contents of the container must be delivered to the laboratory department no later than 1 hour later. During this period of time, feces can be stored in the refrigerator at an air temperature of no higher than +4 degrees.
Step 3. Analysis.	An employee of the biochemical laboratory takes part of the stool samples, and then conducts a microscopic examination. General indicators are determined in the form of a color shade of a biological material, its smell, shape, consistency. The concentration of stercobilin is investigated using FAN test strips, which are coated with special chemical reagents that are sensitive to the molecules of this substance.
Step 4. Drawing up a laboratory report.	Based on the results of a microscopic examination of feces, a laboratory is compiled for the stercobilin level. conclusion, which displays a positive or negative result for the presence of this component. Then, the obtained indicators are deciphered, indicating the mass fraction of stercobilin for a certain amount of feces.

The average cost of a laboratory study of feces for the concentration of stercobilin is from 140 to 160 rubles, but may vary depending on the complexity of the clinical case, as well as the price policy of the management clinics.

The table is ok

Fecal stercobilin reaction (positive is a result that confirms the stability of metabolic degradation hemoglobin to the stage of bilirubin with its further transformation in the intestine) can be positive or negative. The table below shows the rate of this substance for children and adults of all age groups.

Test substance	The norm in feces in children, adult men and women, the elderly
Stercobilin	75 to 350 mg

A decrease in stercobilin indicators below the specified limit indicates a painful condition of the digestive tract organs. Exceeding these values ​​indicates pathologies on the part of the blood and the hematopoietic system.

In the process of decoding the results of laboratory tests, the conclusions of ultrasound, MRI diagnostics of the pancreas, liver, gallbladder and its ducts are necessarily taken into account.

Reasons for promotion and demotion

An increase or decrease in the concentration of stercobilin in the feces always indicates a painful state of the body.

Hemolytic anemia

This disease is the reason for the increase in stercobilin indicators. The mechanism of fecal hyperpigmentation is associated with premature destruction of red blood cells. In the normal state of the body, the vital activity of erythrocytes continues for 100-120 days.

Then their physiological decay occurs with the final transformation into stercobilin. In patients with hemolytic anemia, the life span of red cells is within 2 weeks. In this regard, in the blood of patients of this category, an acute deficiency of erythrocytes is found, and in the feces, the level of stercobilin is exceeded several times.

Obstructive jaundice

Obstructive jaundice is a pathology that causes a decrease in stercobilin levels. This ailment is characterized by yellowing of the skin, the surface of the mucous membranes, and also the whites of the eyes. The occurrence of obstructive jaundice is associated with an increase in the concentration of bilirubin, which increases due to the presence of concomitant diseases of the following types:

• calculi inside the bile ducts;
• cystic formations in the structure of the pancreas;
• pathological contraction of the lumen of the bile ducts;
• inflammation of the tissues of the pancreas or its defeat by a malignant tumor;
• liver metastases;
• oncology of the stomach.

Obstructive jaundice manifests itself simultaneously with the clarification of feces. The combination of these symptoms allows the doctor to make a quick diagnosis.

Pancreatitis

Pancreatitis is a painful condition of the pancreas that can cause a decrease in stercobilin levels. This pathology is considered life-threatening for the patient. In this regard, a person who has been diagnosed with lightening of feces, acute or spasmodic pain under the left rib, should be immediately hospitalized in the inpatient department of the general therapy.

The acute form of pancreatitis may require surgery to remove part or all of the pancreas. At least half of the people suffering from this disease are chronic alcoholics.

Chronic hepatitis

Chronic hepatitis is an inflammation of the liver tissue, which can affect the entire organ. The disease causes a decrease in stercobilin levels, nausea, lightened stool, vomiting, and loss of appetite. Chronic hepatitis is a consequence of prolonged alcohol abuse, caused by viral microorganisms or parasitic life forms.

Cholangitis

Cholangitis is a condition that also causes a decrease in stercobilin levels. This pathology is characterized by the presence of an inflammatory process that is localized inside the liver ducts. Cholangitis is classified as acute, chronic, and sclerosing.

If the reason for the decrease in stercobilin indicators is associated with the effect of this cause, then the patient has concomitant symptoms in the form of a violation of the outflow of bile. In most cases, cholangitis is provoked by the simplest unicellular microorganisms and helminths that parasitize the liver tissues.

How to bounce back

The reaction to stercobilin in the feces (positive is a result that indicates the normal biochemical composition of the feces) is determined by a qualified laboratory worker. In order for the indicator of this substance to be within the normal range, it is necessary to engage in complex treatment of the underlying disease of the liver, pancreas, and bile ducts.

Diet food "Table No. 5p"

Compliance with the norms of a strict diet is indicated for people in whom the level of stercobilin is reduced due to inflammatory processes in the pancreas and liver tissues.

In this case, you will need to comply with the following dietary rules:

• eat food fractionally and in small portions (up to 4-5 times a day);
• the total calorie content of products should not exceed 2600 kcal;
• during the day, it is allowed to consume no more than 80 g of fat, of which at least 30% must be of vegetable origin;
• it is allowed to include no more than 350-400 g of carbohydrates in the daily diet, of which 70-80 g is granulated sugar;
• the daily menu should contain 80 g of proteins, of which, on average, 55% is animal meat and poultry;
• during the day, the use of no more than 10 g of table salt is allowed.

Throughout the day, you need to drink from 1.5 to 2 liters of water without gases. All food should be as lean as possible. Fatty meats, fish, and an excess of chicken eggs are categorically prohibited. All food is steamed, stewed in its own juice, or baked in the oven. Fried, spicy, too sour, salty, pickled food is strictly prohibited.

Allohol

Allochol is a drug with choleretic properties that is used to normalize too low levels of stercobilin. This drug allows you to get rid of most of the pathogenic factors that provoke feces clarification.

Allochol is indicated for use for the treatment of the following diseases:

• chronic hepatitis;
• cholecystitis;
• stagnation of bile;
• cholangitis.

To normalize the process of outflow of bile and restore the optimal indicators of stercobilin in the feces, it is necessary to take 1-2 tablets of this medication 3 to 4 times a day immediately after meals. The duration of therapy is 1 month. To prevent the recurrence of pathology, the drug is taken again after 3 months. The average cost of Allochol tablets is 77 rubles.

Corn silk decoction

A decoction of corn silk is a folk remedy that normalizes the function of the liver, pancreas, relieves the inflammatory process localized in the tissues of these organs. Taking this home remedy helps to speed up the outflow of bile, along with which a sufficient amount of bilirubin enters the intestines.

The principle of preparation of this broth is as follows:

1. You need to take 2 tbsp. l. corn silk.
2. Pour this raw material with 200 ml of boiled water.
3. After that, the container with the future broth is placed in a water bath, in which it should languish for the next 20 minutes.
4. After this period of time, the corn stigma tea is removed from the water bath and then left to cool.

The finished product must be taken in 1 tbsp. l. 3 to 4 times a day immediately after meals. The duration of the therapeutic course depends on the general condition of the patient, the functional activity of the tissues of the liver, pancreas and bile ducts.

Milk thistle extract

Milk thistle extract is a drug that helps to normalize the functions of the liver and bile ducts. The therapeutic effect of this agent is achieved due to the biochemical properties of the flavonoid silymarin, the concentration of which is 30 mg in 1 tablet.

Milk thistle extract cleanses the liver tissue from toxic substances, stimulates the physiological process of hepatocyte renewal. Ultimately, this is positively reflected in the level of stercobilin in the feces.

Milk thistle extract should be taken 1 tablet daily immediately after meals. The optimal duration of the therapeutic course is 1 month. In case of urgent need, this medication is allowed to be taken for 3 months. Milk thistle extract is contraindicated for people who have an individual intolerance to the components that make up the tablets.

Women who are in a state of pregnancy, as well as breastfeeding a baby, should consult with their doctor and gynecologist before starting therapy with this drug. The average cost of Milk thistle extract is 135 rubles. for 20 tab.

A positive reaction to stercobilin in feces is the result of microscopic examination of the fecal contents of the rectum. The main purpose of this substance is to color the stool in a light or dark brown color.

This type of diagnosis is indicated for patients who have been diagnosed with lightening of feces. masses, accompanied by loss of appetite, pain in the right hypochondrium, nausea and yellowness of the skin covers.

The main reason for the decrease in the level of stercobilin is the disease of the pancreas, liver and bile ducts. An increase in stercobilin levels is possible in patients suffering from hemolytic anemia.

Stercobilin video

Coprogram is normal: