
Stool Tests
Why have a fecal test?
Screening – Look for cancer
Polyps and colorectal cancers can cause bleeding that ends up in the stool (poop). Stool-based tests can detect hidden blood in the stool.
What are fecal tests?
There are three main types of fecal tests. They differ in the way that they check for the possible presence of colorectal cancer in stool samples.
gFOBT
(Guaiac-based Fecal Occult Blood Test)
These tests must be completed every year. They detect blood through a chemical reaction with a chemical called guaiac.
FIT
(Fecal Immunochemical Test)
These tests must be completed every year. They detect the presence of blood in the stool using antibodies.
FIT-DNA
These tests must be completed every one to three years. Like the FIT test, they detect the presence of blood in the stool, but they also check for abnormal DNA in the stool sample.
Frequently Asked Questions
How do I prepare for the test?
To complete stool-based tests, you will need to obtain a kit from your healthcare provider who can discuss with you which one to use. If you are doing a gFOBT, you will be required to modify your diet prior to the test:
- Avoid taking non-steroidal anti-inflammatory drugs (NSAIDs) 7 days before testing.
- Avoid taking more than 250 mg of Vitamin C a day for 3-7 days before testing.
- Avoid eating red meats for 3 days before testing.
How do I complete the test?
- gFOBT - Typically involves taking a sample from stool and transferring it to a test card or tube.
- FIT – Typically involves taking a sample from stool and transferring it to a test card or tube.
- FIT-DNA - Requires the collection of an entire bowel movement.
What next?
The sample will be tested in a lab and you will be notified of your results.
Blood in the stool may be caused by cancer or other conditions such as ulcers or hemorrhoids. If the test result is positive, a colonoscopy will need to be done to verify the cause of the bleeding and investigate further.
Other considerations
You may wish to consider the following when purchasing an at-home stool test:
- Results turnaround: Tests often provide results within days to weeks. People who are looking for faster test results may prefer to purchase a product with a shorter turnaround time.
- Insurance: Many at-home test companies do not accept insurance. People may wish to consider whether it would be less expensive to purchase a test out of pocket or go through a doctor’s office and claim it on their insurance.
- Accessibility: Most at-home tests are available through the manufacturer’s website. However, some tests, such as Cologuard, require people to either request a test through their doctor or attend a telemedicine appointment.
- Price: At-home test prices vary but are often between $30 and $90
FIT Kits –
How to submit a sample
Here is a video and step-by-step instructions on how to complete the FIT kit sample.


Interested in Getting Screened for Colon Cancer?
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Additional Resources
Next Steps
Obtain a stool test and learn what to do after your screening, depending on your results.
Success Stories
Read inspirational testimonies and advice from real colon cancer patients and survivors.
Resources
Browse these state and national resources to help you identify lower cost or free options for colorectal cancer screening in Nebraska.