All About Stool Test Kits

Brianna Anderson
Brianna Anderson
May 23, 2024
9
min read
Medically reviewed by:
Trager Hintze, PharmD
All About Stool Test Kits
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Your stool provides vital insights into your overall health. Sudden changes in your bowel habits or the appearance of your stool can indicate a gastrointestinal (GI) condition. Common symptoms include bloody stool, diarrhea, and mucus in stool [1]. However, many people feel too embarrassed or afraid to discuss their stool with a doctor. 

An at-home stool test kit allows you to monitor your health from the privacy of your own home. Your doctor may order an at-home test for you, or you can purchase one directly from a retailer. These tests can help you and your doctor screen for GI disorders and determine if your GI issues require medical treatment. There are several types of stool kits on the market. This guide covers their differences, pros and cons, and how to choose the right one for your needs. 

Types of At-Home Stool Test Kits 

There are two main types of stool sample kits with different analysis methods and turnaround times. 

Self-Collection Kits

Self-collection kits are designed to let you gather a stool sample at home and send it to a medical laboratory for analysis. You may need to deliver the sample in person at a local laboratory or mail it. 

Self-collection kits typically include [2]:

  • Test kit
  • Test card or tube, or a stool collection container
  • Collecting devices, such as brushes or wooden applicators
  • Waste bags
  • mailing envelope or mailing box

Users collect samples using the brush and smear them on test cards or place them inside tubes. They seal these cards inside leak-proof waste bags and mail them to the lab within 24 hours [2].

Depending on the test type, some stool test kits may require you to ship your entire stool sample to a lab. These kits come with a stool collection container and a prepaid shipping box for easy collection.

Advantages of Self-Collection Kits

Self-collection kits have several advantages. They’re typically in the same price range as a laboratory test; however, they are inexpensive, especially compared to colonoscopies and other invasive procedures used for diagnosing specific GI conditions. These kits also allow users to have their samples assessed by laboratory professionals, leading to more accurate and comprehensive results.

A self-collection kit can be a more convenient option than a traditional laboratory-based stool test. You can pick up a test and send your sample to the lab the same day instead of waiting for a medical appointment.

Drawbacks of Self-Collection Kits

However, this option has several drawbacks. You may not know which diagnostic test type is performed on your sample. Knowing the specifics of your test type is vital to discuss your test results with your healthcare provider. Also, you are depending on the kit supplier for the diagnostic laboratory. As with any medical test, it is essential that your sample is checked at an accredited laboratory to ensure test reliability.

In addition, samples could get lost or mishandled in the mail, preventing you from getting fast and accurate results. You may also need to wait several days to get results from the laboratory, delaying care. 

Self-collection kits are significantly more expensive than at-home self-testing kits. Average price of collection kit varies from $50-$100. On the other hand, the price of self-testing kit is $15/test on average.

At-Home Self-Test Kits 

An at-home self-test kit allows you to perform a stool test at home and get instant results. These tests are designed to detect blood and other disease markers in stool. 

Self-test stool test kits come with collection brushes and tubes designed to scoop out a small stool sample. This sample is mixed with a buffer solution and then tested using a test cassette.

The process of using a stool test kit at home varies but may involve these steps: 

  • Collect the stool sample using a cotton swab, container, or brush (which is included in the kit)
  • Place a small amount of sample inside a tube filled with liquid with the spatula provided in the kit
  • Close the tube and shake it or wait for the sample to dissolve
  • Open the tube and place several drops of the liquid on the test paper or inside a testing device
  • Interpret your results using the provided instructions 

Advantages of Self-Testing Kits

Using a stool test kit at home lets you get results in as little as five to fifteen minutes. These tests are also more affordable and accessible than traditional laboratory tests. You can order them from a pharmacy or online retailer without waiting for a prescription from your doctor. 

Drawbacks of Self-Testing Kits

Self testing kits are designed to evaluate specific indicators like blood in stool. They should be used for screening purposes only. Users may also perform the test incorrectly or misinterpret the results. Finally, you’ll still need to schedule an appointment with your doctor if the test indicates a potential issue. 

Stool tests help diagnose digestive problems by analyzing samples for signs of infections, bleeding, or other abnormalities.

Cost Comparison: Collection Kits vs. Self-Testing Kits

When considering stool test kits, it's important to weigh the costs associated with collection kits and self-testing kits. Here's a breakdown of the typical costs for each type:

Collection Kits:

Self-collection kits are typically more expensive because it includes shipment and laboratory analysis. These kits usually range in price from $50 to $100. The higher cost reflects the shipping, reporting of test results through online channels, and human examination required to obtain test results.

Self-Testing Kits:

On the other hand, self-testing kits are generally more affordable. These kits are designed for at-home use and provide quick results without the need for laboratory involvement. The average cost of a self-testing kit is approximately $15 per test. This lower price point makes self-testing kits an accessible option for those seeking convenient and cost-effective health monitoring solutions.

Understanding the cost differences between these two types of kits can help you make an informed decision based on your health needs and budget.

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Options for At-Home Fecal Occult Blood Test Kits

Fecal occult blood is a small, invisible amount of blood in stool. You can’t see this blood on toilet paper or the stool, so you can only detect it with specialized testing. There are three types of at-home fecal occult blood test kits. 

Fecal Immunochemical Test (FIT) 

A fecal immunochemical test (FIT) is also known as an immunological fecal occult blood test (iFOBT). It uses antibodies to detect hemoglobin, a blood protein not found in normal stool. A positive result can indicate GI bleeding caused by colorectal cancer, hemorrhoids, polyps, ulcers, and other conditions [3]. 

Food doesn’t affect the FIT test results, so you can use this kit at any time without restricting your diet beforehand [2]. The Diagnox FIT test gives instant results at home. 

Colonox FIT is a diagnostic test designed to detect hidden blood in the stool, which can help identify potential gastrointestinal issues such as colorectal cancer or other abnormalities.

Guaiac-Based Fecal Occult Blood Test

A guaiac-based fecal occult blood test (gFOBT) kit uses a chemical reaction to look for blood in the stool. Users collect samples at home using a Hemoccult test kit or similar products. The results can be instantly read, or the test card may need to be sent to a medical laboratory for analysis [2].

The gFOBT test requires colon preparation for about a week. During this time, you will need to avoid certain foods or medications. For example, a gFOBT can detect blood from red meats in the stool, so you must avoid these foods for three days before your test. Nonsteroidal anti-inflammatory drugs and Vitamin C can also interfere with the assessment [2].

DNA-Based Stool Test Kits

DNA-based stool test kits like Cologuard detect occult blood and cells with abnormal DNA mutations in the stool. These mutations can be a sign of colorectal cancer or polyp cells [2]. Users must get a prescription for Cologuard and mail their kit to a lab. DNA-based tests are significantly more expensive than FIT or gFOBT options.

Which Stool Test Kit Is Right for Me?

There are several factors to consider when choosing a stool test kit, including: 

  • Accuracy
  • Cost 
  • Ease of use 
  • Type of analysis 
  • Turnaround time 

A Diagnox FIT test could be the right choice if you want instant results and only need to check for hidden blood. If you want an in-depth laboratory analysis, such as specific abnormal DNA mutations, you may prefer a DNA-based test. Your healthcare provider can help you weigh your options. 

Monitor Your Gastrointestinal Health With Stool Test Kits

At-home stool test kits let you collect samples from the privacy of your bathroom. Some options give instant results, while others must be sent to a laboratory for analysis. You can use these tests to check for occult blood, abnormal DNA, and other symptoms of GI conditions. 

It’s important to note that at-home fecal exams should supplement routine screening methods, not replace them. Colonoscopies remain the gold standard for diagnosing GI disorders and should be performed every 10 years starting at age 45 [4]. Your healthcare provider may also recommend regular tests based on your health history and risk factors.

Monitor your GI health proactively with the Colonox FIT test

References

[1] Medline Plus Staff, “Digestive diseases,” Medline Plus [Accessed March 6, 2024]. 

[2] American Cancer Society Staff, “Colorectal Cancer Screening Tests,” American Cancer Society [Accessed March 6, 2024]. 

[3] National Cancer Institute Staff, “fecal immunochemical test,” National Cancer Institute [Accessed March 6, 2024]. 

[4] American Cancer Society Staff, “American Cancer Society Guideline for Colorectal Cancer Screening,” American Cancer Society [Accessed March 6, 2024]. 

About the Author
Brianna Anderson
About the Reviewer
This blog was
Medically reviewed by:
Trager Hintze, PharmD

Trager Hintze is a clinical assistant professor and emergency medicine clinical pharmacist located in College Station, Texas. He has a bachelor's degree in biology as well as a Doctor of Pharmacy degree. He balances teaching at Texas A&M University College of Pharmacy and practicing emergency medicine at St. Joseph Regional Health Hospital.

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