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To determine how the intestines digest food, it is necessary to undergo a comprehensive analysis of feces for a coprogram. This diagnostic technique will help to find deviations in the functioning of the pancreas, indigestion and intestines, inflammation in the digestive organs, various colitis, the presence of dysbacteriosis, pathology of absorption of substances.
From the stomach, the obtained and detailed slurry passes through all parts of the digestive system and enters the large intestine. Here it is formed and turns into feces. In certain parts of the digestive tract, the necessary substances are absorbed from the gruel, and splitting occurs. By the consistency of feces, you can determine the quality of the work of the digestive organs. Therefore, in order to find out if the patient has a pathology in the work of the digestive tract, it is necessary to do a caprological study of feces.
The health worker issues the result of the analysis of feces after chemical, microscopic and macroscopic examination. The indicators of the capprogram will help to establish the correct diagnosis and prescribe professional treatment.
When will a coprogram be prescribed?
The reasons for the appointment of a capprogram are:
- Pathology in the work of the small and large intestines, stomach.
- Change in the functioning of the pancreas, liver, gallbladder and rectum.
- Invasion symptoms.
- To evaluate completed therapy.
Also, a caprological analysis of feces is prescribed during the passage of the annual preventive commission. In childhood, the analysis of feces for capprogram will help to identify cystic fibrosis, the presence of inflammation in the stomach and intestines, dysbacteriosis, lactose deficiency and the presence of parasites.
Coprogram how to pass?
To obtain reliable results of the analysis of feces for capprogram, it is necessary to correctly collect it
Recommendations to help collect the analysis:
- It is advisable to eat milk and cottage cheese, proteins, all kinds of cereals. Completely turn off meat and foods that stain feces from the menu. These ingredients include tomatoes, green vegetables and red beets. Otherwise, there may be an erroneous result when checking feces for occult blood.
- The doctor always prescribes a special diet with a sufficient content of proteins, fats and carbohydrates. Such nutrition will give a good load on the digestive organs, which will help to get a thorough result on the work of this system.
- It is impossible to drink antibiotics, iron and bismuth preparations, anti-inflammatory and antacid medicines when taking feces.
- After undergoing a colonoscopy and an x-ray using barium, a fecal analysis should be taken no earlier than five days later. Otherwise, the result will not correspond to reality. Indeed, to prepare for such studies, cleansing enemas and preparations with a carrying property were used.
- It is impossible to take an analysis for hemorrhoids in the acute period, when bleeding is observed, for women - during critical days.
- The fence should be carried out after a morning bowel movement and only by the physiological method. If you made an evening sampling, then the material should be stored in the refrigerator at a special temperature for no more than ten hours.
- You need to take the analysis in a sterile container, which is sold in a pharmacy. One teaspoon of the material is enough to perform the analysis.
Stool collection technique for infants
You can not collect fecal analysis directly from the diaper. To do this, you need to take a baby diaper. If the baby has too loose stools, then it is recommended to put an oilcloth under the child for medical purposes.
If the baby has constipation, he needs to put a gas outlet tube and do a light massage of the tummy. You need to wash your hands thoroughly and use only a clean oilcloth and diaper during the collection of feces.
How to collect feces from young children?
It is better that the child goes to a clean potty. To do this, the container must be pre-washed with soap and water. It is important that drops of urine do not mix with feces. Also, before taking the test, you should not give the child a laxative drug or use rectal suppositories. For the child, a diet is prescribed that excludes coloring foods. When taking vitamins or other medical products, you need to tell a specialist about this. Some groups of drugs should be stopped a few days before the test.
It is important! It is very important to know that the wrong collection of feces and the intake of fatty foods will give an incorrect result. The presence of antibiotics and fat in the stool will make it light. And this is the first symptom of a serious indigestion.
How long will the result of feces for the coprogram be known?
As a rule, the result of the analysis in the form of a form is given to the patient on the second or third day after the donation. The doctor deciphers the indicators.
What does the analysis show?
Even by consistency, color and smell, you can immediately establish the presence of a disease in a patient.
- If the color of the feces is white or too light, then this indicates a pathology in the work of the pancreas, liver and gallbladder.
- When bleeding in the stomach, the feces will be black and liquid. The same color is observed in tumors of the intestines, stomach and ulcerative colitis.
- With acute hemorrhoids and other problems with the large intestine, the bowel movements will be reddish in color. This indicates the presence of fresh blood in the stool.
The normal color of feces in a healthy person is brown!
When examining feces by a macroscopic method, one can detect worms, purulent foci, gall and pancreatic stones, blood, mucus and other elements in it.
Microscopically reveal an assessment of the digestion of food. To detect acidity, occult blood, mucus that dissolves, and some biochemical elements, a chemical study of feces is carried out.
Protein that dissolves
An indicator of the normal result of feces is the absence of protein in it. If a protein is found in the feces, then this indicates the presence of an inflammatory process in the digestive system. These pathologies include:
- pancreatitis;
- enteritis;
- gastritis;
- ulcerative colitis;
- stomach and duodenal ulcer;
- proctitis;
- malignant formations.
It is impossible to make an accurate diagnosis based on the result of one protein, it is necessary to conduct an additional examination. Only if the patient has intense pain in the left iliac region, nausea, vomiting, unpleasant smell of feces and its light color, it can be argued that the person has a disease of the pancreas.
The presence of blood in the analysis
There is blood in the stools with a stomach ulcer, which is complicated by bleeding. Also, when food moves through the digestive tract and if there is a tumor in it, it can injure the mucous membrane. Parasitic infestations can cause injury to the intestines, and small amounts of blood will enter the stool. Scarlet blood in the analysis of feces indicates that bleeding occurs in the lower intestines.
Feces on the indicator of occult blood in it will be able to establish the development of the tumor in the early period.
Stercobillin
This enzyme gives feces a brown color. Normally, this substance in the feces should not exceed 350 mg. The result of stercobillin increases in hemolytic anemia. And with the pathology of the gallbladder, on the contrary, it decreases. In order to accurately establish the diagnosis, it is necessary to undergo an additional examination.
Bilirubin index
This enzyme enters the feces due to the rapid passage of food, when it does not have time to turn into the substance stercobillin. Bilirubin may be present in feces with gastroenteritis and dysbacteriosis.
Presence of mucus
This substance is produced by cells of the mucous membrane and is a protective shell for the intestines and stomach from various irritating factors. When there are many pathogenic factors in the body, a lot of such mucus is produced. It will also be present in malabsorption and indigestion of lactose. Still elevated mucus rates are observed with symptoms of salmonellosis, colitis and dysentery.
Flora iodophilic
Its indicators in the feces indicate a violation of the microflora in the intestines. Harmful and pathogenic bacteria indicate poor digestion of food.
Detritus index
Detritus is formed by the destruction of epithelial cells and particles of digested food. If its indicator in the feces is very low, then this indicates insufficient digestion.
Fat neutral
In a normal analysis of feces, there should be no fat. If digestion is sufficient, then it should be absorbed in the body by almost one hundred percent. With an increase in its results, pathology of the biliary tract and insufficient absorption in the intestine are observed. Incomplete absorption of fat will be with a reduced synthesis of the digestive enzyme, lipase.
The presence of muscle fibers
Only processed fibers should be present in the stool. Unprocessed fibers indicate a pathology in the work of the pancreas. When gastric juice is not produced enough, then meat food is poorly digested. Muscle fibers in the stool usually show pancreatitis.
Starch
Starch is completely broken down during normal digestion. And it should not be in the feces. If the digestion process is too fast, then starch gets into the feces. Such a substance indicates pancreatitis in a chronic form.
Soaps
Only small amounts of soap can be found in feces. If there is too much of it, then food is poorly digested in the stomach and small intestine. The presence of this substance in the feces is possible with cholelithiasis and pancreatic pathology.
WBC level
With the normal functioning of the body, the presence of leukocytes in the feces is not acceptable. Only with inflammation in the stomach and intestines, they enter the feces.
Must be remembered! Urine or vaginal discharge should not be included in the fecal analysis. This will lead to inaccurate readings.
The presence of fatty acids
With a decrease in the indicators of the digestive enzyme, pathology of the gallbladder, with the rapid movement of food - fatty acids appear in the feces.
Vegetable fiber indicators
There are two types of plant fiber. These are soluble and insoluble fibers. Soluble fibers, such as pectin and polysaccharides, should not be present in feces at all. Only when there is a lack of hydrochloric acid in the stomach, these fibers are seen in the analysis.
Insoluble fibers, such as the skin of apples, grains, help the process of digestion and the removal of harmful substances from the body. It all depends on nutrition - how much insoluble fiber will be in the feces.
Connective tissue fibers
In a normal analysis, these fibers are absent. If they are, then this indicates that food of animal origin is poorly digested. This is due to a lack of hydrochloric acid and gastric juice. These connective tissue fibers are present in pancreatitis and gastritis with high acidity.
Ammonia level
Normal indicators of ammonia should not be more than 40 mol per kilogram. If it is more than normal, then this indicates rotting in the intestines of the remnants of undigested food.
After receiving the results of the capprogram, the doctor may recommend an additional examination to obtain an accurate diagnosis.
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