Fecal Calprotectin

Also Know as: Calprotectin stool test

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Last Updated 1 December 2024

What is Fecal Calprotectin test?

Fecal Calprotectin is a protein released by a neutrophil, a type of white blood cell. When there is inflammation or infection in the gastrointestinal tract, neutrophils release calprotectin by going to that area. This protein is then excreted in the stool. The Fecal Calprotectin test is a non-invasive laboratory test which is used to measure the amount of calprotectin in the stool. It is often used to help determine if a person has an inflammatory bowel disease (IBD).

  • Fecal Calprotectin test is a simple, non-invasive test that can be done at home. A small stool sample is collected and sent for laboratory analysis.

  • High levels of fecal calprotectin can indicate the presence of inflammation in the intestines. This can be a sign of conditions such as Crohn’s disease or ulcerative colitis.

  • It is also used to differentiate between inflammatory bowel disease and irritable bowel syndrome (IBS). This is because people with IBS do not typically have high levels of fecal calprotectin.

  • Fecal Calprotectin is not a specific test for any one condition. Instead, it is used as a tool to help doctors determine what additional tests or treatments may be needed.

  • While it is a useful diagnostic tool, fecal calprotectin test is not perfect. Factors such as age, nonsteroidal anti-inflammatory drugs (NSAIDs) use, and certain infections can affect test results.

In conclusion, Fecal Calprotectin is a biomarker of inflammation in the gastrointestinal tract. It is a valuable tool in helping to diagnose and monitor conditions such as IBD but should be used in conjunction with other diagnostic tests and clinical evaluation.

Fecal Calprotectin is a protein found in neutrophil granulocytes, a type of white blood cell. It is an important biomarker used in clinical medicine to evaluate the presence of inflammation in the body, particularly in the gastrointestinal tract. It is used as a diagnostic tool and can provide valuable insights into a patient's health condition. Here, we explore when fecal calprotectin is required, who requires it, and what is measured in fecal calprotectin.


When is Fecal Calprotectin test required?

  • Fecal Calprotectin is required when there is a need to differentiate between irritable bowel syndrome (IBS) and Inflammatory Bowel Disease (IBD). The levels of fecal calprotectin are significantly higher in individuals with IBD compared to those with IBS.

  • It is also required when a patient exhibits symptoms like abdominal pain, diarrhea, or bloody stools. These symptoms may indicate a gastrointestinal infection or inflammation that can be confirmed by measuring the levels of fecal calprotectin.

Furthermore, fecal calprotectin testing is necessary for monitoring treatment response in individuals with known IBD. Changes in fecal calprotectin levels can provide insights into whether the treatment is effective or if there is a need for a change in therapeutic strategy.


Who requires a Fecal Calprotectin test?

  • Patients who present with symptoms of gastrointestinal disorders, such as chronic diarrhea, abdominal pain, and unexplained weight loss, may require fecal calprotectin testing. These symptoms could be indicative of IBD or other inflammatory conditions of the gastrointestinal tract.

  • Individuals diagnosed with IBD, including Crohn's disease and ulcerative colitis, require regular fecal calprotectin testing. It helps in monitoring disease activity and response to treatment.

  • People with a family history of IBD may also require fecal calprotectin testing as they are at a higher risk of developing these conditions.


What is measured in Fecal Calprotectin test?

  • The primary measurement in fecal calprotectin testing is the level of calprotectin protein present in the stool. High levels of fecal calprotectin indicate an increased number of white blood cells (neutrophils) in the gut, which is a sign of inflammation.

  • Fecal calprotectin levels are measured in micrograms per gram (µg/g) of stool. Normal range varies depending on the lab, but generally, levels below 50 µg/g are considered normal, while levels above 120 µg/g may suggest active inflammation.

  • Along with the calprotectin levels, the consistency and color of the stool may also be observed. Changes in these aspects can provide additional clues about the patient's gastrointestinal health.


What is the methodology of Fecal Calprotectin test?

  • Fecal Calprotectin is a non-invasive laboratory test that is used to evaluate the levels of calprotectin, a protein that white blood cells release in the stool.

  • It is a reliable method to differentiate between Inflammatory Bowel Disease (IBD) and irritable bowel syndrome (IBS). High levels of fecal calprotectin indicate the presence of inflammation in the intestines, which is a characteristic of IBD but not IBS.

  • The methodology of the test involves the collection of a stool sample which is subsequently sent to the lab. At the lab, the sample is mixed with a special solution to extract the calprotectin protein. The solution is then analyzed using an enzyme-linked immunosorbent assay (ELISA) test to measure the amount of calprotectin present.

  • The test is highly sensitive and has been proven to be an effective tool in the early detection of diseases like Crohn's Disease and Ulcerative Colitis.


How to prepare for Fecal Calprotectin test?

  • There is no special preparation required for a fecal calprotectin test. However, some medicines can affect the test results and should only be taken if recommended by your doctor. These include non-steroidal anti-inflammatory drugs (NSAIDs), aspirin, and iron supplements.

  • Patients should collect a stool sample at home, using a clean, dry container. The sample should be as fresh as possible, ideally collected within 24 hours of the test.

  • The sample must be kept refrigerated until it is sent to the lab. It is important to note that the sample should not be contaminated with urine or water as this can impact the test results.


What happens during Fecal Calprotectin test?

  • There is no special preparation required for a fecal calprotectin test. However, some medicines can affect the test results and should only be taken if recommended by your doctor. These include non-steroidal anti-inflammatory drugs (NSAIDs), aspirin, and iron supplements.

  • Patients should collect a stool sample at home, using a clean, dry container. The sample should be as fresh as possible, ideally collected within 24 hours of the test.

  • The sample must be kept refrigerated until it is sent to the lab. It is important to note that the sample should not be contaminated with urine or water as this can impact the test results


What happens during Fecal Calprotectin test?

  • During the test, the stool sample is mixed with a solution that contains antibodies against calprotectin. These antibodies bind to the calprotectin proteins in the sample, forming antibody-antigen complexes.

  • The sample is then placed in a special machine that measures the amount of these complexes. The higher the amount, the higher the level of calprotectin in the stool.

  • The results of the test are usually available within a few days. If the levels of calprotectin are high, it indicates that there is inflammation in the intestines. The doctor may prescribe more tests to determine the cause of the inflammation.

  • It is important to remember that the fecal calprotectin test is not a definitive test for IBD. It is a screening tool that can indicate the presence of inflammation. A diagnosis of IBD requires further investigation, including colonoscopy and biopsy.


What is the Fecal Calprotectin test normal range?

Fecal Calprotectin is a protein that is majorly found in neutrophilic granulocytes. It is a marker of inflammation and is used as a diagnostic test for inflammatory bowel diseases like Crohn's disease and ulcerative colitis. The normal range of this protein in stool is:

  • Less than 50 micrograms/gram (<50 μg/g) for adults

  • Less than 100 micrograms/gram (<100 μg/g) for children aged 4-17 years

  • Less than 200 micrograms/gram (<200 μg/g) for children aged 1-3 years

  • Less than 400 micrograms/gram (<400 μg/g) for infants


What are the reasons for abnormal Fecal Calprotectin test results?

Abnormal levels of Fecal Calprotectin may indicate inflammation in the gastrointestinal tract. High levels of Fecal Calprotectin can be due to:

  • Inflammatory Bowel Disease (IBD) - Crohn's disease or Ulcerative colitis

  • Colon Cancer

  • Polyps

  • Use of non-steroidal anti-inflammatory drugs (NSAIDs)

  • Infections in the gastrointestinal tract

  • Celiac disease

  • Diverticulitis

  • Ischemic colitis


How to maintain normal Fecal Calprotectin test result?

Maintaining a healthy lifestyle can help maintain normal Fecal Calprotectin levels. Here are some tips:

  • Eat foods rich in nutrients, such as fruits, vegetables, and whole grains.

  • Stay hydrated. Drink plenty of water each day.

  • Avoid foods that trigger inflammation like fried foods, processed foods, and sugary drinks.

  • Exercise regularly. Physical activity can enable smooth digestion.

  • Quit smoking and limit alcohol consumption.

  • Manage stress. Being stressed for prolonged periods of time could lead to inflammation in the body.

  • Get regular check-ups. Regular medical check-ups can help detect any abnormalities in the early stages.


Precautions and Aftercare tips post Fecal Calprotectin test?

After getting your Fecal Calprotectin test, it's important to take certain precautions and follow some aftercare tips:

  • Discuss your results with your healthcare provider. They can provide you with accurate information and advice based on your results.

  • Follow your healthcare provider's advice on diet and lifestyle changes.

  • If your results show high levels of Fecal Calprotectin, you may need further testing to determine the cause.

  • Continue regular check-ups to monitor your Fecal Calprotectin levels.

  • If you are on medication, continue to take it as prescribed by your healthcare provider.


Why book with Bajaj Finserv Health?

Here are some of the reasons why you should choose Bajaj Finserv Health for your healthcare needs:

  • Precision: All labs identified by Bajaj Finserv Health employ the most recent technologies, ensuring highly accurate results.

  • Economical: Our individual diagnostic tests and healthcare providers are wide-ranging yet cost-effective, preventing a heavy financial burden.

  • Home Sample Collection: Bajaj Finserv Health offers the convenience of having your samples collected from your home at a suitable time.

  • Nationwide Availability: No matter where you are located in the country, our medical test services are accessible.

  • Convenient Payment Options: Choose from one of the several payment methods available, including cash and digital payments.


Note:

This information is not intended as medical advice; individuals should consult with their healthcare provider for personalized guidance.