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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Absence Of RBC In Stools When Tested Positive For Occult Blood?

I was having stomach ache and blackish stool for 1 week. I consulted a doctor and he asked me to undergo stool test. The test result shows, blood-negative, Occult blood-positive, RBC-not found. My question is if blood is present in the stool (Occult blood) shouldn t the RBC be found?
Thu, 9 Apr 2015
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General & Family Physician 's  Response
Blood may appear in the stool because of one or more of the following conditions:

Benign (non-cancerous) or malignant (cancerous) growths or polyps of the colon
Hemorrhoids (swollen blood vessels near the anus and lower rectum that can rupture, causing bleeding)
Anal fissures (splits or cracks in the lining of the anal opening)
Intestinal infections that cause inflammation
Ulcers
Ulcerative colitis
Crohn's disease
Diverticular disease, caused by outpouchings of the colon wall
Abnormalities of the blood vessels in the large intestine
Gastrointestinal bleeding may be microscopic (invisible to the eye) or may be easily seen as red blood or black tar-like bowel movements, called melena.
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What Causes Absence Of RBC In Stools When Tested Positive For Occult Blood?

Blood may appear in the stool because of one or more of the following conditions: Benign (non-cancerous) or malignant (cancerous) growths or polyps of the colon Hemorrhoids (swollen blood vessels near the anus and lower rectum that can rupture, causing bleeding) Anal fissures (splits or cracks in the lining of the anal opening) Intestinal infections that cause inflammation Ulcers Ulcerative colitis Crohn s disease Diverticular disease, caused by outpouchings of the colon wall Abnormalities of the blood vessels in the large intestine Gastrointestinal bleeding may be microscopic (invisible to the eye) or may be easily seen as red blood or black tar-like bowel movements, called melena.