Occult Blood

What Causes Occult Blood?

Occult blood can have various causes, just like most other symptoms.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose occult blood, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "occult blood" as a symptom.  Here are eight of many possibilities:
  • Ulcerative Colitis
  • Stomach Ulcers
  • Rectal Cancer
  • Colon Cancer
  • Stomach Cancer
  • Crohn's Disease
  • Carcinoid Cancer
  • Small Intestine Cancer

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
grilled meat consumption
meals worsen epigastric pain
significant hypogastric pain
significant epigastric pain
high ESR
nausea for 1-3 months
regular postprandial somnolence
recent onset abdominal pain
very great unexplained weight loss
somewhat elevated basophil count
stomach cancer
occasional unexplained vomiting
... and more than 80 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of occult blood:
Cause Probability Status
Crohn's Disease 99% Confirm
Carcinoid Cancer 27% Unlikely
Colon Cancer 21% Unlikely
Small Intestine Cancer 4% Ruled out
Rectal Cancer 2% Ruled out
Stomach Ulcers 1% Ruled out
Stomach Cancer 0% Ruled out
Ulcerative Colitis 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate having had recent lab tests, The Analyst™ will ask further questions including this one:
Occult blood. Have lab tests found blood in your stool within the past 6 months?
Possible responses:
→ Not tested within past 6 months / don't know
→ No, stool tested negative
→ In the past only, now resolved
→ Yes, trace or small amounts
→ Yes, enough for doctor to be concerned
Based on your response to this question, which may indicate absence of occult blood, history of occult blood, trace amounts of occult blood or significant amounts of occult blood, The Analyst™ will consider possibilities such as:
... and also rule out issues such as:
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