Fecal Calprotectin Test
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Fecal Calprotectin Test

Gastroenterology & Laboratory

🔬What is it?

Fecal calprotectin is a specialized stool test that measures the level of calprotectin — a protein released by white blood cells (neutrophils) when there is inflammation in the intestines. It is the single most useful non-invasive marker for intestinal inflammation, particularly in Crohn's disease and ulcerative colitis (IBD). It can also help differentiate IBD from IBS (irritable bowel syndrome), which does not cause inflammation.

💡Why might you need it?

Calprotectin is essential for: diagnosing IBD (Crohn's disease and ulcerative colitis) without needing a colonoscopy as a first step; monitoring IBD disease activity and treatment response; detecting IBD flares early before symptoms worsen; distinguishing IBD from IBS (which has normal calprotectin); and deciding when a colonoscopy is truly needed. Normal levels (<50 µg/g) strongly suggest no significant inflammation, while elevated levels (>200 µg/g) indicate active intestinal inflammation.

⚙️How does it work?

  1. You receive a stool collection kit to take home
  2. Collect a small stool sample (about the size of a walnut) using the kit
  3. Place it in the labeled container and seal it
  4. Return to the laboratory (ideally the same day)
  5. Results are typically available within 2–5 days

⏱️Duration

5 minutes collection + 2–5 days for results

📋How to prepare?

  • ✓No fasting required
  • ✓No dietary restrictions
  • ✓Avoid NSAIDs (ibuprofen, aspirin) for 2 weeks before the test if possible, as they can raise calprotectin levels
  • ✓Collect the sample and return it to the lab as soon as possible

📝What to expect?

  • •Simple stool sample collection at home — completely private
  • •No pain, no preparation, no dietary changes needed
  • •Your doctor will explain the results in context of your symptoms
  • •May be repeated periodically to monitor IBD treatment effectiveness
  • •A high result does not automatically mean IBD — your doctor will guide next steps
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