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stool sugar, fecal sugar
Reducing Substances, F (UREDF)
Screening test for:
- Diarrhea from disaccharidase deficiencies, (eg, lactase deficiency)
- Monosaccharide malabsorption
1. Collect a loose, unpreserved, random stool specimen.
2. Freeze immediately.
Additional Information: If additional tests are ordered, aliquot and separate sample prior to freezing to allow 1 container per test.
This test has poor sensitivity for oligosaccharides.
Antibiotics can alter the intestinal flora and affect acid production.
False-positive reactions due to drugs (salicylates, penicillin, ascorbic acid, nalidixic acid, cephalosporins and probenecid) are possible.
Stool may be contaminated with urine, in which case glycosuria will give false-positive results.
Diaper collections can be falsely decreased as the fluid portion containing water soluble sugars is absorbed into the diaper.
Ambient transport temperatures result in growth of bacteria that consume sugars resulting in falsely decreased values.
Fecal reducing substances (carbohydrates) aids in determining the underlying cause of diarrhea. Elevations in fecal reducing substances help distinguish between osmotic diarrhea caused by abnormal excretion of various sugars as opposed to diarrhea caused by viruses and parasites. Increased reducing substances in stool are consistent with, but not diagnostic of, primary or secondary disaccharidase deficiency (primarily lactase deficiency) or intestinal monosaccharide malabsorption. Similar intestinal absorption deficiencies are associated with short bowel syndrome and necrotizing enterocolitis.
Normal: < or =0.25 g/dL (trace)
Suspicious: >0.25 to 0.50 g/dL (grade 1)
Abnormal: >0.50 g/dL (grade 2-4)