Comprehensive Stool Analysis Panel
Dr. Weyrich's Naturopathic Functional Medicine Notebook
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Test Overview
The Stool Analysis Panel detects both beneficial and pathogenic microflora in the GI tract, including yeasts, bacteria, and parasites. It also provides a number of other markers of gut health.Test Indications
- First-line test for evaluating Autism Spectrum Disorder (ASD), Pervasive Developmental Disorder (PDD), Asperger's Syndrome, Attention-Deficit Hyperactivity Disorder (ADD, ADHD), and learning disability.
- First-line test for evaluating depression, anxiety, and other mood disorders.
- First-line test for evaluating Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), Crohn's Disease, and other intestinal complaints.
- First-line test for evaluating autoimmune disorders, joint pain, and psoriasis.
- First-line test for evaluating Chronic Fatigue Syndrome and Fibromyalgia.
- Environmental toxicity.
- Seizure disorders.
Sample Collection
- Your doctor will provide you with the sample collection kit.
- The sample must be sent via overnight FedEx directly to the lab on a Monday through Thursday using the prepaid mailer provided.
- Detailed instructions are in the sample collection kit.
Your doctor or lab may have different instructions that supersede the above.
ICD-9 CODES
| ICD9-Code | Description | Comments |
|---|---|---|
| 112.9 | Yeast infection | |
| 277.9 | Metabolic disorder | |
| 279.9 | Immune system disorder |
CPT CODES
| CPT-Code | Description | Comments |
|---|---|---|
| 82272 | Occult blood | |
| 82492 | Quantitative chromatography | |
| 82656 | Pancreatic elastase | |
| 83516 | Immunoassay | |
| 83631 | Lactoferrin | |
| 83986 | Stool pH | |
| 87045 | Salmonella/Shigella bacterial culture | |
| 87046 | Other aerobic bacterial culture | |
| 87102 | Fungal culture | |
| 87177*2 | Ova and parasites | Two samples |
| 87209*2 | Special smear for ova and parasites | Two samples |
| 87328 | Cryptosporidium immunoassay | |
| 87329 | Heliobacter pylori immunoassay | |
| 89125 | Fat stain | |
| 89160 | Meat fiber |
Labs Performing Test
| Name of Lab | Lab Code | Estimated Cost | Processing Time | Comments |
|---|---|---|---|---|
| Great Plains | $330 | 2-3 weeks | Cash discount and some insurance |
Costs cited are subject to change and may be reduced by insurance or cash discounts and increased by sample collection fees.
Theory
Digestion and Absorption
Stool Fats
- Long-chain fatty acids are an indication of fat-malabsorption or maldigestion.
- Short-chain fatty acids are necessary nutrients for colonocytes.
Meat Fibers
- Undigested meat fibers in the stool are suggestive of poor digestion due to inadequate stomach acid.
Vegetable Fibers
- Undigested vegetable fibers in the stool are suggestive of poor digestion.
Pancreatic Elastase
- Low levels may indicate pancreatic insufficiency.
Carbohydrates
- Presence may indicate poor absorption.
Bacterial Culture and Sensitivity
Beneficial Bacteria
- We want to see high levels of these in the stool.
- Help to prevent overgrowth of pathogenic bacteria.
- Bifidobaster
- Lactobacillus
- E. coli
Pathogeninic Bacteria
- Salmonella
- Shigella
- Citrobacter
- Klebsiella pneumoniae - associated with rheumatoid arthritis (RA) and anklyosing spondylitis (AS).
- Staph aureus
Yeast Culture and Sensitivity
Fungal Culture
Fungal Sensitivity
- Suggests which anti-fungal agents are useful in treating the yeast and fungi isolated.
Parasite Testing
- Searches for evidence of parasites or their eggs (ova).
- Due to the periodic life cycle of parasites, multiple specimens are examined.
Inflammatory Markers
Lysozyme
- Elevated levels are associated with inflammatory bowel disease and dysbiosis.
Lactoferrin
- Elevated levels are associated with inflammatory bowel disease and dysbiosis.
White Blood Cells (WBC)
- Elevated levels are associated with inflammatory bowel disease and dysbiosis.
Mucus
- Elevated levels are associated with inflammatory bowel disease and dysbiosis.
Stool Metabolic Markers
Stool pH
ELISA Immunoassays
Immunoassay reveals evidence of pathogen even when not culturable.Heliobacter pylori
Cryptosporidium
Campylobacter
Giardia lamblia
Other Tests
Occult Blood
- Detects hidden bleeding in the GI tract.
- GI bleeding is considered to be due to cancer until proven otherwise.
Secretory Immunoglobulin A (SigA)
- Generally beneficial - non-inflammatory defense against pathogens.
- May be elevated or depleted in the presence of pathogens or food allergies.
References
Unless specifically noted above, references used in the construction of this web page include the following:[FDM] Lecture notes from Functional Medicine University.
[SCNM] Lecture notes from Southwest College of Naturopathic Medicine.
[UT] Lecture notes from the University of Tennessee graduate programs in Chemistry and Biochemistry.
[GP] Great Plains Laboratory Physician Training lecture notes and documentation.
Copyright © 2007-2010 Dr. Weyrich. The information on this site is for educational purposes only. It is not intended to diagnose, treat or cure any disease or illness. The statements on this website have not been evaluated by the Food and Drug Administration. If you have a health concern or medical condition, consult a licensed healthcare provider. Dr. Weyrich is licensed by the State of Arizona to practice medicine (license number 07-1008).
This web page is http://www.DrWeyrich.com/labs/stool.html - Phone Dr. Weyrich at (480) 423-6952