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Test ID UREDF Reducing Substance, Feces


Specimen Required


Supplies: Stool container, Small (Random), 4 oz Random (T288)

Container/Tube: Fecal container

Specimen Volume: 3 g

Collection Instructions:

1. Collect a loose, unpreserved, random fecal specimen.

2. Freeze immediately.

Additional Information: If additional tests are ordered, aliquot and separate sample prior to freezing to allow 1 container per test.


Forms

If not ordering electronically, complete, print, and send a Gastroenterology and Hepatology Test Request (T728) with the specimen.

Secondary ID

607696

Useful For

Assisting in the differentiation between osmotic and nonosmotic diarrhea

 

Screening test for:

-Diarrhea from disaccharidase deficiencies, (eg, lactase deficiency)

-Monosaccharide malabsorption

Method Name

Benedict's Copper Reduction Reaction

Reporting Name

Reducing Substance, F

Specimen Type

Fecal

Specimen Minimum Volume

2 g

Specimen Stability Information

Specimen Type Temperature Time
Fecal Frozen 7 days

Clinical Information

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.

Reference Values

Negative or trace

Cautions

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.

 

Feces 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.

 

Bacteria in specimen consumes sugars resulting in falsely decreased values. Specimen should be frozen within 30 minutes of collection.

Day(s) Performed

Monday through Saturday

Report Available

1 to 3 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

84376

NY State Approved

Yes