Decoding the coprogram
Last reviewed: 23.04.2024
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Coprogram in pathology
Amount. The decrease in the number of feces is observed with constipation, an increase in the presence of bile, insufficient digestion in the small intestine (fermentative and putrefactive dyspepsia, inflammatory processes), colitis with diarrhea, colitis with ulceration, accelerated evacuation from the small and large intestines, pancreatic insufficiency (up to 1 kg and more).
Consistency. Dense, decorated feces (in addition to normal) is possible if gastric digestion is insufficient; mazevidnyj - at infringement of secretion of a pancreas and absence of reception of a bile; liquid - with insufficient digestion in the small intestine (putrefactive dyspepsia or accelerated evacuation) and the colon (colitis with ulceration or increased secretory function); mushy - with fermentation dyspepsia, colitis with diarrhea and accelerated evacuation from the colon; frothy - with fermentation dyspepsia; sheep - with colitis with constipation.
Colour. Black or tarry - with gastrointestinal bleeding; dark brown - with insufficient gastric digestion, putrefactive dyspepsia, colitis with constipation, colitis with ulceration, increased secretory function of the colon, constipation; light brown - with accelerated evacuation from the colon; reddish - with colitis with ulceration; yellow - with insufficient digestion in the small intestine and fermentation dyspepsia; light yellow - with pancreatic insufficiency; light white - if there is a violation of bile in the intestine.
Smell. Putrefactive - with insufficient gastric digestion, putrefactive dyspepsia, colitis with constipation, motor disorders of the intestine; fetid - if there is a violation of the secretion of the pancreas, the absence of bile, increased secretory function of the colon; weak - with insufficient digestion in the colon, constipation, accelerated evacuation from the small intestine; unsharp - with colitis with ulceration; sour - with fermentation dyspepsia; oil acid - with accelerated evacuation from the colon.
Reaction. Weak-basic - with insufficient digestion in the small intestine; the main one - in case of insufficient gastric digestion, violation of pancreatic secretion, colitis with constipation, colitis with ulceration, increased secretory function of the colon, constipation; sharply basic - with putrefactive dyspepsia; sharply acidic - with fermentation dyspepsia.
The sterilizer. The amount of sterbilin decreases with hepatitis, cholangitis; increases - with hemolytic anemia.
Bilirubin. Appears with accelerated peristalsis, accelerated evacuation from the intestine, with prolonged intake of antibiotics and sulfonamide drugs (suppression of intestinal microflora).
Soluble protein. Determine with putrefactive dyspepsia, colitis with ulceration, increased secretory function of the colon, bleeding, inflammatory processes.
Muscle fibers. Discovered primarily in the case of insufficient gastric digestion, impaired secretion of the pancreas and violation of absorption processes in the intestine. The presence of muscle fibers in the feces is accompanied by a picture of putrefactive dyspepsia.
Connective tissue. It is present in case of insufficient gastric digestion and functional pancreatic insufficiency.
Neutral fat. It is found mainly in the inadequate secretion of the pancreas, and not in other parts of the digestive tract.
Fatty acid. It is detected in the absence of bile, lack of digestion in the small intestine, accelerated evacuation from the small intestine, fermentation dyspepsia, insufficient pancreas secretion and accelerated evacuation from the large intestine.
Soap. Present in the stool in an excessive amount for all conditions listed above for fatty acids, but with a tendency to constipation.
Starch. Determine if there is a violation of the secretion of the pancreas, insufficient digestion in the small intestine, fermentation dyspepsia, accelerated evacuation from the colon, inadequate gastric digestion.
Iodophilic flora. Detect if there is a lack of digestion in the small intestine, accelerated evacuation from the colon, fermentation dyspepsia, impaired secretion of the pancreas.
Digestible fiber. They are diagnosed when gastric digestion is inadequate, putrefactive dyspepsia, absence of bile, lack of digestion in the small intestine, accelerated evacuation from the colon, fermentation dyspepsia, insufficient pancreas secretion, ulceration with ulceration.
Slime. It is found in colitis with constipation, with ulceration, fermentative and putrefactive dyspepsia, increased secretory function of the large intestine, with constipation.
Erythrocytes. It is found in colitis with ulceration, dysentery, hemorrhoids, polyps, rectal fissure. Blood "hidden" - with peptic ulcer of the stomach and duodenum, with malignant diseases of the stomach and intestines.
Leukocytes. Detect when colitis with ulceration. The appearance of leukocytes in the stool with parainestinal abscess indicates its breakthrough into the intestine, in the presence of a tumor - at its disintegration.
Crystals of calcium oxalate. Accumulate in the absence of gastric digestion.
Crystals of Charcot-Leiden. Identified with amoebic dysentery and ingestion of eosinophilic granulocytes (allergy, helminthic invasion).
Crystals of hemosiderin. Detect after intestinal bleeding.
Eggs of helminths. Identify with various helminthiases.
Entamoeba histolytica (dysentery amoeba). The vegetative form and cysts are detected with amoebic dysentery, present only in fresh feces.
Lamblias. Vegetative forms and cysts are found in giardiasis. Usually the vegetative form is revealed only with profuse diarrhea or after the action of strong laxatives.
Balantidium coli. The vegetative form and cysts are revealed in balantidiasis.
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