Can hemorrhoids cause a positive cologuard test? Best Explain


Understanding Cologuard Testing and Hemorrhoids : can hemorrhoids cause a positive cologuard test ?

In the rectum and anus, blood vessels swell and become irritated, becoming hemorrhoids, a common ailment. They may result in pain, discomfort, and rectal bleeding. Today I will discuss can hemorrhoids cause a positive cologuard test ? The Cologuard test, on the other hand, is a non-invasive approach to detecting colorectal cancer that looks for aberrant DNA and blood in the stool. To assist readers in better comprehending the connection between these two conditions, this article explores the potential influence of hemorrhoids on the outcomes of a Cologuard test.

A Cologuard Test: What Is It?

A Cologuard test is a screening method to find precancerous polyps and colorectal cancer. It serves as an alternative to invasive treatments like colonoscopy. The test involves collecting a sample of stool, which is then examined for particular DNA and blood markers linked to colon cancer.

  • The signs and symptoms of hemorrhoids
  • Swollen blood vessels in the lower rectum or anus are hemorrhoids. They may be internal or exterior and manifest as some symptoms, such as:
  • Bright crimson blood on the toilet paper or the stools is a common sign of rectal bleeding.
  • Around the anus, there is itching, inflammation, and discomfort.
  • Discomfort or pain during bowel motions.
  • A bulge or swelling close to the anus.
  • Leaks of human waste.

Remembering that hemorrhoids are a frequent and typically harmless ailment is significant. They can, however, be quite uncomfortable and negatively affect someone’s quality of life.

Can Hemorrhoids Affect Cologuard Test Results?

A Cologuard test cannot be positively affected by hemorrhoids. The test specifically looks for blood and DNA traces of precancerous polyps and colorectal cancer. Hemorrhoids, however, may indirectly affect the test results.

Blood may be found in the stool due to hemorrhoids, which can cause bleeding. One of the signs of probable colorectal abnormalities found by the Cologuard test is blood in the stool. Therefore, even if a person does not have colorectal cancer or polyps, the test could still be positive for blood if hemorrhoids are actively bleeding or producing intermittent bleeding.

Results of the Cologuard Test and Their Influence

The following variables can affect the outcomes of a Cologuard test:

  • Hemorrhoids: As was already said, hemorrhoids can result in bleeding, indicating blood in the stool. Before the test, it’s critical to let your healthcare physician know if you have hemorrhoids.
  • Diet and medication: Specific diets and medicines may impact test outcomes. Red meat consumption, NSAID use, and vitamin C supplements all have the potential to produce false-positive test findings. Any food limitations that your doctor has prescribed for you must be followed.
  • IBD: Due to their ailment, people with IBD, such as Crohn’s disease or ulcerative colitis, may have increased levels of DNA and blood in their feces. Due to this, a Cologuard test may yield more false-positive results.

Menstruation, recent dental work, and gastrointestinal bleeding from unrelated origins can all affect test results.

How to Get Ready for the Cologuard Test

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can hemorrhoids cause a positive cologuard test

It is crucial to adhere to the preparation instructions given by your healthcare practitioner to ensure accurate results and reduce any potential interference from hemorrhoids or other factors. These rules often consist of the following:

  • Dietary Restrictions: Before the test, your doctor could recommend avoiding certain foods and medications. Red meat, NSAIDs, and vitamin C supplements may fall under this category.
  • Stool Sample Collection: A high-quality stool sample must be obtained for reliable test findings. Ensure to adhere to the Cologuard test kit’s instructions and practice cleanliness when collecting samples.
  • Shipping and Timing: Properly package and mail the obtained stool sample within the allotted timeframe. The accuracy of the results may be impacted by delayed shipping.

How to Reduce the Effect of Hemorrhoids on the Results of the Cologuard Test

There are steps you may do to lessen the impact of hemorrhoids on the Cologuard test results, notwithstanding the possibility of this:

Before taking the test, it’s crucial to let your healthcare professional know if you have hemorrhoids or are bleeding. It enables them to take it into account when analyzing the findings.

  • Manage Hemorrhoid Symptoms: Using over-the-counter treatments, maintaining good cleanliness, and having healthy bowel habits are all ways to manage hemorrhoid symptoms and lessen the chance of active bleeding during the test.
  • Follow Preparation Instructions: Comply with your healthcare provider’s instructions regarding dietary restrictions and other preparation requirements. It improves the circumstances for reliable test outcomes.
  • Consult Your Healthcare Practitioner: It is always best to speak with your healthcare practitioner if you are worried about how your hemorrhoids may affect the Cologuard test findings. They can address any queries or doubts and offer specialized advice.

Empower Yourself Against Hemorrhoids

Frequently Asked Questions

can hemorrhoids cause a positive cologuard test ?

Blood in the stool is one of the signs the Cologuard test looks for and can indicate hemorrhoids. It’s crucial to remember that the test, rather than hemorrhoids, looks explicitly for DNA and blood indicators linked to colorectal cancer and precancerous polyps.

Can hemorrhoids impact a Cologuard test’s accuracy?

If hemorrhoids are actively bleeding or are producing intermittent bleeding, the test results may need to be more accurate. Before the test, it is critical to let your healthcare physician know if you have hemorrhoids.

Should I tell my doctor before the Cologuard test about my hemorrhoids?

Informing your doctor about the existence of hemorrhoids is necessary, yes. It enables them to give suitable advice and consider this element when analyzing the results.

Are there any other tests available for those with hemorrhoids?

Colonoscopy and flexible sigmoidoscopy are two more colorectal cancer screening procedures that provide a direct view of the colon and rectum. These treatments can offer a more thorough assessment, including detecting and excision any polyps.

Can bleeding occur during a Cologuard test due to hemorrhoids?

Hemorrhoids can bleed, and if they are actively bleeding or are bleeding intermittently as the Cologuard test is being performed, blood may be present in the stool sample.


In conclusion, hemorrhoids do not necessarily result in a positive Cologuard test result. However, their existence may impact the test results if they are actively bleeding or cause intermittent bleeding. Before the test, it’s critical to let your healthcare professional know if you have hemorrhoids and to follow the preparation instructions.

By doing this, you can lessen the effect of hemorrhoids on the accuracy of the Cologuard test findings. Speaking with your healthcare professional for individualized advice and direction is always advisable if you have any worries or questions.

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