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How to collect a stool sample

Step-by-step instructions for collecting and storing a single stool sample.

R
Written by Riley Burcin

To collect a stool sample, you catch a bowel movement on the tray or collection sheet from your kit — not in toilet water — then use the spoon built into the vial cap to add small amounts from several areas of the stool into the vial up to the fill line. Keeping the sample out of toilet water and free of urine is the most important rule. A contaminated sample will be rejected.

Important: Register your kit before you collect. Stool tests differ in preparation steps and storage requirements — read all of your kit's instructions before you begin.

Before you start

  1. Read all of your kit instructions first.

  2. If your kit lists medications or supplements to pause before collecting — which may include certain antibiotics, antifungals, probiotics, bismuth products (such as antidiarrheal medicines), antacids, digestive enzymes, or aspirin — follow your kit's timing for each. Never stop a prescribed medication without first talking to your care provider.

  3. Some kits ask you to avoid collecting within a few days of a barium GI exam or near recent dental amalgam work. Check your kit for any restrictions.

  4. Label the vial and any barcode sticker with your name, date of birth, and collection date. Use a blue or black ballpoint pen — not a felt-tip or dry-erase pen. Unlabeled samples are rejected.

Collecting the sample

  1. Put on a glove if your kit includes one.

  2. Place the collection tray, hat, or sheet over the toilet to catch the bowel movement before it touches the water.

  3. Have a natural bowel movement onto the tray or collection sheet. Do not let urine or toilet water come into contact with the stool sample.

  4. Using the spoon built into the vial cap — or the disposable spoon provided — take small, pea-sized amounts from several different areas of the stool. Sampling from multiple spots gives a more representative specimen.

  5. Add stool to the vial until its contents reach the fill line. Do not overfill or underfill.

  6. Cap the vial tightly and mix as your kit directs — commonly by shaking for 30 seconds or inverting the vial 8–10 times — to combine the stool with the preservative inside the vial.

Important: Do not collect stool from toilet water and do not allow urine to contaminate the sample. Both will cause the lab to reject it. Do not flush the collection tray or collection materials down the toilet.

Storing your sample

Most stool kits must be stored in the refrigerator until shipping. Many kits specifically state that the sample must not be frozen. Follow your kit's exact storage and shipping-day instructions. Sending the sample on the wrong day or at the wrong temperature can affect your results.

Need more help?

If your sample came into contact with toilet water or urine, or if you are unsure about storage, contact our support team through chat with your Kit ID. There is no cost for a replacement collection kit when a new sample collection is needed for the lab to complete your analysis.

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