Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 1/9/2026

Stool Sample Handling for Fecal Calprotectin Testing

Guideline Recommendations

  • The British Society of Gastroenterology advises that stool samples for fecal calprotectin should be stored at room temperature for no longer than 3 days before analysis, emphasizing the need for timely processing to avoid degradation. 1

Sample Collection Timing

  • Collecting the first‑morning stool is recommended because it reduces day‑to‑day variability in calprotectin concentrations, providing a more reliable baseline for assessment. 2

Sample Preservation Practices

  • Avoid freeze‑thaw cycles when handling stool specimens; freezing and subsequent thawing can compromise calprotectin stability and is not recommended for routine testing. 3

Temperature‑Controlled Storage and Timely Processing of Faecal Calprotectin Samples

  • Storing stool specimens for faecal calprotectin at ≤ 4 °C and analyzing them within 24 hours preserves calprotectin stability and prevents degradation, as recommended by the British Society of Gastroenterology 4 (evidence level not specified).