The evaluation of abnormal appearing stool begins with a history and physical exam.

Physical findings in someone with abnormal appearing stool may include:

• Fever
• Abdominal swelling
• Decreased bowel sounds
• Abdominal tenderness
• Liver enlargement

Tests may be required to determine the underlying cause of abnormal appearing stools.

Tests that may be used to evaluate abnormal appearing stool include:

• Serum amylase
• Serum lipase
• Serum bilirubin
• Complete blood count
• Liver profile
• Kidney profile
• Urinalysis
• Stool guaiac testing

Imaging studies that may be used to evaluate abnormal appearing stool include:

• Abdominal x-rays
• CT scan of the abdomen
• MRI scan of the abdomen
• Ultrasound of the abdomen
• Barium swallow
• Barium enema