Enema – it is a useful tool that can be used in a wide variety of situations, even when preparing for colonoscopy, sigmoidoscopy, surgical intervention or treatment constipation o stool seals. A health care professional can put an enema, like a nurse, or you can do it at home.
In preparation for a colonoscopy, a health care professional may prescribe an enema to make sure the rectum and lower end of the colon are clear of debris before the test is performed.
To use an enema, it is necessary to be able to reach from behind, so those with a limited range of motion in the shoulders or arms or who lack sensitivity in the fingers or hands may need help.
You should also pay attention to the amount of fluid injected into the rectum. If too much is added, it can extend beyond the rectum and penetrate more into the colon than expected. In some cases, the water can only be released 30 minutes or more after you are dressed and in public.
In addition, an abnormal stretching of the colon or rectum can cause intestinal perforations. a condition that may not be noticed right away until more serious symptoms appear.
Also, prevent liquids that are too hot from getting into the rectum. While some people find it soothing, their intestines are not used to anything other than normal body temperature. The same goes for frozen liquids, to which the intestine can react by compressing and releasing fluid immediately.
Enema is not designed to permanently treat constipation. This can result in a blow harmful bacteria in the intestine. If there are solid fecal stones, the sudden release of fluid and stool from the intestine can cause the rectum to rupture.
Contraindications to enema include direct obstruction intestinal tumor, prolapse straight, acute coronary syndrome or any condition in which the immune system is compromised (for example, advanced chemotherapy for HIV or cancer).
Things like an enema kit, towels, and a place to lie down are needed to use an enema. It’s also helpful to have a clear schedule for several hours after the enema to make sure there’s no stress from having to leave home to work or go to school.
- Buy an enema kit at the pharmacy. Your health care provider may have a recommendation for a particular brand or type. Also, buy some vaseline if you think you’ll need lube.
- Place some towels on the floor, preferably in the bathroom. Roll up one of the towels to use as a pillow. Keep other towels and wipes at arm’s distance.
- Keep a clock or timer in sight to make sure the enema is used for the recommended period of time.
- Remove the cap from the tip of the enema nozzle.
- If necessary, apply some petroleum jelly to the anus to facilitate the introduction of the enema.
- Lie on the floor on your left side with your right knee bent, placing a rolled towel under your right knee to support it.
- With your right hand, gently insert the tip of the enema nozzle into the rectum. It may be uncomfortable, but it should not cause pain. Stop if you feel pain and call your health care provider.
- After insertion, start compressing the enema container to push the fluid into the rectum. Try to empty all the contents by squeezing it from the bottom up.
- Slowly remove the nozzle.
- Wait for the recommended period of time before going to the bathroom.
Typical waiting time includes:
Bisacodyl: 15 minutes to 1 hour
Documentation: 2 to 15 minutes
Glycerin: 15 minutes to 1 hour
Mineral oil: 2 to 15 minutes
Senna: 30 minutes to 2 hours
Sodium: 2 to 5 minutes
- After the allotted time, empty the intestines down the toilet bowl.
- Stay close to the toilet for the next 30 to 60 minutes, as you may need to go to the bathroom several more times.
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Always use an enema kit recommended by your doctor and call your doctor if you are unable to perform an enema or experience great discomfort or pain. Home medicines or enemas containing substances such as coffee or alcohol, they are not safe and should be avoided.