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Constipation is a common and uncomfortable condition that affects 42 million Americans. The medical definition of acute constipation is less than three bowel movements per week and/or hard, dry, lumpy, and difficult to pass stools.

In this post we discuss the causes of constipation, home remedies for constipation and enemas for constipation relief.

Causes of Constipation

After food is consumed it moves through the digestive tract and the intestines absorb needed nutrients and hydration, after which stool is formed and contractions in the intestine pass stool out of the body.

Constipation occurs for a variety of reasons. If too much water is absorbed from the stool it becomes hard and dry and doesn’t pass easily. Stool that can’t be eliminated or that moves too slowly through the digestive tract can also cause it to become dry and hard.

Certain medications can also have constipation as a side effect, including antidepressants, sedatives, opioid pain medications, and blood pressure medications.

Home Remedies for Constipation

Before employing medication for constipation relief, it is important to try natural remedies first.

A few examples of ways you can help relieve – and prevent – constipation, and get back on track with a regular bowel routine include:

• Proper hydration
• Quality nutrition (including fiber)
• Regular exercise

>> See our previous blog post for more information about home tips and remedies for constipation.

About Enemas

Enemas are commonly used to treat impacted stool and relieve constipation. They can also be used after a bowel movement if the bowel isn’t fully emptied. Each enema works differently in the body, and addresses different conditions. At-home enemas are labeled for use for occasional constipation. Anyone suffering from acute constipation should seek medical advice.

It is important to understand the different types of enemas and the ways they are employed. Always consult with a physician before using any enema product.

Types of Enemas

Full-Size Enemas: Occasionally, a health care provider may prescribe a full-size enema in preparation for a medical procedure or for treatment of severe constipation. Any full-size enema can irritate the bowel and can potentially cause autonomic dysreflexia (AD), which is a condition in which your involuntary nervous system overreacts to external or bodily stimuli. AD can cause a dangerous spike in blood pressure and changes in your body’s autonomic functions.

Mini-Enemas: A “mini-enema” uses only a few drops of liquid, usually a stool softener, is not irritating to the bowel, and will not cause AD or afterburn. A mini-enema is ideal for use when a predictable bowel movement is desired with minimal volume.

Saline Solution Enemas: Saline solution enemas provide a soft stool mass and increased bowel action that leads to a bowel movement. For minor constipation, just water or saline solution can be enough to get relief. It is often employed as a one-time use to cleanse the bowel before a rectal exam. Side effects include mild abdominal discomfort, cramps, gas, and dehydration.

Mineral Oil Enemas: Mineral oil enemas lubricate and coat the stool to prevent water from being absorbed out of the stool, softening the stool and making it easier to pass. Mineral oil enemas work well for people who need to avoid straining after surgery or giving birth. More common side effects of a mineral oil enema include bloating, gas, mild diarrhea, and stomach cramps.

Bisacodyl Enemas: Bisacodyl enemas (and suppositories) use the laxative bisacodyl to stimulate the bowels and induce bowel movement. This can irritate the bowel, and should only be considered for short-term use. The side effects of bisacodyl enemas include rectal irritation/burning/itching, mild abdominal discomfort, cramps, skin breakdown, and/or nausea.

The

DocuSol^® and DocuSol^®Plus Advantage

The DocuSol^® mini-enema delivers 283mg of docusate sodium and functions as a stool softener hyper-osmotic laxative by drawing water into the bowel from surrounding body tissues, softening the stool and promoting a bowel movement, usually within 2-15 minutes. No waiting overnight.

DocuSol^® Plus has the same active ingredient but contains an additional 20mg of benzocaine, assisting in the anesthetization of the rectum and lower bowel. The formulation was developed for patients who experience hemorrhoids, fissures, or painful bowel movements.

Find out more about how to use DocuSol^® mini-enemas and DocuSol^® Plus by watching this helpful video!

Visit our website to find where you can purchase DocuSol^® mini-enema and DocuSol^® Plus

Disclaimer: The material contained is for reference purposes only. Quest Products, LLC and Summit Pharmaceuticals do not assume responsibility for patient care. Consult a physician prior to use. Copyright 2020 Summit Pharmaceuticals and Quest products, LLC.

Sources:

1. https://www.medicinenet.com/laxatives_for_constipation/article.htm
2. https://www.healthline.com/health/constipation/stool-softeners-laxatives#pharmacists-advice
3. https://www.webmd.com/drugs/2/drug-8621-2109/bisacodyl-rectal/bisacodyl-enema-rectal/details
4. https://enemeez.com/mini-enema/

Fecal impaction: MedlinePlus Medical Encyclopedia

URL of this page: //medlineplus.gov/ency/article/000230.htm

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A fecal impaction is a large lump of dry, hard stool that stays stuck in the rectum. It is most often seen in people who are constipated for a long time.

Constipation is when you are not passing stool as often or as easily as is normal for you. Your stool becomes hard and dry. This makes it difficult to pass.

Fecal impaction often occurs in people who have had constipation for a long time and have been using laxatives. The problem is even more likely when the laxatives are suddenly stopped. The muscles of the intestines forget how to move stool or feces on their own.

You are at more risk for chronic constipation and fecal impaction if:

• You do not move around much and spend most of your time in a chair or bed.
• You have a disease of the brain or nervous system that damages the nerves that go to the muscles of the intestines.

Certain drugs slow the passage of stool through the bowels:

• Anticholinergics, which affect the interaction between nerves and muscles of the bowel
• Medicines used to treat diarrhea, if they are taken too often
• Narcotic pain medicine, such as methadone, codeine, and oxycontin

Common symptoms include:

• Abdominal cramping and bloating
• Leakage of liquid or sudden episodes of watery diarrhea in someone who has chronic (long-term) constipation
• Rectal bleeding
• Small, semi-formed stools
• Straining when trying to pass stools

Other possible symptoms include:

• Bladder pressure or loss of bladder control
• Lower back pain
• Rapid heartbeat or lightheadedness from straining to pass stool

The health care provider will examine your stomach area and rectum. The rectal exam will show a hard mass of stool in the rectum.

You may need to have a colonoscopy if there has been a recent change in your bowel habits. This is done to check for colon or rectal cancer.

Treatment for the condition starts with removal of the impacted stool. After that, steps are taken to prevent future fecal impactions.

A warm mineral oil enema is often used to soften and lubricate the stool. However, enemas alone are not enough to remove a large, hardened impaction in most cases.

The mass may have to be broken up by hand. This is called manual removal:

• A provider will need to insert one or two fingers into the rectum and slowly break up the mass into smaller pieces so that it can come out.
• This process must be done in small steps to avoid causing injury to the rectum.
• Suppositories inserted into the rectum may be given between attempts to help clear the stool.

Surgery is rarely needed to treat a fecal impaction. An overly widened colon (megacolon) or complete blockage of the bowel may require emergency removal of the impaction.

Most people who have had a fecal impaction will need a bowel retraining program. Your provider and a specially trained nurse or therapist will:

• Take a detailed history of your diet, bowel patterns, laxative use, medicines, and medical problems
• Examine you carefully.
• Recommend changes in your diet, how to use laxatives and stool softeners, special exercises, lifestyle changes, and other special techniques to retrain your bowel.
• Follow you closely to make sure the program works for you.

With treatment, the outcome is good.

Complications may include:

• Tear (ulceration) of the rectal tissue
• Tissue death (necrosis) or rectal tissue injury

Tell your provider if you have chronic diarrhea or fecal incontinence after a long period of constipation. Also tell your provider if you have any of the following symptoms:

• Abdominal pain and bloating
• Blood in the stool
• Sudden constipation with abdominal cramps, and an inability to pass gas or stool. In this case, do not take any laxatives. Call your provider right away.
• Very thin, pencil-like stools

Impaction of the bowels; Constipation – impaction; Neurogenic bowel – impaction

• Constipation – self-care

• Digestive system
• Digestive system organs

Iturrino JC, Lembo AJ. Constipation. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 19.

Zainea GC. Management of fecal impaction. In: Fowler GC, ed. Pfenninger and Fowler’s Procedures for Primary Care. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 208.

Updated by: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A. D.A.M. Editorial team.

baby cleansing enema and micro-enemas for constipation

Contents

• 1 Enema for constipation: how to make a cleansing procedure at home and not harm the child’s health
  • 1.1 How to perform an enema procedure at home
  • 1.2 Preparation to enema procedure
    • 1.2 .1 Choosing a place and time
    • 1.2.2 Preparatory procedures
    • 1.2.3 Room
    • 1.2.4 Improving hygiene
  • 1.3 How to choose the right enema mixture
  • 1.4 Preparing a child for a cleansing enema
  • 1.5 How to perform a cleansing enema procedure step by step
    • 1.5.1 Step 1: Preparing the instruments
    • 1.5.2 Step 2: Bowel cleansing
    • 1.5.3 Step 3: Preparation baby
    • 1.5.4 Step 4: Carrying out the procedure
    • 1.5.5 Step 5: Conclusion
  • 1.6 Microenemas for constipation
  • 1.7 How to make microenemas for a child
  • 1.8 What medicines can be used for microclysters for constipation:
    • 1. 8.1 Glycerin suppositories
    • 1.8.2 Microlax
    • 1.8.3 Proven
  • 1.9 Contraindications for home enema
  • 1.10 When see a doctor
    • 1.10.1 Symptoms requiring medical attention
    • 1.10 .2 When is emergency assistance needed?
  • 1.11 Important tips for doing an enema at home
  • 1.12 What will be the effect of an enema?
  • 1.13 Related videos:
  • 1.14 Q&A:
    • • 1.14.0.1 How often can microclysters be given?
      • 1.14.0.2 Can ordinary tap water be used for enema?
      • 1.14.0.3 What is the difference between a cleansing enema and a micro enema?
      • 1.14.0.4 How to properly prepare an enema solution?
      • 1.14.0.5 What temperature should the enema water be?
      • 1.14.0.6 Can a child have microclysters every day?

Learn how to give your child an enema at home for constipation. Explore different methods, including microenemas, and get the advice you need from our cleansing enemas experts.

An enema is a procedure for introducing liquid into the rectum through a special tip to cleanse the intestines or administer drugs. This is a simple and effective procedure that can be performed at home.

A cleansing enema is a very important procedure for a child. This can be done in case of constipation or to cleanse the body. Also, microclysters are great for constipation. This is a safe and effective procedure that you can even do yourself at home.

In this article we will take a detailed look at how to make an enema at home. We will tell you what materials you will need, how to prepare your child for the procedure, how to carry out the procedure and how to care for him after the procedure. We will also consider which microclysters will help with constipation and how to use them correctly.

It is recommended to consult a doctor before any procedure.

How to do an enema at home

Step 1: Prepare all the necessary equipment and supplies.
For this procedure, you will need an enema hose, lubricant, room temperature water, and microenema oil or glycerin. Make sure all items are at hand and in good condition.

Step 2: Prepare the area and open the lining.
Choose a convenient location for the procedure, lock the door and ensure that no one can disturb you during the procedure. Open the lining on the floor to make room for bowel movements.

Step 3: Prepare the enema solution.
Take a clean vessel, fill it with clean water at room temperature and add oil or glycerin for microclysters. It is important to understand that the water should not be hot or cold, otherwise it can cause irritation.

Step 4: Insert the hose and follow the procedure.
Lubricate the hose to make it easier to insert. Insert the hose into the rectum to a depth of no more than 5 cm. Gently press the vessel to begin the introduction of the solution into the intestine. Keep the solution inside the intestines for a few minutes, then allow it to pass out along with the contents of the intestines.

Step 5: Complete the procedure and clean up.
After the procedure, remove the hose and clean it of any remaining solution. Wash your hands with soap and water. Rest a little to give your body time to recover, then remove the lining and wash in warm water.

Note:
It is forbidden to do an enema without consulting a specialist if there are problems with the stomach, intestines and your child is under 3 years of age. If your child develops symptoms after the procedure, contact the doctor.

Preparing for an enema

Choosing a place and time

For an enema, you need to find a comfortable place in the bathroom or in the kitchen. It is important to choose a time when you will have free time and no one will disturb you.

Preparation procedures

To prepare for the enema procedure, you must first read the instructions and prepare all the necessary tools. The necessary tools will be oil to lubricate the hose, hot water, enema solution, a washcloth and a towel.

Room

The room should be clean and comfortable, the temperature in the room should be comfortable, as the child will be uncomfortable in a forced position during the procedure.

Hygiene Improvement

Hands should be thoroughly washed and the enema area prepared before the enema procedure to prevent illnesses caused by bacteria or other germs.

How to choose the right enema mixture

The choice of enema mixture depends on the purpose and health condition. A cleansing enema for a child is performed using simple mixtures containing water or a salt solution. For adults, especially for constipation, special mixtures are used, for example, based on glycerin.

When choosing a mixture, possible allergic reactions and contraindications to individual components should be taken into account. For example, it is not recommended to perform a chamomile-based microclyster during pregnancy or if you are allergic to this herbal ingredient.

• Water mix: consists of plain water at room temperature and can be used for cleansing enemas for both adults and children.
• Salt Mix: consists of water and sea salt and can be used on a child for constipation or on an adult for constipation in combination with other treatments.
• Glycerin-based mixture: is used for microclysters for constipation and also contains water and other ingredients for more effective action.

Keep in mind that enema use is not safe and should be limited to avoid disturbing the normal intestinal flora and other side effects. Therefore, before using an enema mixture, be sure to consult your doctor.

Preparing a child for a cleansing enema

Before starting a cleansing enema procedure for a child, there are a few preparations that should be made to help the child feel comfortable and relaxed during the procedure.

1. Explain to the child what is happening. To reduce anxiety and fear, tell your child about what will happen during the procedure. Explain that it does not hurt and that you will always be with him.
2. Prepare everything you need. It is important that all instruments and materials for the procedure are at hand so that there is no fuss during the procedure.
3. Place the child in the seat prepared in advance. Choose a comfortable place with good lighting and a child-friendly arrangement of equipment.
4. Assess the child. Make sure the child is not sick, tired or hungry during the procedure.

If all these measures are taken, then the cleansing enema procedure for the child will be easier and safer.

How to perform the cleansing enema procedure step by step

Step 1: Preparing the tools

Before starting the procedure, you need to prepare all the necessary tools, which include:

• Cleansing enema;
• Clean distilled or boiled water;
• Separate oil type lubrication;
• Enema tip oil;
• Towel and basin;

Step 2: Colon Cleansing

Before performing the procedure, make sure that the intestines are clean. To do this, you need to follow proper nutrition, regularly drink fluids and lead an active lifestyle. If the intestines are clogged, then before the procedure it is necessary to remove waste from the body with the help of laxatives.

Step 3: Preparing the child

The procedure requires the preparation and positioning of the child. Ideally, the child should lie on his side or on his stomach with his legs bent. This will facilitate the passage of fluid into the intestines to a greater extent and minimize discomfort.

Step 4: Performing the procedure

To perform the procedure:

• Fill the cleansing enema with distilled or boiled water to the indicated level;
• Lubricate the enema nozzle with oil to improve the course of the procedure;
• Insert the enema tip into the child’s rectum;
• Slowly squeeze the contents of the enema into the intestines;
• Remove the nozzle and ask the child to hold the liquid inside for 5-10 minutes;
• After the procedure, the child should be helped to use the toilet.

Step 5: Conclusion

After the whole procedure, the first thing to do is to make sure that the child does not have pain or obvious negative symptoms after the procedure. If everything is in order, precautions must be taken to ensure that such situations do not happen again.

Microenemas for constipation

Microenemas are a way to treat constipation by injecting a small amount of liquid into the rectum. They may contain various components, such as oil, plant extracts, water and salt. This bowel cleansing method is gentler than the classic enema and does not require special preparation.

It is important to remember that for microclysters you need to use a special applicator that allows you to conveniently and painlessly enter the liquid into the rectum. Improper use may result in injury or intestinal irritation.

• Before using a microclyster, it is necessary to cleanse the hard stool with hard food and bowel cleansing preparations.
• The introduction of microclysters is best done in the supine position on the side.
• Fluid must be retained in the intestines for at least 10-15 minutes for maximum effect.

Microclysters are a simple, affordable and effective home remedy for constipation. However, you should always consult a specialist before use.

How to make microclysters for a child

Microclysters for a child are an effective remedy for constipation. They can be made at home without the use of expensive tools.

Before giving a microenema to a child, prepare all necessary materials, including a syringe with a removable needle, warm water, and an oil or glycerin diluent.

The micro enema syringe should be no larger than 30 ml, and the needle should not be pointed so as not to injure the intestines. It is better to choose a needle with a rounded end or use a special nozzle for microenemas.

The very procedure of microclysters for a child must be performed very carefully, observing all hygiene standards and pediatrician’s recommendations. Read the instructions for use and follow them consistently.

After the microclyster procedure, it is necessary to place the child on a special insert or diaper, as there may be water or oil residues after the enema.

• The child should be calm and relaxed before the microclyster procedure.
• When performing the procedure, hygiene standards must be observed.
• Procedure instruments must be prepared in advance and must be clean.
• After the procedure, the child should be left alone for a few minutes.

What medicines can be used for microclysters in case of constipation:

Glycerin suppositories

Glycerin is a natural component found in plant media. It is recommended to use glycerin suppositories as a preparation for microclysters for constipation. It is necessary to insert a candle into the rectum, after 10-15 minutes there will be a desire to empty the intestines.

Microlax

Microlax is the most popular drug recommended for constipation. It contains a mild and effective ingredient that can help even the most severe cases of constipation.

Proven

Proven contains natural herbal extracts and helps to free the intestines and speed up their work. Its action is aimed at softening feces and stimulating intestinal motility. In addition, Proven contains anti-inflammatory components that help protect the intestinal wall.

• Important: Consult your healthcare professional before using any medicine.
• We strongly do not recommend self-treatment without professional medical assistance and diagnosis.

Contraindications for performing an enema at home

1. Acute bowel disease. If a child or adult has acute bowel disease, the use of an enema may worsen the condition. The capper will simply not be ready to process a large volume of liquid.

2. Intestinal bleeding. Any bleeding in the intestines should go to the hospital. Otherwise, the risk of complications is very high, including inflammation of the peritoneum and sepsis.

3. Cystitis or other diseases of the bladder. Enemas should not be used if there is bladder disease or inflammation of the genitourinary system, as this may lead to infection.

4. Problems with the heart. Heart failure, hypertension, or other cardiac problems may be a serious contraindication to the use of an enema. It should be avoided in this case.

5. Presence of a hernia. If a person has a hernia or bowel problems, taking an enema can make the condition worse and lead to serious complications.

Before using an enema, carefully study the list of contraindications and, if necessary, consult a doctor. You should not neglect your health and risk serious complications to save time and money.

When to See a Doctor

Symptoms Requiring Medical Attention

Blood in stool. If you notice blood in your stool or after a bowel movement, be sure to see your doctor as this could be a sign of a serious bowel problem.

Severe abdominal pain. Pain may be accompanied by nausea, vomiting, fever and other symptoms. If the pain does not go away for a long time, consult a doctor.

Frequent constipation or diarrhea. If the problem does not go away on its own at lightning speed, then it is better to consult a doctor to prevent complications.

Fever. If a child develops a fever, prolonged fever, or sudden fluctuations, seek medical attention.

When do you need emergency help?

• Acute abdominal pain. If you have severe, sharp pain in your abdomen, you may be developing appendicitis, which requires immediate medical attention.
• Mass flow. If you have bleeding that does not stop in less than 10 minutes, do not delay but call an ambulance.
• Loss of consciousness. If you have a sudden change in the state of consciousness, it is better to call an ambulance and lie down in the CBO position.

Important Tips for Doing an Enema at Home

Before starting an enema at home, you need to carefully prepare and learn the basic rules for performing this procedure. Follow important tips to avoid possible complications and damage to the intestines.

• Get everything ready . Before the procedure, make sure you have the necessary equipment – an Enema mug, water at room temperature, oil to lubricate the tip of the mug, a towel to remove liquid if necessary.
• Maintain sterility . For the procedure, use only sterile equipment and hands to avoid infections and other possible complications.
• Choose the right posture . To perform the enema procedure at home, it is best to lie on your side or on your back with your knees bent. This will allow better penetration of fluids into the intestines.
• Monitor pressure . Do not press too hard on the mug to avoid damaging the intestines.
• Do not abuse procedure . An enema should only be used for serious health problems, avoid overdoing it as it can lead to bowel problems in the future.

What will be the effect of the enema procedure?

An enema is a procedure in which liquid is introduced into the rectum through a special tube. The results of the procedure may be different and depend on the purpose of its implementation.

Microclysters for constipation help to quickly solve the problem and flush out waste accumulated in the intestines. However, they should be used no more than once every two days and no more than two weeks.

If the enema is used to remove residue from childbirth or other surgery, it will have a positive effect on removing residue from the body and reducing the risk of infections.

An enema is not recommended without a specific medical prescription. Improper use can lead to negative consequences, so it is important to carry out the procedure only after consulting a specialist.

Related videos:

Q&A:

How often can microclysters be done?

The frequency of application of microclysters depends on the individual characteristics of the organism. For adults and children over 3 years of age, microclysters can be performed no more than 2 times a day. For children under 3 years old, the physiological norm will be 1 time per day if they suffer from intestinal problems.

Can plain tap water be used for enema?

No, only purified water should be used for the enema. Ideally, it should be boiled, then chilled water, but you can also use special solutions that can be purchased at a pharmacy.

What is the difference between a cleansing enema and a micro enema?

A cleansing enema is performed to cleanse the intestines more deeply than is possible with a micro enema. A micro enema is a gentler and faster way to help with constipation and other minor problems.

How to prepare the enema solution correctly?

To prepare the solution, dilute the required amount of medical liquid according to the instructions on the package. You can use a saline solution for a cleansing enema. A microclyster is performed using a pharmacy microclyster, which must be properly heated in warm water.

What temperature should the water be for an enema?

The water should be warm, not hot. The optimal temperature for microclysters is 29-33 degrees, for cleansing enema – 36-37 degrees.

Can a child take microclysters every day?

No. The frequency of use of microclysters depends on the individual characteristics of the organism. For children under 3 years old, the physiological norm will be 1 time per day if they suffer from constipation. For older children and adults, the use of microclysters more than 2 times a day is not recommended.

Methods of bowel preparation before a proctologist’s appointment

Home
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About clinic
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Desirable Recommendations

2 days before the examination, it is necessary to switch to a special (slag-free) diet, excluding vegetables and fruits, potatoes, herbs, berries, mushrooms, legumes, black bread from the diet. Allowed: broth, buckwheat and oatmeal, egg, boiled meat, boiled sausage, fish, cheese, butter, dairy products.

On the eve of the examination (from the moment of preparation) and on the day of the examination, only liquid food is allowed – boiled water, broth, tea.

If you have diabetes on the day of the study, there is no need to fast. A light breakfast (tea or coffee with a piece of low-fat cheese) is acceptable and will not interfere with the study.

1) Cleansing enemas

To set up a cleansing enema, Esmarch’s mug is used. You can buy it in almost any pharmacy. Esmarch’s mug is a tank (enamelled or rubber) with a capacity of 1.5–2 liters. At the bottom of the mug there is a nipple, on which a thick-walled rubber tube is put on. In a rubber tank, the tube is its direct continuation. The length of the tube is about 1.5 m, the diameter is 1 cm. The tube ends with a removable plastic tip 8–10 cm long. The tip must be intact, with smooth edges. After use, the tip is well washed with soap under running warm water and boiled. Next to the tip on the tube there is a tap that regulates the flow of fluid into the intestine. If there is no tap, it can be replaced with a clothespin, clip, etc.

For enemas, use only water from trusted sources (preferably water that is drinkable). For children, it is better to use only boiled water. The water temperature is about 36-37 degrees. Colder water significantly increases the motor activity of the intestine, causing unpleasant pain. Using water with a temperature of more than 40 degrees for an enema is dangerous to health.

One of the ways of setting an enema is as follows. Lie on the bed closer to the edge on your left side with your legs bent and pulled up to your stomach. Place an oilcloth (plastic film) under the buttocks, lower the free edge of which into a bucket in case you cannot hold water. Pour 1-1.5 liters of water at room temperature into Esmarch’s mug, lift it up to a height of 1-1.5 m and lower the tip down to release a small amount of water and, together with it, air from the tube.

Fill the tube (remove some liquid from the tube), then, without lowering the mug, close the tap on the rubber tube. Check if the tip is lubricated with vaseline (soap, vegetable oil) and, spreading the buttocks, insert the tip into the anus with light rotational movements. For the first 3–4 cm, insert the tip towards the navel, then another 5–8 cm parallel to the coccyx. If there are obstacles and the tube rests against the intestinal wall or hard feces, remove it by 1-2 cm and open the tap. Pressurized water enters the large intestine. Almost immediately there will be a feeling of “filling” the intestines, the urge to stool. At these moments, you need to reduce the rate of liquid supply from the mug by closing the tap on the tube or pinching it. Circular soft stroking of the abdomen will help reduce discomfort.

If the tip is clogged with stool, it should be removed, cleaned and re-introduced. If your rectum is full of feces, try flushing it out with water. Esmarch’s mug does not need to be completely emptied. Leaving some water at the bottom to prevent air from entering the intestines, close the valve that regulates the flow of fluid and remove the tip.

It is advisable to walk with a full intestine for about 5-10 minutes, stroking the stomach in a circular motion. If there is a strong urge to defecate, then the enema should be repeated after emptying the intestines after 10-15 minutes.

Before consulting a proctologist, it is necessary to perform two enemas the night before, and two in the morning on the day of the study. After the preparation has begun, it is undesirable to take solid food.

2) Taking the drug “Fortrans”

The solution of the drug has a fruity flavor. For preparation, it is necessary to calculate the dosage of the drug, it depends on body weight. 1 sachet is designed for 25 kg of body weight.

Before use, the drug is diluted in warm drinking water at the rate of 1 sachet per 1 liter of water. The drug should be taken the evening before the study, in small portions (for example, a patient weighing 55 kg should dilute 2 sachets in 2 liters of water and drink them from 17.00 to 20.00). Taking the drug later will not allow the patient to sleep on the eve of the study, since the pronounced laxative effect stops 2–3 hours after taking the drug.

An examination is possible no earlier than 4 hours after the last dose of the drug.

3) Taking the drug “Duphalac”

The drug should be taken no earlier than 2 hours after a “light” lunch (broth, tea, juice). The drug is taken on the day before the study in the afternoon. One bottle of DUPHALAC (200 ml) is diluted in 2 liters of drinking water at room temperature (carbonated water cannot be used). The resulting solution is taken over 3-4 hours, in separate sips (to improve the taste, you can drink juice without pulp).

After 1-3 hours, you will have loose stools, bowel movement will be completed 2-3 hours after taking the last dose of DUPHALAC.

When using the indicated scheme for preparing DUFALAC, it is not necessary to put enemas!

4) Microclysters

MICROLAX helps to soften feces and facilitate bowel movements after 5–15
minutes after application, without affecting the overlying sections of the digestive tract. Due to the action of the composition of the active components of MICROLAX and the action directly in the place of accumulation of feces, the effect is achieved in a short time, unlike other laxatives that are used orally.

The drug is a thick liquid, which in the amount of 5 ml is in a tube with a flexible applicator with a rounded tip.