How does a soap suds enema help with constipation. What are the symptoms of fecal impaction. When should you consider using an enema for constipation relief. What lifestyle changes can prevent future bowel problems.

Understanding Constipation and Its Impact

Constipation is a common gastrointestinal issue that affects millions of people worldwide. It occurs when bowel movements become infrequent or difficult to pass. While occasional constipation is generally not a cause for concern, chronic or severe cases can lead to significant discomfort and health complications.

Symptoms of constipation include:

• Fewer than three bowel movements per week
• Hard, dry, and difficult-to-pass stools
• Straining during bowel movements
• Feeling of incomplete evacuation

Is constipation a widespread problem? Indeed, it is estimated that nearly 80% of Americans will experience constipation at some point in their lives. Many individuals may require medical intervention to alleviate their symptoms and restore regular bowel function.

Fecal Impaction: A Serious Complication of Constipation

When constipation persists for an extended period, it can lead to a condition known as fecal impaction. This occurs when a large mass of hardened stool accumulates in the colon and becomes too difficult to pass through normal bowel movements.

Fecal impaction can cause various symptoms, including:

• Abdominal pain and discomfort
• Nausea and vomiting
• Headaches
• Constant urge to have a bowel movement
• Loss of appetite and weight loss
• Liquid stool leakage around the impacted mass

Can fecal impaction lead to serious health complications? If left untreated, fecal impaction can result in dehydration, rapid pulse and breathing, fever, incontinence, agitation, and confusion. It is crucial to seek medical attention if you suspect you have fecal impaction to prevent these potential complications.

The Role of Soap Suds Enemas in Treating Severe Constipation

When conventional methods fail to relieve constipation, healthcare providers may recommend more direct interventions, such as enemas. A soap suds enema is a specific type of enema that can be particularly effective in treating severe constipation and fecal impaction.

How does a soap suds enema work? This type of enema combines water with a mild detergent to create a solution that is introduced into the rectum via a tube. The soap acts as an irritant and stimulant, helping to soften the stool and promote bowel movements.

Benefits of Soap Suds Enemas

1. Rapid relief of constipation symptoms
2. Effective in dislodging impacted fecal matter
3. Can be administered at home or in a medical setting
4. Minimal side effects when used correctly

Are soap suds enemas safe for everyone? While generally safe when used as directed, it’s essential to consult with a healthcare provider before using any type of enema, especially if you have underlying health conditions or are pregnant.

When to Consider Using an Enema for Constipation Relief

Enemas, including soap suds enemas, are typically considered when other methods of constipation relief have proven ineffective. These methods may include:

• Increasing fluid intake
• Adding more fiber to the diet
• Using over-the-counter stool softeners or gentle laxatives
• Engaging in regular physical activity

When should you talk to your doctor about using an enema? If you’ve tried the above methods without success and are experiencing persistent constipation or symptoms of fecal impaction, it’s time to consult your healthcare provider. They can assess your condition and determine if an enema is an appropriate treatment option for you.

Administering a Soap Suds Enema: What to Expect

If your doctor recommends a soap suds enema, it’s important to understand the procedure and follow the instructions carefully. While some people may administer enemas at home, others may have the procedure done in a medical setting.

The general steps for administering a soap suds enema include:

1. Preparing the enema solution according to the instructions
2. Positioning yourself comfortably, typically on your left side
3. Gently inserting the lubricated enema tube into the rectum
4. Slowly introducing the solution into the rectum
5. Holding the solution for a specified time (usually 5-15 minutes)
6. Evacuating the bowels

How long does it take for a soap suds enema to work? Most people experience bowel movements within a few minutes to an hour after the procedure. However, the exact timing can vary depending on the severity of the constipation and individual factors.

Potential Risks and Side Effects of Soap Suds Enemas

While soap suds enemas can be an effective treatment for severe constipation, they are not without risks. It’s crucial to be aware of potential side effects and complications.

Some possible risks and side effects include:

• Rectal irritation or damage
• Electrolyte imbalances
• Dehydration
• Infection (if equipment is not properly sterilized)
• Perforation of the rectum or colon (in rare cases)

How can you minimize the risks associated with soap suds enemas? Always follow your healthcare provider’s instructions carefully, use sterile equipment, and avoid using enemas too frequently. If you experience severe pain, bleeding, or fever after an enema, seek medical attention immediately.

Preventing Future Bowel Problems: Lifestyle Changes and Dietary Modifications

While enemas can provide relief for severe constipation, the goal should be to prevent bowel problems from occurring in the first place. Making certain lifestyle changes and dietary modifications can significantly reduce your risk of constipation and promote regular bowel movements.

Increase Fiber Intake

Adults need 25 to 30 grams of fiber daily for proper bowel function. Unfortunately, most Americans consume only half of this recommended amount. Increasing your intake of fruits, vegetables, whole grains, and legumes can help boost your fiber consumption.

Stay Hydrated

Drinking plenty of fluids is crucial for maintaining soft, easy-to-pass stools. Aim for at least 8 glasses of water per day, and remember that other beverages, soups, and water-rich fruits and vegetables also contribute to your fluid intake.

Exercise Regularly

Physical activity promotes muscle contractions in the bowel wall, which helps move stool through the intestines. Aim for at least 30 minutes of moderate exercise most days of the week.

Listen to Your Body

Don’t ignore the urge to have a bowel movement. Delaying defecation can make it harder to pass stool later. When possible, use the bathroom as soon as you feel the need.

Avoid Overuse of Laxatives

While laxatives can provide temporary relief, regular use can lead to dependence. If you find yourself relying on laxatives frequently, consult your healthcare provider for alternative solutions.

Can dietary changes alone prevent constipation? For many people, making these lifestyle modifications can significantly reduce the occurrence of constipation. However, some individuals may require additional interventions or medical treatment, especially if they have underlying health conditions or take medications that contribute to constipation.

When to Seek Medical Attention for Constipation

While occasional constipation is common, there are situations where it’s important to consult a healthcare provider. Seek medical attention if you experience:

• Severe abdominal pain
• Blood in your stool
• Unexplained weight loss
• Persistent constipation lasting more than three weeks
• Alternating periods of constipation and diarrhea
• Symptoms of fecal impaction

Should you be concerned about sudden changes in bowel habits? Any significant or prolonged change in your bowel habits warrants a discussion with your healthcare provider. These changes could be indicative of underlying health issues that require medical attention.

In conclusion, while soap suds enemas can be an effective treatment for severe constipation and fecal impaction, they should be used under medical supervision and as part of a comprehensive approach to bowel health. By implementing lifestyle changes, maintaining a balanced diet, and staying attuned to your body’s needs, you can promote regular bowel movements and reduce the likelihood of requiring more invasive interventions in the future.

Soap Suds Enema: Treating Severe Constipation

Written by WebMD Editorial Contributors

• Constipation
• Fecal Impaction
• When Is a Soap Suds Enema Appropriate?
• Preventing Future Bowel Problems

Many people experience occasional problems moving their bowels. When this happens you may feel bloating, gas, or other symptoms of constipation. Drinking more water and being mindful of what you eat can usually help relieve mild constipation. 

But if the situation continues it can lead to extreme discomfort and fecal impaction. You may need more direct intervention. One method of clearing stool when you cannot do so on your own is an enema. An enema is a mixture of fluid and either an irritant or stimulant. The mixture is introduced into your rectum via a tube to flush out any unpassed stool in your colon. 

One type of enema is a soap suds enema. A detergent is added to water in order to address constipation or fecal impaction. ‌‌There are over-the-counter enemas that you can administer at home. Your doctor may also administer an enema in a medical setting.

Most people have bowel movements regularly. This can vary a lot between individuals. Some people go several times a day. Others only need to move their bowels every few days. Bowel movements are supposed to be easy. You should be able to pass feces without straining or discomfort.

Constipation is when you have trouble passing stool. The main symptoms of constipation are:

• Three or fewer bowel movements per week
• Small stools that are hard, dry, and difficult or painful to pass
• Straining to have a bowel movement
• Feeling like you haven’t emptied your rectum after a bowel movement

Constipation is very common. Nearly 80% of Americans will experience constipation at some point in their lives. Many will need help from a doctor to ease their distress.

Long-term constipation can cause your unpassed stool to accumulate in your colon. It can then become a mass that you can’t pass with normal bowel contractions. This is called fecal impaction. Its symptoms include:

• Liquid stool caused by feces that leaks around the impacted mass
• Abdominal pain
• Nausea and vomiting
• Headache
• Feeling like you always need to move your bowels
• Low appetite, weight loss
• Malaise

Without treatment, you may experience dehydration, rapid pulse and breathing, fever, incontinence, agitation, and confusion. You should speak to a doctor if you think you have fecal impaction.

Most constipation can be relieved with over-the-counter remedies such as stool softener or gentle laxatives. Drinking plenty of water and eating high fiber foods can also be helpful with occasional constipation. 

You may sometimes need an enema to help restore normal bowel movement. You can ask your doctor if that’s an appropriate remedy for your constipation.

You will need to seek medical attention for fecal impaction to dislodge the mass of feces in your colon. Your doctor will examine your abdomen and do a rectal exam to confirm the impaction. You may also need imaging such as X-rays and blood tests to rule out other problems.‌

Your doctor may need to remove a portion of the impacted stool manually. They may administer a soap suds enema afterward. This enema usually allows you to pass the remaining impacted stool soon after.

Constipation is most often related to diet and lifestyle. Adults need 25 to 30 grams of fiber every day to promote proper bowel function. But most Americans only eat half that amount. Fruits and vegetables are good sources of dietary fiber. Adding those to your diet may help with digestion.

Here are some other lifestyle changes that can help prevent constipation.  

Fluids. Drinking plenty of fluids can keep stools soft and easier to pass. Beverages count as fluids. Soups, stews, fruit, and some vegetables are also dietary sources of liquids.

Exercise. Regular physical activity promotes the muscle contractions in the bowel wall that push stool out. Being sedentary can increase your risk of constipation.

Listen to your body. Waiting to defecate when you feel the urge can make it harder to go later. Go to the bathroom as soon as you feel that you need to go whenever possible.

Don’t overuse laxatives. You may become reliant on laxatives if you have gotten in the habit of taking them to help have bowel movements. Talk to your doctor about what to do if you are concerned about laxative overuse.

Constipation is a side effect of certain prescription medications. Ask your doctor for advice if this is a problem for you. They may be able to offer help on managing the issue.

Enemas are an effective method for relieving constipation or fecal impaction. Soap sud enemas are an appropriate treatment when used correctly. Be sure to talk to a doctor before administering one to yourself.

Top Picks

Enemas – Gastrointestinal Society

Skip to content

EnemasGIS2020-04-20T13:17:16-07:00

Enemas have been popular for a long, long time. It makes sense that enemas were used historically; when individuals couldn’t take medicine by mouth, and before intravenous medication was common, there was only one route of administration left available! As humans paid more attention to cleaning themselves, it seemed logical to think that the place where waste left the body might require internal cleaning. However, today, there is controversy around enemas. Some celebrities, most of whom are not medical experts, claim that enemas are a cure-all with detoxifying and cleansing superpowers, but physicians are speaking out against the harms of certain popular enemas. In this article, we’ll discuss the truth about enemas, and go over some of the useful applications, as well as the more dangerous ones.

History of Enemas

An enema is a procedure that involves injecting a liquid, or occasionally a gas, into the rectum via the anus to either administer medication or flush out colon contents. Colonic irrigation (often shortened to ‘a colonic’) is a similar procedure that involves administering a continual flow of liquid for minutes to hours to clear out the colon completely rather than the single injection of enema fluid.

Humans have been using enemas for thousands of years. The oldest record of enema use comes from Egypt, mentioned in the Ebers Papyrus, a document written more than 3,500 years ago. Throughout time, people have had many reasons for using enemas, such as for providing nourishment to those unable to eat, ingesting intoxicants, torture, ritualistic or religious cleansing, sexual activity, and attempting to remedy various digestive ailments.

Medical Uses of Enemas

Sometimes an enema is the best tool in a physician’s arsenal to treat or diagnose various gastrointestinal diseases and disorders. In this section, we will outline common and effective uses of the enema.

Delivering Medication

One of the most common medical uses of the enema is to administer medication directly to the source. Individuals with ulcerative colitis experience inflammation only in the rectum and large intestine. The gastrointestinal tract can digest or degrade medications orally consumed during its journey through the stomach and small intestine. For this reason, some medications for ulcerative colitis, such as 5-ASAs and corticosteroids, are available in enema form to deliver the medication directly to the inflamed area for more effective treatment.

Constipation Relief

Enemas can be useful for those with severe constipation. When other treatments, such as dietary intervention, fibre supplements, or laxatives are ineffective, enemas containing salt solutions can help initiate a bowel movement. However, this method isn’t recommended for frequent use, and should only be done in cases where nothing else works, and when your physician gives you the okay, as there are more health risks with enemas than there are with standard constipation treatments.

Bowel Emptying

Your physician might recommend using an enema before a procedure or surgery that requires an empty intestine, such as colonoscopy. However, it is more likely that they will give you an oral preparation that clears out the colon than recommend an enema.

Diagnostic Tests

If your physician wants to see the outline of your large intestine for diagnostic purposes, they might use a barium enema. This involves administration of a solution containing barium, followed by a series of X-rays. The barium coats the intestinal walls and allows the shape of your digestive tract to show up in X-rays.

Blowing Smoke Up Your…

A strange type of enema found throughout Europe, especially London, in the 18^th century involved blowing tobacco smoke into the anus of individuals who had drowned. Physicians at the time believed that this procedure would help resuscitate these individuals, and it was a regular occurrence along the River Thames. The theory behind this procedure was that the tobacco smoke would irritate the bowels, which would cause the stomach to contract so strongly that it would force the lungs to cough. As explained by one physician from the time, “for the heat and sharpness of the tobacco smoke irritate so much the bowels, as to cause a violent contraction of the belly, which forces out of the breast the air contained in it.”³

Note: this is not a valid resuscitation method!

Myths about Enemas

Enemas Detoxify

Many proponents of home enemas claim that the main reason to perform enemas is to detoxify the intestinal tract, liver, and/or gallbladder. You might also hear claims that at any given time, a large amount of waste stays in your colon. However, this isn’t true, unless you are very constipated. Even then, whenever you have a bowel movement, it pushes things out roughly in the order it went in. Any waste that you eliminate during an enema is from recent meals and would have been eliminated during normal bowel movements in due time.

Enemas Are Safe

While enemas can be a useful tool in medicine, giving yourself enemas at home can have many complications. An incorrectly administered enema can damage tissue in your rectum/colon, cause bowel perforation and, if the device is not sterile, infections.¹ Long-term, regular use of enemas can cause electrolyte imbalances. Temporary side effects of enemas can include bloating and cramping.

Enemas can also affect the balance of microbiota in your gut. Many proponents of using home enemas to ‘detoxify’ often cite this as a good effect, saying it helps flush out harmful bacteria. However, enemas also negatively affect the good bacteria in the gut (probiotics), which can damage the microbiota balance and cause digestive symptoms.

Coffee Enemas Are Beneficial

Coffee enemas first became popular in the 1920s, when a German scientist, Max Gerson, claimed that coffee enemas were more effective than standard saline enemas, because the coffee would be absorbed rectally, and could help stimulate the liver. Supposedly, this would detoxify the body and could even help cure cancer. However, it is important to note that in the past century, no researchers have published any quality studies showing that coffee enemas can improve health, and the scientific community continues to discredit Gerson’s unfounded ideas.²

Coffee can offer health benefits – such as antioxidants – when you drink it, but there is no advantage to taking coffee rectally. In fact, it comes with the risk of normal enema complications, and the potential for rectal burns if the coffee is too warm. It is also possible to take in too much caffeine, if you are using larger amounts of coffee than you would normally drink. If you want to enjoy coffee, it is best to enjoy drinking it in moderation.

Conclusion

While enemas definitely have their uses, there aren’t many situations where they are necessary. We have safer methods of medication administration, and we know that using enemas regularly doesn’t help detoxify or cleanse your colon. If your physician does recommend you use an enema for any reason, make sure to follow their instructions carefully to avoid unpleasant side effects and injuries.

Shepherd of the Royal Anus

In Ancient Egypt, a wide range of physicians would attend to their Pharaoh, with each one attending to a different body part. One such position, the Shepherd of the Royal Anus (neru pehut), had the primary duty of providing the Pharaoh with regular enemas, either to administer medicines or to clean out the colon.⁴

First published in the

Inside Tract® newsletter issue 206 – 2018

1.

Niv G et al. Perforation and mortality after cleansing enema for acute constipation are not rare but are preventable. International Journal of General Medicine. 2013:6;323–328.
2. Cassileth B. Gerson regimen. Oncology (Williston Park). 2010;24(2):201.
3. Bruhier, Jacques-Jean, -1756. To the publick. A new method of relieving such persons as are thought to be suffocated, or drowned. [n.p., 1748].
4. Barr J. Vascular medicine and surgery in ancient Egypt. Journal of Vascular Surgery. 2014;60(1):260-3.

Images: © Wayhome Studio | Bigstockphoto.com, Photo: © toxitz | Bigstockphoto.com

Email News Sign Up

Join the badgut.org email list and receive the latest news on digestive health, BadGut® Lectures, events, and more. Click here.

Search

Search for:

Share This Page

Page load link

Go to Top

Enema for constipation – how to do, contraindications, types

Enema with constipation of the intestine
Enema with constipation – how to do, contraindications, types | Phytomucil Norm
Enema for adult constipation is an effective treatment that can be done at home. The article is about how to properly put an enema for constipation of the intestine and their types (for example, cleansing). Phytomucil Norm
Phytomucil Norm

Constipation is often accompanied by painful sensations and is fraught with intoxication. It is necessary to fight constipation, so doctors often offer an integrated approach to treatment: dieting, increasing physical activity, taking laxatives or other medications. With prolonged constipation, it is important to empty the intestines as soon as possible. An enema will help to do this.

An enema is a medical procedure that involves injecting water or liquid solutions into the rectum through the anus. It can be performed both by the patient himself, and by a medical worker or relative – no special knowledge is required during the procedure. However, it should be understood that such manipulation has certain indications and contraindications, the technique of execution and the features of the conduct.

Enema for constipation

Enema is one of the most affordable methods used both in the hospital and at home. It allows you to get a quick effect and empty the intestines within 5-15 minutes after the introduction of the solution. Understanding how to make an enema for constipation allows you to instantly alleviate the symptoms of stool retention: cleanse the large intestine, stimulate intestinal motility, remove gases.

This approach has disadvantages, especially if we are not talking about once occurring, but about chronic constipation. An enema is not a treatment for constipation and the digestive system disorders that cause it. Many people who have tried all the ways to get rid of constipation note the following disadvantages of an enema:

• discomfort – when washing the intestines, discomfort is inevitable;

• the impossibility of using an enema repeatedly – it is strongly not recommended to use an enema regularly, as this can lead to complications;

• the presence of contraindications in the form of hemorrhoids, anal fissure and other anorectal diseases – frequent companions of constipation;

• the risk of developing addiction – enema can cause the development of lazy bowel syndrome and provoke dependence on manipulations.

According to the gastroenterologist, KMN Shulpekova O. Yu., “in some cases, the formation of dependence on enemas is a big problem” (Shulpekova Yu. O., 2006, p. 90). This happens due to not agreed with the doctor or too frequent use.

The constant use of an enema does not solve the underlying problem. The person fights against the symptom, but does not direct their attention to the source of the problem – the disease of the gastrointestinal tract, the specifics of the diet or the level of physical activity. Therefore, you should not be zealous with enemas, it can only help in special cases when you need to urgently empty your intestines.

Readings

A pear enema is indicated for acute constipation – in cases where stool retention is rare and not chronic. In addition, the procedure is carried out with caution if the patient has a so-called fecal blockage.

A fecal blockage is a condition in which an accumulation of feces forms in a certain area of ​​​​the rectum. The lump is gradually compacted, while gaps remain between it and the walls of the intestine, through which liquid feces pass and are brought out. The person thinks they are developing diarrhea and may start taking antidiarrheal medication, which exacerbates the problem.

With partial obstruction of the rectum, symptoms of intoxication quickly increase. Treatment of fecal obstruction is carried out without laxatives. However, the enema is also used with caution: the procedure will help in cases where the enema tip freely penetrates above the stone and there is no risk of injuring the walls of the rectum.

In addition to constipation, there are other indications for bowel cleansing with enemas:

• intoxication, poisoning;

• planned operations;

• forthcoming birth;

• upcoming proctological examination;

• preparation for X-ray examination of the digestive, urinary system, pelvic organs;

• preparation for endoscopic interventions;

• preparation for the formulation of a medicinal enema.

Sometimes an enema is prescribed in the postoperative period, when your own stool is not observed after a certain time after surgery. Usually on the second or third day.

But for whatever indication an enema is planned, it is important to remember that this procedure must be carried out only with a doctor’s prescription. After all, there are a number of serious contraindications that you may not recognize in yourself.

Enema contraindications

Enemas for constipation are categorically contraindicated in cases of suspected complete intestinal obstruction. Doctor Subbotin A. M. emphasizes that “due to its low efficiency, the use of enemas is currently used mainly only in patients with signs of partial intestinal obstruction” (Subbotin A. M., 2010, p. 1754).

But it is important to distinguish between partial and complete obstruction: in the first case, loose stools pass. Partial blockage ends with a resolution in the form of liquid feces with a putrid odor.

Complete intestinal obstruction is characterized by acute pain, pallor of the skin, sweating, tachycardia, often accompanied by nausea and vomiting. A characteristic feature is asymmetric bloating. In some cases, long-term constipation can only be distinguished from intestinal obstruction using ultrasound or x-rays. Therefore, if you suspect such a condition, it is better to consult a doctor.

There are other contraindications to enema:

• bleeding from any part of the gastrointestinal tract, bleeding from the rectum;

• inflammation of the large intestine;

• rehabilitation period after interventions in the rectal area, perianal area, for example, after removal of hemorrhoids;

• hemorrhoids, anal fissure, proctitis, proctosigmoiditis;

• intestinal tumors.

Enema stimulates intestinal peristalsis and uterine tone, so if possible it is better to refuse the procedure during menstruation, so as not to increase bleeding. During pregnancy, an enema is done only under the supervision of a doctor and in case of urgent need.

How to make an enema

How to make an enema for an adult with constipation? If you have been prescribed an enema by a doctor, it is important to know how to do it correctly. First of all, you should prepare. You will need an Esmarch mug or a rubber pear with a tip, an oilcloth or an absorbent sterile diaper, liquid paraffin or baby cream, an antiseptic (for example, a solution based on chlorhexidine).

It is better to carry out the procedure in the bathroom, if it is suitable for this. It is important that the surface on which the person lies is flat and firm. It is necessary to cover the surface with oilcloth and prepare a solution for enema. About which solution is best suited in a particular case, we will describe later in the article.

The tip of a syringe or Esmarch’s mug should be wiped with an antiseptic, applied to the tip with petroleum jelly or baby cream, in extreme cases – vegetable oil. A person should take a comfortable position – lie on either side or stand in a knee-elbow position, relax.

The enema is injected into the anus to a depth of 5-10 centimeters. The urge to go to the toilet can begin immediately after the start of the introduction of the solution, and it is important to restrain them for a certain time. The temperature of the solution can be from 10-21 to 39 ° C, depending on the indications.

Please note that the steps involved in administering an enema may vary depending on the type of enema.

The steps for self-administering an enema are as follows:

• collect Esmarch’s mug according to the instructions;

• fill it with a solution;

• bleed some fluid to bleed air;

• treat the tip with vaseline oil or baby cream;

• lie on your left side, pull your knees to your chest;

• push the buttocks apart, insert the tip into the anus to a depth of no more than 10 cm;

• pour in the solution;

• remove the tip, turn on your back and wait 15 minutes.

After the procedure, there will be a strong urge to defecate, it is important to restrain them only in the first few minutes, and then ensure the opportunity to spend as much time in the toilet as needed. Defecation can occur several times, so there is no need to rush.

Types of enemas for constipation

Get rid of intestinal problems

Natural British drug is not addictive and works immediately

Find Phytomucil with benefits

The correct enema for constipation should be carried out taking into account the general state of health, the situation, the causes of stool retention. The characteristics of the solution used may vary depending on the type of enema.

The following solutions are used for cleansing and therapeutic measures:

• Oily: used for regular, prolonged constipation, often at bedtime. Unlike many other solutions, in this case, the laxative effect occurs after a few hours.
• Soapy: This solution is prepared with water and baby soap with glycerin. Used for a simple cleansing enema.
• Hypertonic: provides for the dissolution of salt in water, promotes the removal of excess fluid.
• Sour: Involves the use of acids (eg lemon juice or vinegar), used as a cleanser.
• Ognev’s enema solution: contains hydrogen peroxide, glycerin, soap shavings in the ratio 1:1:1. This solution is used for severe, prolonged constipation.
• Starch: this solution is used for hot enemas with temperatures up to 40-42 degrees. Also used for colitis. The composition of this solution includes starch and medicinal substances.
• Drip: The solution is a combination of drugs prescribed by a doctor. Can be used for dehydration, usually up to 4 treatments per day.
• Nutrient: May contain glucose, amino acids, etc. Also used for dehydration.

By volume, enemas are classified as follows:

Oil

It is recommended for spastic constipation, dehydration of feces. For example, in cases where constipation was the result of a poor drinking regimen. The solution is olive, castor, vaseline or other oil in its pure form.

The oil is heated in hot water to 38 ° C, drawn into a Janet syringe or syringe, injected into the anus. The urge to empty may not come immediately, but only after a few hours, so it is often more appropriate to use laxatives with a delayed, predictable effect.

Hypertonic enema

Hypertonic enema involves the use of water with salt or potassium permanganate dissolved in it. Such an enema is used, as a rule, to remove excess fluid during edema. Usually enough 0.2-0.5 liters of clean cold water. Warm water can be absorbed into the intestines, then the desired effect will not be. Salt solution increases osmotic pressure, stimulates the liquefaction of feces, the effect occurs after 20-30 minutes.

Cleansing enema

Cleansing enema for constipation involves thermal irritation with water of a certain temperature. Pure warm water is used, which mechanically stimulates the intestinal walls, has a temperature effect, and changes the consistency of feces. The effect comes immediately after the procedure.

Cleansing enema thins stools, stimulates bowel movements and can be used as part of the treatment of chronic constipation and to promote detoxification and elimination of stool in preparation for childbirth or surgery. Sometimes a cleansing enema is placed before the medicinal one. So medications based on medicinal enema are better absorbed.

In addition to pure water, it is possible to use water with the addition of 2 tbsp. l. glycerin or vegetable oil. As a preparation, you need to lay an oilcloth on the couch, lower one edge into a container on the floor.

Esmarch’s mug is filled with a solution with a temperature of 25−35 degrees, open the valve to remove air. Next, you need to close the tap and hang the mug above the couch. The person lies on his side, bending his knees.

Cleansing enema algorithm:

• Treat the tip with Vaseline.
• Insert 10 cm tube.
• Open tap, inject liquid.
• Detect 10 minutes.

If the pressure of the solution is not enough, pull the tip out a little and increase the water pressure, and if soreness is felt, reduce the pressure.

Siphon enema

Siphon enema involves cleansing the intestines with the help of a repeated washing procedure according to the principle of two communicating vessels – intestines and funnel. It differs from the cleaning one not only in the multiplicity of conduction, but also in technology. Before the procedure, you need to put an oilcloth, the edge of which is lowered into the container.

The person is laid on his side, after which the vaseline-treated tip of the rubber tube is inserted into the rectum by 10 cm. Then the funnel at the other end of the tube is filled with liquid, it is held at the level of the buttocks, then it is raised 0.5 m above the level of the body. When the waning water reaches the boundary of the constriction of the funnel, the funnel is lowered below the level of the body.

Intestinal contents will begin to flow out of it. This raising with the addition of liquid and lowering the funnel is repeated several times until the water coming out of it becomes clear. It should be remembered that only a specialist should carry out a siphon enema.

Medicinal

Typically, such enemas are indicated for inflammatory diseases of the rectum or sigmoid colon. In some cases, medicines are used as a solution, including decoctions of medicinal herbs. Sometimes general medicines are administered. systemic action. Only a specialist can prescribe a drug. It is important to do such enemas strictly in accordance with medical recommendations.

It should be understood that enema is not a treatment for constipation. In addition, in the case of alimentary constipation, it does not have any effect on the causes. Chronic constipation occurs in 15–25% of the adult population of developed countries, and in most cases it is associated with the diet and low physical activity of a modern person.

That is why the first recommendation of a gastroenterologist for constipation in a patient is almost always a menu correction – replenishing the diet with foods rich in dietary fiber. Sometimes additional fiber supplementation is required.

For this reason, the most effective laxatives are bulk ones, in particular preparations based on psyllium hulls. One of these laxatives is the British drug Fitomucil Norm, which contains soluble fibers in the form of psyllium seed husks and plum fruit pulp, as well as insoluble fibers.

Due to the latter, the agent stimulates peristalsis, and soluble fiber increases the water content in the feces, contributes to their softening and comfortable excretion. Plum pectin additionally promotes the growth of beneficial microflora. “Fitomucil Norm” acts without pain, swelling and sudden urges, is not addictive, unlike drugs with hay in the composition.

It is important to consult your doctor about enemas for constipation. There may be certain limitations, and only a specialist will tell you how to deal with the problem.
The article is for informational purposes only. The authors are not responsible for the quality of services provided by third parties and for possible complications.

References

• Parfenov AI Strategy and tactics of treatment of chronic constipation // Medical Council. – 2011. – No. 9−10. — S. 12−17.

• Subbotin AM Ideal preparation for colonoscopy — reality or goal on the horizon? Stages of improving its quality // Regular issues of “RMZH”. – 2010. – No. 28. – S. 1754.

• Shulpekova Yu. O. Constipation and methods of its treatment // Appendix BC “Diseases of the Digestive Organs”. – 2006. – No. 2. — S. 90.

Parfenov A.I. Strategy and tactics for the treatment of chronic constipation // Medical Council. – 2011. – No. 9−10. — S. 12−17.

Subbotin A.M. Ideal preparation for colonoscopy – reality or a goal on the horizon? Stages of improving its quality // Regular issues of “RMZH”. – 2010. – No. 28. – S. 1754.

Shulpekova Yu. O. Constipation and methods of its treatment // Appendix of breast cancer “Diseases of the Digestive Organs”. – 2006. – No. 2. – S. 90.

How to properly give an enema to a child with constipation

How to give an enema to a child at home with stool retention, Olga Glushko, pediatrician, pediatric gastroenterologist of the Semeynaya clinic network, told Gazeta. Ru.

Why an enema is needed

The specialist reminded that an enema is a device that cleans and rinses the colon or injects medicinal substances into it.

Enemas for children who suffer from constipation are done both in a hospital and at home, but in the latter case, Glushko recommended that a baby or an older child be given a medicinal enema only as prescribed by a doctor.

She advised not to consider enema as a popular way to improve bowel function and to do it only in extreme cases. In all other cases, it is more correct to establish nutrition, provide the child with sufficient drinking regimen and physical activity, and for older children, include in the diet products that have a mild laxative effect on the intestines of children who suffer from constipation.

What kind of water to give an enema to a child

For a cleansing enema prescribed by a doctor, the pediatrician recommended using water at a temperature of 36-38 degrees.

A lower temperature will cause discomfort to the child, and a higher temperature is dangerous to health. Such an enema has a cleansing effect in case of constipation in a baby.

close

100%

How to make your own cleansing enema

“Enemas can be in the form of a rubber syringe bulb or a container with a tube (Esmarch’s mug). Such large volume enemas are not used in the treatment of children who suffer from constipation.

From taking vitamins to inflammation in the intestines: why a child has green stools

Why children have green stools, does it depend on the type of infant feeding, what foods …

September 13 08:19

Regardless of the type of enema, several factors must be considered in the technique used. First, the position of the body: it is important that the patient lies on his left side with his knees pulled up to his stomach. This is due to the anatomical location of the rectum: in this position it will be more convenient to insert the tip into the rectum and give an enema to a baby who suffers from constipation. In infants, the position is slightly different: on the back with legs raised to the stomach, ”the doctor explained.

“To make it easier to insert the handpiece into the rectum of a constipated child, it can be lubricated with Vaseline oil. The volume of liquid for a single injection is calculated individually and depends on the purpose of the enema, the type of liquid injected (oily, hypertonic and others are administered in small volumes, unlike water), the age and weight of the patient also matter. Usually the volume of water for an adult does not exceed a liter, for a child it is much less,” Glushko said.

Which solution to use for an enema

According to Glushko, at present, a medicinal solution for enemas for children suffering from constipation, including small ones, is not prepared at home, but microclysters are more often used, which is associated with ease of use for children of any age.

Microclysters are considered safer than conventional ones.

“These enemas are a tube with a plastic tip with a medicinal substance. They are intended for mild stool stimulation in case of constipation, before medical procedures on the rectum or examination by a proctologist.