Outset that in the case of
if you have severe pain (pain set themselves an enema) or bleeding,
it is not necessary to put an enema before the initial medical examination. Not
Lots injure patients once again. The doctor will examine
(Anoscope), and without this training. Enema is necessary
to put, if the doctor will carry you to any special
study (sigmoidoscopy, barium enema, colonoscopy).
generally before the primary examination of the patient puts in approximately 2 hours
to receive two cleansing enemas. Also, do not eve
use products, provoking you flatulence. If you recorded
at the reception in the evening, and the day is not possible to prepare, then
cleansing enema can be put after the morning stool.
Remember that the visit to the proctologist does not impose any restrictions on food intake, so eat at the rearHur.
What are enemas?
constipation, as well as in preparing for diagnostic tests in
rectal area often used enemas, tell you about
correctness of their performance.
There are three types of enemas:
To put a cleansing enema using a mug Esmarch. It can be purchased at any pharmacy
Douches - a container (glass, enamel or rubber)
capacity of 1.5-2 liter. At the bottom of the mug has a nipple, which put
thick-walled rubber tube. In the rubber tube is a reservoir
its direct continuation. tube length 1.5 m, diameter -
1 cm. The tube ends with a removable tip (glass,
plastic) 8-10 cm long. The tip must be an integer, with smooth
Preferably, the use of plastic caps, since
glass tip with a chipped edge can seriously injure
intestine. After use the tip of a good wash with soap under running
of warm water and heated. Near the tip of the tube has a valve,
which regulate the flow of fluid into the intestine. If a crane is not, it
can be replaced by clothespins, clip and so on. n.
enemas using water only from trusted sources (such that
you can drink). For children is better to use only boiled water.
The water temperature - about 37-38 degrees. More cold water
significantly increases the motor activity of the intestine, causes
unpleasant sensation of pain. Use water enema
the temperature more than 40 degrees is dangerous for health.
performing enema dosage drugs are absorbed into the blood
direction, while they do not fall, and liver and significantly less
destroyed, acting more actively. The dosage can be called any
enema with herbal infusions.
30-40 minutes to put the drug enema cleansing and only after
stool administered medication. Medicinal enema - is
Basically microclysters volume contents should not exceed 50-100
ml. The temperature of the drug should be at least 38-40
degrees, since at lower temperatures there retching
defecation, and medicine does not have time to be absorbed.
on the left side, bend your legs and knees and tighten to the abdomen. pushing
left hand buttocks, right circular movements enter oiled
vaseline oil catheter is 10 cm and the rectum. Then connect
catheter with a syringe that contains the drug, and
slowly squeeze the solution into the catheter in small portions under slight
pressure. For this purpose one can use a small syringe.
Hold and squeeze the outer end of the catheter to prevent
reverse emergence from it liquid. Carefully remove the syringe with
catheter, draw up the air, re-insert the catheter and purge,
to push the remaining liquid therein.
enemas used for persistent constipation. To do this, use a vegetable
oils: sunflower, olive, hemp, vaseline. for one
enema take 50-100 ml of pre-warmed to 37-40 degrees oil. Misleading
Oil is usually a rubber bulb syringe with a catheter through which
is advanced into the rectum 10 cm. The oil spreads over the intestinal wall,
envelops feces, relaxes muscles and promotes muscle
excretion of feces. The patient must lie still for 10-15 minutes,
so that the oil does not flow out.
The manual setting enema
on the bed closer to the edge on the left side with legs bent and pulled up to the stomach
feet. Under the buttocks enclose oilcloth (polyethylene film)
the free edge of which is lower in a bucket in case you can not
hold water. The mug douches pour 1-1.5 liters of ambient water
temperature, raise it up to a height of 1-1.5 m and dip
tip down to release a small amount of water and with
her recompensex of the tube. Fill the tube (output bit of liquid
tube), and then, without dropping the cup, close the valve on the rubber
Check to see if the tip is broken, lubricate it with vaseline
(Vegetable oil) and, apart buttocks, insert the tip into
anus twisting slightly. The first 3-4
see insert the tip toward the navel, and then another 5-8 cm -
parallel to the coccyx.
If there are obstacles, and rests on the tube
the intestinal wall or hard stools, remove 1-2 cm open
crane. Pressurized water goes into the large intestine. Almost immediately
will be feeling the bowel "filling", urging to stool. At these moments,
We need to reduce the fluid flow rate from the clubs closing valve on the
tube or pinching her. Reduce the unpleasant sensations help circular
soft stroking belly.
tip feces should be removed, cleaned and put
again. If the rectum is filled with feces, try to dilute his jet
water. Mug douches do not completely emptied. Leaving at the bottom
a little water to the intestine does not hit the air, close the valve,
regulates fluid flow, and remove the tip.
Put the prepared crotch pad (tissue,
repeatedly folded strip of toilet paper, and so on. p.), which need to
pinch between his legs.
2nd method ( "by Hegar ')
on all fours in the bathroom (the knee-elbow position) on the basis of one
elbow, his other hand insert the tip into the rectum.
should be introduced slowly and carefully, especially when hemorrhoids. Introducing
tip, head and shoulders, lower lower and start a deep, but not
often breathe stomach, "drawing a breath or a nose." If
Water did not enter all, and you already feel the pain in the gut, turn off the tap
on the hose, breathe deeply.
When the water in the circle is complete, remove the tip and place it on the prepared rectum lining.
hold water for 10 minutes. To do so, lie on his back
breathe deeply. Pain, feeling of fullness in the abdomen relax the
stroking. If it is possible, walk to the introduced water or soak in the
abdomen. In formulating a cleansing enema is necessary to make sure that for the
once introduced no more than 1.5-2 liters of liquid. If you want to put
two enemas a row, you should observe the interval between 45 min-1
hour, making sure that the wash water from the first enema withdrew completely.