Quite often, a person is faced with the need for forced bowel cleansing. Often this manipulation is performed before surgery, to prepare for the diagnosis of the condition of the excrement organ, in the very initial stage of labor and so on. There are several ways to clear your intestines . Often, medications are used for this: syrups, rectal suppositories and tablets. However, these methods are not always effective. The most proven way to cleanse the body is the setting of a cleansing enema. The algorithm for this manipulation will be described in this article. You will learn how to perform the procedure correctly and what you need to do this.
Cleansing enema
The algorithm for performing this manipulation will be described below. To begin with, it is worth saying to whom the procedure is indicated and whether it has contraindications.
A cleansing enema is performed before any elective abdominal surgery. Also, manipulation is necessary to prepare for the examination of the inner walls of the esophagus and intestines. Before a natural birth, a woman is also given an enema.
An absolute contraindication to manipulation is strong pain of unknown origin in the peritoneum. Also, the procedure should refrain from bleeding or bowel obstruction. With inflammation of the anal canal or fissures, it is worth consulting with a specialist before enema.
Setting a cleansing enema
The manipulation algorithm includes several stages. Observe them in a certain sequence. Only in this case, success awaits you. Before the procedure, you should get a consultation and a doctor’s appointment.
For manipulation you will need a special device called the Esmarch's mug. You can buy it at any pharmacy network. If a cleansing enema is placed for children (the algorithm will be described below), then it is worth using an ordinary pear or syringe. In this case, Esmarch’s mug will be a very large device for the children's body. Consider a step-by-step algorithm for a cleansing enema.
First step: solution preparation
The algorithm of a cleansing enema begins with the fact that you need to make a special solution. You can use plain water or a decoction. In the latter case, camomile or sage should be preferred. These herbs have a beneficial effect on the intestinal mucosa: relieve inflammation, relieve bacteria, remove toxins and fecal deposits.
The temperature of the solution should be between 27 - 35 degrees. Many experts recommend the use of water at the most comfortable temperature (32-38 degrees). However, such a liquid is very well absorbed by the intestines. As a result, you will get the same effect as from a heavy drink, rather than cleansing the body.
Put the prepared solution into Esmarch's mug. Many patients call it a heating pad because of the resemblance. The amount of water should be between one and two liters. You can immediately dial more, and enter the solution as far as capacity. For young children, the volume of water should not exceed 500 milliliters. It is better to take into account the recommendations of a doctor.
Second step: positioning the patient and introducing the tip
The cleansing enema algorithm at this stage involves the assembly of the device. To do this, put the hose that came with the kit onto the container. Place the tip on the other end of the tube. Usually in Esmarch’s circle there are two of them: vaginal and anal. Choose the second view. Hang the device to a height of 1-1.5 meters. If necessary, take the help of relatives or close people. After that, lower the tip down and open the faucet. When air escapes and fluid begins to pour out, tighten the valve tightly and proceed to insert the tip into the anus. The patient should be located on the left side.
Take petroleum jelly or a fatty baby cream. You can also use regular olive oil. Lubricate the tip and anus generously. If we are talking about a children's enema, then you should be especially careful. Gradually insert the end of the instrument into the anus towards the navel. When the tip is halfway in, change direction. Now in a circular motion push the device parallel to the coccyx. If you feel an obstacle on the way (this may be the wall of the intestine or feces), then it is worth removing the tip one centimeter and proceed to the next point.
Third step: introduction of the composition
The cleansing enema algorithm involves the gradual introduction of an aqueous solution. Slowly open the faucet and observe the flow of fluid. Often at this moment the patient has an unpleasant sensation, similar to not overflowing the abdomen. This symptom can be removed by simply stroking the abdominal wall. Introduce the composition as long as the intestinal volume allows.
For young children, the dose of the solution should be selected in accordance with weight and height. That is why it is worth getting a specialist consultation.
The fourth step: completion of enema
When the solution is introduced into the intestine, you need to carefully twist the faucet and remove the tip. Do not make sudden movements. Otherwise, the sphincter can respond and splash some of the contents out.
Rotate counterclockwise to remove tip from anus. After this, a napkin or towel should be applied to the causative place to avoid incontinence. It is advisable for the patient to be horizontal for a few more minutes and only after that go to the toilet.
Summarizing
You now know the algorithm of action of a cleansing enema. Remember that you should not get involved in this manipulation, as this can lead to disruption of microflora and natural peristalsis. Use this cleaning method only as needed. Health to you!