Cleansing enema: technique of execution, correct setting

An enema is a special medical-diagnostic manipulation (procedure). It is the introduction of therapeutic and other fluids into the lower compartment of the colon for treatment or for the purpose of diagnosis.

Types of enemas

Types of enemas may differ depending on the purpose. It can be injecting (with medicines - a nutritional enema) and releasing (for the purpose of purification - the enema is siphon and loosening).

The purpose of the enema

The main goal of setting cleansing enemas is to urge a bowel movement and the formation of a normal stool in the event that it is long absent. Also, the enema is made in order to avoid negative consequences, in order to remove discomfort and free from feelings of heaviness.

Exercise at home

You can carry out a cleansing enema both at home and in a medical institution. However, at home it is often not necessary to use this method of purification in order not to damage the intestinal microflora.

It is important to know that a cleansing enema at home should necessarily be done according to the rules, because the result of purification will depend directly on it. Even small deficiencies can prevent you from achieving the desired result.

How does the enema work?

When the water begins to gradually fill the stomach, it penetrates through the small intestine and seeps into the area of the large intestine, then gradually exerts pressure on it, and this leads to irritation of its walls. Peristalsis of the intestine is amplified, its walls contract more strongly, after which the person begins to have desires for defecation, and the liquid flushes the stool and everything extra.

Indications for setting cleansing enemas

A purifying enema is prescribed if a person has a poisoning. The enema is also shown if the patient often has constipation (stool retention for more than 48 hours) and uncomfortable sensations in the intestinal region. Pregnant women are prescribed cleansing enemas before childbirth, also cleaning is performed before surgery or colonoscopy.

There are contraindications for the appointment of enemas:

• Swelling of the rectum;
• Prolapse of rectum;
• Inflammatory and other diseases of the rectum and anus;
• Hemorrhoids bleeding.

Cleansing enema: technique of execution

Photos will help to carry out the process correctly. The setting of the enema contains several stages. First you need to prepare everything you need, and then put the enema itself.

Devices, which are necessary for the setting of purifying and other enemas:

• Esmarch's mug with a special rubber tube or pear;
• A tripod for hanging the mug;
• Glass, plastic or ebonite sterile tip;
• Clamp;
• A vessel, an oilcloth (bedding), petroleum jelly;
• Sterile gloves;
• 1,5-2 liters of boiled water (room temperature of water);
• Thermometer (for water);
• Basin;
• A couch for the patient;
• A special pelvis or container for used tips.

Cleansing enema. Technique of performance in a hospital

• The Esmarch mug needs to be filled with water, 1.5-2 liters (temperature 18-22 degrees). The air is exhausted from the system, the clamp is applied. The mug is suspended on a tripod at a level of one and a half meters above the couch with the patient.
• At the end of the rubber tube is put on a sterile tip and smeared with petroleum jelly.
• Under the patient on the couch underlaid oilcloth.
• The patient lies on his left side, bends his knees.
• The medical worker puts on sterile disposable gloves, spreads the buttocks of the patient with his hands and gently inserts the tip into the rectum with a slight rotational movement to a depth of three to four centimeters towards the navel. Then, with the same movements, turn the tube up to 8-10 centimeters to the coccyx.
• The clip on the rubber tube is removed, and gradually water is poured into the rectum (1-2 liters).
• To prevent air from entering the intestine, a little water is left on the bottom of the mug.
• Before removing the tip, a clamp is placed on the tube.
• The tip is extracted by an easy rotational movement in the reverse order (from the coccyx to the navel).
• The patient needs to hold water for ten minutes. For this he lies on his back and breathes deeply.
• After the procedure, the used tips are soaked in a special solution.

Is it possible to carry out these manipulations at home? Yes, but we need to remember one thing. In a hospital or at home, a cleansing enema should be conducted after consultation with a doctor. The technique of execution of the algorithm is as follows:

• First you need to ask the patient if he has a stool after cleansing enema.
• If the patient is in a hospital and has a bed rest, a cleansing enema is placed in the ward, behind the screen.
• After the water is introduced into the intestine, a vessel is placed under the patient.
• When the intestine is completely emptied, the patient is washed away.
• If the patient is difficult to turn sideways, an enema is placed when he lies on his back with knees bent and legs apart.
• On the edge of the couch, a pelvis is placed, in case the patient can not keep water in himself.
• If the medical worker at the insertion of the tip has detected a hemorrhoidal node, then it is necessary to insert the tip gently, so as not to injure the nodes.

The method of carrying out a cleansing enema at home

In principle, a cleansing enema can be made independently, the technique of performing at home should be strictly observed in this case:

• It is necessary to prepare a solution for intestinal administration. This can be ordinary water, and maybe vegetable oil. It is important to maintain the water temperature, it should be at least 38-39 degrees, if the patient has severe spasms and pain.
• Instead of a mug of Esmarch, you can take an ordinary heating pad or a simple rubber pear with a tip. Do not forget about Vaseline to lubricate the tip to avoid injury.

The cleansing enema, the technique of execution and the process itself are quite simple:

• You need to lie down in the bath, spread your legs and put them to the wall on the width of your shoulders. This is necessary in order not to experience pain and discomfort when introducing the solution.
• Then the pelvis should be raised, and the legs should be at an angle of 90 degrees.
• The tip is smeared with petroleum jelly and carefully inserted into the anus at 5-6 centimeters.
• A tap is opened or, if this clip is removed, the liquid drains into the gut.
• To keep water in yourself, you need to lie in the tub on your back.
• When the urge to bowel defecation begins, you need to lie on your right side. It is recommended to keep water inside yourself for up to 10 minutes.
• Carefully rise to your feet.
• After all the manipulations you can go to the toilet.
• If, during the enema, a person begins to experience pain and pain, you need to stop the flow of the solution into the rectum. You can breathe deeply, lower the pelvis or lift it. This is necessary to reduce the pressure of the liquid on the intestine.
• When the intestine is completely cleansed, all the instruments must be disinfected, washed with water and soap, boiled, only after that the enema can be used the next time.

Exercising enema for children

A cleansing enema can be performed for people of any age. Technique for children is the same as for adults. It is important to do this as carefully as possible so as not to harm the baby.

The instruments for carrying out the enema to the child are the same as for the adult (Esmarch's mug or pear, water of a certain temperature, gloves, oilcloth or diaper, petroleum jelly, baby pot).

• Spread the diaper or oilcloth on the couch.
• Treat hands and put on them sterile gloves.
• Lubricate the tip with petroleum jelly.
• From the pear let out air and fill with a solution.
• Gently push the baby's buttocks apart and insert the tip 5 cm inside, filling the water with a neat rotational motion. If the child is less than a year, then put it better on the back and raise the legs up. If the child is older than a year, manipulations are carried out when he lies on his left side.
• Pear to take out and try to hold water inside the intestines of the child, while holding the buttocks with your hands. After 5-6 minutes, put the baby on his back and wait for the urge to defecate.
• After emptying the baby's bowels, wash and grease the perineum with a baby cream or powder.

Often, use of cleansing enemas is not recommended, as this can lead to disruption of normal intestinal microflora, as well as disable the independent work of the rectum.

Do not self-medicate and prescribe an enema yourself. Before resorting to treatment and prevention, you should always consult a doctor.