Administering an enema is the process of decongesting the intestine, using a special natural solution. This solution is introduced into the rectum through a special gas tube with slow infusion.
Types of Enema
The Enema is divided into two types, the Large volume and the small volume: In patients with constipation from about 4 days or more, the Large Volume Enema is indicated. The Small Volume Enema is indicated for lighter cases.
Of course, depending on the case, the specialized nurse can decide the type of Enema the patient will need, after the necessary check.
Sometimes, an enema may not be enough, due to possible bowel obstruction of the patient. If after three consecutive enemas, there is no yield, then an abdominal x-ray should be done.
Indications of need for an Enema
Enema administration is necessary in the following cases:
- Chronic constipation or after 2 consecutive days without bowel movement
- Before bowel endoscopy or other diagnostic tests
- Before admission to surgery
Time needed for an enema to work
The time needed for the enema varies according to the condition of the patient (if he is bedridden or ambulatory) and the days without bowel movement. In some cases it can pay off immediately, while in the presence of the nurse, or maybe within the next 3 hours, but there is also a possibility to pay off within the next 24 hours.
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