For patients: Classical preparation with enemas and castor oil


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Colon cleansing with enemas and castor oil is one of the traditional methods of preparing for colonoscopy.

Three days before the test it is necessary to exclude from the diet:

  • Iron supplements and activated carbon
  • Products containing small seeds: grains, grapes, kiwi, poppy seeds, sesame seeds, cumin, apples, oranges, tomatoes, berries.
  • Beets, borscht, greens.
  • Substances that can stain the intestinal mucosa

If you suffer from constipation, you need to take the laxatives you usually use every day. You can even slightly increase their dose.

If you suffer from constipation and have not taken laxatives, you must start taking laxatives 3 days before the procedure.

Note:

self-preparation only with enemas (without castor oil) at home is not effective! You will not be able to prepare sufficiently, the research may be painful and not informative!

Classic preparation for colonoscopy:

  1. On the day before the test, eat only liquid soup for lunch.
  2. At 15:00-17:00 hours, take 40-50 grams of castor oil.
  3. In the evening at 20:00 and 21:00, do 2-3 cleansing enemas of 1 liter of cool (about 20 degrees) water.
  4. Dinner should be light: yogurt, soft cottage cheese.
  5. On the day of the examination, you can have a light breakfast in the morning, only if the examination is before 11:00, you can drink any liquids. If the test is later than 11:00, only liquid porridge or cottage cheese is allowed. food masses may end up in the colon by the time of the study.
  6. On the morning of the study, two cleansing enemas of 1 liter of cool water.

If your weight is more than 80 kg, you can increase the number of cleansing enemas.

Cleansing enema. Technique for performing cleansing enemas

September 7, 2021

To perform a cleansing enema, the so-called Esmarch mug is used (patients often call it a “hot water bottle” because of its external similarity). At the bottom of the mug there is a nipple onto which a thick-walled rubber tube is placed. The length of the tube is about 1.5 m and the diameter is 1 cm. The tube ends with a removable tip (glass, plastic) 8-10 cm long. The tip must be intact, with smooth edges.

It is preferable to use plastic tips, since a glass tip with a chipped edge can seriously injure the intestine. Next to the tip on the tube there is a tap that regulates the flow of fluid into the intestines. If there is no tap, it can be replaced with a clothespin, clamp, etc.

Contraindications for bowel cleansing with enemas are:

  • abdominal pain of unknown nature,
  • acute inflammatory diseases in the anus,
  • bleeding from the rectum, hemorrhoids in the acute stage, rectal tumors, gastric and intestinal bleeding.

The enema is administered in a lying position on the left side with legs bent and pulled up to the stomach.

It is advisable to prepare a basin and oilcloth (towel) in case you cannot hold water. 1-1.5 liters of warm (room temperature 37-380 C) water is poured into Esmarch's mug, after which it rises to a height of 1-1.5 meters. The enema can be held in a raised state by one of your relatives, or, if you are doing the procedure without assistants, you can hang it up (for this, as a rule, there is a special hole in the enema).

After this, the tip is lowered down into the basin, the tap is opened (if there is no tap, it can be replaced with a clothespin), air and a small amount of water are released, after which the tap is closed. The tip is lubricated with Vaseline and, spreading the buttocks, is inserted into the anus with light rotational movements. The first 3-4 cm of the tip is inserted towards the navel, then another 5-8 cm parallel to the coccyx. If obstacles are encountered and the tube rests against the intestinal wall or hard feces, the tube is removed 1-2 cm and the tap is opened. Water is pressurized into the large intestine. Almost immediately there is a feeling of “fullness” in the intestines and an urge to stool. At these moments, reduce the flow rate of liquid from the mug by closing the tap on the tube or squeezing it. Soft circular stroking of the abdomen helps reduce discomfort. After removing the tip, it is advisable to lie down in the same position for a while, and then you can go to the toilet. With proper preparation, the water should come out without any admixture of feces.

After use, wash the tip with soap under running warm water and boil.

How to do an enema correctly?

To get the proper effect, it is important to buy the right enema - Esmarch's mug (with a lock).

The significant disadvantages of this method include the fact that it is quite difficult to carry out the procedure without outside help. You will have to simultaneously inject the liquid, control the flow, and then hold it in the intestine for several minutes, while simultaneously holding the tip in the desired position, then remove the tip without getting up and close the tubes if the water is not completely introduced into the intestine. Therefore, think about an assistant or immediately switch to modern methods of preparation with drugs.

Follow the instructions carefully:

  • It is necessary to fill the Esmarch mug with 1-1.5 liters of cool (about 20 degrees) water. Cold water increases intestinal motility and bowel cleansing will be more effective.
  • Then you need to hang the mug at a height of at least 1.5 meters from the floor.
  • Open the latch/lock and wait until all air leaves the system and only water flows - lock the latch/lock.
  • Lubricate the tip of the tube with Vaseline or a special cream
  • It is optimal to lie comfortably on your left side
  • Insert the tube into the anus
  • Open the latch/lock at the tip.
  • We introduce the entire volume of liquid from Esmarch's mug.
  • Roll over onto your back and lift your pelvis.
  • Then slowly roll over onto your right side, breathe deeply several times, then relax.
  • Turns from side to side can be repeated several times. If you have the urge to defecate, be patient for 1-2 minutes and calmly go to the toilet.
  • We repeat the cycle.

It is important that the method of preparation for a colonoscopy is recommended by the doctor who ordered the study, since only he knows exactly the initial state of your body and can prescribe the optimal/acceptable method of preparation.

How to give an enema at home

09.09.2021

An enema (klystir) is a procedure, the essence of which is the introduction of special substances into the rectum for medical purposes.

It is performed for various indications, for example, with prolonged (more than two days) stool retention, in case of poisoning with chemicals,

low-quality products, and more.

Depending on the purpose of the enema, it is classified into:

• Medicinal. Designed to cleanse the body, rid it of harmful substances and negative conditions of the body. • Nutritious . Designed to introduce various nutrients into the body that will help it cope with the disease. • Diagnostic . It is used in X-ray examinations and involves the introduction of contrast agents into the body.

Performing an enema at home

To carry out an enema at home, you need to prepare the following tools: Esmarch's mug, rubber bulb, oilcloth, Vaseline.

Everything you need can be purchased at the pharmacy. When performing an enema, only boiled clean water is used, its temperature will vary

depending on the purpose of the procedure. In any case, it should not exceed 40 degrees; it is recommended to use

special thermometer. To enhance the effect, you can add a little shavings of baby soap to the water.

There are many recipes for preparing an enema solution, using ingredients such as milk, soda, various plants and flowers.

A detailed description of their effects will take up too much space, so in this case it is better to use special literature.

The place for the enema should be comfortable; a lounger covered with oilcloth is best suited for it.

To gently insert the Esmarch mug into the anus, its tip must be lubricated with Vaseline or nourishing cream. Air is released from the tube.

After administration, it is necessary to monitor the amount of incoming water; it should not be more than two liters. At the end of the clyster, to enhance

washing effect, it is recommended to perform certain gymnastic exercises. For example, the “candlestick” exercise or throwing your legs behind your head.

A comfortable position for self-administration of the clyster is to sit on all fours with your head down. The tip of the tube should be inserted into the anus approximately

by 7.5 centimeters, the tap needs to be opened and monitored for its flow from the mug into the intestines . Carrying out an enema should not be too frequent, since

During this procedure, the body is subjected to significant stress. In this case, instead of a therapeutic one, you can get a completely opposite effect.

Contraindications for enema

The described procedure is not recommended for general weakness of the body, headaches, acute abdominal pain , or the presence of cancer.

gastrointestinal tract, after recent serious illnesses, such as heart attack or stroke. There are also other contraindications,

To clarify them, it is recommended to first consult a doctor .

Published in Articles without category Premium Clinic

Pears, enemas, syringes for washing the vagina, nose, giving enemas, suctioning liquids and other household needs. They are also intended for irrigation, irrigation for personal purposes, giving enemas to children and rinsing the nasopharynx.

Playlist of our YouTube channel about douches, pears, enemas:

All products have a registration certificate and a sanitary and epidemiological certificate.

All types of syringes are on sale: - bulbs with a soft tip (type A) can be used for rinsing the nose, removing fluid (suction) in the postoperative period, for personal hygiene purposes. -syringes (bulbs) with a plastic or soft tip (type B) can also be used for irrigation, rinsing the body and performing enemas. - gynecological syringe is used for treatment and irrigation of the vagina for hygienic purposes.

Enema syringe pear

Disinfect syringes used for medical purposes with boiling water for 25-35 minutes. Immerse the tip in a 6% hydrogen peroxide solution at a temperature of 18*C. After this, the rubber syringe is ready for use for medical procedures.

Syringes - enemas can only be used for aqueous, aqueous-alcoholic solutions and do not exceed contact with such solutions for more than 15 minutes. They should not be used for oil solutions, and it is also not recommended to store drugs in them.

Before using syringes with a soft tip, we advise you to lubricate it with glycerin, not petroleum jelly (vaseline is prohibited).

How to give an enema correctly: After you have prepared the enema syringe for use, according to our recommendations, draw the prepared decoction, medicinal substance or just warm water into the bulb through the spout, slightly squeezing the syringe at the widest point. Lie on your side, as is most comfortable for you, with your knees slightly bent. Bring the bulb to the anus and carefully insert the tip. Slowly, slowly, press the bulb and inject liquid. Do not strain or make sudden movements.

How to rinse the vagina with a syringe: Prepare a special irrigation syringe with a balloon for use according to our instructions. Remember to boil the tip for 5-7 minutes. Dip the nozzle of the syringe into the prepared medicinal solution or just warm water, pressing the base to draw the required amount of solution. Lie on your back in the bath, with your feet on the sides of the bath. Bring the syringe to the vagina slowly and carefully insert the tip. Introduce the liquid carefully, relax, the liquid should not enter the uterus.

Medical syringes for washing the vagina

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