Is it possible to do an enema for hemorrhoids: 3 ways to cleanse the rectum

Enema for hemorrhoids is an affordable type of treatment recommended in inpatient and outpatient settings. Hemorrhoids are an unpleasant disease. Most suffering people are embarrassed and do not dare to see a doctor for a long period. The patient does not receive help, the disease becomes chronic. A lot of serious complications and consequences appear. Often hemorrhoids become inflamed and increase in size during pregnancy and after childbirth.

Proctologists recommend seeking medical help when the first signs of the disease appear. In the initial stages, treatment of hemorrhoids is effective when using conservative methods. The proctologist will prescribe appropriate treatment and tell you whether it is possible to do an enema for hemorrhoids.

Types of enemas

An enema is a medical procedure in which a liquid or medication is poured into the intestinal lumen. Once in the lumen of the large intestine, medications have a therapeutic effect on internal hemorrhoids and the colon mucosa.

Enemas are done to cleanse the intestines. In medical practice, there are 4 types of enemas for the treatment of painful conditions.

Cleansing simple enema

For hemorrhoids, it is prescribed for the development of constipation. Using the cleansing procedure, gases and accumulated feces are removed. A cleansing enema is done in the preoperative period, before childbirth, to conduct an X-ray examination of the intestines and pelvis.

Oil enema

To facilitate the passage of feces and gases from the intestines, patients are prescribed oil cleansing and therapeutic enemas. With the help of neutral and medicinal oils, spasmodic smooth muscles of the intestine are relaxed, and feces are softened. Neutral oils are used, sometimes olive oil. To perform an enema for hemorrhoids, use half a glass of oil, heated to human body temperature.

Medicinal enema

In case of a chronic pathological process, enemas with medications are recommended. The amount of medicine is up to 100 grams. Traditional medicine offers decoctions of medicinal plants. The effect of an enema with chamomile is different. Decoctions eliminate signs of inflammation in the rectum, are characterized by an astringent effect, and stop bleeding from hemorrhoidal veins.

Therapeutic enema is carried out with the permission of a doctor. The doctor will tell you whether it is possible to give an enema for hemorrhoids at home. Before a therapeutic enema, you can pre-cleanse. The method is practiced for constipation.

Hypertonic cleansing enema

It is done for severe, protracted problems with stool. Requires magnesia powder, hypertonic salt solution. Therapeutic manipulations are performed for atonic constipation. The drug quickly acts on intestinal receptors. The irritant effect causes increased peristaltic movements.

Rules for the procedure

Enemas are indicated for patients with the following pathologies:

• persistent constipation;
• hardening of stool;
• intoxication;
• before administering medications in the form of suppositories, solutions to the perianal area;
• during the period of preparation for surgery, diagnostic procedures: radiography, ultrasound diagnostics.

During the recovery period after surgery, oil enemas are indicated. The medicinal solution softens stool, coats the intestinal walls, and accelerates tissue regeneration. In the postoperative period, excessive pressure in the abdominal cavity is avoided, and the patient should not push. If you have difficulty defecating, use enemas or ready-made medicinal solutions (Microlax microenemas). It is recommended to administer the enema at night, following a diet and drinking regimen.

Absolute contraindications include hemorrhoids, accompanied by an acute inflammatory process, anal fissures and erosions of the mucous membranes, chronic ulcerative colitis, rectal bleeding, thrombosis of hemorrhoids, and rectal prolapse.

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To do an enema correctly, prepare in advance. Patients with hemorrhoids need to make sure there is no rectal bleeding, prolapse of hemorrhoids and other contraindications. The procedure is carried out according to the standard algorithm:

• the couch is covered with a disposable diaper or napkin;
• the patient lies on his side, pressing his knees to his chest;
• the buttocks are spread apart, water, oil or hypertonic solution is slowly poured in;
• depending on the base, the therapeutic effect occurs within 15 minutes - 10 hours;
• bowel cleansing is done before bedtime;
• if during the process external or internal hemorrhoids begin to bleed, cleansing measures are canceled for a while.

To achieve the desired result, the enema must be performed in accordance with the rules and recommendations of a specialist. Otherwise, there may be a risk of harm to health.

If the use of an Esmarch mug is recommended, the container is prepared in advance and disinfected. A tube with a removable tip is attached to the mug.

General rules that are mandatory when taking any type of enemas:

1. The patient is placed on the couch on his left side so that the solution enters the sigmoid colon more easily. In this case, the patient is asked to press his bent knees to his chest.
2. Before administering the enema, the air is removed from it.
3. The water for the procedure should be purified, slightly warmer than room temperature.

Colon cleansing with an enema using an Esmarch mug is carried out in medical institutions. It consists of a metal container with a soft rubber tube coming out of its bottom, about a meter long. A removable tip is placed on the end of the tube.

To carry out the procedure, the following rules must be observed:

1. The patient takes the starting position for the enema procedures.
2. The enema volume for an adult is about 2 liters.
3. The tip of the enema or syringe is treated with petroleum jelly.
4. The mug is installed at a height of about 1.5 m, the tube is lowered and the tap is opened to remove air. The moment water appears from the tip, the tap closes. Everything is ready for the enema.
5. Spreading the buttocks with your left hand, the tip is inserted into the anus with gentle rotational movements (to minimize trauma to the hemorrhoids). After this, open the tap to supply liquid to the intestines.
6. When all the water comes out of the mug, the tap is closed and the tip is removed. It is thoroughly washed and disinfected.
7. After the procedure, the patient should remain on the couch for as long as possible, squeezing his buttocks, to completely soften the feces accumulated in the intestines with water.

One of the types of cleansing enemas are microenemas (medicinal) - medications sold in pharmacies. Their significant advantages are their small volume (about 5 ml), rapid therapeutic effect (15–20 minutes), ease of use and a minimum number of contraindications. Microclysters can be used at home.

Oil analogue

Oil enemas are prescribed by proctologists and are used in the treatment of hemorrhoids for the purpose of gentle cleansing of the intestines.

They have some advantages:

• do not cause allergies;
• do not provoke inflammatory processes in the intestines;
• oil is not absorbed through the intestinal wall;
• does not change intestinal motility.

The effect of the enema is based on the enveloping effect on the intestinal walls, its relaxation while simultaneously softening the stool. The following types of vegetable oils are used for the procedure:

• castor;
• olive;
• pumpkin;
• linen;
• sea ​​buckthorn;
• sunflower.

The oil must be diluted with boiled water in a ratio of 1:25. For one adult, 50–100 ml of the prepared solution is enough. An oil enema should be performed before bedtime, as its therapeutic effect occurs after 8–10 hours.

Instructions for implementation:

1. The patient assumes the starting position for the procedure.
2. Lubricate the tip of the rubber bulb with Vaseline. Squeeze the bulb and release the air from it.
3. Scoop up the oil solution with a bulb and insert its tip into the rectum a couple of centimeters.
4. Slowly inject the solution into the rectum, releasing the contents.
5. Carefully remove the tip from the anus without opening the bulb.
6. Remain lying on the couch on your left side for some time until the urge to defecate appears.

Hypertensive enemas are fast-acting ways to relieve constipation from hemorrhoids. To prepare them, a hypertonic solution of ordinary table salt or magnesium sulfate is used. The principle of operation of such an enema is based on the irritating effect of salt on the intestinal wall and the reflex enhancement of its peristalsis.

Rules for the procedure:

1. The patient takes the starting position.
2. The tip of the bulb or rubber tube is generously lubricated with Vaseline.
3. Air is removed from the bulb and a hypertonic solution is drawn. For an adult, the enema volume is 200–300 ml.
4. The solution is slowly introduced into the rectum to avoid injury to its wall.
5. The tip of the bulb is removed, and the patient is left to lie on the couch for a few more minutes.

It should be remembered that performing a procedure such as an enema is a medical procedure and is usually performed in a hospital setting.

This procedure should be prescribed by the attending proctologist, therapist, or gastroenterologist. Self-medication and lack of experience in performing manipulation can lead to serious consequences.

The patient lies on his left side, tucking his legs bent at the knees. The enema container is filled with warm water or medicinal liquid (drug, solution, herbal decoction, etc.) in a volume of about one and a half liters (depending on the recipe). Before performing the procedure, the tip of the enema is treated with Vaseline or vegetable oil (to facilitate the insertion process), after which it is carefully inserted into the patient’s anus using rotational movements.

After the procedure, the patient is recommended to lie down for about 20 minutes without changing body position (this is especially true for medicinal manipulations, because it is very important to give the drug a chance to work). After this, you should go to the toilet to have a bowel movement.

Using this technique, the patient can easily give himself a microenema on his own, without outside help. For hemorrhoids, you can use another option - an enema using the Hegar method. It consists of the following: the patient needs to kneel, leaning on his elbow, spread his buttocks and insert the tip into the anus with one hand.

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Rules for administering enemas for hemorrhoids

A tube with a flexible tip is attached to the rubber or metal tank of the mug. The tip is removed, washed thoroughly, treated in a disinfectant solution or boiled.

1. For such an enema, clean water with a temperature of 36-37 degrees is used.
2. The patient lies on the couch on his side, pulling his legs towards his stomach. A disposable sheet or oilcloth is placed under the pelvic area. 1-2 liters of warm boiled water are poured into the tank of the mug.
3. Air is released from the tip of the mug and the tap is closed.
4. The tip is lubricated with Vaseline oil and carefully inserted into the anus. The tap opens carefully and water enters the intestinal lumen. In the first minutes, the patient feels distension in the intestines and the urge to defecate. We'll have to be patient. After water enters the intestine, close the tap and carefully remove the tip from the rectum. Lie down for a while to soften the stool to cleanse the intestines.

Most popular recipes

Since microenemas for the treatment of adenoma and prostatitis have been used for a relatively long time, there is already a kind of top of the most effective recipes. It includes options for preparing solutions using medications, herbs and some other components. The list of the most popular recipes is as follows:

Enema with Dimexide.

The drug can be combined with antibacterial agents, with Novocaine, or used in combination with a chamomile solution, or simply diluted with warm water. Dimexide compounds effectively eliminate the inflammatory process, relieve pain, and improve the penetration of active substances of other drugs. The solution can be prepared using 50 ml of chamomile decoction or water, 2 ml of Dimexide.

Enema with Furacilin

It is enough to dissolve 2 tablets in a glass of warm water. The mixture allows for antiseptic therapy; furatsilin eliminates pathogenic microflora and normalizes metabolic processes in cells.

Manganese enema

One of the most common types of enemas used to treat not only prostatitis, but also disorders of the digestive system.

Chamomile enema

The infusion must be prepared immediately before use. Brew 2 tbsp. spoons with half a liter of boiling water, an alternative can be ready-made chamomile sachets, the proportions are approximately the same (3-4 sachets per ½ liter of water). The plant is one of the effective antiseptics, relieves inflammation, improves blood flow.

Garlic enema

The recipe must be used with caution, as burns are possible if prepared incorrectly! An infusion is prepared from chopped garlic (2 medium cloves) and two glasses of boiling water. Leave for several hours and apply warm.

Enema with St. John's wort

For the procedure, you need to brew a tablespoon of the crushed plant with a glass of boiling water. St. John's wort is a unique plant; its composition has an antimicrobial effect, and also improves the protective properties of tissues, stimulates cell renewal, and relieves inflammation.

Enema with propolis

Depending on the form, the optimal recipe is selected. Often solutions are prepared based on herbal decoctions and supplemented with oils. Treatment with bee products should be carried out with caution, as there is a chance of allergic reactions.

Enema with essential oil

Traditional medicine contains many recipes with essential oils, with the exception of therapy against prostatitis. Oils of sea buckthorn, fir, rose hip, tea tree and others are used. Which oil is chosen depends on the desired effect. The average proportions are 10-15 drops per liter of water; this can be one type of oil or a mixture of several extracts. You must first rule out individual intolerance to the composition and consult a doctor.

Enema with oak bark

Salt enema

The simplest recipe for which pure sea salt is suitable. A teaspoon is diluted in a glass of warm water. Salt is a natural antibacterial agent and stimulates blood circulation.

Despite the effectiveness of enemas for prostatitis,
the procedure cannot be the main one in the treatment of advanced stages , as well as with an already formed adenoma.
Only after eliminating contraindications and consulting a doctor can a decision be made about the possibility of such therapy. Restrictions may affect not only the condition of the genitourinary system, for example, the acute inflammatory stage of the disease, but also pathologies of the rectum and digestive organs. If there are no contraindications, then you need to familiarize yourself with the rules for conducting microenemas, which are sometimes preceded by similar procedures, but only for the purpose of cleansing the intestines. The sterility of all elements used, as well as accuracy of actions, is a prerequisite for the process.

Oil enemas for the treatment of hemorrhoids

For the procedure for internal hemorrhoids, neutral vegetable oil is used. You can boil it first.

1. The pre-medicated oil is heated to human body temperature.
2. To introduce the oil solution, use a rubber bulb for douching.

In the lumen of the rectum, the medicinal substance gradually spreads along the walls, envelops the intestinal contents, helping with excretion. You can give enemas at night. At night, the intestinal mucosa is enveloped in oil - relieves inflammation, heals wounds and microcracks in the mucosa. The treatment procedure has an analgesic and anti-inflammatory effect on hemorrhoids and accelerates healing.

It is useful to make microenemas with oil from sea buckthorn berries. The substance is characterized by an increased therapeutic wound-healing effect that eliminates the inflammatory process.

Rules for the use of liquids

Preparation of medicinal solutions precedes a therapeutic enema. Two types of medicinal liquids are prepared.

Enema with oils

An oil enema for hemorrhoids is made based on the oils of olive tree, rose hips, sunflower seeds, and sea buckthorn berries. You can mix cheap sunflower oil with more expensive one. The oil temperature corresponds to body heat. Scoop up a glass of oil extract with a rubber bulb and lie on your side. Insert the nose of a rubber bulb into the anus and squeeze out the oil. Continuing to squeeze, they take out the pear and roll onto their back. To enhance the effect, spend 20 minutes on your back. Then the intestines are emptied. After defecation, wash the perineum with cool water.

Herbal infusions

Enemas with medicinal solutions help cleanse and restore the rectal mucosa. Decoctions are prepared from chamomile flowers, calendula, oak bark, hop cones, nettle leaves, and burdock roots. Chamomile is most popular for hemorrhoids as a healing, antiseptic, and disinfectant. Place a tablespoon of dry chamomile in a glass of boiling water, leave for half an hour and filter.

A properly prepared decoction gives off a pleasant chamomile scent. A chamomile decoction with a volume of 150-200 ml, cooled to 37°C, is taken with a rubber bulb, the tip of which is lubricated with petroleum jelly. Then you need to lie down on your side, insert the tip of the bulb into the anus and press on it, releasing the chamomile infusion. Continuing to squeeze the pear, remove its tip and lie down, keeping the broth inside the body. Empty your bowels after 15 minutes.

An enema for hemorrhoids helps relieve chronic constipation, relieves inflammation, and heals the anal mucosa. You cannot do an enema at the acute stage of hemorrhoids with bleeding, thrombosis, strangulation and inflammation.

Pregnant women, allergy sufferers, people with heart disease and blood vessels require medical consultation before colon lavage. You should not get carried away with enemas for hemorrhoids. With prolonged, uncontrolled use, they will aggravate the symptoms of the disease.

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Hypertensive enemas for hemorrhoids

Hypertensive enemas are a difficult procedure for the human body. Cleansing enemas with large amounts of water are strictly contraindicated for arterial hypertension and increased intracranial pressure. When a hypertonic solution is administered, edema decreases due to the release of fluid from the intercellular fluid into the intestinal lumen along a concentration gradient. The intestines can empty quickly.

1. For hypertensive enemas, a syringe is used.
2. The heated solution is filled into the pear reservoir.
3. Injected into the intestinal lumen.
4. After administering the solution, the patient turns over onto his back and lies down.

Hemorrhoids and its consequences

Enlargement of hemorrhoids as a result of pathology of the veins and cavernous tissues of the rectum is the most widespread proctological disease in humans. The reasons for its development are many factors:

• hereditary predisposition to vein pathology, a tendency to varicose veins;
• activities that cause a strong drop in pressure in the pelvic area (heavy lifting, pregnancy and childbirth, pushing for chronic constipation, etc.);
• lack of sufficient physical activity with the formation of blood stagnation in the pelvic area;
• poor diet, alcohol abuse and smoking.

All these factors individually or, more often, in combination can provoke stretching and thinning of the venous walls in the rectal area, accumulation and stagnation of blood in the hemorrhoids. In this state of affairs, the patient begins to experience discomfort, and then pain during bowel movements, and difficulty going to the toilet. Later, bleeding begins, the nodes may fall out, there is a risk of pinching them and the appearance of blood clots.

In the first two stages of hemorrhoid development, a person usually has almost no alarming symptoms other than minor discomfort and heaviness in the rectal area. This condition can last for quite a long time until it progresses to later stages with noticeable bleeding, pain and prolapse of nodes. At the fourth stage, the patient may already need surgery and long, difficult treatment.

If hemorrhoids are not treated in time, the consequences can be quite severe. Due to frequent bleeding in the extreme stages, anemia develops; concomitant constipation causes damage to the nodes and walls of the rectum, cracks and inflammation occur. Paraproctitis, thrombosis, tissue necrosis and even a cancerous tumor may develop. Therefore, the disease must be diagnosed and treated in the early stages.

Enema after surgery

In the first days after surgery, the patient is contraindicated to push when going to the toilet. A special slag-free, gas-free diet is prescribed. On the first day, the patient is kept on a fasting diet and given more fluids to drink. Gradually, the diet expands to include liquid broths and soups.

For hemorrhoids, therapeutic procedures involve the use of liquid medications. They act at the level of the large intestine, are absorbed into the mucous membrane, and from there into the blood. The volume of administered medicinal substance does not exceed 100 ml. The effect of medicinal enemas is identical to the effect of intestinal suppositories for cracks in the mucous membrane and anus.

Water infusions, chilled decoctions of medicinal herbs, and oil extracts are often used. Healing is accelerated, pain and burning are eliminated. Microclysters for hemorrhoids are recommended to be done throughout the week. If necessary, the course of treatment is repeated.

Enemas are performed independently at home with prior consultation with the attending physician.

Medical manipulations are allowed outside the stage of exacerbation of the disease. In case of exacerbation, accompanied by bleeding, enemas are strictly contraindicated.

Indications and contraindications

Doctors allow the possibility of performing enemas on their own, but only if there are indications and prescriptions from a specialist. The procedure is used for:

• eliminating constipation;
• preparation for the upcoming operation;
• eliminating the consequences of poisoning;
• diagnostic examination and x-ray of the abdominal organs;
• improving labor and assisting in the removal of feces after childbirth;
• preparing the body for therapeutic microenemas.

An enema is used to relieve constipation.

If an enema is necessary for the patient to improve his condition, the doctor must exclude the presence of possible problems and diseases that would prevent the procedure. Colon cleansing without a preliminary examination by a proctologist is strictly not recommended.

An enema is prohibited when:

• the exit of the rectum from the anus;
• heavy bleeding;
• inflammation in the colon and rectum;
• presence of erosion;
• cracks in the intestinal mucosa;
• ulcerative colitis;
• formation of blood clots in hemorrhoids.

Proctologists do not recommend using the procedure for exacerbation of hemorrhoids, since the process will cause pain and the enema tip will damage the irritated tissue.

Limitations are also noted for other progressive rectal diseases.

How to do an enema at home

Administration of a medicinal enema is possible at home. Lie on your side, pull your legs towards your stomach. Lubricate the tip of the syringe with neutral oil - this will make it easier to administer the medicine.

With your left hand you can gently spread your buttocks. With the right hand, take the syringe and insert the tip into the anus with a rotational movement. The depth of injection is 6-8 cm. After injection, the bulb is squeezed and the medicine is injected into the intestinal lumen. After finishing the injection, lie down for 20 minutes. The medicinal substance will have a therapeutic effect. An enema for hemorrhoids at home is performed once a day.

Ready-made microenemas

Nowadays, there are a huge number of microenemas on the pharmaceutical market, which differ in composition and price. Here are a few of them.

Microlax

Refers to combined laxatives that promote gentle cleansing of the intestines by reducing the density of stool.
The microenema contains a solution with sorbitol, sodium citrate and lauryl sulfoacetate. It is used for long-term constipation, as well as for bowel preparation before surgery or instrumental examination. Among the contraindications, it is worth highlighting hypersensitivity of the components.

For adults, the tip is inserted completely and the entire volume of solution is injected.

Microlax should not be used for a long time. It is extremely rare to notice the occurrence of adverse reactions. They are represented by discomfort, abdominal pain, diarrhea, itching, tissue swelling and rashes in the anal area.

Norgalax

This laxative medicine stimulates peristalsis and softens stool. The main active ingredient is sodium docusate. Among the indications it is worth highlighting constipation and preparation for intestinal examination.

Contraindications include exacerbation of intestinal ulcers, acute hemorrhoids, bleeding, anal fissure and individual intolerance to the components.

Adverse reactions such as burning in the anal area, bleeding, indigestion, diarrhea and urticaria are rarely observed.

If the desired result is absent after giving an enema twice, the treatment tactics need to be reconsidered.

Long-term use of Norgalax increases the risk of potassium deficiency. Its analogues include Normacol and glycerin suppositories.

An enema for hemorrhoids allows you to gently and quickly cleanse the intestines and facilitate the digestion process in general. To get the desired result from the procedure and avoid complications, you must first consult with a specialist.

Preparing enema preparations

To carry out medicinal enemas, it is better to use medicinal plants - chamomile. Chamomile decoction has an antimicrobial effect, relieves spasm and inflammation of the rectal muscles. During remission, a microenema with chamomile decoction is prescribed daily. The full course of treatment is at least a week.

To prepare a medicinal infusion you will need 2 tablespoons of dried, crushed chamomile flowers and a glass of boiling water. Fill the raw material with water and heat it in a water bath for a quarter of an hour. The broth is stirred periodically. Use 50 ml of decoction for the procedure. The finished product is a powerful antiseptic and relieves smooth muscle spasms. Microenema with chamomile eliminates pain and is characterized by an astringent effect.

In addition to chamomile, a decoction of wormwood has a therapeutic effect for hemorrhoids.

Prepare a special medicinal decoction from a complex herbal collection. To prepare, take a tablespoon of horse chestnut seeds, sage, a spoonful of dried chamomile flowers and crushed oak bark. The mixture is brewed and filtered.

Types of washing

Diet for hemorrhoids for every day