Nutrient enema: rules for preparing the body for a drip enema, composition of the solution and algorithm for conducting it

Published 01/19/2019 · Comments: · Reading time: 6 min · Views: Post Views: 2,026

Stool retention is an unpleasant condition that everyone has encountered at least once in their life. Most often, constipation occurs against the background of an incorrect diet and lack of nutrition. The best option is to identify and correct the root cause, but this may take some time. An enema to cleanse the intestines at home is a fairly safe, quick and simple method of solving the problem of situational constipation.

Indications for use

The procedure is prescribed in extreme cases - in case of severe exhaustion, possible death, if the patient is not able to eat independently, or with the accelerated development of dehydration.

The treatment method may not always be used; the following may be absorbed in the lower intestinal tract:

Glucose solution;
Sodium chloride;
Alcohol;
Amino acid;
Protein.

More often, a nutritional enema is an additional method of treatment, combined with the use of injections.

Based on how bad the patient is feeling, the temperature and composition of the enema changes. If there is obvious dehydration, the enema contains a hot isotonic sodium mixture. At the same time, medications are being supplied. For severe pain, add a couple of drops of opium.

It is strictly prohibited to use the product more than twice a day. In such cases, the mucous membranes become irritated, and the procedure no longer heals, but causes harm - the medicinal composition of the enema simply does not have time to be absorbed into the circulatory system and does not linger for long.

Compound

Individually selected solutions are used. But there are general rules:

The temperature of the mixture should be between 40–42 degrees.
To increase efficiency, add 200 ml of chamomile infusion or 1 tbsp to the liquid. l. lemon juice.
Total volume up to 1 liter.

A solution of sodium chloride and 5% glucose is often used as a nutrient.

Rules

When prescribing a treatment method, an Esmarch mug made of rubber and glass is used. The volume of the product reaches two liters. It is mandatory to monitor the temperature of the medical solution administered to the patient. It is important that the tip of the mug is treated with a sterilizing agent.

You will need to carefully observe the position of the enema during administration. If the slightest sign of unpleasant or painful sensations appears, immediately change position.

The introduction of drugs into the body takes place slowly and measuredly, in small dosages. Do not administer more than two liters of liquid at a time.

After ingesting the contents, you need to relax and not make any sudden movements.

If the stool does not come out after cleaning, it is strictly forbidden to re-introduce the substance. Repetition is possible after complete cleansing of the gastrointestinal tract.

Therapeutic enema

The price of such an enema usually depends on the composition of the solution. By carrying out this procedure in a hospital, you will also pay for the services of doctors.

Therapeutic (or medicinal) enemas are usually microenemas, and the volume of injected liquid does not exceed 100 ml. They are used to introduce medicinal substances (for example, herbal decoctions, suspensions of biological or medicinal preparations) into the sigmoid and rectum and keep them inside for at least half an hour until complete absorption.

However, the solution does not always have to be absorbed; sometimes the enema ends with bowel movement. Most often, medicinal enemas are prescribed to treat inflammation of the mucous membrane of the rectum or sigmoid colon or intestinal dysbiosis. Rarely, they are used not for local treatment, but for systemic treatment, for example, for status epilepticus or hyperthermia. A side effect of therapeutic enemas is disruption of the intestinal microflora with frequent use.

Preparation

For the procedure to be effective, doctors strongly recommend that you first carry out a cleansing procedure.

The cleansing method is used to free the intestinal tract and rectum from the accumulation of toxins. Frequent indications: before surgery, during endoscopic examination of the body, before abortion. Acceptable in case of food poisoning.

Mechanism of action: 0.5 - 2 liters of warm water is introduced into the intestinal cavity. The volume of water required in a particular case is determined based on the age and waist size of the patient.

If peristalsis does not exceed the permissible minimum, cool water in the mug is acceptable. If there are painful spasms in the stomach area, the liquid is provided exclusively warm or hot.

Do not forget that due to strong peristalsis and liquefaction of slag masses, the mug leads to cleansing of the lower section of the large intestine.

The procedure takes 30 minutes. before taking an enema.

What compositions are usually used?

The following pharmacological and folk remedies are most often used for therapy:

Antibacterial, prepared according to a specific scheme from pharmaceutical tablets and powders. Douching is aimed at reducing the infectious process and destroying pathogens.
Starch. Envelops the intestinal walls, relieves irritation of the mucous membranes.
Chamomile decoction. Eliminates inflammation, has an antiseptic quality.
Adrenaline solution. Used for internal bleeding.
Glucocorticoids, sulfasalazine. A medicinal enema is indicated for the treatment of nonspecific ulcerative colitis and Crohn's disease.
Painkillers. For local or systemic therapy.
Oily with Collargol and Antipyrine. Recommended for proctosigmoiditis.
Potassium permanganate. Binds feces during loose stools.

Treatment is performed with hypertonic compounds. Depending on the desired effect, decoctions prepared from oak bark and fern root, flax seeds and poppy heads, valerian, sea buckthorn oil, and so on are used. It is better to purchase raw materials for enema at a pharmacy.

It should be taken into account that pharmacological drugs and folk remedies have contraindications, including the ability to provoke an allergic reaction. Therefore, it is necessary to make sure that the manipulation will be useful and will not worsen the condition.

Arrangement order

Before the procedure you will need to prepare:

Oilcloth;
Large diaper;
Water thermometer;
Hot water bottles with water 45C;

Enema solution 41C;
Drip system.

It is better if there is a toilet in the room where the enema is given.

Algorithm for performing the procedure:

The clyster composition is heated to 40C.
The product is filled into the container before even a drop appears from it.
The tip of the can is coated with Vaseline.
The patient lies on his side with his left leg bent.
All the air is expelled from the can after the solution is filled into it.
The patient spreads his buttocks.
The tip of the balloon is gradually inserted into the anus.
The drug is squeezed out of the container slowly and evenly until the composition is exhausted. Afterwards the end of the can is pulled out.
After the procedure, be sure to treat the anus.

The patient should lie there for about another hour, and if the urge to go to the toilet occurs, deep breathing through the nose will help.

Staging algorithm

The algorithm for performing a nutrient (drip) enema is as follows:

you need to heat the liquid for the enema to 38-40 ° C;
You need to fill the bottle with liquid until a couple of drops of solution begin to appear from it;
coat the tip of the can with Vaseline;
put the patient on his left side and bend his knees and bend only the left leg;
draw the nutrient solution into the bottle, “expel” the air until the solution appears outside, press slowly on the bottle;
spread the patient's buttocks;
then gradually move the end of the can into the rectum;
slowly, under low pressure, squeeze the solution out of the can until the liquid runs out and pull out the end of the can;
at the end of the procedure, treat the anus.

The patient needs to lie down for about 1 hour. If the urge to stool appears, you need to tell him to breathe deeply through his nose.

Video

Contraindications

A ban on the procedure is imposed if:

Chronic inflammation of the gastrointestinal tract;
Malignant tumors in the intestines;
Anal fissures;
I recently had a heart attack or stroke;
Strong headache;

Fever;
High blood pressure;
Menstruation;
Presence of hemorrhoids;
Bleeding from the anus began;
A day has not yet passed since surgical intervention in the body;
Presence of HIV diseases;
Chronic hepatitis;
Prolapse of the rectum;
Bleeding from the stomach or intestinal tract.

Contraindications should be strictly observed.

Is an enema always effective?

The answer to this question lies in understanding how the method of mechanical colon cleansing works and in what cases it is advisable to use it.

A few key points:

An enema is effective against only intestinal parasites.
This method does not work on all helminths parasitizing in the lower parts of the digestive tract.
Not any composition introduced using this procedure will have the desired effect on a particular individual.

In addition, an enema helps get rid of many parasites, cleanses the body of their waste products, waste, toxins and deposits of feces.

Remember that although the procedure is easy to use and very effective for certain helminthiases, you should consult a doctor before using it. The specialist will tell you which enema to choose and how to do it without harm to health, and will also determine the presence of contraindications.

Enema for children

For use in children, a nutritional enema is indicated in cases where it is necessary to cleanse the intestines of feces.

When working with the smallest children, you must strictly follow the instructions:

Be sure to disinfect the enema immediately before the procedure.
It is prohibited to use foreign objects.
Throughout the entire process, do not forget to monitor the solution, or rather, its temperature.
The volume required to administer to a baby primarily depends on age. It is better to seek advice from a doctor.

It is strictly forbidden to unclench the enema before removing it from the anus after completing the procedure.
Insert the tube into the anus no deeper than 5 cm, very slowly, carefully and carefully. The mucous membrane of the children's intestinal tract is extremely delicate, and the rectum is easily susceptible to external negative influences.
For the procedure, infants are placed on their backs, while pressing their legs toward their tummy. And older children already fit into a standard position.
To facilitate insertion of the tip, you must choose an ointment to which the child is not allergic (vaseline, baby cream).

Technique:

Wash well and disinfect the skin on your hands.
Cover the couch with oilcloth, a diaper and a towel.
Draw the solution into an enema.
Gently insert the tip into the anus.
Gradually introduce the solution.
Remove the tip from the rectum.
To retain fluid inside the body, squeeze the child's bottom.
After cleansing the intestines, wash the child.

Rules for administering a medicinal enema

Algorithm for conducting medicinal enemas:

The heated medicine is filled into a Janet bulb or syringe.
The end of the gas outlet tube is lubricated with Vaseline oil.
The buttocks are carefully spread apart and examined for wounds and cracks.
The gas outlet tube is inserted to a depth of 15–20 cm.
A bulb is attached to the end of the tube and the solution is slowly introduced.

After the manipulation, the tube is removed, disinfected, and sterilized. The patient is left lying on his back for 30–60 minutes. The technique of performing the procedure is simple - be careful and find out the specifics of the manipulation.

Note! Medicines are absorbed less easily by the intestinal mucosa than by the stomach, so the doses of the administered drug are larger compared to conventional methods of administration.

If complications arise when performing microenemas, the patient complains of pain, discomfort, and refuses to carry out the procedure. Take special care when administering an enema with potent drugs. To avoid negative consequences, medications are dosed and their administration is monitored.

Cleansing

Prescribed to relieve constipation, food poisoning, before diagnostic procedures, childbirth, and surgery. Microenemas have a number of contraindications:

increased body temperature;
hemorrhoids, appendicitis, ulcerative colitis;
diabetes;
oncological diseases;
inflammatory processes of the rectum;
menstrual bleeding.

The procedure is performed with a pear or an Esmarch mug, warm water is used as a liquid, and pharmaceuticals can be added. Clyster is done in several stages:

Half of the solution is fed into the intestines, and it is emptied to cleanse feces.
Add a second portion and turn the patient from left to right side.
Lie for about 20–30 minutes.
Empty the intestines.

Medicinal microenemas

Sedative

Placed a certain time after the cleansing procedure. There are local and general microenemas. Local enemas are used to relieve inflammation in the intestines, while general enemas are used to transport medications into the body.

The solution should be delivered to the intestines in small doses, under low pressure. After the fluid is given, the buttocks are squeezed to prevent spontaneous release of drugs from the intestines.

In the same way, sedatives, painkillers, and sleeping pills are administered.

Hypertensive

Indications for use:

intoxication, food poisoning;
prolonged constipation;
intestinal dysbiosis;
preparation for diagnostic procedures and operations.

Use salt solutions, for example, a mixture of table salt or magnesium.

Mechanism of action: the solution causes irritation of the intestinal mucosa - this way feces are better removed. The effect is achieved 3–5 minutes after administration of the liquid.

Oily

Indicated for inflammation of the large intestine, regular constipation, surgical interventions, after childbirth. Benefits of an oil enema:

softness of impact;
absence of irritating components;
moisturizing mucous membranes;
elimination of pain during defecation.

The effect occurs after 3–10 hours.

Starchy

Enemas with the addition of starch have an enveloping effect. They are prescribed for colitis and intestinal ulcers. For preparation, use warm liquid (100 ml), in which 5 g of starch are dissolved. After stirring, add 100 ml of boiling water, cool to 39 °C and inject into the intestines. Medicines can also be added to the starch solution.

Reviews

Although patients who have undergone a nutritional enema insist on its extremely positive effect on the body, complaints are present. The leading reason is the most unpleasant sensations during the forced administration of nutrients.

Doctors remind that unauthorized placement at home will most likely not give the desired result. After all, almost no one knows how to properly perform an enema.

In view of this, it is better, if any health problems occur, to seek advice from a clinic, where doctors will prescribe the necessary treatment.

General information about cleansing enema

Only the large intestine needs a cleansing enema, since the small intestine does not require cleansing. Why does this happen? And all due to the fact that the small intestines do not need to be cleansed by force, since feces move independently due to its peristalsis.

If, for some reason, you are afraid of cleansing the body with an enema, then you can use well-known herbal teas, which include senna herb. It has a mild weakening effect on the body. But it should be taken not just once, but over a long period of time. However, there is no certainty that the intestines will be completely cleansed. This method is suitable for those who cannot use enemas.

Before you start using a cleansing enema, you should take a closer look at your diet and diet. If you are a supporter of the separate method of nutrition, and take carbohydrates separately from proteins, while eating large amounts of greens, you should not have any difficulties with bowel movements.

However, there is one requirement: you should not drink milk and dairy products during this period of time, then the bowel movements will improve and will be carried out naturally. If you are a supporter of traditional food, then you need to eat light food: porridge cooked in water, a large number of vegetables and herbs, as well as wholemeal bread. The digestive system must receive a lot of fiber for comfortable stool.

Warnings

So, the article examines in detail the technique proposed by the Russian surgeon Ognev, which was called “fire enema” among colleagues who are not without humor. The name fully justifies itself: it gives a strong, powerful effect, an incentive for cleansing. The enema works in conditions of complete, partial intestinal atony or relaxation after surgery, during the recovery period. There are a number of contraindications that need to be taken into account when setting it up. The procedure is often performed in a hospital facility and cannot be done on your own. A doctor must prescribe it. The enema is small in volume, but the effect is not modest at all.

There is also a hypertensive enema. They remember it when it comes to washing according to Ognev. A doctor's permission is also required. There are contraindications. Belongs to the category of potent, small dosage. Relieves pressure from the body and gives a feeling of lightness. In both cases, it is advisable that the washing procedure be carried out by specially trained personnel.

Both procedures are effective, time-tested by many people. There are positive reviews from doctors and patients. Due to the strong effect on the body, it cannot be used frequently. It is important to follow the dosage. It is better to supply an insufficient amount of solution, reducing the risk of side effects.

A professional, competent approach to using an enema according to Ognev will give results and is effective in most cases. Used in combination with diet and medications, the results are greatly enhanced.

Types of enemas for worms

Most often, the fight against parasites is carried out with caustic or burning solutions administered using an enema. For example, for enterobiasis, the most effective procedure is with wormwood or garlic.

The most common means for preparing anthelmintic composition:

Garlic. Grind 3 cloves and place in a liter container of water. The temperature of the liquid should be approximately 45 degrees. The solution should be infused until this indicator drops to 38. When using the deworming composition for children, replace the water with milk. This type of enema is used more often for pinworms. They cannot tolerate the smell of garlic and quickly leave the body.
Sagebrush. To prepare the solution, pour a quarter liter of boiling water into 2 tsp. dry grass. Wrap the container and leave until the water cools to 38 degrees. Then strain the liquid through a thick cloth. Wormwood enema is used warm.
Eucalyptus. Take 30 leaves of this tree and pour 1 liter of boiling water. Place on the fire and simmer for another 15 minutes. Then leave in a closed container for 2-3 hours. Immediately before using the eucalyptus enema, add a few drops of the oil of the same plant to its composition.

To get rid of parasites, enemas can be used not only with a plant solution. Alkaline, peroxide, and oxygen enemas for worms are widely used.

Soda enemas

For this procedure, it is important not only the correct composition that will be introduced into the intestines, but also the process itself. Before the start of the event and after it, you need to do a simple cleansing enema using ordinary water.

Step-by-step procedure:

Prepare an alkaline solution in advance. To do this, dilute 30 grams of baking soda in 800 ml of water. Heat the composition to approximately 40 degrees.
Stock up on 2 servings of 2 liters of clean water with a temperature of just over 20 degrees.
Start with a simple enema. Introduce water using Esmarch's mug and hold it in as long as you can. Empty yourself.
Next, apply the soda solution. Enter it in the same way and try to hold out for half an hour. After the time has passed, empty the intestines.
Finally, repeat the procedure with clean water.

Remember, if, when using a soda enema, unbearable pain and an excessively violent reaction during emptying occur, cleaning should be stopped immediately. To repeat the procedure, the volume of soda must be reduced.

The standard scheme for carrying out a cleansing event with a soda enema involves its use every other day. The number of injections reaches 7 times. During this time, you must adhere to a light diet.

Oxygen enema

The method is based on changing the habitat of anaerobic parasites. Many worms cannot survive in the presence of oxygen, so a so-called inflatable enema is used to kill them. This procedure requires a special device that blows air in small but frequent portions (100 ml each).

The location of the oxygen supply depends on the location of the parasites. If we are talking about ascariasis, the rubber tube of the device is inserted into the patient’s stomach according to the principle of probing. In case of enterobiasis, it is lowered directly into the intestines. Roundworms and pinworms cannot survive in the air and die.

An oxygen enema for worms is prescribed a maximum of five times. But at the end of therapy, it is necessary to take a control test for worm eggs.

Enema Ognev

This method is named after its inventor, a famous Russian surgeon. This is a rather aggressive way to cleanse the intestines of worms. To carry it out, a special mixture is prepared and administered under the supervision of a specialist in the complete absence of contraindications.

Ognev's mixture:

Hydrogen peroxide 3% - 200 ml.
Anhydrous glycerin – 200 ml.
Soap solution – 200 ml.

A hypertonic solution, when interacting with the contents of the intestine, releases free oxygen, which causes bloating. This process has a powerful effect on intestinal motility.

Hydrogen peroxide enema has strict instructions and should not be performed on people with low intestinal wall strength or severe pathologies.