Cleanse the intestines before surgery what medicine

Before testing or surgery, it is necessary to thoroughly empty the intestines. Not all laxatives are used for this. Those that clean quickly and thoroughly are suitable. Macrogol-based products are usually used: it is not absorbed into the blood and increases the volume of feces, which allows the cleansing procedure to be carried out with maximum success.

List of quick cleansing laxatives and their uses

If a person takes any medications on a regular basis, you should talk to your doctor about this in advance, as laxatives can affect their properties.

A drugHow to use
FortransThe contents of 1 package of the drug are poured into 1 liter of clean water, stirred until completely dissolved and a colorless solution is obtained; it is designed for 15-20 kg of adult body weight. Cleansing is carried out at least 7 hours before the test. If you take 4 liters, then every 15 minutes you take 250 ml of the prepared solution (4 hours in total) + there are 3 hours left before the test, when the drug should not be taken. The first results appear 1-2 hours after the start of use.
MoviprepThe contents of sachets A and B are dissolved in a small amount of water, then the volume is adjusted to 1 liter. The same steps are carried out to obtain the second liter. Adults need to drink 2 liters of the prepared solution within 1-2 hours, or 1 liter the day before the test and 1 liter in the morning (the solution must be prepared immediately before use). Be sure to drink an extra liter of liquid (juice without pulp, tea) and not eat solid food. The result appears 1 hour after the first dose.
LavacolThe powder from 1 packet is dissolved in 200 ml of water. For every 15-20 kg of adult weight, 1 liter of ready-made solution is required, that is, 5 packets. For an average weight, 3 liters are required - 15 packets (1 package of the drug). It is recommended to cleanse from 14:00 to 19:00. The drug is consumed 200 ml every 20 minutes. It is necessary to start “cleansing” on an empty stomach 18-20 hours before the test. The effect appears 2-3 hours after the first dose.
MicrolaxNot the best option for preparation before the study, but it is also used. Particularly suitable for patients who cannot drink several liters of other medications. Cleansing requires 2-3 microenemas, which must be done every 10-20 minutes. The speed of onset of the effect is 5-15 minutes. Cleansing should be carried out no earlier than 6 hours before the examination and stopped no later than 3 hours before the manipulations. In this way, about 30 cm of the intestines are “cleansed”.

The frequency of trips to the toilet can increase up to 15 times while taking medications. Their effect ceases approximately 2-3 hours after the last use of the solutions orally. Therefore, before the cleansing process, you should carefully calculate the time so as not to disrupt the intestinal examination procedure.

All of the above products are available from pharmacies without a prescription.

The best remedies for detoxifying the body

Special detoxification products can gently, quickly and safely rid the body of accumulated waste, toxins and other harmful substances. Their range is well presented on iHerb.

Now Foods Detox Support

Rating: 4.9

Now Foods has developed a treatment complex called Detox Support. This product contains organic chlorella, MSM, sodium alginate, alpha-lipoic acid, 4 minerals, as well as extracts from medicinal plants. This product is designed to support the body's natural detoxification mechanisms. The complex is intended for adults only. Not recommended for pregnant women.

On iHerb, Now Foods Detox Support is sold in the form of vegetarian clear capsules with green powder. They have a standard size (as shown on the packaging) and are quite easy to swallow. The bottle contains 90 capsules. Take them 3 times a day, with a sufficient amount of water. Do this 2 hours before meals or taking other medications.

Reviews from consumers mostly praise Now Foods Detox Support. They note that thanks to this remedy, the body begins to work like clockwork. Discomfort and pain in the gastrointestinal tract disappear. After a month of using this supplement, the constant feeling of fatigue is eliminated and a surge of strength appears. This product also improves skin color and hair appearance. Tolerability of Detox Support is usually good, but in rare cases allergic reactions may develop.

Advantages

  • balanced composition;
  • the medicine is easy to swallow;
  • effective cleansing of the body;
  • provides a surge of strength;
  • normalizes the functioning of the gastrointestinal tract.

Flaws

  • Allergic reactions may occur.

Yerba Prima Detoxifier Bentonite + Herbs

Rating: 4.8

The Yerba Prima brand produces Bentonite + Herbs Detoxifier. This product contains special bentonite clay. It also contains a herbal detoxifying mixture. The drug cleanses the body of toxins, increases its defenses, gives energy and normalizes digestion. This supplement also removes harmful estrogens from the body, thereby improving sexual health.

This body cleansing product from Yerba Prima is sold on iHerb in the form of vegetable cellulose capsules. They are placed in a dark plastic bottle in the amount of 60 pieces. Take dietary supplement 1 capsule 2 times a day for a long time. About 2 hours should pass between this remedy and other medications. Be sure to take the dietary supplement with 1 glass of clean water without gases. This cleanser is approved for use from 12 years of age.

According to reviews, Bentonite + Herbs is quite an effective remedy, but it is better to combine it with fiber intake. Many people note that this complex gives them a feeling of lightness. This product also helps you lose weight and visibly cleanses your skin. But you should be prepared for the fact that the product will have a pronounced diuretic effect, so free access to the toilet is necessary.

Advantages

  • clay and herbs in the composition;
  • the product is easy to swallow;
  • can be taken for a long time;
  • helps to lose weight;
  • cleanses the skin.

Flaws

  • diuretic effect.

Nature's Way Super Thisilyn Advanced Detoxification Formula

Rating: 4.8

s Way Super Thisilyn on iHerb in vegetarian capsules. They are placed in large bottles made of opaque plastic. It is recommended to take 1 piece of dietary supplement 3 times a day during main meals. People with serious problems in the gallbladder, gastric ulcers, or pregnant women should avoid this complex.

There are mostly positive reviews about Nature's Way Super Thisilyn. Consumers note that with this dietary supplement their digestion is normalized, heaviness in the right side goes away, and their complexion improves. Already in the second week of this cleanser, patients note that they have a surge of strength and an improved mood. This product is usually well tolerated, but may cause allergic reactions in some.

Advantages

  • milk thistle with other herbs and amino acids;
  • supports liver health;
  • normalizes digestion;
  • improves complexion;
  • relieves constant fatigue.

Flaws

  • may provoke allergic reactions.

Michael's Naturopathic Ultimate Detox & Cleanse

Rating: 4.7

The Michael's Naturopathic brand, presented on iHerb, has developed a dietary supplement - Absolute detox and cleansing. This product contains vitamins, minerals, plant extracts and fiber. Together they are aimed at cleansing the liver, blood, intestines and maintaining fat metabolism and fluid balance in the body. The product does not contain harsh laxatives or GMOs.

The product from Michael's Naturopathic is an oral tablet. They are divided into 4 pieces in each package. The course lasts 2 weeks. It is recommended to take the dietary supplement 3 times a day, 4 tablets. In total, the package contains 42 packets (168 tablets). While using Michael's Ultimate Detox & Cleanse, it is recommended to drink a lot of clean water - at least 8 glasses a day.

Consumers highly praise this dietary supplement from Michael's Naturopathic for its effectiveness. They like that in 2 weeks they can cleanse all body systems as much as possible. They like the cheerfulness and improvement in overall well-being that comes from using this product. But many are confused by the dosage regimen - you need to take 12 tablets per day. And also many note that they get a strong thirst from this remedy.

Advantages

  • well thought out composition;
  • maximum cleansing of the entire body;
  • the course lasts only 2 weeks;
  • provide improvement in general condition.

Flaws

  • You need to take 12 tablets per day;
  • strong thirst.

Nature's Secret 7-Day Complete Body Cleanse Program

Rating: 4.6

The Nature's Secret brand, popular on iHerb, has developed a 7-day program for complete cleansing of the body. It consists of two parts. Multi-Herb Digestion & Detox Support contains herbs aimed at supporting digestive processes. Multi-Fiber Colon Cleanse also contains sufficient fiber. This remedy helps empty the lower gastrointestinal tract up to three times a day.

This drug from Nature's Secret is an oblong, fairly large tablet with beveled edges. Their color and smell are herbal. They are placed in 2 bottles. The product has a special dosage regimen. On the first day, take 1 tablet from each complex in the morning and evening. On the second day, take 2 tablets from each bottle twice a day. And on the third day - 3 tablets and so on until the end of the course. Be sure to take the dietary supplement with a glass of water.

In reviews, consumers note that this cleansing product works great if you strictly adhere to the 7-day regimen. This is an excellent remedy for people with severe constipation. The dietary supplement normalizes the process of digestion and bowel movements. With these pills you can lose up to 3 kg of weight in 7 days. But such a complete cleansing program can cause serious diarrhea.

Advantages

  • good combination of composition components;
  • excellent cleansing and detoxification;
  • supports intestinal health;
  • helps to lose weight.

Flaws

  • application diagram;
  • may cause severe diarrhea.

Daily cleansing powder biogenic activator MegaFood

Rating: 4.5

The MegaFood brand produces powder for daily cleansing of the body. The product contains FoodState nutrients, herbal and farm extracts necessary to maintain vitality and good mood. This dietary supplement is free of harmful additives and sweeteners. The complex is kosher and has all the necessary quality certificates.

This product from MegaFood is a fine powder with a distinctive herbal odor. One measuring spoon (included) is mixed with 200 ml of your favorite drink, cocktail, or juice. Take this medicine once a day. A package of powder is enough for a month of use. But if the cleanser is not used in a single course, then it should be taken into account that after opening the powder is only good for 3 months.

According to customer reviews in the iHerb store, MegaFood Daily Cleanse is a very easy-to-use product. Powder with beneficial substances does not spoil the taste of your favorite drinks. With it, a surge of strength appears, the functioning of the digestive tract is normalized, and rashes on the face go away. Many people find this mixture works and love that it only needs to be taken once a day. The product usually does not cause side effects, but some may experience an allergic reaction.

Advantages

  • interesting combination of herbs, fruits and vegetables;
  • take once a day;
  • the powder dissolves well in liquids;
  • pleasant taste;
  • gives strength and energy;
  • normalizes the functioning of the gastrointestinal tract.

Flaws

  • allergic reactions are possible.

Irwin Naturals Daily Gentle Cleanse

Rating: 4.4

The Irwin Naturals brand produces the dietary supplement Daily Gentle Cleansing. This product contains Omega-3 polyunsaturated fatty acids from fish oil, as well as a mixture of three Ayurvedic fruits and herbal extracts. This delicate, balanced remedy improves the functioning of the intestines, liver, and also promotes the absorption of fat.

The complex from Irwin Naturals is sold on iHerb in gelatin capsules with soft contents. They are in a dark plastic jar in the amount of 60 pieces. It is recommended to take 2 capsules per day. It is advisable to do this during meals. The dietary supplement should be washed down with a glass of clean water without gases. This special complex improves digestion and supports the hepatobiliary system without a pronounced laxative effect.

Many consumers really like this product for gently cleansing the body. They note that with this dietary supplement the digestion process is completely improved, the complexion improves, and acne goes away. Also, some report that thanks to this complex their performance increases noticeably. This supplement is well tolerated, but occasionally allergic reactions may occur in some users.

Advantages

  • contains fish oil, fruits and medicinal plants;
  • acts gently;
  • does not have a pronounced laxative effect;
  • improves digestion;
  • increases performance;
  • improves appearance.

Flaws

  • Individual intolerance is possible.

Himalaya Triphala

Rating: 4.4

The famous Indian brand Himalaya is also represented on iHerb. It produces the product Triphala. This remedy involves a combination of three fruits: amalaka (dry fruit), bibitaka (dry fruit) and haritaka (dry fruit). This dietary supplement provides safe detoxification, gently cleanses the colon, and also regulates its function. The complex is suitable for vegetarians.

Himalaya's Triphala comes in fairly large, herbal-colored tablets. They are placed in a bottle made of high-quality plastic. The smell of the product is quite specific. The taste is not bitter, pleasant, slightly sour. It is recommended to take tablets 1-2 times a day for 4 weeks. For the best effect, it is recommended to drink them with milk or kefir.

According to consumer reviews from the iHerb website, Triphala from Himalaya perfectly tones the intestines to regulate its functioning. The product perfectly relieves chronic constipation and dysbacteriosis. This body cleanser also perfectly relieves all kinds of dermatological problems. This dietary supplement makes it much easier to wake up in the morning. This product also helps in weight loss. The complex is usually well tolerated, but in some it causes nausea.

Advantages

  • Ayurvedic combination of three fruits;
  • the tablets are easy to take;
  • perfectly cleanse the body;
  • improve bowel function;
  • relieve dermatological problems.

Flaws

  • Some people feel nauseous.

Contraindications

Internal forms, that is, medications that need to be taken, are contraindicated or limited for use in the following cases:

AbsoluteRelative
  • dehydration;
  • severe form of heart failure;
  • gastrointestinal obstruction;
  • stomach ulcer;
  • the formation of through holes in the walls of the gastrointestinal tract;
  • diseases of the colon, in which its mucous membranes are extensively affected.
  • childhood;
  • impaired gag reflex;
  • severe inflammatory diseases;
  • abdominal pain of unknown origin;
  • neurological disorders.

Side effects

Typical side effects of oral solutions:

  • nausea and vomiting;
  • pain and bloating in the abdomen;
  • allergic reactions: itching, rashes, swelling;
  • irritation and inflammation of the rectal area (due to frequent mechanical impact of toilet paper);
  • headache;
  • feeling of hunger and thirst;
  • dehydration;
  • chills.

Nausea and vomiting are considered normal during cleansing; these manifestations go away on their own. Sometimes juices without pulp help to improve your well-being. If the unwanted effects are too pronounced, you should seek medical help.

Additional recommendations for bowel cleansing before the test

3 days before the procedure, you need to review your diet. It is worth temporarily excluding some products from it:

  • plant foods: berries, nuts, fruits, cereals, bread;
  • liquids: colored juices, strong and carbonated drinks.

Permitted for use:

  • protein foods: boiled meat, lean fish, eggs, fermented milk products with a reduced fat content;
  • jelly, honey, sugar;
  • liquids: broths, tea and coffee without added milk, clear drinks, juices without pulp.

An enema before surgery provides preliminary removal of intestinal contents. A simple procedure helps prevent complications and makes the surgeon’s work easier. Cleansing is necessary during interventions on the abdominal organs: the gastrointestinal tract, urological and gynecological operations, and the use of laparoscopy techniques.

Artificial stool retention helps eliminate complications of the early postoperative period for any disease, relieves the patient from straining, and ensures wound healing. In hospitals, nursing staff are responsible for the correct implementation of instructions for preparing for surgery.

Additional ways to cleanse the body

Cleansing the intestines is an important step in cleansing the entire body. The organ is cleansed using laxative medications and the use of sorbents. Laxatives cleanse the intestines of contents, and sorbents combine with gases and toxic components and are removed from the organ.

Among the variety of drugs for cleansing the intestines, two main groups can be distinguished:

  • herbal preparations;
  • synthetic-based drugs.

Fitolax

Among herbal medicines, the following tablets are distinguished:

  • "Senade";
  • "Senadexin";
  • "Fitolax".

The tablets begin to act after ten to twelve hours. The negative side of using such tablets is their aggressive effect on the mucous membrane and, as a result, the appearance of spastic pain.

Among the group of synthetic drugs, the following intestinal cleansing agents are distinguished:

  • "Guttalax";
  • "Guttasil";
  • "Weak";
  • "Bisacodyl."

Synthetic drugs begin to act after four to seven hours. They are effective and give high results.

It should be borne in mind that taking laxatives is prohibited in cases of inflammation in the intestines and bleeding.

Activated carbon

Sorbents that help remove toxins are not absorbed through the mucous membrane. In the treatment of poisoning, this group of drugs is indispensable. Among the sorbents we can distinguish preparations for cleansing the body:

  • "Activated carbon";
  • "White coal";
  • "Lactofiltrum";
  • "Filtrum".

If intestinal parasites are the cause of the problem, anthelmintic medications must be used. These include:

  • "Levamisole";
  • "Dekaris";
  • "Pyrantel";
  • "Nemozol";
  • "Wormil."

A group of antihelminthic drugs destroys helminths and cleanses the body.

Forlax

Colon cleansing medications have different effects on the body. Some belong to the group of osmotic drugs that cleanse the intestines by changing the osmotic pressure, and as a result, cleansing occurs as a result of swelling of the contents. These medications include:

  • "Forlax";
  • "Epsom salt";
  • "Magnesium sulfate";
  • "Magnesium carbonate";
  • "Magnesium oxide".

Regardless of the type of medication, you must follow these recommendations and avoid the following products:

  • sweets;
  • flour products;
  • milk and dairy products;
  • strong tea, coffee;
  • alcoholic drinks;
  • spices, mayonnaise, seasonings;
  • fast food;
  • meat and meat products.

A complete, safe cleanse is called an enema. This is a common remedy. The operating mechanism is simple and clear and suitable for children and adults. Helps with chronic constipation or to quickly cleanse waste and toxins. To achieve the best results, you must follow a certain diet before and after enema cleansing.

This intestinal cleansing powder includes only synthetic ingredients that produce a laxative effect on the gastrointestinal tract. Like many bowel cleansing laxatives, it is prescribed before a colonoscopy as an alternative to an enema. The effect of the product is observed first in the thin section.

“Lavacol” has a number of advantages over other laxatives: this drug, unlike oil products, does not dehydrate the human body and does not in any way affect the rate of processing of minerals and vitamins. The remains of the powder are not absorbed into the blood and leave the body along with the masses of feces. In some situations, when there is difficulty in defecation, the drug is prescribed to children and pregnant women.

Self-prescription is unacceptable; it is recommended to use the drug only on the advice of a doctor.

This laxative and preoperative remedy is safe for preparing the body for examination (endoscopy, x-ray). It has almost no side effects or contraindications. Using Lavacol for intestinal cleansing is very easy: dissolve one sachet of the product in 200 milliliters of water. For convenience, it is advisable to take boiled warm water.

Why is an enema done before surgery?

The intestines of an adult with a normal diet contain up to 8 kg of feces. They contain waste secretions, bacteria, and toxins. Normal digestion is accompanied by gas formation, swelling and collapse of intestinal loops, contraction of the muscle layer in the form of waves of peristalsis. Even at rest, the intestines form wave-like movements. A patient with constipation may experience fecal blockages, sudden dilatation, and swelling of the loops of the small and large intestines.

Let us imagine the position of the operating surgeon when opening the abdominal cavity. The doctor tries to minimize the incision and choose the best access to the intended intervention site. When the intestines are clogged, immediately after opening the peritoneum, a nearby swollen loop crawls out into the wound on its own. It is difficult to put it back, the rest of the intestine makes it difficult to find the pathology and assess the severity of the lesion.

  • The risk of traumatic damage to the mesentery, blood vessels, disruption of the integrity of the intestinal wall, and nerve fibers increases sharply.
  • With the laparoscopic approach, the view of the operating area is reduced.
  • The constant threat of feces entering the abdominal cavity and severe peritonitis requires preliminary maximum cleaning of the intestines and removal of gases.

If the patient is to be operated on under general anesthesia, this means not only pain relief, but also complete muscle relaxation. To limit the entrance “gate” of infection through an open wound, complete atony is required. But the loss of contractility of the anal sphincters causes arbitrary leakage of urine and feces and violates the sterility of materials and linen. Due to the same relaxation of the esophagus, stomach contents can enter the airway, so anesthesiologists insert a suction tube.

Why an enema is needed in a trauma department becomes clear when considering the technical features. Surgical interventions on bones make it difficult to maintain high tone in muscle groups that hold a limb or joint in an incorrect position. The problem of relaxation is also fraught with the release of feces. An enema is necessary for emergency and planned operations.

Lavacol for colon cleansing

This powder consists of completely synthetic components that have a laxative effect on the gastrointestinal tract. Like many other colon cleansing laxatives, it is prescribed before a colonoscopy as an alternative to an enema. The effect of the drug begins in the thin section. Feces become liquefied, causing old sediment to overwhelm the gastrointestinal tract. The body receives a signal about the urgent need to defecate, after which all residual waste products are eliminated from the body.

Cleansing with Lavalac

Advantages of Lavalac over other laxatives:

  • Unlike oil mixtures, this drug does not dehydrate the body and does not in any way affect the rate of processing of vitamins and minerals;
  • The remains of the powder are not absorbed into the blood, but are excreted along with the feces;
  • In some cases of difficulty in defecation, Lavacol is prescribed to pregnant women and children. Self-prescription is unacceptable; only a doctor can recommend the use of this medicine;
  • This is a safe preoperative and laxative to prepare the body before examination (X-ray, endoscopy). It has virtually no contraindications or side effects.

Using Lavacol to cleanse the intestines is very simple: dissolve 1 sachet in a glass of water (200 ml). For convenience, it is better to use warm boiled water. The solution is drunk only on an empty stomach. For complete cleansing, you need to drink at least 3 liters during the day. It is best to take the product in the afternoon.

Types of enemas to prepare for surgery

Most often, cleansing enemas are required in preparation for surgery. They allow you to remove feces and gases from the large intestine. Usually boiled water at room temperature and an Esmarch mug are used. Volume for an adult - 2 liters, for a child - 0.5 (babies under one year old from 50 to 150 ml).

Siphon procedure is a type of purification using a funnel, high-level oscillation and reduction of liquid introduced under pressure with passive release of the contents. Washing is done until clean effluent water is obtained.

Less commonly, for depleted and weakened patients in cases of repeated surgery, therapeutic and nutritional enemas are required. Administration of drugs through the rectum is used under conditions of inability to swallow or damage to the upper parts of the digestive tract. In order to improve absorption through the intestinal wall, a cleansing enema must first be given. The volume is 50–100 ml, the temperature is slightly above the body (40–42 degrees). Rubber syringes, ready-made microenemas, a catheter and Zhanne syringes are used. The method is used for administering local anesthetic drugs before short operations and painful dressings.

Important! Nutrient enemas are given by drip solutions with protein and fat mixtures, ready-made preparations for parenteral infusion. Concentrated glucose provides a weakened patient with energy, proteins help speed up healing in the postoperative period.

Types of drugs

Sometimes it is necessary to cleanse the body of waste and toxins. Cleaning preparations, depending on their principle of action, are divided into groups.

The choice of suspensions, powders, and tablets for colon cleansing is very large, but they all have common properties:

  • Have a mild laxative effect;
  • They are a sorbent that draws out all harmful substances;
  • Endowed with a vitamin-mineral complex.

Osmotic, saline laxatives

Colon cleansers included in this group irritate the colon walls due to the accumulation of water. After three to six hours, a laxative effect occurs. The fluid that accumulates in the body is attracted to the intestines and makes the feces quite plastic, and mechanical irritation causes the desire to defecate. The disadvantages of such drugs are that they cannot act completely throughout the intestine. There are also not very pleasant consequences - the exchange of salt with water is disrupted. The products in this group include: Normaze, Duphalac, Forlax. For saline laxatives: magnesia, sodium sulfate, Morshyn salt.

Drugs that increase intestinal contents

These drugs help expand the volume of what is in the intestines and therefore irritate the receptors. This is an excellent remedy for those who have chronic constipation. The effect will be in eight to ten hours. This group includes bran, methylcellulose, fiber and hydrophilic colloids, the drugs Metamucil and Citrucel.

Chemical irritation of receptors

This action effectively improves the contraction of the intestinal walls. Such drugs affect the large intestine without affecting the small intestine. According to the principle of action, they are similar to an enema, only here the effect occurs after approximately six hours. There will only be one problem - pain. Frequent use of drugs can lead to diarrhea, and then to dehydration. From this group, several laxatives can be distinguished for cleansing the intestines . List:

  • Senna leaves;
  • Joster fruits;
  • Rhubarb root;
  • Buckthorn grass;
  • "Guttalax";
  • "Bisacodyl";
  • Castor oil: the only remedy in this group that affects the small intestine.

Chair plasticizers

These bowel products soften stool. These laxatives are based on oils and liquid paraffin. The area of ​​action is the small intestine. The long-awaited effect will occur within four hours. Medicines in this group are prescribed to those who are contraindicated to strain the walls of the abdominal cavity. Their disadvantage is that fat-soluble vitamins may not be absorbed.

There are three degrees of impact of cleansing drugs on the body:

  • Laxative;
  • Laxative;
  • Carrying (this effect is achieved by using saline laxatives);

To quickly cleanse the intestines, products that have a carrying effect are well suited. With their help, the body is perfectly cleansed of harmful substances. This group of drugs is recommended to be used no more than once a month. If the product is gentle, it should be used twice a year for a week. In hospital settings, a different sequence may be used.

For example, Fortrans is a common remedy that is used in preparation for operations and for intestinal checks. The active ingredient of this medication is called Macrogol 4000. To obtain a good result, its ability to retain water is important. It contains salts responsible for the balance of anions and cations. To cleanse the intestines, you need to consume the contents of three to four sachets of this product. One sachet is mixed with a liter of water, which means that a person will have to drink three to four liters of the resulting solution. But this is done gradually, and not all at once.

Doctors recommend taking the drug according to the following regimen:

  1. Light lunch at noon;
  2. From two to four o'clock in the afternoon, drink 2 liters of the resulting solution;
  3. Rest until five in the evening;
  4. By 19.00, drink another one or two liters of liquid;
  5. At midnight, bowel movement occurs.

Instead of Fortrans, you can use Lavacol, since the concentration of Macrogol in it is the same, but Forlax is no longer suitable as an analogue. Forlax is the most suitable remedy for eliminating chronic constipation.

Magnesium sulfate as a cleanser

This cleansing product has been used for many years. It also has other names - magnesia, Epsom salt. This method is one of the most accessible. There is only one problem when using it - you won’t be able to leave the house all day.

Types of operations that require a cleansing enema to prepare

The types of operations differ depending on the specialization of the surgical hospital. Let us give examples of the most common pathologies.

Stomach and intestinal surgeries:

  • performing one type of gastric resection for ulcers or cancer with the formation of an anastomosis between the remaining part of the stomach and the intestinal loop;
  • elimination of intussusception (wedging of part of the intestine into an adjacent area), obstruction, resection of the intestinal segment in Crohn's disease with excision of necrotic tissue;
  • appendectomy;
  • abdominal and inguinal hernias in case of strangulation as an emergency, for plastic surgery and suturing of the extended ring - as planned;
  • excision of a tumor of the large or small intestine, removal of the stoma to the skin, followed by the stage of plastic surgery;
  • cholecystectomy;
  • elimination of developmental abnormalities in children.

In proctology they operate on:

  • stage III–IV hemorrhoids;
  • paraproctitis with excision of fistulous tracts.

In obstetrics and gynecology:

  • caesarean section according to indications;
  • medical abortion (termination of pregnancy);
  • removal of appendage cysts;
  • prolapse and prolapse of the uterus;
  • supravaginal amputation of the uterus for fibroids, cancer.

If a couple decides to have a child through in vitro fertilization (IVF), then special care is required to collect the egg from the woman by puncturing the abdominal cavity or the back wall of the vagina with a needle. The doctor's attention should not be distracted by the swollen intestines. The direction of the puncture is controlled using an ultrasound machine. A gas bubble on the screen interferes with the visibility and accessibility of the procedure.

  • removal of stones in the kidney, ureter;
  • excision of a tumor of the bladder, kidney, prostate;
  • opening of an abscess in the perinephric space.

Important! In traumatology, enemas are necessary for operations on the spine, the application of metal plates to large joints, and fractures of the pelvic bones.

Castor oil and other oil mixtures

Many folk recipes recommend fatty oils for cleansing the intestines. They do not liquefy masses, like specialized pharmaceutical preparations, but simply “lubricate” the inner surface of the intestine, improving patency.

Castor oil for colon cleansing

Inexpensive homemade colon cleanse recipes with castor oil:

  1. Castor oil with cognac will help not only get rid of stagnant fecal matter, but also parasites. You need to combine the components in equal parts, and then drink it on an empty stomach. It is important to immediately after using the product, eat any available sweets - this will speed up the effect of the composition;
  2. To cleanse the liver and gastrointestinal tract, castor oil with lemon is often used. Here the proportions are taken in a ratio of 2:1. It is best to drink in the morning on an empty stomach (we recommend doing this on a day off). This composition helps remove stones from the gallbladder and feces from the upper sections;
  3. To restore microflora and quick emptying, cleansing the stomach and intestines with bran is often used. The mechanism of action of this procedure is based on the creation of artificial fullness of the gastrointestinal tract. A spoonful of bran is mixed with the same amount of castor oil and low-fat kefir. Take only in the morning before breakfast. The first urge to defecate should occur within 6 hours.

How is an enema done before surgery, and how to prepare for it?

To successfully cleanse the intestines before a planned operation, it is recommended to follow a diet for a week. With the help of a balanced diet, it is necessary to prevent increased gas formation, fermentation, and stagnation of feces. The following products should be avoided:

  • fried, fatty and smoked foods;
  • pickles and marinades;
  • lard, fatty cottage cheese, sour cream;
  • confectionery;
  • alcohol, carbonated drinks;
  • fast food;
  • fresh vegetables and fruits, juices.

These products negatively affect the consequences of the operation:

  • digest slowly;
  • require the absorption of a significant amount of energy;
  • promote increased gas formation.
  • low-fat fermented milk products (cottage cheese, kefir, yogurt);
  • meat and fish non-rich soups;
  • boiled meat, steam cutlets;
  • porridge;
  • stewed vegetables and fruits.

Important! Hospitals allocate treatment rooms for preoperative hygiene in their structure. The patient comes into it, or he is brought on a gurney if independent movement is impossible. An experienced nurse performs the procedure. If necessary, a nurse helps her.

For a cleansing enema, boiled water is prepared, an Esmarch mug is prepared, and the tips are sterilized. The manipulation algorithm requires sequential actions:

  • the patient lies on a couch covered with oilcloth on his left side, it is better for him to bend his right leg at the knee;
  • the mug hose is closed with a tap or clamp;
  • pour 2 liters of water at a temperature of about 30 degrees;
  • hang the container on a tripod or the nurse supports it with her hands;
  • open the tap slightly and release air until water appears;
  • the tip is lubricated with Vaseline;
  • the patient is asked to lift the upper buttock and slowly insert the tip into the anus 7-10 cm;
  • Raise the mug to arm's length and open the tap.

The liquid gradually enters and fills the intestines. By squeezing the rubber hose, you can regulate the speed of water flow. After the container is empty, the tap is turned off and the tip is removed from the anus. The patient is recommended to turn over on his right side, back, be patient and hold the water for up to 10 minutes. Then defecation occurs.

For enhanced cleaning during intestinal surgery, a siphon enema is prescribed. It differs from the usual one by using a funnel and a hose. The tip is inserted to a depth of 20 cm. The volume of liquid is initially 2 liters. When the bottom of the funnel remains low, it is lowered into the basin to drain the intestinal contents through the tube. Then pour the liquid again and repeat the steps several times until clean water comes out. After an effective siphon, the patient needs to rest for 1.5-2 hours.

The preparation scheme includes 2 stages of cleansing:

  • the first enema should be done the evening before the operation (12-16 hours before);
  • the second - at 6 am on the day of intervention.

Types of laxatives and cleansing methods

Essentiale

The liver is a vital organ, and maintaining a healthy liver is important for overall well-being and health. The liver takes the brunt of the damage, breaking down alcohol, heavy foods and medications.

You can support the organ and help it recover with the following medications:

  • "Essentiale";
  • "Resolute";
  • "Karsil";
  • "Silimar";
  • "Silibor";
  • "Legalon".

Cleansing the liver and gallbladder on your own without consulting a doctor is highly undesirable. The specialist will be able to assess the extent of the damage and prescribe medications. If necessary, choleretic and hepatoprotectors are prescribed in combination.

Fortrans

Lavacol

Many people are interested in the name of the intestinal cleansing powder.

For the purpose of intestinal cleansing, laxatives are prescribed that affect the gastrointestinal tract, eliminate spasms from certain areas and help remove old feces. The following types of drugs are distinguished by purpose:

  • Mechanical irritants. Such products quickly liquefy fecal matter due to water being attracted to the gastrointestinal tract. Saline solutions that rinse the large and small intestines, such as Fortrans and activated carbon, work in a similar way. A distinctive feature of this type of drugs is that they are used both for the treatment of constipation and for the treatment of diarrhea.
  • Stimuli that simulate overcrowding. The human body is designed in such a way that, in the presence of specific factors, natural cleansing processes are restarted. The influence of drugs of this type creates a feeling of a full intestine. For this reason, the excretory system tries to cleanse it as quickly as possible.
  • Chemicals. They only work in the large intestine. They are analogues of an enema, and therefore cannot be used for global cleansing. The effects of irritants on average begin six hours after use, so detox is not the best option for immediate implementation.
  • Pharmaceutical oil preparations, such as Vaseline and castor oil, can also be used at home. They need to lubricate the anus to facilitate emptying. In difficult cases, doctors advise drinking castor oil on an empty stomach - this helps to liquefy the stool. However, this method has significant disadvantages. The first is the creation of artificial diarrhea, which disrupts the microflora. The second is dehydration of the body due to excess fat.

The easiest way to clean is to use products from pharmacies. They are fast-acting and effective on their own. List of the most famous means:

  • "Bisacodyl." Inexpensive, but effective tablets. They work by irritating colon receptors in the body.
  • "Bisacodyl Lactulose." Increases the amount of intestinal contents by breaking down organic matter. It has a soft yet fast action.
  • "Guttalax." Prescribed for severe constipation and other bowel movements. Used in rare cases to prepare the intestines for examination or surgery.
  • "Dry chestnut extract." It is a natural absorbent that interacts well with other laxatives. For the purpose of complete cleansing, it is used in rare cases.
  • "Depuraflux". A natural laxative consisting of buckthorn extract and senna leaves. Acts directly in the large intestine, helps produce stomach and intestinal juices.
  • "Portalak". Used for pregnant women and children. Like many other osmotic-type laxatives, it creates a feeling of fullness in the intestines due to the increased content of lactulose.
  • "Portalak Doctor Theiss Nova Figure." The name itself suggests that this product promotes weight loss. In addition, stagnant moisture, carcinogens and toxins are removed from the fabrics.
  • "Lactofiltrum" is a plant sorbent. Tablets are used for intestinal cleansing, accelerating material metabolism, restoring microflora and improving skin.
  • "Lactofiltrum Fleet phospho-soda." This laxative is based on the interaction of soda, salt and water, the ability of this composition to liquefy and remove feces. Reviews say that this drug is excellent for intestinal cleansing at home, but it should only be used after consulting a specialist.

Powders for bowel cleansing before surgery are most often used.

Their influence is based on the ability to act as an irritant on the intestinal walls through the accumulation of water. The fluid that is drawn from the body softens the accumulated feces, and mechanical irritation causes the urge to defecate. The effect occurs after 3-6 hours.

Among the disadvantages of these drugs is the inability to completely cover the intestine. There are also negative consequences: water-salt metabolism may be disrupted. The products in this group are as follows: Fortrans, Lavacop, Duphalac, Moviprep, sorbitol. This also includes saline laxatives: Carlsbad salt, magnesia, sodium sulfate.

Contraindications to the procedure

Enemas are not given if the proposed operation does not exclude or is performed for:

  • gastrointestinal bleeding;
  • internal purulent complications;
  • exacerbation of ulcerative and inflammatory diseases of the stomach or intestines;
  • suspicion of the disintegration of a malignant tumor;
  • cracks and prolapse of the rectum;
  • intestinal rupture;
  • thromboembolism of mesenteric vessels;
  • repeated surgical intervention (for the first - in the last 5 days).

Important! The question of postponing the operation and enema to a later date is decided at elevated temperatures, menstruation in women, against the background of the patient developing general weakness of unknown origin.

Other methods of bowel cleansing before surgery

To cleanse the large and small intestines before a planned operation, the doctor prescribes effective laxatives instead of enemas. They are recommended to be taken at home before hospitalization.

  1. Rectal suppositories - with bisacodyl, glycerin. They, irritating the nerve endings of the rectal canal, stimulate peristalsis. Stool appears after 30-60 minutes. Bisacodyl is less damaging to the mucous membrane. Recommended once a day.
  2. Microlax - administered as a microenema several hours before surgery.
  3. Tablet drugs (Senade, Bisacodyl) are prescribed 2 tablets per day for regular bowel movements.
  4. Powders with macrogol (Relaxan, Tranzipeg) - retain water, increase volume and soften stool, prescribed in the morning and evening before surgery. A good effect is produced by drinking a solution of magnesia (10-30 g).
  5. Duphalac - a product with lactulose, has an advantage over others - it does not disturb the intestinal bacterial flora.

Drugs

Today, pharmaceutical preparations for cleansing are amazing in their variety: drops, powdered products, capsules, tablets for colon cleansing. They are divided into methods of influence:

  1. Mechanical irritants. The principle of operation is based on the rapid liquefaction of feces with the help of water attracted to the gastrointestinal tract. This is how saline solutions for colon lavage, activated carbon, and the drug “Fortrans” work.
  2. Chemical. The work is aimed at the areas of the large intestine. Used instead of an enema, it is considered an unsuitable product for in-depth cleaning. The effect of chemical irritants begins after 6 hours, which does not make them a means for urgent cleaning.
  3. Simulating overcrowding. Taking into account the body's ability to restart the natural cleansing reflex when certain factors interact, scientists have created a number of drugs. The principle is based on creating a feeling of a full gut. Thanks to this, the body tries to cleanse itself as quickly as possible. This is the fastest remedy.

Emptying the intestines

What foods should you avoid before surgery:

  • Cabbage, legumes, nuts
  • Fruits, vegetables, rye bread
  • Milk, soda, fried
  • Oatmeal, fatty meat, sausage
  • Alcohol and sweets.

Since these drugs cause bloating or may cause constipation, they should not be taken before surgery.

There is no need to eat at all 12 hours before surgery. In addition, bowel cleansing before surgery is sometimes carried out forcibly with special drugs.

  • The drug Fortrans is used as a laxative. Contraindications include age under 15 years, intestinal obstruction and peptic ulcer disease
  • Castor oil is used as a laxative. The calculation of intake is 1 gram per 1 kilogram of weight. If a person weighs a lot, it will be difficult to drink and vomiting may begin.
  • The drug Lavacol. Analogue of Fortrans, costs less, has no contraindications
  • The drug Duphalac is a prebiotic that helps remove feces by increasing peristalsis
  • The drug Guttalax. Apply in drops, use morning and evening. Laxative.

All these drugs are used before surgery to cleanse the intestines. Some of them dilute feces, others cause increased peristalsis.

A doctor should prescribe medications, since each of them has its own characteristics and contraindications.

The best parasite cleansers

Many people are infected with various parasites, although they do not lead an unsanitary lifestyle. Helminths can colonize the intestines, liver, lungs, brain or any other organ. To cleanse the body of parasites, you can use special products, well presented on iHerb.

Christopher's Original Formulas Herbal Syrup for Parasites

Rating: 4.9

The popular brand on iHerb, Christopher's Original Formulas, has developed an Herbal Syrup for Parasites. It contains plants (tansy, wormwood, black walnut) that have a pronounced pungent and bitter taste. Such herbs paralyze helminths and prevent their further reproduction. There are also components that have a laxative and choleretic effect, necessary for the complete cleansing of the body.

The anti-parasite complex is a caramel-colored herbal syrup. It has a pleasant herbal smell and a rather specific taste. At first there is a hint of sweetness, but very quickly it gives way to a strong bitterness. The syrup is in a dark glass bottle. The opened product is stored in the refrigerator. Take 5 ml of the drug in the morning and evening according to a certain scheme for three days.

According to reviews, this dietary supplement from Christopher's Original Formulas has a mild laxative effect and is excellent at getting rid of parasites, fungi and pathogenic bacteria if present. Along with this, this body cleanser significantly improves the condition of the skin. This liquid complex does not cause headaches or severe abdominal discomfort.

Advantages

  • completely natural composition;
  • cleanses the body of parasites and fungi;
  • taking short courses;
  • does not cause abdominal discomfort or headaches.

Flaws

  • very bitter taste.

Bioray Wormwood and cloves

Rating: 4.8

Natural cleansing company Bioray produces the herbal supplement Wormwood and Clove. The composition also contains other natural ingredients, but it is wormwood and cloves that are famous for their wide-spectrum antiparasitic properties. This cleanser is suitable for all family members, but dosages vary depending on weight.

On iHerb Bioray Wormwood and cloves are sold in the form of drops. They are in a bottle (59 ml) made of dark glass, which is equipped with a special pipette. The color of the drops is dark, herbal. There is a clear hint of clove in the aroma. They taste very bitter. The cleanse begins with a low dose and gradually increases it. An adult with an average weight of 65 kg will need 3 bottles per course of use.

Consumers respond very well to Bioray anti-parasite drops. But at the same time, they note that to take a full course, you need to be prepared to shell out a considerable amount of money. Many consider this remedy an excellent alternative to antibiotics. This herbal complex is generally well tolerated, but some people complain of dizziness.

Advantages

  • powerful antiparasitic composition;
  • suitable for all family members;
  • convenient pipette;
  • an effective alternative to antibiotics;
  • pleasant aroma of cloves.

Flaws

  • very bitter taste;
  • may cause dizziness.

Pure Planet Organic Pest Control

Rating: 4.7

The Pure Planet brand has developed an organic parasite control product. The nutritional supplement contains herbs and superfoods (11 components). This product is gluten-free and GMO-free, but contains pineapple flavor and bergamot extract. This product gently cleanses the body of parasites, waste and toxins.

This dietary supplement from Pure Planet on iHerb is sold in fine powder form. The plastic dark bottle contains 174 g. This is enough for 20 servings. It is recommended to take one heaped tablespoon of the product with water, twice a day for 10 days. While cleansing the body, it is recommended to drink more fluids throughout the day.

According to reviews, although this product from Pure Planet has a rather specific taste, it is very effective. This food supplement gets rid of parasites, normalizes digestion, and improves overall well-being. With the use of such a dietary supplement, the complexion becomes healthier and the skin is cleared of rashes. The tolerance of this powder is very good.

Advantages

  • 11 useful components in the composition;
  • The bottle is enough for a cleansing course;
  • does not cause side effects;
  • improves the functioning of the gastrointestinal tract.

Flaws

  • specific taste.

Doctor's Best Artemisinin

Rating: 4.7

The Doctor's Best brand, which is in demand on IHerb, produces the food supplement Artemisin. It contains a large amount of high-quality artemisinin or ching-hao-su. This is an extract of a Chinese plant - Artemisia annua or Ching-hao. It not only has an antiparasitic effect, but also a mild laxative, choleretic and improves digestion.

Doctor's Best Artemisinin is sold in the form of capsules in a vegetable shell. They are quite large (about 2 cm in length), white, odorless. Placed in a bottle made of thick plastic in the amount of 90 pieces. Adults are recommended to take 2 capsules daily, with meals or as recommended by a nutritionist. This food additive rarely causes allergic reactions.

In reviews of this product, experts note that it provides effective cleansing of the body from all types of worms and pathogenic microorganisms of the new generation. Artemisinin from Doctor's Best is well tolerated. When using it, consumers note that they have more strength and suffer from fewer colds.

Advantages

  • perfectly pure artemisinin;
  • 2 capsules per day;
  • effective cleansing of the body from parasites;
  • strengthening the immune system.

Flaws

  • capsule size.

Now Foods Black Walnut Shells

Rating: 4.6

Bestseller on iHerb - Black Walnut Shells from Now Foods. This dietary supplement has antiparasitic, antibacterial and antifungal properties. It helps normalize the functioning of the digestive system, removes toxins from the body and slows down the development of tumor cells. This product is intended for adults only.

Now Foods Black Walnut Hulls come in the form of clear vegetable capsules with black powder inside. They are quite large, but swallow with virtually no problems. The powder has a light woody taste. The nutritional supplement is placed in a bottle made of dense plastic in the amount of 100 pieces. Take 1 capsule 2 times a day with meals.

According to reviews, Now Foods Black walnut shells perfectly cleanse the body of parasites, normalize the functioning of the digestive tract, and reduce cravings for sweets. By using this product, you can easily get rid of extra pounds. The dietary supplement is well tolerated, but in some people it causes nausea and loss of appetite at the beginning of use.

Advantages

  • black walnut shell from an unripe fruit;
  • capsules are easy to swallow;
  • cleansing the body of parasites;
  • normalization of the gastrointestinal tract;
  • help in losing weight.

Flaws

  • at the beginning of treatment they cause nausea and loss of appetite.

Nutricology TriBiotics

Rating: 4.5

The Nutricology brand produces the TriBiotics dietary supplement. The product contains berberine sulfate, artemisinin, grapefruit seed extract and black chestnut shell. This complex remedy has a pronounced antiparasitic, choleretic, antifungal and antibacterial effect. It is recommended that you check your liver enzyme and hemoglobin levels occasionally while taking this drug.

Nutricology TriBiotics is sold on iHerb in the form of vegetarian capsules. They are placed in a plastic bottle in the amount of 90 pieces. Take this nutritional supplement 1-2 capsules 2-3 times a day. People with sensitive stomachs should definitely take them with meals. It is better not to combine this remedy with antioxidants and iron supplements so that their effectiveness is not reduced.

Consumers respond well to the Nutricology TriBiotics supplement. Many consider it an alternative to synthetic antibiotics. However, it should be borne in mind that along with the destruction of parasites and other pathogens, the microflora may suffer, so at the same time it is advisable to take probiotics. And also, to avoid toxic effects on the liver, this remedy should not be taken for longer than 7 days.

Advantages

  • completely natural composition;
  • excellent analogue to synthetic antibiotics;
  • capsules are easy to swallow;
  • perfectly destroys parasites.

Other colon cleanses

The most common method of colon cleansing is an enema. It is placed before surgery, if it is planned. This remedy is much more effective than all drugs, since the intestines are completely cleansed, in addition, a siphon enema washes out even the hardest feces. Take 2 liters of water and pour it into Esmarch’s mug. It should be about 20 degrees Celsius. The patient lies on his left side, pressing his knees to his stomach. After which the tip is lubricated with Vaseline and inserted into the rectum to a depth of 10-12 cm. The mug is raised above the pelvis and the clamp is slowly opened. When all the water has poured in, close the clamp and remove the tip.

The water must be kept inside for about 15 minutes.

Such bowel cleansing before surgery also has its contraindications: rectal prolapse, hemorrhoids with bleeding, tumors, inflammatory processes, stomach bleeding.

Colon cleansing with castor oil

Castor oil is a popular folk remedy for gentle colon cleansing.

Castor oil is a popular folk remedy for gentle colon cleansing.

Taking castor oil and other oils lubricates the surface of the intestine, improves permeability, gently removes feces and disinfects.

Features of application:

  1. In the morning on an empty stomach you need to give an enema.
  2. Refrain from food for the whole day.
  3. In the morning, drink 50 g of cognac, then the same amount of castor oil half an hour later.
  4. In the evening, drink the same amount of castor oil with cognac.
  5. During the day you are allowed to drink only fresh juices of carrots, apples and pears.
  6. If nausea occurs after drinking castor oil, you can alleviate the condition by eating a slice of fresh lemon.

This cleaning method is completely natural and safe, and castor oil does not irritate the intestines and does not affect the microflora.

What is it prescribed for?

In addition to drugs and enemas, you can also use traditional medicine methods, but this will not work in a hospital.

You should not cleanse the day before or at home, as you may get an irreversible effect.

It is better to use the medications prescribed by your doctor or agree to an enema if you fail to follow the diet. In general, drugs and other means are prescribed for one purpose, so that there is no nausea from anesthesia on the operating table, peritonitis does not occur if suddenly an intervention is performed on the abdominal cavity, and the patient should not strain during bowel movements so that the sutures do not come apart.

Prices

When going to the pharmacy for a laxative, everyone still looks at their wallet. If the drug is good, but there is no money, you will have to limit yourself to its cheap analogue. To avoid standing in line for a price that may not suit you, we offer an approximate list of drugs and their prices. The price will depend on the dosage and volume of the laxative drug.

A drugPrice, rub.)
Fortrans480-580
Lavacol180
Forlax200-300
Castor oil70-100
Magnesia50
Senna leaves60
Moviprep600-900
Duphalac300-700

If you decide to cleanse your intestines with laxatives, it is better to consult a doctor. He will select the drug individually for your body and your problem, and also prescribe the dosage and course of treatment.

Taking laxatives on your own can help cleanse your colon, but it can also cause more trouble than constipation.

Therefore, be more attentive and judicious about your health.

Quick bowel cleansing before surgery

When I was undergoing laparoscopic surgery, I was faced with the choice of either getting acquainted with an enema or drinking Fortrans. In order not to torment either myself or the doctors with the unpleasant procedure of cleansing the intestines with an enema, I settled on the second option.

In pharmacies, this powder is sold in a package of 4 sachets. Price approximately 500 rubles per package. And although the instructions say that 1 sachet is designed for 15-20 kg of weight, my doctor said that it would be enough for me to drink two sachets, although my weight at that time was 60 kg. Some pharmacies sell bags of this miracle powder individually.

And so, I needed to dissolve 2 sachets of powder in two liters of water and drink it all within 1-2 hours.

To be honest, the taste is rare. A mixture of all taste qualities at once: salty, bitter, sour, and sweet. It is impossible to drink in small sips. Therefore, I decided to drink more quickly and with my nose pinched, it seemed less disgusting to me. As a result, I finished 2 liters of this crap in less than an hour. It’s clear that the tummy was seriously swollen from such a volume of water, like that of a slightly pregnant woman))

After about an hour, the product began to work. Moreover, before this there were no uncomfortable sensations: no abdominal torsion, no nausea. I was afraid that I would sit on my white friend all night. But no, everything went much calmer. I apologize for the details, the first time the intestines were cleansed, the second time there was only water.

Cleaning the intestines before surgery without an enema is not always possible or effective. Doctors are trying to move away from barbaric procedures, which are often not carried out under strict sanitary conditions. Medicinal laxatives come to the rescue.

The best medicines

Among the common and safe drugs for cleansing the intestines are:

Most of them have a natural composition and are indicated for use by pregnant women and children.

Fortrans

Fortrans is one of the popular cleansing drugs that act on the principle of intestinal irritation.

White instant powder has a number of advantages, including minimal contraindications, and can also be purchased without a prescription.

Fortrans is indicated in the following cases:

  • cleaning before surgery;
  • cleaning before irrigoscopy, x-ray examination;
  • diarrhea and constipation;
  • cleansing the body.

The effect occurs within an hour.

Before starting to use Fortrans, it is recommended to visit a doctor. Its use is contraindicated for pregnant women and children under 7 years of age. The course of treatment with the drug can be up to 2 weeks.

The drug Flit is often indicated to patients for a comprehensive examination of the intestines before surgery and diagnostics.

Review of approved laxatives

How not to get confused and choose an effective, safe laxative before surgery is a question that worries doctors and patients. The pharmaceutical market is teeming with various laxatives, one after another released every day in new packaging.

  1. Glycerin suppositories affect intestinal motility. Irritate the nerve endings of the mucous membrane, stimulate peristalsis. Does not soften feces and often leads to trauma to the anus. Doctors prescribe suppositories before surgery once a day. Today, a small microenema called Microlax, containing 5 mg of active substance, is popular; it easily and painlessly copes with the problem. Approved for use before surgery.
  2. Bisacodyl suppositories belong to the group of fast-acting laxatives. The effect of the drug is observed within an hour. Bisacodyl improves peristalsis, activates the secretion of intestinal mucus, and ensures smooth passage of feces through the intestines without traumatizing the mucous membrane. The drug is prescribed before and after surgical interventions. Taken the night before. The doctor may prescribe an additional 1 suppository in the morning a few hours before surgery. Bisacodyl is suitable for daily use.

Most medications are available in the form of powders and rectal suppositories to combat constipation. The form helps to locally influence the problem that has arisen. There is not much choice among tablet laxatives, so the price suits you and there are indications for use. Before surgery you can use medications:

  • Senna herb produces results within half an hour. It is allowed to use before surgery without fear of consequences. Use 2 or more tablets. The medicine is suitable for one-time use and for the treatment of chronic constipation. An imported drug with the active ingredient of senna - Senade.
  • Bisacodyl is available in powder and tablet form. The drug enhances peristalsis and cleanses the intestines of feces. Take 1 - 2 tablets in the evening. Wait for the result in the morning.
  1. Realaxan is available in powder form in different fruit flavors. Active ingredient: Macrogol. The patient drinks the prepared drug, due to its properties of retaining water, the stool softens, the intestinal contents increase, and the receptors of the colon are irritated. The natural mechanism for excretion of feces is activated. 1 sachet of medicine diluted in a glass of water works wonders. The medicine is drunk in the morning and evening before the operation. Limit fatty foods a day, go on a mini-diet for a day using light soups, lean meats, salads, and dairy products. Macrogol and analogues are widely used in surgical practice: before studies to identify problems with the gastrointestinal tract, before surgical interventions. The remedy can be used for a long time for chronic constipation, but you need to check with your doctor.
  2. Transipeg is a powder analogue of Macrogol. Replaces Realaxan if the latter is intolerable. The period of action of the drug is 1-2 days. Transipeg is excreted unchanged from the gastrointestinal tract and is safe for use. Drink the medicine in the morning. Take a sachet and dilute it with water. The drug cleans efficiently, is suitable for long-term use and for one-time use (before laparoscopy).
  3. Cleaning your colon before surgery can be a budget-friendly option. The famous magnesia has been used in medicine for a long time and is suitable for economical treatment. Antispasmodic, vasodilator, diuretic, choleretic and many characteristics associated with one medicine. Magnesia will replace enema procedures. It effectively cleanses the gastrointestinal tract from stagnant food masses. The drug affects the intestinal processes of osmosis, reduces the absorption of water from the intestines. As a result of the use of the medicine, the stool softens, the content of the colon increases, irritating the enteroreceptors. A person performs a painless act of defecation. Apply 10-30 g of powder, diluted in half a glass of warm water in the morning or at night.
  4. Duphalac has a similar effect as previous drugs. Normalizes stool, cleanses the intestines, improves the quantitative composition of intestinal microflora. The medication contains lactulose, which is necessary to maintain physiological intestinal microflora. It is considered an effective and safe hyperosmotic laxative. Used in children from birth. The drug is prescribed for surgical interventions on the anal area. Available in powder form for oral use. Adults are prescribed from 15 to 45 ml of medication 1 time per day.

Types of laxatives

Laxative medications are used to cleanse the intestines. They affect the gastrointestinal tract, relieving spasms from certain areas and helping to remove old feces.

Types of drugs by purpose:

  • Mechanical irritants
    . They provide rapid dilution of fecal matter due to water, which is attracted to the gastrointestinal tract. This is how Fortrans works, saline solutions that wash the small and large intestines, and activated charcoal. A notable feature of this type of medicine is that it is used to treat both diarrhea and constipation;
  • Stimuli simulating overcrowding
    . Our body is designed in such a way that in the presence of certain factors, natural cleansing processes are restarted in it. When exposed to drugs of this kind, the impression of a full intestine is created. Because of this, the excretory system tries to cleanse it as quickly as possible;
  • Chemical
    . They work exclusively in the large intestine. They are analogues of an enema, therefore they cannot be used for global cleansing. On average, the effect of irritants begins 6 hours after administration, so this is not the best option for an urgent detox.

Oil pharmaceutical preparations can also be used at home. This is castor oil, Vaseline. They lubricate the building passage to facilitate emptying. In difficult cases, doctors also recommend taking castor oil on an empty stomach - this will dilute the stool. But this method has serious drawbacks. Firstly, artificial diarrhea is created, this disrupts the state of the microflora. Secondly, the body becomes dehydrated due to the large amount of fat.

Soft cleaning with Fortrans

Fortrans refers to laxative drugs that act by irritating the motility of the small and large intestines. It is a white powder. To use, the medicine must be dissolved in warm water (one sachet takes a liter of liquid).

Fortrans

When is Fortrans prescribed:

  • If necessary, conduct an examination. It is used before irrigoscopy and x-ray examinations;
  • With its help, the gastrointestinal tract is cleansed before surgery;
  • If necessary, general bowel cleansing.

You can buy Fortnas in almost any pharmacy; the drug is sold without a doctor's prescription. But before use, you should definitely consult a specialist. It is strictly forbidden to use this laxative to treat pregnant women and preschool children.

How to cleanse the intestines of waste and toxins with Fortans:

  1. For cleaning, choose a free day, preferably a day off, since the detox process should begin in the morning on an empty stomach. The day before, it is important to ensure the correct diet: exclusively animal fats from the diet, drink a lot of water, in the evening have a plant-based meal rich in fiber;
  2. Four sachets of powder are diluted in four liters of water. In the morning, after a light vegetable or fruit snack, drink 1 liter of the product. After three hours, you need to have lunch and drink another 2 liters of solution. The last stage begins after an hour: during this period, the remaining liquid is drunk;
  3. The effect of Fortrans begins 1.5 after taking the first dose. During the cleansing process, you may experience abdominal pain, intestinal cramps and other discomfort. This is a normal reaction of the body to such procedures.

Rules for cleansing the stomach without an enema

Effectively cleansing the large and small intestines before surgery without an enema has become possible thanks to numerous high-quality laxatives. Relying on one drug is not enough. It is necessary to additionally follow the rules for the cleaning to go well:

  • see the instructions, take the drug according to the recommendations;
  • Do not increase the dosage yourself! Medicines have side effects caused by overdose. The same applies to the frequency of administration. If the instructions say about a one-time dose of the drug, then it is taken only 1 time per day;
  • Before using the medicine, consult your doctor. If the prescribed medicine is not suitable, change it or consult your doctor;
  • Pay attention to contraindications to drug treatment. For hemorrhoids, anal fissure, paraproctitis, and gastrointestinal bleeding, most laxatives are not used. Be carefull!

How to choose a product?

Colon cleansing medications come in different types depending on their purpose.

When choosing, it is important to pay attention to the manufacturer and composition, giving preference to herbal remedies.

It is necessary to read the indications and contraindications for the product to find out if you have acute intolerance.

Important! Improper selection and use of laxatives contributes to the development of gastrointestinal diseases. Before purchasing, it is important to read the instructions and make sure that the product is suitable for you.

Usually, folk methods, infusions and herbs that are completely safe for health are used to cleanse the intestines. By choosing herbal tablets at the pharmacy, you will receive a natural remedy with minimal side effects.

Activated carbon

You can cleanse the intestines and get rid of intoxication using activated carbon. Coal has many positive properties: it does not harm the mucous membrane of organs and does not disrupt metabolic processes.

In addition, the product has an antitoxic effect, due to which it is actively used for alcohol and food poisoning.

Tip: white charcoal is better for cleansing the intestines. It disintegrates without problems in the stomach and is absorbed twice as fast.

A simple method of cleaning with activated carbon is to use it in powder form while following a moderate diet, and the dosage is calculated as follows: 1 tablet per 10 kg of weight.

Saline laxatives

Saline laxatives are considered gentle ways to cleanse the intestines; they interfere with the absorption of fluid and cause rapid loose stools.

The following tools fall into this category:

  • Lavacol;
  • Fortrans;
  • Magnesium sulfate;
  • Carlsbad salt.

The advantage of such drugs for cleansing the intestines is their gentle effect, softening the stool without irritating the mucous membrane and pain.

Osmotic agents

Osmotic bowel cleansing agents guarantee an immediate effect ; usually, stool occurs within 10 minutes after use.

Colon cleansers

This group includes powerful choleretic drugs for cleansing the intestines. Their intake prevents the absorption of water and also ensures the dissolution of deposits.

The main disadvantage is the one-time use. The use of osmotic agents for long-term use is strictly prohibited, as this is fraught with serious consequences for the body.

The most popular include:

Stimulant drugs

The main task of stimulant products is to promote natural stool, as well as to ensure passability.

They also provide an antiseptic and antimicrobial effect, but such drugs cannot be taken several times in a row, since the body needs time to recover.

The most well-known drugs in this category include:

Alimentary fiber

A well-known folk method of cleansing the body of accumulated toxins and feces is the use of dietary fiber, such as fiber and bran.

Dietary fiber has beneficial effects

Dietary fiber has beneficial effects for the entire body:

  • getting rid of undigested food residues;
  • preventing the formation of excess, stagnant fluid in the body;
  • acceleration of natural metabolism;
  • breakdown of fat cells;
  • accelerated absorption of useful minerals;
  • improvement of intestinal microflora, regulation of work;
  • removal of cholesterol;
  • slowing down the removal of starch.

Thus, dietary fiber not only helps in distilling the body but is also beneficial for diabetes. In addition, they allow you to get rid of extra pounds, so they are recommended to be consumed when losing weight.

Emollients

To cleanse the intestines, taking softening medications is necessary, because they help to quickly and completely painlessly remove harmful substances.

Softening agents affect feces, stimulate their softening, dissolution and natural removal from the body.

Common medications include the following:

Such intestinal cleansing drugs have a mild and delicate effect; taking them prevents the recurrence of constipation, the formation of anal fissures and hemorrhoids.

Prebiotics

Prebiotics are intended to restore the intestines after taking laxatives.

Prebiotics

They allow you to restore and improve the state of microflora, as well as prevent the occurrence of metabolic diseases.

Popular prebiotics include:

Prebiotics are found in many plants and foods. You can get important elements for intestinal restoration from baked goods, peas, soybeans, bananas, garlic, and bran.

Candles and microenemas

Enemas and suppositories for colon cleansing have a similar method of application, but also different properties.

As a rule, suppositories are used for constipation and to relieve diarrhea; glycerin suppositories are most often used.

An enema has a direct effect and is used to cleanse the rectum and sigmoid colon, often required before surgery, after childbirth, or to relieve rectal blockage.

To perform an enema, various solutions can be used depending on the purpose.

The most common microenemas:

Regardless of the solution chosen, microenemas provide stable stools and help with complex blockages of the colon.

Options for cleansing enemas at home

A cleansing enema at home before surgery may consist of solutions:

  1. Plain water to completely cleanse the colon. The norm for an adult is from 1 liter to 1.5. For the procedure, you will need an Esmark mug, located at a height of 50 cm from the patient on a tripod. Before the manipulation, the anus and tip are lubricated with Vaseline to ensure comfortable and painless administration of the liquid. Water at room temperature is filled into the mug and the tip is inserted into the back hole. The air from the enema is released before this. The liquid is poured in slowly. If the patient notices abdominal discomfort, the procedure is stopped until the symptoms disappear. Then the manipulation continues. After injecting the liquid, it is necessary to place the patient on his back and massage his stomach. Turn over on your right side and wait for the result. The procedure is carried out the day before the operation.
  2. Soda solution is an effective method for cleansing the intestines. An enema requires compliance with proportions. First, put the water on the fire, heat it to 40 degrees. Add a couple of spoons of soda. Carry out the enema manipulation according to the principles described above. Another enema is required to cleanse. For it, the water must be heated to 20 degrees with the addition of a few tablespoons of soda. Use an Esmark mug to perform the manipulation.

Preoperative cleansing of the intestines from feces is carried out using enemas. The procedure is not always sterile. It is recommended to use medications.

Colon cleansing medications before colonoscopy

Preparation before examination of the lower intestine, gastrointestinal tract, and stomach requires a complete cleansing. Feces interfere with the passage of X-rays and distort the results of the study.

Colonoscopy

The best drugs to prepare the gastrointestinal tract for examination:

  • Fortrans;
  • Fleet;
  • Duphalac;
  • Endofalk;
  • Leaves of buckthorn, senna. In rare cases, flax extracts are prescribed.

The state of health depends on the normal functioning of the gastrointestinal tract: the tract contains 80% of the cells of the immune system. The body gives signs if abnormalities appear (for example, changes in skin color). Colon cleansing is a way to remove toxins and waste from the body. This action is carried out once a week, folk remedies or special preparations are used to cleanse the intestines.

Cleaning of the gastrointestinal tract is carried out before colonoscopy, surgery, examination, and childbirth. The procedure removes residual digestive products from the body. Cleansing the gastrointestinal tract helps people who want to lose weight, as the thickness of the intestines decreases, which leads to a smaller belly.

Cleaning is carried out at home or in medical institutions. People are accustomed to associating the procedure with washing, but it is possible to do without an enema.

Three cleaning methods are used:

  • Folk remedies.
  • Medicines.
  • Using an enema.

The tools vary in their degree of operation and have pros and cons.

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