There are cases when constipation is not helped by laxatives, candles , or a special diet. Especially often with such an unpleasant situation, people suffering from chronic stool retardation. Then the only way to release the intestines at home can be an enema. Although at first glance this procedure seems simple, you still need to know some rules. In addition, there are several types of enemas, and in order to determine what it is better to put with constipation, you should know their characteristics.
Oily enemas with constipation
An enema with oil for constipation is the most mildly effective option, but the effect from it does not come quickly (after 10-12 hours), so it is best to perform the procedure at night before going to bed. To prepare an oil enema, you can use purified vegetable, olive or petrolatum oil. The solution is prepared by adding two to three tablespoons of oil to 100 ml of warm boiled water (37-40 ° C) and thoroughly mixing. For the procedure, a rubber pear is used, the amount of the injected solution is 50-100 ml. The oily solution helps to relieve spasms of the intestine, envelops its walls, contributing to the removal of fecal masses.
Saline enema with constipation
Saline, or hypertonic enema, is a microclyster, for which a strong saline solution is used. The introduction of such a solution into the intestine promotes the activation of receptors for self-emptying. It provokes an improvement in peristalsis and liberation from the fecal masses resulting in an increase in osmotic pressure in the gut lumen, while the saline solution softens them and removes them painlessly. The effect after the procedure is observed after 15 - 20 minutes.
To prepare a solution for such an enema, you can use both common table salt and dry powder of magnesia (English salt). Solution for enema with table salt is prepared by dissolving 100 ml of boiled water with one tablespoon of the product. Magnesia for the solution should be dissolved in an amount of 20-30 g per 100 ml of water. The procedure is carried out with a rubber pear, the amount of solution introduced into the intestine is 50 ml.
Cleansing enema with constipation
This type of enema involves the introduction of a large amount of ordinary boiled water into the intestine. The procedure can be described as "washing out" of softened by water fecal masses from the body, because while there is no effect on either the intestinal receptors or its tone. The procedure is suitable for emergency cases when it is necessary to quickly and effectively conduct the emptying of the intestine.
For the cleansing enema, use the Esmarch mug - a special reservoir (often made of rubber) with a flexible tube and a clamp. It is better to use an assistant to perform the procedure, because independently put a cleansing enema is uncomfortable. The amount of water to be injected should be about 2 liters, it must be introduced slowly. Having put an enema, it is necessary to lie down for at least 10 minutes, so that the liquid has time to distribute in the intestine.
How correctly to make an enema with constipation?
Let's consider the basic rules which should be observed at performance of procedure:
- The temperature of the enema solution for constipation should not be below 25 and above 40 ° C.
The tip of the enema device should be pre-lubricated with a baby cream, petroleum jelly or other emollient. - During the procedure, it is recommended to lie on the left side, bending the knees and bringing them a little to the stomach.
Contraindications to conduction of enema in case of constipation:
- inflammatory processes in the intestine;
- damage to the intestinal mucosa;
- exacerbation of hemorrhoids;
- prolapse of the rectum ;
- tumors in the intestine.