An overview on the precautions on giving enemas to your child at home in order to relieve constipation. If your child has severe constipation , your child's doctor may prescribe an enema to be given at home. An enema is a liquid that is placed into the rectum. It flushes out stool feces that has built up impacted in the bowel. This process is called disimpaction.
New York: Harcourt, Brace and Company. The Journal of Emergency Medicine. It can also help your child regain the natural urge to defecate. It's a little time-consuming so I do like maintenance. Teenage enemas doctor will give you specific guidelines for your child's enema. Although well documented, the procedure of inserting coffee through the anus to cleanse the rectum and large intestines is considered by most medical authorities to be unproven, rash and Teenage enemas dangerous. Spampatti, I.
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Enemas are sometimes a necessary daily treatment for children with colorectal conditions such as anorectal malformations , constipation and encopresis. The experts at the International Center for Colorectal and Urogenital Care may recommend daily enemas for your child at home during a short amount of time to clear impacted stool from the bowel or for the daily treatment of fecal incontinence.
If at-home enemas are a good option for your child, your child's care team will show you how to properly give your child enemas. We prefer normal saline enemas, which can be mixed at home.
The doctor will give you specific guidelines for your child's enema. Sometimes it is necessary to add glycerin, castile soap or phosphate to the enema solution to produce a satisfactory bowel movement. To deliver an enema, place your child on their side or stomach with their knees pulled up under their chest with their bottom in the air. These two positions are most effective for giving enemas because they allow the fluid to be instilled easily into the colon by taking advantage of gravity.
Once you insert the catheter, inflate the balloon at the end of the catheter. Use 20 to 25 cc ml of water to inflate the balloon once the catheter is in the rectum. This forms a "plug" and prevents the enema fluid from leaking out of your child's bottom. Once you have given the fluid, your child should remain in the "enema position" for five to ten minutes. This can be difficult for young child but keeping the child in this position will help to keep the interaction between the fluid and stool as long as possible.
Use a timer so the enema's retention time is constant every day. After five to ten minutes of enema retention, have your child sit on the toilet for about 45 minutes to allow the bowel to empty completely.
This experience can be made more pleasant by having books, art supplies or videos available. If your child is in diapers, you can simply put a diaper on your child and wait for the recommended 45 minutes. Enemas should be given at about the same time each day when used for fecal incontinence treatment. This will help your child stay free of stool accidents.
Every month we dedicate one week for bowel management to determine the amount of laxatives that your child may need to empty their colon on a daily basis. We also determine the specific enema that you should give to a child with fecal incontinence once a day to help keep them clean. International Center for Colorectal and Urogenital Care.
Fax: Email: colorectal childrenscolorado. Facebook Twitter LinkedIn Print. Watch this video to learn more about how to give your child an enema at home.
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You will be taken to a private area where there will not be any interruptions and where there is a toilet nearby. You will be asked to lie on your left hand side and to draw your knees up so that they are touching your chest. The nurse or doctor will then insert the nozzle of the enema into your bottom and will squeeze the bottle so that the liquid is emptied out. You will then need to lie still for a while the doctor or nurse will let you know how long for and afterwards you will be able to go to the toilet.
If you have very bad constipation you may need a few enemas. However, they are only recommended for occasional use. If your constipation is bad, adjusting your diet is usually more effective. You may feel a bit embarrassed, but try to remember that doctors and nurses do this sort of thing everyday. This information does not constitute health or medical advice and will not necessarily reflect treatment at other hospitals.
If you have any questions, please ask your doctor. No liability can be taken as a result of using this information. Going home Real stories Take a virtual tour of Great Ormond Street Hospital Wards and departments Ward and admissions information Departments Conditions and treatments Conditions we treat Medicines information Health dictionary General medical conditions Procedures and treatments General health advice Clinical outcomes Clinical guidelines Our people Staff A-Z Our research Our vision Research and innovation Taking part in research Our research infrastructure Collaborate with us Contact us Research activity Our history of medical breakthroughs Information for researchers Our research facilities Publications and Research Reviews.
You are here Home Teenagers Tests and treatments Enema Enema An enema is when a liquid is inserted through your anus bottom to the rectum. Why it's needed There are a few reasons why someone might need an enema.
They include: to relieve constipation to clear the bowel before surgery or childbirth as a way of giving medicines such as steroids What happens You will be taken to a private area where there will not be any interruptions and where there is a toilet nearby.
The liquid will have softened your faeces poo so that you can go to the loo more easily. Does it hurt? Compiled by:. Last review date:. January Disclaimer This information does not constitute health or medical advice and will not necessarily reflect treatment at other hospitals.