What is an enema? How is an enema done?

Enema is one of the methods used to cleanse the intestines and treat many bowel diseases. Dating back thousands of years, enema treatment was carried out with the help of some herbs and spices in ancient times. In some parts of Africa, it is known that more than one enema is applied to babies under the age of two in order to cleanse the intestines and encourage early development. In order to understand the enema treatment applied today and to learn in which areas it is used, first of all, it is necessary to know what enema is and what it contains. Thus, the applied treatments become more understandable and the hesitation of the patients who have hesitation about the treatment can be reduced to some extent.


What is an Enema?

The question of what is an enema is an issue that is highly curious but the answer is not fully known among the public. The procedure of emptying the intestines by sending fluid or gas to the rectum, which is the lower part of the large intestine, and preparing the person for the tests or treatments to be applied, is defined as an enema. It can be used in a variety of situations to treat colonoscopy, sigmoidoscopy, surgery, constipation or difficulty bowel movements. The most commonly used method to prevent especially severe constipation is enema method. It is very effective for emptying the intestines in cases where the patient cannot defecate himself. There are many enema kits that can be applied at home, but it is the best method to get help from specialists such as nurses or doctors in order to prevent injuries and wrong applications. Enemas have many uses. Before surgical procedures or treatment methods in the hospital, the enema to be applied should be performed by healthcare professionals. However, you can apply it at home by following the correct procedures of the enema used in the treatment of constipation. In very severe constipation, the use of an enema is recommended after a few drugs have been ineffective. However, regular use of enemas can lead to some serious health problems. Considering this situation, it is not recommended to apply enema without consulting healthcare professionals.


Why is an enema done?

There are several different areas where the enema method is applied. The most common of these is the treatment for severe constipation. Generally, doctors primarily treat the disease with stool softening drugs or suppositories. If all these treatment methods remain unsolved, it is decided to apply an enema. Since this method, called laxative enemas, may cause dehydration and electrolyte imbalances, it is necessary to consult a specialist. In intestinal surgery, an enema is applied to prepare the patient for surgical intervention. In order to control the polyps and abnormalities in the intestine more easily and precisely, the intestine must be clean. Thus, correct diagnosis and treatment is possible. To achieve this, enemas containing sodium phosphate are used. Since there will be no stool in the intestine after the application, all diagnosis and treatment methods are performed in a healthier way. Some cancer screenings have an imaging exam called a barium enema. In the x-ray application, a liquid containing barium is injected into the intestines in order to visualize the large intestine more clearly. In addition, some enema methods are used in the treatment of colon disease and Crohn’s disease.



How Is An Enema Done?

The barium enema used in the colon imaging examination is applied in case of detection of existing changes and abnormal conditions in the intestine. Before the procedure is applied, this enema is applied by injecting liquid into the large intestine with the help of a doctor or nurse. Drain enema is a mixture of solutions in a tube. It has a thin tip and a tube for easy access to the rectum. The hose used should be flexible and soft in order to prevent any damage or injury to the rectal tube. Before starting the application, lubricating substances such as petroleum jelly or gel are applied to the tip of the rectal tube. From the slippery area, the tube is sent to the rectum and the liquid is sent into the intestine. In order for the application to be successful, it is important for the person treated to pull their knees towards their stomach or breasts. The liquid being at room temperature makes the patient feel more comfortable. In the enema to be made at home, nothing should be eaten at least 30 minutes before the application. The procedure proceeds in parallel with the methods applied in hospitals. The sick person should clean the area where he will lie on the ground, his hands and body correctly. In the enema to be used, it is important to understand the application method correctly and to apply all steps meticulously. The patient should pull his knees to his chest and continue with this hand whichever hand he is using. In order for the tube to be inserted into the rectum easily, it is necessary to get help from lubricating substances such as petroleum jelly. Depending on the type of enema, there is a waiting period of 2 minutes to 2 hours after application. Taking this into account, it is necessary to be close to the toilet. Correctly following the instructions on how to do the enema will prevent the patient from worries.


What are the Types of Enemas?

There are several commonly used types of enemas. These can be divided into therapeutic, excretory and salofalk. Solutions used as drain enemas contain sodium, phosphate, oil, minerals and bisacodyl. These substances help the stool in the intestine to soften and become fluid. The reason for using drainage enemas is to prevent an infection that may occur. It contains plenty of olive oil, steroid and glycerin. All these substances make the stool softer, making it easier for it to move towards the anus in order to be expelled from the intestine. Therapeutic enemas are mixtures containing drugs for treatment. Administration of such enemas is performed by a specialist. Because unlike draining enemas, it must be sent to the intestines very slowly. The purpose of this is to prevent the stimulation of the rectum. Otherwise, a feeling of defecation will occur in the intestines and the duration of the drug in the rectum will be shortened. This period should be extended and the drug should remain in the area to be treated for a very long time. It is applied for the treatment of parasites in the intestine. It is aimed to treat the infection caused by the parasites. Barium enemas used for providing electrolyte balance and imaging are also included in this group. Finally, salofalk enema is applied in all diseases that cause inflammation of the intestine, including Crohn’s disease and ulcerative colitis. These types of enemas contain mesalazine substance. In the treatment of chronic bowel diseases, it is recommended to be used regularly under expert control.



What Are the Benefits and Side Effects of Enema?

Lavman, bağırsakları temizlemenin en etkili yolu olarak tüm dünyada kullanılan bir yöntemdir. Geçmişi binlerce yıla dayanır ve tedavi amacıyla vücudu istenmeyen toksinlerden arındırır. Karın ağrısından baş ağrısına kadar birçok ağrı için binlerce yıldır lavman kullanılmıştır ve kullanılmaya devam edilmektedir. Çağdaş tıpta kabızlığın giderilmesi, bağırsak semptomlarının giderilmesi, iltihaplı bağırsakların tedavisi gibi birçok alanda farklı türden lavmanlar uygulanır. Tüm bu uygulamalar sonunda hastanın sağlıklı bir bağırsağa sahip olması sağlanır. Böylece hasta daha sağlıklı bir vücuda sahip olur. Tavsiye edilen kullanımın dışına çıkılmadığı sürece lavman uygulamasının çok fazla yan etkisi yoktur. Ancak çok nadir de olsa kolonun zedelenmesinden dolayı kanamalar ve bu kanamalar sonucunda oluşan enfeksiyonlar ortaya çıkabilir. Evde uygulanan lavmanlarda prosedürlere dikkat edilmemesi yaralanmalara neden olabilir. Baryum lavmanında da kolonun tıkanması durumu ortaya çıkabilir. Tüm bunların önüne geçilmesi amacıyla uzmandan yardım almak ve tüm prosedürleri uygun bir şekilde gerçekleştirmek önemlidir.

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