Enema of the child with constipation: the rules of procedure
Children begin to suffer from problems with digestion almost from the first days of their lives. Enema for a child with constipation can be a real salvation, as this is the fastest way to evacuate the intestine in such an emergency situation.
The main goal of the enema is to cleanse the intestines of stool and toxins, which, if constipated, can cause poisoning and intoxication of the body. It is not difficult to make an enema, the main thing is to know the proportions of water or medicinal solution necessary for its carrying out, they must correspond to the child's age criteria.
Types of enemas for children
This procedure, like an enema, despite the apparent simplicity, requires compliance with certain requirements and the availability of skills, since any errors made during its conduct may aggravate constipation or cause other complications. It is also important to consider that there are different types of enemas that have their differences.
Depending on which solution will be used for internal administration - water, oil, saline or drug, constipation enemas for children are oily, hypertonic and purifying. Also on sale you can find a ready system - Mikrolaks, this enema can be done with constipation even to a newborn baby.
Oily enema
Recommended for gentle cleansing of the intestines. You can make an oil enema with constipation with the help of boiled sunflower or olive oil, as well as vaseline, which can be purchased at the pharmacy.
Any oil heated to 38 ° C, effectively relaxes the walls of the intestines, relieves spasms, improves the progress and evacuation of stool due to enveloping properties. An oily enema in the home is recommended to be done during a child's constipation in the evening hours, so that bowel evacuation occurred in the morning( the effect of it is not achieved immediately, but 8-12 hours after the manipulation).
Hypertonic enema
To make the effect as fast as possible in case of constipation, the child is recommended to put a hypertonic enema. For its carrying out, salt solution or magnesia is used, since they have a similar mechanism of action.
Salt solution leads to an increase in osmotic pressure in the lumen of the intestine, which leads to a sharp increase in fluid flow. As a result, feces begin to loosen and move faster through the intestines. Simultaneously, the saline solution enhances the intestinal contractile activity, providing an irritating effect on the mucosa and facilitating evacuation of feces.
But experts rarely recommend that this type of enema be made to a child in case of constipation, since it has a powerful irritant effect.
Cleansing enema
Oily and hypertensive enemas stimulate the bowel to self-emptying, but not always they are effective. In this case, a purifying enema is shown. Its task is to simply wash out stool from the intestine. That is, such an enema does not affect the receptors and tone of the muscles of the intestinal wall.
Cleansing enema is considered an emergency measure and is prescribed only as a last resort. To conduct it, you need an Esmarch mug and boiled water, which must be injected into the intestine for 15 minutes for further cleansing. The water temperature should be below room temperature. You can add a decoction of chamomile or acidify it with apple cider vinegar. If you do not wait for the time, the effect of the cleansing enema will be negligible.
microclysters microlax
Many moms wonder how to do an enema infants with constipation, if not the syringe and have no desire or skills to prepare solutions at hand. In this case, the ready-made Microclax micro-lax will come to the rescue, which can be done for a child 2 weeks and older.
This enema contains glycerol, sodium citrate, sorbitol and sodium lauryl sulfoacetate. Its indisputable advantages are a small volume of injected liquid( only 5 ml) and a quick effect - bowel emptying occurs already in 10-15 minutes after the procedure.
Microclyster Microlax does not have a systemic effect and does not adversely affect the functioning of the intestine. Formation of addiction is excluded.
Are there any contraindications?
Like any treatment and prophylactic procedure, the enema should be performed taking into account indications and contraindications to the application.
As a rule, experts do not advise to carry out under the following conditions klizmirovanie :
- inflammation in the bowel area;
- cracks in the anus;
- prolapse of the rectum;
- single or frequent bleeding from the rectum;
- chronic stage of hemorrhoids;
- rub in the abdomen;
- suspicion of appendicitis and peritonitis.
In all these situations, the enema can be harmful. These conditions are an occasion for a visit to the doctor.
Harm and benefit
If the child can not empty the bowels by itself, constipation gives him discomfort and abdominal pain. The enema not only removes stagnant stool from the intestines, but also toxins that poison the body. But this procedure should not become regular, as it only alleviates the problem for a while, rather than eliminates its root cause.
To put an enema infants and a child older than a year with constipation can be provided that all alternative methods have been exhausted, and the emptying of the intestine has not come.
abuse enemas for constipation in infants and older children has a negative impact on the condition of the intestine, causing its activity disorder:
- formation dysbiosis due to leaching beneficial intestinal microflora;
- development of the syndrome of "lazy" intestines due to the weakness of its peristalsis;
- development of chronic constipation;
- violation of acid-base balance;
- decreased immune defense.
How clysterize
child is only natural that young parents are concerned about how to do an enema for constipation child. To do this, you need to buy a syringe in the pharmacy, the size of which depends on the child's age.
recommended volume of fluid per procedure also corresponds to age:
- newborn baby - 25-50 ml;
- a baby from 6 months to 1 year - 100-150 ml;
- 1-2 years - 150-200 ml;
- 2-3 years - 200-250 ml;
- 3-5 years - 300 ml;
- 5-10 years - 400 ml;
- is over 10 years old - 500 ml.
How to do an enema, what is it allowable, which solution to choose to carry it out - all these issues should be discussed with your doctor.
Before the procedure you need to prepare all the necessary items: a syringe, and the solution for enemas, age-appropriate child, mineral oil or baby lotion, diaper and oilcloth, which will lay the baby. It is important to make sure that the water or solution has the optimum temperature: 14-18 ° C for cleaning and 38 ° C for an oil enema.
Procedure:
- Wash the syringe from inside and outside with hot water and soap and rinse with boiling water. Cool the pear, making sure that there are no residual liquid left inside it. It is important to pay attention to the fact that the tip of the pear should be soft, in this case its introduction into the anus of the child does not injure the baby's mucous membrane.
- Wash hands thoroughly. Drain into a syringe liquid intended for enema, lightly squeeze the balloon and remove the remaining air from it until a solution appears on the nose of the pear.
- Lubricate the tip of the syringe with a small amount of baby cream or vaseline oil.
- The child during the procedure should be on the left side with legs tucked to the stomach. If the enema with constipation is performed by a newborn or a baby, the position of the toddler on the back with legs raised to the abdomen will be most convenient. Carefully insert the tip of the syringe into the anal opening of the child to a depth of no more than 5 cm.
- It is necessary to slowly and gently squeeze the pear without making sharp movements. After all the solution has been injected into the intestine, it is also necessary to gently pull the tip of the pear and squeeze the baby's buttocks so that the liquid does not leak out. The kid can be worried at this moment, since in his stomach he already had unpleasant sensations associated with the administration of the solution. After a few minutes, the child will have a urge to empty his bowels, and he will be able to commit defecation. After the bowel movement is over, it should be washed.
Regardless of the age of the child, be it 2 weeks, or 2 years, the constipation enema is the fastest means of help. After carrying out this purifying procedure, the baby immediately calms down, its state of health is normalized.
But not always the enema plays a decisive role, sometimes it is not enough, even if the manipulation was carried out once or twice. Therefore, in addition, the doctor may prescribe drugs with laxative effect.
Remember, the health of the child depends on many factors, so do not engage in amateur activities, even if the window is cold winter or hot summer and do not want to go to the polyclinic once more. Such a condition as constipation is a cause for concern and requires a visit to a doctor.
Author: Olga Rogozhkina, MD,
specially for Moizhivot.ru
