What should we pay attention to when giving enema to children?

Children's intestinal diseases are the most concerned part for parents, because the physical fitness of modern children has seriously declined, and naughty children are more likely to be exposed to some disease viruses, which greatly increases the probability of gastrointestinal diseases. Severe gastrointestinal diseases require enema treatment for children, otherwise the disease will become more and more serious. Let’s take a look at what to pay attention to when giving enema to children.

Enema is the process of injecting a certain amount of solution through the anal canal, from the anus to the rectum and into the colon to help the patient defecate and expel gas. The purpose of confirming the diagnosis and carrying out treatment can also be achieved by injecting drugs.

1. Large-volume non-retention enema method

(1) Understand the temperature, concentration, flow rate, pressure and liquid volume of the enema solution. When giving enema to typhoid patients, the solution should not exceed 500 ml and the pressure should be low (the liquid level should not be more than 30 cm from the anus).

(2) For cooling enema, you can use 28-32℃ isotonic saline, or 4℃ isotonic saline, which should be retained for 30 minutes before being discharged. Measure the body temperature and record it half an hour after defecation.

(3) Pay attention to the patient's reaction during the enema process. If necessary, stop the enema immediately and take appropriate measures.

2. Precautions for retention enema

(1) Before enema, understand the location of the lesion so as to choose the appropriate lying position and the depth of insertion into the anal canal.

(2) To improve the efficacy, ask the patient to defecate before enema and follow the operating principles of "thin, deep, small, slow, warm and quiet", that is, the anal canal is thin, the insertion is deep, the amount of liquid is small, the flow rate is slow, the temperature is appropriate, and the patient should lie still after enema.

(3) Children are usually in the breastfeeding position during enema, which makes it easier for nursing staff to perform the operation;

(4) After the enema is completed, parents should clamp the child's buttocks and lift them about 10 cm to allow the infused liquid to be retained longer and to facilitate full absorption by the intestinal mucosa;

(5) After the drug is injected, a quiet place should be chosen for the child to sleep. Parents of children who live far from the hospital are especially reminded not to let their children sleep on the way, so as not to reduce the children's sensitivity to the medicine, reduce the sedative and hypnotic effects of the medicine, and cause inconvenience to the examination.