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August 8th, 2010
How to give a Enema to a child

Though this may sound like a ghastly subject to cover it remains a daunting task that some parents may have to complete at some stage of their child’s life. Knowing what to do and expect might temper some of the anxiety.

Enemas most recommended for children are mineral oil or saline enemas. They can be acquired from a chemist without a prescription. Be sure to use a pediatric enema. Some enemas come with lubricated tips, else be sure to get a lubricant such as Petroleum jelly. Read the instructions before-hand. Normally small children and toddlers are only given half the bottle.

If the child is old enough to understand, explain to him why he needs the enema; that you know it is not nice to go through it and that he will have to try and lie very still – else he may get hurt.  Small children will have to be held down by at least 2 adults to ensure they are not injured.

Be sure there is someone the child trusts that can console him afterwards. This person should not be involved in giving the enema. Prepare a bed with plastic sheeting and towels. Have a nappy or potty close by – whichever a child uses.

It is very important that the child drinks a lot of fluid (preferably water and some electrolytes) before the time and afterwards as well. Enemas tend to dehydrate a child.

Try and warm the enema just a little bit under warm tap water. Position the child in one of two positions. On his stomach with his legs pulled up towards his chest. Or on his left side with his legs pulled up towards his chest. Be sure the tip of the enema is well lubricated and insert it into the anus, pointing towards the belly button. Slowly start squeezing the fluid out. (It is normal for some air to escape; just give it time to escape before continuing.) If there is any resistance when squeezing out the fluid, do not push harder. Rather pull back the enema a bit and push in again at a slightly different angle. Administer the recommended amount of fluid and remove the enema. Push the child’s bottoms together to keep the fluid in for a while longer. It is important to keep the fluid in for a while to give it time to reach the impaction itself.

If a child insists on going to the toilet, let him go. It is a good idea to let a child sit on the toilet for at least 45 minutes. Reading a book might help pass the time. Keep in mind that there may be a shocking amount of contents coming out and that it will smell quite dreadful – this is normal.

Small children who still wear nappies may have to be changed regularly. It can take up to a hour to clear out all the bowel content.

One Response to Treating Impaction in Children

  1. cebo says:

    i am a 28yr old male who needs help.

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