This manipulation still a couple of decades ago was one of the most common means of helping with the delay of the stool. Now an enema for children with constipation is used much less often, as other alternative drugs have been created-medications.
However, in exceptional cases, the setting of a cleansing enema is still applied. It is important to carefully prepare for it and take into account all the nuances of this important event.
- 1 Causes of constipation in children
- 2 What can be done before the enema
- 3 Indications and contraindications for the use of enema
- 4 Compositions for enemas and fluid norms
- 5 How to put an enema for infants
- 6 Cleansers for children from year to older
Causes of constipation in children
Depending on the age and characteristics of the baby's diet, various constipation criteria apply. So, for babies on natural feeding, the norm can be a stool with a frequency of 2-4 days, the mother's milk is so effectively digested.
And for children on artificial feeding of the same age, a daily chair is important, as well as for a child of preschool age. So, if the defecation goes less often than once in three days, and while the child defecates with great difficulty, it is believed that his constipation.
Often the consistency of the stool is so hard that the act of defecation brings the child suffering. The next time he tries to delay this moment as far as possible, and the vicious circle closes.
All the time, until the child suffers, afraid to go "big", the liquid from stools is absorbed into the walls of the intestine. Hardened stools again cause a lot of unpleasant sensations, and further desires are again ignored. In addition to psychological, there are other causes of constipation:
- , the lactating mother's diet contains foods that provoke constipation in the baby;
- is not suitable for infant formula on artificial feeding or introduced complementary foods that do not match the digestive capacity;
- preschooler does not want to break away from the game or an interesting lesson;
- little child drinks;
- children's diet is not balanced, it is dominated by meat products, sweets, buns;
- the kid has transferred or carried course of treatment by antibiotics, there was a dysbacteriosis;
- the child can not relax in the public toilet( in school, in kindergarten);
- the child suffered a disease accompanied by fever or diarrhea, and as a result, dehydration of the body occurred.
Very rarely constipation arises from the aspiration of a child under a hyperope, at least to control something in his own life.
What can be done before the enema
If children have constipation that does not cause significant discomfort and does not need to take urgent measures to eliminate it, you can try to do without enemas.
So, for example, constipation due to dysbiosis can be gently eliminated by carefully selected prebiotics and probiotics.
The restored intestinal microflora normalizes the defecation process without the use of an enema.
If the cause of constipation in the improperly formulated diet of the baby, it is necessary to stimulate defecation by the introduction of additional amounts of vegetables, fruits and juices.
To excellent results results normalization of drinking regimen or the use of Lactulose - a prebiotic with laxative effect. Constipation of mixtures for artificial feeding and revision of the ration of the nursing mother help to stop constipation in the baby.
In case of ineffectiveness of such measures, the pediatrician can recommend special candles. As a first aid glycerin suppositories are suitable. If the children's candles were not purchased, you can use candles for adults, divided into four parts.
Usually the effect of such treatment of constipation comes after a quarter of an hour. No less effective microclysters Mikrolaks. Their active substance occupies a small volume, which is especially convenient for their use in infants.
Indications and contraindications for the use of enema
The inability to perform an act of defecation on their own, the discomfort tolerated by the baby, crying, complaints of abdominal pain in combination with a stool delay give grounds for the use of enema.
This medication can not be used regularly. An enema in children's constipation is put on when alternative measures have already been exhausted, and the effect has not yet come. Possible consequences of regular use of the enema:
- the intestine becomes "lazy", its peristalsis weakens;
- leaches a useful microflora, bifido- and lactobacilli, responsible for the normalization of digestion;
- microflora leads to a decrease in immunity.
If an enema is placed without consulting a doctor, there is a risk of missing dangerous diseases and conditions, aggravating an already difficult situation. Absolute contraindications for enema:
- soreness procedure;
- prolapse of rectum;
- suspicion of appendicitis, peritonitis.
Children's enema with constipation is placed with full confidence of parents in the absence of contraindications. It is used in addition to constipation even when preparing for a diagnostic examination of the gastrointestinal tract.
Composition for enema and fluid norm
This procedure is done using boiled water slightly warmer than room temperature. Cold liquid provokes a spasm of the intestine, very warm water will be actively absorbed through the walls of the intestines, entraining toxins from the feces.
The optimum water temperature is + 26 + 30? C.A more effective enema will be if you add glycerin to the water( 1-2 tsp per liter of water), or make it with a decoction of chamomile. You can use a soapy solution from a small piece of baby soap.
Too small amount of water for introduction into the intestine of the child will not have its effect, too much fluid can cause the baby pain. Calculate the correct volume of fluid help table:
- newborn - 25 ml
- 1-2 months.- 30-40 ml
- 2-4 months - 60 ml
- 6-9 months - 75-100 ml
- 9-12 months.- 120-170 ml
- 1-2 years - 200-250 ml
- 2-5 years - 300 ml
- 6-10 years - 400-500 ml
For carrying out of manipulation it is necessary to prepare a small soft rubber pear which should be boiled and cooled beforehandto room temperature. The plastic tip can damage the tender tissues of the baby, better if it is rubber.
How to put an enema infants
To put an enema, cover the surface of the changing table or beds with oilcloth and diaper. The kid needs to be put on a back, to lift its legs upwards. It is better, if someone helps to carry out this procedure, will hold the child.
The air is extracted from the pear and the enema fluid is taken into it. After that, lightly compress the pear to let out excess air from it, and only liquid remained.
The tip is lubricated with Vaseline and very gently injected into the anus 3-4 cm towards the navel, and then along the spine.
The liquid can not be drastically discharged from the pear into the intestine. This is done with cautious small pushes until the rubber pear is completely emptied. The compressed pear is taken out from the anus, if it is unclamped prematurely, all the liquid from the intestine, will be absorbed back into the syringe. The buttocks of the child are compressed for a few minutes, on average 5-15 minutes you can see the effect of the enema.
How to put an enema baby, will tell a video:
Enema for children from a year and older
The procedure for doing this procedure is practically the same as for enema for infants.
Up to three years, children do not use pears with a plastic tip. Older children are more comfortable doing an enema when they lie on their sides, with slightly bent knees in their legs.
The surface on which the child lies is covered with a disposable oilcloth. After the enema, it is better to squeeze the buttocks for 5-10 minutes, not allowing liquid from the rectum to pour too quickly back.
An enema for a child is an exceptional measure. It is used as a last resort, if the remaining measures had no effect. Carrying out this manipulation requires careful preparation. It is necessary to take into account the volume of the enema, the temperature of the liquid, and to carry out the procedure with the utmost care.
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