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Barium Enema

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Submitted By aaon
Words 263
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ntroduction
A barium enema is an X-ray exam that can detect changes or abnormalities in the large intestine (colon). The barium is introduce retrogradely thru the anus. Indication
 Change in bowel habit
 Abdominal mass
 Abdominal pain
 Melaena
 Diverticulum
 Obstruction
 Intussusception
 Volvulus
 Colitis Contraindication
 Incomplete bowel preparation
 Recent Barium Meal
 Complete Obstruction
 Possible perforation of viscus
 Rectum biopsy

Equipment
1. Enema container and tubing
2. Drip stand 100cm 6. Clip/Forecep
3. Incontinence sheet 7. Bedpan
4. Lubricating Jelly
5. Fluoroscopic room Contrast Media
 600ml barium sulphate suspension
 Polibar 125% w/v
 Air

Patient Preparations
1. Bowel Preparation : a) 3days before the exam take low residue diet. b) 1 day before exam take fluid only with Picolax at 8am & 6pm c) On examination day empty the bowel and procedure after 1 hour of emptying bowel.
2. Take Laxative(ducolax) on each preceding 2 nights.
3. Nil Orally prior to the examination . Do not smoke 4-6 hours before examination

Technique
1. Patient lie on one side of the incontinence sheet then catheter is inserted into the rectum.
2. Injection of Buscopan or Glucogan is given to relax the muscle.
3. Infusion of barium begins. Intermittent screening is taken to check the progress .
4. Air is pumped in to force the barium to move and give double contrast effect.

Aftercare
 Patient should be warned that bowel motion will be white for a few days.
 Patient is advice to continue taking laxatives intake & increase water intake to avoid barium impaction
 Patient is advice to stay in the department until blurring of vision is resolved

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