Big belly training turns out enema can solve the problem

Because of long-term constipation, the old stool cannot be metabolized well, so indigestion will occur. The so-called nutrition is not successfully decomposed, but converted into fat, causing many people's stomachs to begin to become bigger. A big belly is a characteristic of intestinal disease. It can be solved in normal times by non-retaining enema. Enema can speed up the excretion of stool and expel all the old stool in the body, thereby achieving the effect of complete treatment.

Enema is divided into the following situations

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. No-retention enema method

1. Large-volume non-retention enema

(1) Purpose

① Soften and clear feces and eliminate intestinal gas.

②Clean the intestines in preparation for surgery, examination and delivery.

③ Dilute and remove harmful substances in the intestines and reduce poisoning.

④To cool down patients with high fever.

(2) Supplies: The treatment tray should be equipped with an enema tube (rubber tube and glass tube, total length 120 cm), rectal tube, curved tray, hemostatic forceps, paraffin oil, cotton swabs, toilet paper, water thermometer, adjustment stick, rubber cloth and treatment towel (or disposable diaper), bedpan, infusion stand, and screen.

(3) Commonly used solutions: normal saline, 1% soapy water.

(4) Liquid volume and temperature: The dosage for adults is 500-1000ml each time, the dosage for the elderly is 500-800ml, and the dosage for children is 200-500ml. The liquid temperature is 39-41℃, and the cooling temperature is 28-32℃. Patients with heatstroke can use 4℃ isotonic ice saline.

(5) Operation method

① Prepare all the supplies and bring them to the patient's bedside, explain the purpose to the patient, eliminate his or her concerns to gain cooperation, and ask the patient to urinate. In large wards, use a screen to cover the patient.

② Assist the patient to assume left side decubitus position (according to the anatomical position of the intestine, gravity is used to allow the solution to flow smoothly into the intestinal cavity), take off the pants to the knees, bend the right leg, straighten the left leg naturally, move the buttocks to the edge of the bed, place the rubber cloth and treatment towel (or disposable diaper) under the buttocks, and place the bent plate next to the buttocks. If the patient loses control of the anal sphincter, the patient can be placed in a supine position with a bedpan placed under the buttocks. Do not expose the patient's lower limbs and cover with a blanket.

③ Hang the enema tube on the infusion stand, with the liquid level 40-60cm away from the anus, lubricate the front end of the anal canal, connect the anal canal with the glass tube on the enema tube, release a small amount of liquid, exhaust the gas in the tube, clamp the rubber tube with hemostatic forceps, hold toilet paper in the left hand to separate the patient's buttocks, expose the anus, ask the patient to open his mouth to breathe, relax the anal sphincter, and insert the cannula according to the anatomical characteristics, that is, first forward, then right back, gently insert 10-15cm into the rectum, loosen the hemostatic forceps, fix the anal canal, and allow the solution to flow slowly into

④ Observe the situation below the liquid surface. If the flow of solution is blocked, move the anal canal slightly. If necessary, check whether there is any fecal blockage. If the patient has the urge to defecate, the enema tube should be lowered appropriately to slow down the flow rate, and the patient should be asked to take a deep breath to relieve abdominal pressure.

⑤ When the solution is about to flow out, clamp the rubber tube, wrap the anal canal with toilet paper, pull it out and put it into the curved tray, and wipe the anus clean. Instruct the patient to lie flat and hold bowel movements for 5-10 minutes to help soften the stool.

⑥ For patients who cannot get out of bed, provide them with a bedpan and place toilet paper within easy reach of the patient.

⑦ After defecation, assist the weak patient to wipe the anus, and take out the bedpan, rubber sheet and treatment towel. Help patients wash their hands, make their beds, and open windows for ventilation. Observe the stool and take samples for testing if necessary.

⑧ Arrange and clean the enema materials, and disinfect them for later use. ⑨Record the results in the stool column of the temperature sheet for that day.