Local Management of Constipation: Enemas, Suppositories.
- Author:
Seong Eun KIM
1
;
Jeong Eun SHIN
;
Kyoung Sup HONG
;
Tae Hee LEE
;
Bong Eun LEE
;
Seon Young PARK
;
Sung Noh HONG
;
Kee Wook JUNG
;
Kyung Sik PARK
;
Suck Chei CHOI
Author Information
- Publication Type:Review
- Keywords: Constipation; Enema; Suppository
- MeSH: Constipation*; Enema*; Fecal Impaction; Humans; Laxatives; Sodium; Suppositories*
- From:Korean Journal of Medicine 2015;88(1):15-21
- CountryRepublic of Korea
- Language:Korean
- Abstract: The treatment for constipation should be individualized and dependent on the cause, coexisting morbidities, and patient's cognitive status. Although most cases of constipation respond to conservative treatment, including dietary and life-style changes, or mild laxatives, some patients still complain of consistent symptoms and need an assessment of defecatory dysfunction. There is insufficient evidence to support the use of enemas in chronic constipation, although many clinicians and patients find them useful and effective for the treatment of fecal impaction when used with other modalities. In addition, suppositories can be considered as an initial trial for the treatment of defecatory dysfunction, since they help to initiate or facilitate rectal evacuation. The routine use of enemas is typically discouraged, especially sodium phosphate enemas, although tap-water enemas seem safe for more regular use. Soapsuds enemas are not recommended due to possible rectal mucosal damage.
