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KMID : 0882420150880010015
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Korean Journal of Medicine
2015 Volume.88 No. 1 p.15 ~ p.21
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Local Management of Constipation: Enemas, Suppositories
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Kim Seong-Eun
Shin Jeong-Eun
Hong Kyoung-Sup
Lee Tae-Hee
Lee Bong-Eun
Park Sun-Young
Hong Sung-Noh
Jung Kee-Wook
Park Kyung-Sik
Choi Suck-Chei
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Abstract
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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.
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KEYWORD
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Constipation, Enema, Suppository
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