Rectum children

Pediatric Fleets enema or biscodyl suppository Nightly for first 3 days Per rectum Child may experience sense of intrusion colonic perforation possible (rare)... 

The easiest position for insertion is to lie the child down on his or her side with knees pulled up. Lubricate the suppository and insert 2-4 cm into the rectum. For a baby, use the little finger to insert for a child or young person, use the index finger. Then gently hold the child s buttocks together for 5 minutes if possible to prevent expulsion of the suppository. If the suppository is for laxative use ensure that the child has easy access to a toilet or potty. Parents... 

Before the administration of a rectal suppository, the child s rectal area should be thoroughly cleaned. The infant or child should be placed on his or her side or stomach. The wrapper should be removed from the suppository and its pointed end should be inserted into the rectum above the anal sphincter. (If only half a suppository is prescribed, the suppository should be cut lengthwise before administration.) A finger cot or finger wrapped in plastic can be used for administering the suppository.Because an infant or small child cannot adequately retain a suppository in the rectum, the buttocks can be held together firmly for a few minutes after rectal administration to hold the suppository in place. " ... 

The funnel-shape of the cow horn makes it easy to use this form of treatment - however we must remember the report from Segal [19] in which the complications of rectal perforation and colitis are ascribed to the instruments and methods used to administer treatments rectally. The hollowed out reed is only used in children. Here the prescribed solution is first aspirated into the hollow reed and the blackened tip is inserted into the rectum. The sangoma will then blow through the hollow reed forcing the herbal medicine into the rectum of the child. 

Death A fatal intoxication was reported in a 2-year-old female child, witii prolapsed rectum and cystic fibrosis, when phenol was used as a sclerotherapeutic agent. The authors question the use of phenol for this purpose due to its narrow therapeutic index and the availability of safer alternatives [83 ]. 

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