What Is the Treatment for a Prolapsed Bowel?

Defecation care is a way to take care of yourself and stay healthy.

Defecation care

Observation of normal bowel movements

Normal feces are yellow-brown, 1 to 2 times a day, with an average amount of 150-200 g. They are soft and shaped and contain a small amount of mucus. The smell of feces is caused by the decomposition and fermentation of protein and bacteria.

Observation of abnormal feces

(1) Shape: It is chestnut-like when it is constipated; stool is flat or band-shaped when the anorectum is narrow or part of the intestine is obstructed.

(2) Color: tar-like samples are seen in upper digestive tract bleeding; dark red is seen in lower digestive tract bleeding; clay-colored is seen in complete biliary tract obstruction; jam-like samples are seen in amoebic dysentery or intussusception; bright red on stool surface or after defecation Dripping blood is seen in anal fissure or hemorrhoid bleeding.

(3) Smell: Sour smell is seen in indigestion; rancid smell is seen in rectal ulcers and bowel cancer; fishy smell is seen in gastrointestinal bleeding.

(4) Mixture: A large amount of mucus in stool is found in enteritis; stool with pus and blood is found in dysentery and rectal cancer.

Factors affecting bowel movements

(1) Age

(2) Diet

(3) bowel habits

(4) Treatment factors

(5) Disease factors

4. Nursing of constipation patients

(1) Psychological nursing, patient explanation and guidance.

(2) Provide a defecation environment and cover it with a screen to allow patients to defecate with ease.

(3) Place the patient in a proper position, sitting or squatting position. The patient in the supine position can raise the head of the bed as appropriate.

(4) Help the patient to do a centrifugal circular massage on the abdomen to stimulate bowel movements and help defecation.

(5) Give oral laxatives as directed by your doctor.

(6) Use simple laxatives to defecate by softening stools, lubricating the intestinal wall, and stimulating intestinal peristalsis.

(7) Health education

(8) When the above method is not effective, enema is given according to the doctor's order.

V. Nursing of diarrhea patients

(1) Rest in bed to reduce physical exertion.

(2) Encourage patients to drink more water, enter a liquid or semi-liquid diet, fast when diarrhea is severe, or rehydration according to the doctor's advice to prevent water and electrolyte disorders.

(3) The patient is instructed to wipe with soft paper, wash with warm water after each defecation, and apply ointment around the anus to protect the skin.

(4) Observe the defecation situation and record it in time; when infectious diseases are suspected, they should be handled according to the original isolation principle of Medical Education Network.

(5) Do well in health education.

6. Nursing of patients with fecal incontinence

(1) Psychological nursing, giving comfort and encouragement; and keeping indoor air fresh.

(2) Do skin care well and keep it clean and dry to prevent bedsores.

(3) Observe the defecation response, use the bedpan to the patient in time, and help the patient rebuild the control ability of defecation.

(4) Health education, teaching patients to perform pelvic floor muscle contraction exercises and gradually restore the control of the anal sphincter.

The purpose, operation method and precautions of various enema methods

1. A lot of enema is not retained

(1) Purpose: relieve constipation; prepare for certain operations, examinations or childbirth; cool down patients with high fever.

(2) Operation method: Prepare 500 ~ 1000ml of soap water or saline with a temperature of 39 41 , 0.1% 0.2%, 28 32 for cooling, and 4 saline for heat stroke patients. The patient took the left lateral position, the liquid level of the enema tube was 40 to 60 cm from the anus, and the anal canal was inserted into the anus 7 to 10 cm to make the solution flow slowly. When the patient feels bloating or has a loose heart during the operation, instruct the patient to take a deep breath to reduce the pressure; if the liquid flow is blocked, move the anal canal slightly. If the patient has a pulse rate, pale face, cold sweats, severe abdominal pain, or palpitation, he should stop the operation immediately. The patients were instructed to retain the solution for 5 to 10 minutes after defecation.

(3) Precautions: protect the patient's self-esteem and reduce exposure; cooling enema should be kept for 30 minutes after defecation, and body temperature should be measured 30 minutes after defecation; patients with liver coma should not use soapy water enema to reduce ammonia production and absorption; congestive heart failure patients should not use physiology Saline enema to reduce sodium absorption; Enema for typhoid patients, the fluid volume does not exceed 500ml, the pressure is reduced, and the liquid level is less than 30cm from the anus.

(4) Contraindications: acute abdomen, gastrointestinal bleeding, pregnancy, severe cardiovascular disease.

2. A small amount does not retain the enema

(1) Objective: To relieve constipation, eliminate intestinal gas accumulation, and reduce abdominal distension.

(2) Operation method: Prepare solutions 1, 2, and 3 (30% 50% magnesium sulfate, 60ml glycerol, and 90m1 water), and 20 to 22 anal canals. The patient took the left lateral position, the liquid level was less than 30cm from the anus, and the anal canal was inserted into the anus 7-10cm, so that the solution slowly flowed in. The patients were instructed to retain the solution for 10-20 minutes before defecation.

3. Clean Enema

(1) Purpose: To completely remove the feces trapped in the colon. It is often used for rectal and colon X-rays and intestinal preparation before surgery.

(2) Operation method: Enema with soap water for the first time, then enema with physiological saline several times until the clear solution is clear and no feces.

(3) Note: The pressure should be low, let the patient rest for a while after each enema.

4. Retention Enema

(1) Purpose: To keep the liquid in the rectum or colon from the anus, and to absorb it through the original intestinal mucosa of the medical education network for sedation, hypnosis and treatment of intestinal infections.

(2) Operation method: commonly used medicinal solution is 10% chloral hydrate. The liquid volume is less than 200ml, and the temperature is 39 41 . Before the operation, patients were instructed to defecate, and those with chronic diarrhea were placed on the left side, and amoebic dysentery was taken on the right side. Raise the buttocks by 10cm, insert the anal canal into the anus 10 ~ 15cm, and the liquid level should be less than 30cm from the anus. After filling, pull out the anal canal, gently press and rub on the anus with toilet paper, and keep it for more than lh.

(3) Precautions: Patients with anal, rectal and colon surgery and patients with defecation incontinence should not be used for retention enema.

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