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what is the procedure for barium enema

by Ida Littel Published 2 years ago Updated 2 years ago
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During the exam
You'll begin the exam lying on your side on a specially designed table. An X-ray will be taken to make sure your colon is clean. Then a lubricated enema tube will be inserted into your rectum. A barium bag will be connected to the tube to deliver the barium solution into your colon.
Apr 27, 2022

What should I expect from a barium enema?

What to expect with a barium enema?

  • The barium enema test will take around one hour to complete.
  • You will be lying on your side on an X-ray table beneath an X-ray machine for your procedure.
  • X-rays are taken, and you may be required to hold your breath for a few seconds at a time.

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What type of Doctor can order a barium enema?

What type of Doctor can order a barium enema? Gastroenterologists therefore prescribe a barium enema to diagnose diseases and conditions associated with the large and small intestines, such as colon cancer or inflammatory bowel disease. A barium enema is usually done in your doctor’s office or the radiology department of a hospital.

What are the risks of doing barium enema?

Rarely, complications of a barium enema exam may include:

  • Inflammation in tissues surrounding the colon
  • Obstruction in the gastrointestinal tract
  • Tear in the colon wall
  • Allergic reaction to barium

How do you prepare for a barium enema?

You may need to do this again on the day of the test.

  • Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.
  • You will take a laxative. Your doctor will give you this to empty your intestines.
  • You may be asked to do a water enema to clean your colon. ...

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How painful is a barium enema?

Will it hurt? You may feel some discomfort when the enema tube is inserted. During the test, you may feel some discomfort, including bloating and severe cramping. You may feel as if you need to move your bowels.

Are you awake for a barium enema?

You will remain awake throughout the barium enema procedure. The contrast material (barium) will be put into the rectum through a plastic tube. Aside from that discomfort, you may feel the pressure of the liquid that is being administered.

Is the prep for a barium enema the same as a colonoscopy?

When colon lesions are suspected, barium enema as the first diagnostic procedure means that the patient must undergo a second bowel preparation prior to colonoscopy.

Why would a doctor order a barium enema?

A barium enema may be performed to diagnose structural or functional abnormalities of the large intestine, including the rectum. These abnormalities may include, but are not limited to: Ulcerative colitis. Ulcerations and inflammation of the large intestine.

How long does a barium enema take?

A barium enema usually takes 20 to 30 minutes.

How long does barium take to pass?

Often, additional X-rays are made after the barium has been excreted from the bowel, which is usually one or more days after the procedure. After the procedure, a small amount of barium will be expelled from the body immediately.

Is barium enema better than CT scan?

The researchers showed that CTC was more effective than barium enema at finding bowel cancers and precancerous polyps. Professor Steve Halligan of UCL, the joint-lead researcher, said: “Our trial shows that CTC is more accurate than barium enema.

What symptoms would lead a doctor to recommend a barium enema?

A barium enema is a special type of X-ray that takes images of your large intestine, which includes your colon, rectum and anus. Your healthcare provider may order this test if you have unexplained gastrointestinal symptoms or suspected disease in your large intestine.

Does a barium enema detect polyps?

Barium enemas are low risk and often less expensive than a colonoscopy. They are commonly used to diagnose colorectal cancer and inflammatory disease. But it doesn't end there: barium enemas also help detect polyps, diverticulum (a pouch pushing out from the colon) and structural changes in the large intestine.

What are the side effects of barium enema?

These include: laxative side effects – side effects such as feeling sick, a mild headache and bloating are common, but shouldn't last long. barium side effects – barium is usually harmless, but it can cause an upset stomach or constipation, and can cause an allergic reaction in very rare cases.

What are side effects of barium?

Side EffectsBloating.constipation (severe, continuing)cramping (severe)nausea or vomiting.stomach pain.trouble breathing.

Can barium make you sick?

Barium sulfate may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: stomach cramps. diarrhea.

Can I eat after barium enema?

What Happens After a Barium Enema? You may get a laxative or an enema to make sure all the barium is out of your body. You should be able to eat and drink normally afterward. You may have white bowel movements as the barium works its way out of your system.

What are the side effects of barium enema?

These include: laxative side effects – side effects such as feeling sick, a mild headache and bloating are common, but shouldn't last long. barium side effects – barium is usually harmless, but it can cause an upset stomach or constipation, and can cause an allergic reaction in very rare cases.

Can barium make you sick?

Barium sulfate may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: stomach cramps. diarrhea.

What is your nursing responsibility if the patient will undergo for barium enema?

Instruct the patient to eat a low-residue diet for several days before the procedure and consume only clear liquids during the 24 hr before the procedure, including the evening before the test. There are no activity restrictions unless by medical direction.

How does a barium tube work?

A tube is inserted into your rectum. The barium will slowly flow through the tube into your colon. If your physician has requested a double contrast study, a small amount of air will also be delivered through the tube. X-rays are taken and you may be asked to hold your breath a few times.

What is barium enema?

A barium enema is a procedure to help your doctor detect if there are any problems in your colon and rectum. In X-rays barium liquid shows up as contrast inside your colon to highlight abnormalities. Appointments 216.444.7000. Appointments & Locations. Contact Us.

What to take the day before a blood test?

The doctor will let you know which medications you can take the day before and morning of the test. In addition, you will need to purchase a 10-ounce bottle of magnesium citrate, Dulcolax® tablets and a Dulcolax suppository. The day before the test you will not be allowed to eat solid foods or drink dairy.

What is a lower gastrointestinal tract radiograph?

It is also called a lower gastrointestinal tract radiography. The study is performed by pouring contrast (liquid containing barium sulfate) through a tube inserted into the anus. This liquid coats the inside of the large intestine and clearly shows its outline on an X-ray image. These pictures help the doctor to detect abnormalities of the colon. ...

How long does it take to get a barium enema?

The barium enema test takes around an hour to complete. You will remove clothing and jewelry and put on a gown prior to the study. You will lie on your side on an X-ray table beneath an X-ray machine. A tube is inserted into your rectum. The barium will slowly flow through the tube into your colon.

What is the Cleveland Clinic?

Also, the doctor will tell you when to drink the magnesium citrate and when to take the Dulcolax tablets and suppository. Cleveland Clinic is a non-profit academic medical center.

How to get rid of barium in stool?

After the test, drink plenty of fluids and eat high fiber foods such as whole grains, vegetables or fruits to expel the remaining barium in your colon. You may also take a mild laxative as needed. Your stool may be light in color for a couple of days due to the barium.

What is a barium enema?

A barium enema is a radiographic (X-ray) examination of the lower gastrointestinal (GI) tract. The large intestine, including the rectum, is made visible on X-ray film by filling the colon with a liquid suspension called barium sulfate (barium). Barium highlights certain areas in the body to create a clearer picture.

Why is barium used with X-rays?

Barium is a dry, white, chalky, powder that is mixed with water to make barium liquid. Barium is an X-ray absorber and appears white on X-ray film. When instilled via the rectum, barium coats the inside wall of the large intestine. This allows for visualization of the inner wall lining, as well as the size, shape, contour, and patency of the colon. This process shows differences that might not be seen on standard X-rays. Barium is used only for diagnostic studies of the GI tract.

How do I prepare for a barium enema?

PRECAUTIONS: If you are pregnant or suspect that you may be pregnant, you should notify your doctor. Notify the radiologist if you've had a recent barium swallow or upper GI procedure, as this may interfere with obtaining an optimal X-ray exposure of the lower GI area.

What happens after a barium enema?

Following the examination, some barium will be expelled immediately. You'll be assisted to the bathroom or given a bedpan.

What is fluoroscopy used for?

Fluoroscopy is often used during a barium enema. Fluoroscopy is a study of moving body structures — similar to an X-ray "movie.". A continuous X-ray beam is passed through the body part being examined, and is transmitted to a TV-like monitor so that the body part and its motion can be seen in detail. In a barium enema, fluoroscopy allows the ...

How long to wait to take bisacodyl?

Use one bisacodyl rectal suppository 90 minutes prior to leave home for your test. A bowel movement should occur within 30 minutes. Bisacodyl suppositories are available at any pharmacy.

Why do doctors recommend barium enema?

Unexplained weight loss. Irritable bowel syndrome. Changes in bowel movements. Such as chronic diarrhea or constipation, or passing of blood, mucus, and/or pus. There may be other reasons for your doctor to recommend a barium enema.

What is the name of the procedure that a radiologist uses to take X-rays of the colon?

This is called an air-contrast barium enema. The technician will instruct you to hold still and hold your breath while the X-ray images are taken.

How to prepare for barium enema?

How to Prepare for a Barium Enema. Your doctor will ask you to cleanse your bowels the night before your test. This may include using laxatives or taking an enema at home. You shouldn’t eat anything after midnight the night before your procedure.

What to do if you have difficulty bowel movement?

If you have difficulty or pain with bowel movements, fever, or rectal bleeding, call your doctor. If you do not have a bowel movement for two days after the exam or are unable to pass gas, call your doctor. Last medically reviewed on January 14, 2016.

Why do radiologists use barium solution?

The barium solution helps to improve the quality of the X-ray images by highlighting certain areas of tissue. The X-ray used in this procedure is known as fluoroscopy. It allows the radiologist to see your internal organs in motion by tracking the flow of the barium solution through your intestinal tract.

What are the complications of barium enema?

Other rare complications from a barium enema may include: inflammation of the tissues around your colon. obstruction of your gastrointestinal tract. a perforated colon. a tear in your colon wall.

Why do doctors order barium enema?

Your doctor may order a barium enema if they suspect an abnormality in your lower gastrointestinal (GI) tract. There are numerous conditions and symptoms that could prompt your doctor to examine your lower GI tract, including: abdominal pain. blood in your stools. a change in your bowel movements. Crohn’s disease.

What is the purpose of X-rays?

You’ll be positioned on an exam table. X-rays will be taken to ensure that your bowels are clear. This may also involve a physical rectal exam.

What does a technologist do on an exam?

The technologist will position you on the exam table, and give you instructions.

What is a barium enema?

Prepare for a Barium Enema Exam. A Barium Enema is an x-ray examination of the large intestine, also known as the colon. This includes the right or ascending colon, the transverse colon, the left or descending colon and the rectum. The appendix and a portion of the small intestine may also be included.

How to get rid of white stool after a barium?

The barium will make your stools white for a few days. If you are going home, you may resume normal activities. Drink plenty of fluids in the days following the exam. If you experience constipation after the exam, tell your doctor.

Who will verify your identification and exam requested?

The technologist will verify your identification and exam requested.

What Is It?

A barium enema is a procedure used to examine the lining of the colon and rectum. The procedure is also called a lower gastrointestinal series.

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As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Why is a barium enema performed?

Your doctor may recommend a barium enema is to diagnose diseases and conditions of the colon and rectum including:

What are the risks and potential complications of a barium enema?

A barium enema involves risks and possible complications. Complications may become serious in some cases. Complications can develop during the procedure or recovery.

What are the complications of barium enema?

Complications of a barium enema are not common but include: Barium impaction, which is a blockage of the colon caused by the barium. This is a rare event. Dehydration due to taking enemas and laxatives before the procedure. Puncture of the colon. Small risk of cancer due to radiation exposure.

What is the procedure to put barium in the colon?

It uses a special type of X-ray called fluoroscopy . The procedure involves putting barium inside the colon through a tube inserted into the rectum. Barium is a chalky metallic contrast material. It illuminates the colon to show detailed images of the inside of the colon. A barium enema is only one method used to diagnose colon conditions.

How does barium flow through the colon?

The radiologic technologist will instill the barium mixture slowly into the colon. The barium flows through a small, lubricated enema tube inserted into the rectum. A small amount of air may be injected to help the barium spread more evenly in the colon. This makes the best images.

What causes a bleed in the intestine?

Potential causes of such bleeding include colon cancer and intestinal inflammation or damage. Colon cancer. A barium enema can identify abnormal growths, polyps, and masses in the intestines. Colon polyps, abnormal growths in the large intestine that can become cancerous.

How long should you be in pain after a barium enema?

Tell your care team if you have discomfort that does not go away quickly or if you are in pain. It is normal for you to have white-colored stools for a day or two after a barium enema. Call your doctor if you are constipated for more than two days or if you can’t pass gas.

What Is a Barium Enema?

A Barium enema is an examination of your lower gastrointestinal tract (your doctor may call it your lower GI tract) using X-rays. It’s also known as a colon X-ray.

How Do I Prepare for a Barium Enema?

To get the best images, your colon needs to be completely empty. Anything left in it might be considered part of the problem.

What Happens After a Barium Enema?

You should be able to eat and drink normally afterward. You may have white bowel movements as the barium works its way out of your system.

What is the term for a twisted loop in the intestine?

Hirschsprung’s disease, a blockage of the large intestine affecting children. A twisted loop in your intestine called a volvulus.

How to get rid of barium in colon?

You don’t want the barium to leak out. If needed, you can get a bedpan or go to a bathroom. They may pump air in to help the barium cover every part of your colon.

What is barium powder?

Barium is a white, chalky powder. A technician mixes it with water and passes it through a small tube in your rectum. This barium mixture covers the lining of your colon and lets your doctor take images of it at work, highlighting anything that may be causing trouble.

What does a positive barium enema mean?

There are two kinds of results: A positive result means the radiologist found something abnormal in your colon. A negative result means your colon is working normally.

What is a Barium Enema Procedure?

A barium enema is mainly a diagnostic test used to examine the large intestine ( colon and rectum) for abnormalities. The test has two main parts:

What to watch for after barium enema?

You should watch for abdominal pain, cramping, or vomiting. Call your doctor or seek medical attention at the nearest medical facility if you have severe abdominal symptoms after the barium enema test.

How long does it take to get a barium test?

Doctors doing the test can help you with this process. A single-contrast barium test takes about 30 to 45 minutes while a double-contrast test takes about an hour.

Why do they do barium enemas?

Barium enemas are done to identify inflammation, strictures, diverticula, inflammation and other abnormalities that may be present mainly in the large bowel. Barium enema tests are ordered less frequently these days, since the availability of other tests like colonoscopy, CT scan, and magnetic resonance imaging ...

What is the second bowel X-ray?

The second consists of examining the barium-filled or barium-outlined large bowel inner surface with X-rays that are produced by a fluoroscope.

What to do if colon is abnormal?

If there are abnormal results such as irregularities in the contour of the colon suggesting abnormal masses, your doctor will discuss additional diagnostic and management plans, which may include colonoscopy, biopsy and/or surgery.

What to do if you have a dark clot in your stool?

If you pass dark material ( blood clots) or have fresh bleeding in your stools, go to a hospital's emergency department.

What is a barium enema?

A barium enema is type of fluoroscopy procedure that allows us to see images of your child’s colon. We do this by using an X-ray machine and a contrasting agent that is administered through the rectum. In most cases, we perform a barium enema to help us diagnose why a child is having difficulty with bowel movements.

What should you do prior to the exam?

There are different preparations, according to your child's age, diagnosis or reason for exam. Please pay close attention to the following instructions.

What should you expect during the exam?

The technologist will ask why the barium enema is being performed and will explain the procedure to both you and your child. This exam takes an average of 30 minutes from start to finish.

What is fluoroscopy in medical terms?

A fluoroscopy procedure is an imaging technique that uses X-rays to create "real-time" or moving images of the body. It helps doctors see how an organ or body system functions. A radiologist (X-ray doctor) and radiologic technologist perform the procedures together.

Why is it important to give your child extra fluids after a barium study?

After the study, it is important to give your child extra fluids for the day, because the barium may cause constipation.

Why do they put tape on the bottom of the child's tube?

The technologist will use tape on your child's bottom so that the tube will stay in place during the study. The tube will be connected to a bag containing a contrast agent.

What is the fluoro tower?

In most of these types of exams, your child will lie on the table while the X-ray machine, called a fluoro tower, is brought overhead . The fluoro tower has a curtain on it; it's like being in a tent or a small car wash. You, the doctor and your child will be able to see the images on a television monitor in the room.

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1.Barium enema - Mayo Clinic

Url:https://www.mayoclinic.org/tests-procedures/barium-enema/about/pac-20393008

3 hours ago  · A barium enema is an X-ray exam that can detect changes or abnormalities in the large intestine (colon). The procedure is also called a colon X-ray. An enema is the injection of …

2.Barium Enema: Procedure, Preparation & What It Is

Url:https://my.clevelandclinic.org/health/diagnostics/17961-barium-enema

13 hours ago A barium enema is a special type of X-ray that takes images of the large intestine (colon, rectum and anus). It uses a contrast substance to coat the large intestine then takes pictures. The …

3.Barium Enema | Johns Hopkins Medicine

Url:https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/barium-enema

8 hours ago A barium enema is a radiographic (X-ray) examination of the lower gastrointestinal (GI) tract. The large intestine, including the rectum, is made visible on X-ray film by filling the colon with a …

4.Barium Enema: Purpose, Procedure & Risks - Healthline

Url:https://www.healthline.com/health/barium-enema

24 hours ago The barium solution will be delivered using an enema — a process in which your doctor pushes a liquid into your rectum through your anus.

5.Barium Enema Exam: How to Prepare & What to Expect

Url:https://radiology.ucsf.edu/patient-care/prepare/barium-enema

4 hours ago The duration of the exam will vary, but the average is about 30 minutes. The technologist will position you on the exam table, and give you instructions. The technologist will insert a …

6.Barium Enema - Harvard Health

Url:https://www.health.harvard.edu/medical-tests-and-procedures/barium-enema-a-to-z

10 hours ago  · A barium enema is a procedure used to examine the lining of the colon and rectum. The procedure is also called a lower gastrointestinal series. Barium refers to barium …

7.Barium Enema: How It's Done, Risks, What to Expect

Url:https://www.healthgrades.com/right-care/digestive-health/barium-enema

34 hours ago  · A barium enema is an X-ray procedure that examines your colon. The colon, also called the large intestine, is a long, hollow organ in your abdomen. It removes water from …

8.Barium Enema: Purpose, Procedure, Risks, Recovery, …

Url:https://www.webmd.com/a-to-z-guides/what-is-a-barium-enema

14 hours ago A Barium enema is an examination of your lower gastrointestinal tract (your doctor may call it your lower GI tract) using X-rays. It’s also known as a colon X-ray. X-rays show doctors what's ...

9.Barium Enema Procedure: Learn About Prep and Risks

Url:https://www.emedicinehealth.com/barium_enema/article_em.htm

24 hours ago In some patients, the barium is instilled and then removed through the enema tube leaving a thin layer of barium on the wall of the colon. The colon is then filled with air. The result provides a …

10.Barium Enema for Children | Children's Hospital of …

Url:https://www.chop.edu/treatments/barium-enema

35 hours ago A barium enema is type of fluoroscopy procedure that allows us to see images of your child’s colon. We do this by using an X-ray machine and a contrasting agent that is administered …

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