Barium enema  (adults)

What preparation is needed?

The colon (sometimes called the large bowel) must be empty and clean. The day before the examination, you will receive complete instructions on the preparation, including a liquid diet. A laxative will be prescribed to clean the colon. If you are a woman of childbearing age and you are a possibility of being pregnant, be sure to inform us before you start the preparation.

What happens during the examination?

The radiographer will ask you to undress and put on a gown. You will be placed on an X-ray table with the equipment above you. A lubricated enema tip will be inserted into the rectum.  The radiologist will use the x-ray equipment and watch as the barium flows into your colon.  Air will also be pumped into the colon to distend it, which can result in some discomfort.  The radiologist may give you an injection to decrease the mobility and spasms of the colon.  It is essential to know if you have diabetes.  You will be asked to turn from side to side as the pictures are taken.  After a series of X-rays, you can go to the bathroom and expel the barium.  You may notice evidence of the barium in your stool for the next few days.

What are the possible complications?

The enema is a relatively safe procedure. Rare complications include bowel perforation, barium impaction, water intoxication, allergic reactions or cardiac arrhythmias.

What happens after the procedure?

After this procedure, you may resume normal activities.

Drink 6 – 8 glasses of fluids such as juice, water, coffee etc.  Take a laxative if needed to prevent constipation.

What about the result?

Once the examination is completed, the radiologist will compare the X-rays to previous X-rays of the same area.  A typed report of the findings will be forwarded to your physician.  Please contact your physician for the results.

For an optimal study, please follow the following preparation instructions:

Two (2) days before the examination

Continue with your normal diet.

At 17h00 - drink all four (4) Dulcolax tablets with a lot of water.

One (1) day before the examination

Breakfast

Drink – only clear liquids similar to apple or grape juice, black tea or coffee (NO milk)

Eat – One (1) poached or boiled egg with one (1) slice of toasted white bread (NO butter or topping)

At 9h00 – Prepare and drink the 1st Colo-Prep/Picolax sachet

At 17h00 – Prepare and drink the 2nd Colo-Prep/Picolax sachet

How to prepare the Colo-Prep/Picolax:

Mix one sachet powder with 50ml lukewarm water and stir thoroughly.

Pour the 50ml solution into 200ml clear liquid.

Stir well until dissolved.

Drink liquid SLOWLY to prevent nausea and vomiting.

Guidelines for using Colo-Prep/Picolax:

Colo-Prep usually works within 30 minutes and causes bowel movements for 1 – 2 hours after taking the dosage.

Take enough clear liquids of your choice – this accelerates the action and prevents dehydration (take about seven glasses of clear liquid during the day).

It is advisable to remain near a toilet for at least 1 hour after the onset of bowel movements.

On the day of examination

Breakfast

Take a small amount of clear liquids (apple or grape juice), black tea or coffee (NO milk)

DO NOT EAT ANYTHING

Please arrive at NAMRAD 15 minutes before the appointment time.