Barium Enema

A Barium Enema is a medical procedure that is used to examine the large intestine (colon and rectum) for abnormalities. The name "Barium Enema" is derived from the use of barium sulfate- a contrast material that helps the large intestine to appear more clearly on X-ray images. This procedure is vital for diagnosing various gastrointestinal conditions such as polyps, tumors, inflammatory bowel diseases, and other structural abnormalities of the colon and rectum.

During the procedure, a liquid containing barium sulfate is administered into the rectum through a tube. The barium coats the lining of the colon and rectum, and X-rays are taken. This helps to produce clear, detailed images of the large intestine, allowing the doctor to examine it for any abnormalities.

Specific Instructions:

• Fasting: You will need to refrain from eating or drinking anything after midnight the night before the procedure. Only clear fluids may be allowed up to a few hours before the test.

• Bowel Cleansing: It is essential that the colon is free of stool for the procedure. You will be asked to take laxatives, and in some cases, enemas the day before the procedure to clean out the colon.

• Medication: Inform your doctor about any medications you are taking as you might need to adjust their usage before the test.

• Allergies: Tell your doctor if you have any allergies, especially to contrast materials.

• Clothing: Wear loose and comfortable clothing. You will be asked to change into a hospital gown for the procedure.

• You will lie on your side on an X-ray table. A healthcare provider will insert a small tube into your rectum and begin to slowly introduce the barium liquid.

• You may be asked to change positions several times to allow the barium to flow through your colon. The X-ray machine will take pictures from different angles.

• You might feel some discomfort, bloating, or a need to have a bowel movement during the procedure.

• The test usually takes about 30 to 60 minutes.

• You can return to your normal diet and activities unless instructed otherwise.

• Your stools may be lighter in color for a few days after the test due to the barium.

• Drink plenty of water to help flush the barium out of your system.

Is Barium Enema safe?

Yes, a Barium Enema is generally considered safe. However, there is a small risk of bowel perforation or an allergic reaction to the barium.

What is the purpose of a Barium Enema?

The purpose of a Barium Enema is to evaluate the large intestine for abnormalities such as polyps, tumors, and inflammation.

Can I eat before a Barium Enema?

No, you will need to fast and follow specific dietary restrictions the day before the test. Your doctor will give you instructions on how to prepare.

What should I do after the procedure?

After the procedure, it is essential to drink plenty of fluids to help flush the barium from your system. You can return to your normal diet unless instructed otherwise.

Will the procedure be painful?

You may experience some discomfort and a feeling of fullness during the procedure, but it should not be painful.

How long does it take to get the results?

The results are usually available within a few days, but this can vary. Your doctor will inform you when to expect the results.

What should I do if I notice any side effects or complications after the procedure?

If you experience severe abdominal pain, blood in your stool, or any other unusual symptoms after the procedure, you should contact your doctor immediately.

Are there any alternatives to a Barium Enema?

Yes, alternatives such as a colonoscopy or a CT colonography might be suggested by the doctor depending on your condition.

Can pregnant women undergo a Barium Enema?

Pregnant women should avoid this procedure as exposure to X-rays can be harmful to the fetus. It is essential to inform your doctor if you are or might be pregnant.

What will happen if abnormalities are found during the Barium Enema?

If any abnormalities are found, your doctor will discuss the findings with you and recommend the appropriate steps for further evaluation or treatment.

Is the radiation from the X-rays harmful?

The amount of radiation in a Barium Enema is relatively low, but it’s always advisable to have X-rays only when necessary, especially for pregnant women or children.

Who should not have a Barium Enema?

Individuals with a severe bowel obstruction, perforation, or severe colitis should avoid this procedure.

Which doctor should I consult if I find abnormalities in my Barium Enema results?

You should consult a gastroenterologist if there are abnormalities in your Barium Enema results.

Barium Enema is a valuable diagnostic tool in evaluating the large intestine for various conditions and abnormalities. It is essential to follow the preparation instructions carefully and communicate openly with your healthcare team about any concerns or questions you may have regarding the procedure.