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The initial clean-out is achieved with enemas, laxatives, or both. The predominant approach today is the use of oral stool softeners like Movicol , Miralax , lactulose , mineral oil , etc. Following that, enemas and laxatives are used daily to keep the stools soft and allow the stretched bowel to return to its normal size.
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During this time, women are at increased risk of being constipated. Multiple studies estimate the prevalence of constipation to be around 25% during the first 3 months. [64] Constipation can cause discomfort for women, as they are still recovering from the delivery process especially if they have had a perineal tear or underwent an episiotomy. [65]
This may lead to constipation symptoms such as incomplete evacuation of stool, [1] irregular bowel movements, [1] hard stools [1] and the need for excessive straining. [ 1 ] [ 3 ] Compared to the more natural squatting position, western-style toilets may lead to health issues [ 1 ] such as inflamed hemorrhoids.
Rectal douching is a hygienic practice to clean the rectum to void hardened stools as opposed to a pharmaceutical method to soften the stool. Rectal douching is distinguished from anal cleansing , which is the routine cleaning of the anus after defecation .
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