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A rudimentary form of "dry" enema is the use of a non-medicated glycerin suppository. [1] However, due to the relative hardness of the suppository – necessary for its insertion into the human body – before glycerin can act, it must be melted by the heat of the body, and hence it does not take effect for up to an hour.
A suppository is a dosage form used to deliver medications by insertion into a body orifice (any opening in the body), where it dissolves or melts to exert local or systemic effects. There are three types of suppositories, each to insert into a different sections: rectal suppositories into the rectum , vaginal suppositories into the vagina ...
Many oral forms of medications can be crushed and suspended in water to be given via a rectal catheter. The rectal route of administration is useful for patients with any digestive tract motility problem, such as dysphagia , ileus , or bowel obstruction , that would interfere with the progression of the medication through the tract.
Examples: glycerin suppositories (Hallens), sorbitol, lactulose, and polyethylene glycol (PEG - Colyte, MiraLax) [12] Lactulose works by the osmotic effect, which retains water in the colon; lowering the pH through bacterial fermentation to lactic, formic, and acetic acids; and increasing colonic peristalsis.
Glycerol has a hyperosmotic effect and can be used as a small-volume (2–10 ml) enema (or suppository). [ 16 ] Mineral oil is used as a lubricant because most of the ingested material is excreted in the stool rather than being absorbed by the body.
Sodium lauryl sulfoacetate improves the wetting and penetrating abilities of the solution, sorbitol enhances the water-releasing effect of sodium citrate and glycerol helps to lubricate the stool. The combined action helps to soften hard stools and relieve constipation without straining in a very short period of time ~ 15 min. [ 9 ]
Enemas (such as hyperosmotic saline) and suppositories (such as glycerine suppositories) work by increasing water content and stimulating peristalsis to aid in expulsion, and both work much more quickly than oral laxatives. Because enemas work in 2–15 minutes, they do not allow sufficient time for a large fecal mass to soften.
Triglyceride 3 NaOH / H 2 O Δ 3 × soap 3 × glycerol Triglycerides can be saponified with sodium hydroxide to give glycerol and fatty sodium salt or soap. Typical plant sources include soybeans or palm. Animal-derived tallow is another source. From 2000 to 2004, approximately 950,000 tons per year were produced in the United States and Europe; 350,000 tons of glycerol were produced in the U ...
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