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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.
Transanal irrigation uses a large volume water enema system. [2] It is carried out every day (or every 2 days) by the patient or carer as a long term management for bowel dysfunction, including fecal incontinence and/or constipation (especially obstructed defecation).
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 .
Oral cleaning regimes use dietary fiber, herbs, dietary supplements, or laxatives. Those who practice colon cleansing believe in autointoxication, that accumulations of putrefied feces line the walls of the large intestine and that these accumulations harbor parasites or pathogenic gut flora , causing nonspecific symptoms and general ill-health.
Constipation is the most common chronic gastrointestinal disorder in adults. Depending on the definition employed, it occurs in 2% to 20% of the population. [18] [58] It is more common in women, the elderly and children. [58] Specifically constipation with no known cause affects females more often affected than males. [59]
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They are used to treat and prevent constipation. Laxatives vary as to how they work and the side effects they may have. Certain stimulant , lubricant , and saline laxatives are used to evacuate the colon for rectal and bowel examinations, and may be supplemented by enemas under certain circumstances.
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