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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.
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.
In addition to pharmacological effects, rectal administration has some properties which can be advantageous for the use in medicine. Rectal administration can allow patients to remain in the home setting when the oral route is compromised.
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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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