When stool sits in the colon for too long, it can cause bacteria to grow and can lead to an illness called enterocolitis, which is an inflammation of the colon.
When stool sits in the colon for too long, it can cause bacteria to grow and can lead to an illness called enterocolitis, which is an inflammation of the colon.
When stool sits in the colon for too long, it can cause bacteria to grow and can lead to an illness called enterocolitis, which is an inflammation of the colon.
When stool sits in the colon for too long, it can cause bacteria to grow and can lead to an illness called enterocolitis, which is an inflammation of the colon.
guidelineFamilies should always check with their child's pediatrician or the colorectal team when caring for their child's medical needs.↗
▶Ep 140 · 0:00
guidelineFamilies should always check with their child's pediatrician or the colorectal team when caring for their child's medical needs.↗
▶Ep 140 · 0:10
quoteBefore using saline to clean your child's colon, always talk with our team or your child's pediatrician for safety.↗
▶Ep 140 · 0:10
quoteBefore using saline to clean your child's colon, always talk with our team or your child's pediatrician for safety.↗
▶Ep 140 · 0:40
clinicalThe colorectal team frequently recommends the use of saline to help flush or clean the colon of stool.↗
▶Ep 140 · 0:40
clinicalThe colorectal team frequently recommends the use of saline to help flush or clean the colon of stool.↗
▶Ep 140 · 0:50
clinicalSaline flush can be given through a Malone or through an enema in the child's bottom.↗
▶Ep 140 · 0:50
clinicalSaline flush can be given through a Malone or through an enema in the child's bottom.↗
▶Ep 140 · 0:58
clinicalSaline is used for irrigations, which is another way of cleaning the colon.↗
▶Ep 140 · 0:58
clinicalSaline is used for irrigations, which is another way of cleaning the colon.↗
▶Ep 140 · 1:10
clinicalSaline can be expensive and is occasionally not covered by insurance.↗
▶Ep 140 · 1:10
quoteSaline can be expensive and is occasionally not covered by insurance. The good news is, is that it doesn't cost much and is very easy to make.↗
▶Ep 140 · 1:10
quoteSaline can be expensive and is occasionally not covered by insurance. The good news is, is that it doesn't cost much and is very easy to make.↗
▶Ep 140 · 1:10
clinicalSaline can be expensive and is occasionally not covered by insurance.↗
▶Ep 140 · 1:16
clinicalHomemade saline doesn't cost much and is very easy to make.↗
▶Ep 140 · 1:16
clinicalHomemade saline doesn't cost much and is very easy to make.↗
▶Ep 140 · 2:00
clinicalThe correct ratio for homemade saline is one cup of warm tap water mixed with half a teaspoon of table salt.↗
▶Ep 140 · 2:00
quoteIn your bottle or jar, mix one cup of warm tap water and half a teaspoon of table salt.↗
▶Ep 140 · 2:00
quoteIn your bottle or jar, mix one cup of warm tap water and half a teaspoon of table salt.↗
▶Ep 140 · 2:00
clinicalThe correct ratio for homemade saline is one cup of warm tap water mixed with half a teaspoon of table salt.↗
▶Ep 140 · 2:10
clinicalWhen scaling up saline preparation, add half a teaspoon of salt for each one cup of water (e.g., four cups water requires two teaspoons salt total).↗
▶Ep 140 · 2:10
clinicalWhen scaling up saline preparation, add half a teaspoon of salt for each one cup of water (e.g., four cups water requires two teaspoons salt total).↗
▶Ep 140 · 2:25
clinicalSaline must be allowed to cool before using it in a flush, enema, or irrigation.↗
▶Ep 140 · 2:25
clinicalSaline must be allowed to cool before using it in a flush, enema, or irrigation.↗
▶Ep 140 · 2:35
quoteIf you live in the United States, it is perfectly safe to use the water from your kitchen or bathroom sink for your saline.↗
▶Ep 140 · 2:35
quoteIf you live in the United States, it is perfectly safe to use the water from your kitchen or bathroom sink for your saline.↗
▶Ep 140 · 2:35
clinicalIn the United States, it is perfectly safe to use water from the kitchen or bathroom sink for making saline.↗
▶Ep 140 · 2:35
clinicalIn the United States, it is perfectly safe to use water from the kitchen or bathroom sink for making saline.↗
▶Ep 140 · 2:43
clinicalIn countries or places where the water is not safe to drink, boil the water for 15 minutes before adding the salt.↗
▶Ep 140 · 2:43
clinicalIn countries or places where the water is not safe to drink, boil the water for 15 minutes before adding the salt.↗
▶Ep 140 · 2:52
quoteYou can make a large container of saline ahead of time and store it in the refrigerator for up to one week.↗
▶Ep 140 · 2:52
clinicalHomemade saline can be made in a large container ahead of time and stored in the refrigerator for up to one week.↗
▶Ep 140 · 2:52
quoteYou can make a large container of saline ahead of time and store it in the refrigerator for up to one week.↗
▶Ep 140 · 2:52
clinicalHomemade saline can be made in a large container ahead of time and stored in the refrigerator for up to one week.↗
How to Administer a Rectal Irrigation at Home
▶Ep 141 · 0:00
clinicalEmily Rice is a nurse with the Division of Colorectal and Pelvic Reconstruction at Children's National Hospital.↗
▶Ep 141 · 0:00
clinicalEmily Rice is a nurse with the Division of Colorectal and Pelvic Reconstruction at Children's National Hospital.↗
▶Ep 141 · 1:00
quoteRectal irrigations can help a child empty their colon of stool and gas.↗
▶Ep 141 · 1:00
clinicalRectal irrigations can help a child empty their colon of stool and gas.↗
▶Ep 141 · 1:00
quoteRectal irrigations can help a child empty their colon of stool and gas.↗
▶Ep 141 · 1:00
clinicalRectal irrigations can help a child empty their colon of stool and gas.↗
▶Ep 141 · 1:08
clinicalChildren who suffer from Hirschsprung disease or functional constipation have colons that may not move stool through the body as quickly as it should, a condition called dysmotility.↗
▶Ep 141 · 1:08
clinicalChildren who suffer from Hirschsprung disease or functional constipation have colons that may not move stool through the body as quickly as it should, a condition called dysmotility.↗
▶Ep 141 · 1:25
quoteWhen stool sits in the colon for too long, it can cause bacteria to grow and can lead to an illness called enterocolitis, which is an inflammation of the colon.↗
▶Ep 141 · 1:25
clinicalWhen stool sits in the colon for too long, it can cause bacteria to grow and can lead to enterocolitis, which is an inflammation of the colon.↗
▶Ep 141 · 1:25
clinicalWhen stool sits in the colon for too long, it can cause bacteria to grow and can lead to enterocolitis, which is an inflammation of the colon.↗
▶Ep 141 · 1:25
quoteWhen stool sits in the colon for too long, it can cause bacteria to grow and can lead to an illness called enterocolitis, which is an inflammation of the colon.↗
▶Ep 141 · 1:40
clinicalRectal irrigations help keep a child healthy and safe by preventing and treating enterocolitis.↗
▶Ep 141 · 1:40
clinicalRectal irrigations help keep a child healthy and safe by preventing and treating enterocolitis.↗
▶Ep 141 · 1:50
clinicalIrrigations put salt water (saline) into the colon to help clean the stool out and prevent infection.↗
▶Ep 141 · 1:50
clinicalIrrigations put salt water (saline) into the colon to help clean the stool out and prevent infection.↗
▶Ep 141 · 2:00
guidelineIf a child has a history of Hirschsprung disease and is showing signs of enterocolitis or dehydration, caregivers should perform an irrigation and immediately contact the medical team or pediatrician.↗
▶Ep 141 · 2:00
guidelineIf a child has a history of Hirschsprung disease and is showing signs of enterocolitis or dehydration, caregivers should perform an irrigation and immediately contact the medical team or pediatrician.↗
▶Ep 141 · 2:40
clinicalA 24-french silicone Foley catheter is used for rectal irrigations in children one year of age or older.↗
▶Ep 141 · 2:40
clinicalA 24-french silicone Foley catheter is used for rectal irrigations in children one year of age or older.↗
▶Ep 141 · 2:52
clinicalA 20-french silicone catheter is used for children under one year of age.↗
▶Ep 141 · 2:52
clinicalA 20-french silicone catheter is used for children under one year of age.↗
▶Ep 141 · 3:10
clinicalThe irrigation procedure uses 20 milliliters of saline per flush.↗
▶Ep 141 · 3:10
clinicalThe irrigation procedure uses 20 milliliters of saline per flush.↗
▶Ep 141 · 3:25
clinicalThe child should be positioned on their back with knees bent and pulled up towards their chest to visualize the anus and allow stool and gas to exit the colon.↗
▶Ep 141 · 3:25
clinicalThe child should be positioned on their back with knees bent and pulled up towards their chest to visualize the anus and allow stool and gas to exit the colon.↗
▶Ep 141 · 3:50
quoteGently insert the Foley catheter into the rectum about 4-6 inches.↗
▶Ep 141 · 3:50
clinicalThe Foley catheter should be gently inserted into the rectum about 4-6 inches.↗
▶Ep 141 · 3:50
clinicalThe Foley catheter should be gently inserted into the rectum about 4-6 inches.↗
▶Ep 141 · 3:50
quoteGently insert the Foley catheter into the rectum about 4-6 inches.↗
▶Ep 141 · 4:10
clinicalSlowly turning and moving the catheter back and forth in the rectum may help find pockets of stool that are stuck in the colon.↗
▶Ep 141 · 4:10
clinicalSlowly turning and moving the catheter back and forth in the rectum may help find pockets of stool that are stuck in the colon.↗
▶Ep 141 · 4:35
clinicalIt is important to wait between each flush for fluid to drain out of the rectum and to ensure 20 milliliters is returned from each flush before repeating.↗
▶Ep 141 · 4:35
clinicalIt is important to wait between each flush for fluid to drain out of the rectum and to ensure 20 milliliters is returned from each flush before repeating.↗
▶Ep 141 · 4:35
quoteIt is important to wait between each flush for fluid to drain out of the rectum. Make sure you are getting 20 milliliters back from each flush before repeating.↗
▶Ep 141 · 4:35
quoteIt is important to wait between each flush for fluid to drain out of the rectum. Make sure you are getting 20 milliliters back from each flush before repeating.↗
▶Ep 141 · 4:48
clinicalIrrigation can continue until the fluid draining from the catheter is clear.↗
▶Ep 141 · 4:48
clinicalIrrigation can continue until the fluid draining from the catheter is clear.↗
▶Ep 141 · 4:55
clinicalThe catheter should not be inserted all the way to the end and should not be forced; when gently advanced, it will easily follow the pathway or curve of the colon.↗
▶Ep 141 · 4:55
clinicalThe catheter should not be inserted all the way to the end and should not be forced; when gently advanced, it will easily follow the pathway or curve of the colon.↗
▶Ep 141 · 5:15
clinicalIf saline is pushed in but no water or stool comes back out, the catheter should be pulled out a little bit then gently pushed back in.↗
▶Ep 141 · 5:15
clinicalIf saline is pushed in but no water or stool comes back out, the catheter should be pulled out a little bit then gently pushed back in.↗
▶Ep 141 · 5:25
clinicalIf no saline or stool returns with irrigation, check the catheter for blockage by food or thick stool, as stool can block the tiny holes at the tip of the catheter.↗
▶Ep 141 · 5:25
clinicalIf no saline or stool returns with irrigation, check the catheter for blockage by food or thick stool, as stool can block the tiny holes at the tip of the catheter.↗
▶Ep 141 · 5:40
clinicalMassaging the child's belly or having them change positions may help if there is no return of fluid.↗
▶Ep 141 · 5:40
clinicalMassaging the child's belly or having them change positions may help if there is no return of fluid.↗
▶Ep 141 · 5:48
guidelineIf there is still no return after troubleshooting, caregivers should contact the medical team or pediatrician.↗
▶Ep 141 · 5:48
guidelineIf there is still no return after troubleshooting, caregivers should contact the medical team or pediatrician.↗
▶Ep 141 · 6:00
guidelineIf a child develops signs of enterocolitis or dehydration, caregivers should call the medical team or pediatrician immediately.↗
▶Ep 141 · 6:00
guidelineIf a child develops signs of enterocolitis or dehydration, caregivers should call the medical team or pediatrician immediately.↗
▶Ep 141 · 6:05
clinicalSigns of enterocolitis include fever, a swollen or large belly, foul-smelling stool, or no stool output in 24 hours.↗
▶Ep 141 · 6:05
clinicalSigns of enterocolitis include fever, a swollen or large belly, foul-smelling stool, or no stool output in 24 hours.↗
▶Ep 141 · 6:20
clinicalSigns of dehydration include not urinating as much as normal, fewer wet diapers than usual, a dry or sticky mouth, few or no tears when crying, sunken eyes, cool skin, irritability, dizziness, or being more tired than usual.↗
▶Ep 141 · 6:20
clinicalSigns of dehydration include not urinating as much as normal, fewer wet diapers than usual, a dry or sticky mouth, few or no tears when crying, sunken eyes, cool skin, irritability, dizziness, or being more tired than usual.↗
clinicalEmily Rice is a nurse with the Division of Colorectal and Pelvic Reconstruction at Children's National Hospital.↗
▶Ep 59 · 0:00
clinicalEmily Rice is a nurse with the Division of Colorectal and Pelvic Reconstruction at Children's National Hospital.↗
▶Ep 59 · 1:00
quoteRectal irrigations can help a child empty their colon of stool and gas.↗
▶Ep 59 · 1:00
clinicalRectal irrigations can help a child empty their colon of stool and gas.↗
▶Ep 59 · 1:00
clinicalRectal irrigations can help a child empty their colon of stool and gas.↗
▶Ep 59 · 1:00
quoteRectal irrigations can help a child empty their colon of stool and gas.↗
▶Ep 59 · 1:08
clinicalChildren who suffer from Hirschsprung disease or functional constipation have colons that may not move stool through the body as quickly as it should, a condition called dysmotility.↗
▶Ep 59 · 1:08
clinicalChildren who suffer from Hirschsprung disease or functional constipation have colons that may not move stool through the body as quickly as it should, a condition called dysmotility.↗
▶Ep 59 · 1:25
clinicalWhen stool sits in the colon for too long, it can cause bacteria to grow and can lead to enterocolitis, which is an inflammation of the colon.↗
▶Ep 59 · 1:25
quoteWhen stool sits in the colon for too long, it can cause bacteria to grow and can lead to an illness called enterocolitis, which is an inflammation of the colon.↗
▶Ep 59 · 1:25
quoteWhen stool sits in the colon for too long, it can cause bacteria to grow and can lead to an illness called enterocolitis, which is an inflammation of the colon.↗
▶Ep 59 · 1:25
clinicalWhen stool sits in the colon for too long, it can cause bacteria to grow and can lead to enterocolitis, which is an inflammation of the colon.↗
▶Ep 59 · 1:40
clinicalRectal irrigations help keep a child healthy and safe by preventing and treating enterocolitis.↗
▶Ep 59 · 1:40
clinicalRectal irrigations help keep a child healthy and safe by preventing and treating enterocolitis.↗
▶Ep 59 · 1:50
clinicalIrrigations put salt water (saline) into the colon to help clean the stool out and prevent infection.↗
▶Ep 59 · 1:50
clinicalIrrigations put salt water (saline) into the colon to help clean the stool out and prevent infection.↗
▶Ep 59 · 2:00
guidelineIf a child has a history of Hirschsprung disease and is showing signs of enterocolitis or dehydration, caregivers should perform an irrigation and immediately contact the medical team or pediatrician.↗
▶Ep 59 · 2:00
guidelineIf a child has a history of Hirschsprung disease and is showing signs of enterocolitis or dehydration, caregivers should perform an irrigation and immediately contact the medical team or pediatrician.↗
▶Ep 59 · 2:40
clinicalA 24-french silicone Foley catheter is used for rectal irrigations in children one year of age or older.↗
▶Ep 59 · 2:40
clinicalA 24-french silicone Foley catheter is used for rectal irrigations in children one year of age or older.↗
▶Ep 59 · 2:52
clinicalA 20-french silicone catheter is used for children under one year of age.↗
▶Ep 59 · 2:52
clinicalA 20-french silicone catheter is used for children under one year of age.↗
▶Ep 59 · 3:10
clinicalThe irrigation procedure uses 20 milliliters of saline per flush.↗
▶Ep 59 · 3:10
clinicalThe irrigation procedure uses 20 milliliters of saline per flush.↗
▶Ep 59 · 3:25
clinicalThe child should be positioned on their back with knees bent and pulled up towards their chest to visualize the anus and allow stool and gas to exit the colon.↗
▶Ep 59 · 3:25
clinicalThe child should be positioned on their back with knees bent and pulled up towards their chest to visualize the anus and allow stool and gas to exit the colon.↗
▶Ep 59 · 3:50
quoteGently insert the Foley catheter into the rectum about 4-6 inches.↗
▶Ep 59 · 3:50
clinicalThe Foley catheter should be gently inserted into the rectum about 4-6 inches.↗
▶Ep 59 · 3:50
quoteGently insert the Foley catheter into the rectum about 4-6 inches.↗
▶Ep 59 · 3:50
clinicalThe Foley catheter should be gently inserted into the rectum about 4-6 inches.↗
▶Ep 59 · 4:10
clinicalSlowly turning and moving the catheter back and forth in the rectum may help find pockets of stool that are stuck in the colon.↗
▶Ep 59 · 4:10
clinicalSlowly turning and moving the catheter back and forth in the rectum may help find pockets of stool that are stuck in the colon.↗
▶Ep 59 · 4:35
quoteIt is important to wait between each flush for fluid to drain out of the rectum. Make sure you are getting 20 milliliters back from each flush before repeating.↗
▶Ep 59 · 4:35
clinicalIt is important to wait between each flush for fluid to drain out of the rectum and to ensure 20 milliliters is returned from each flush before repeating.↗
▶Ep 59 · 4:35
quoteIt is important to wait between each flush for fluid to drain out of the rectum. Make sure you are getting 20 milliliters back from each flush before repeating.↗
▶Ep 59 · 4:35
clinicalIt is important to wait between each flush for fluid to drain out of the rectum and to ensure 20 milliliters is returned from each flush before repeating.↗
▶Ep 59 · 4:48
clinicalIrrigation can continue until the fluid draining from the catheter is clear.↗
▶Ep 59 · 4:48
clinicalIrrigation can continue until the fluid draining from the catheter is clear.↗
▶Ep 59 · 4:55
clinicalThe catheter should not be inserted all the way to the end and should not be forced; when gently advanced, it will easily follow the pathway or curve of the colon.↗
▶Ep 59 · 4:55
clinicalThe catheter should not be inserted all the way to the end and should not be forced; when gently advanced, it will easily follow the pathway or curve of the colon.↗
▶Ep 59 · 5:15
clinicalIf saline is pushed in but no water or stool comes back out, the catheter should be pulled out a little bit then gently pushed back in.↗
▶Ep 59 · 5:15
clinicalIf saline is pushed in but no water or stool comes back out, the catheter should be pulled out a little bit then gently pushed back in.↗
▶Ep 59 · 5:25
clinicalIf no saline or stool returns with irrigation, check the catheter for blockage by food or thick stool, as stool can block the tiny holes at the tip of the catheter.↗
▶Ep 59 · 5:25
clinicalIf no saline or stool returns with irrigation, check the catheter for blockage by food or thick stool, as stool can block the tiny holes at the tip of the catheter.↗
▶Ep 59 · 5:40
clinicalMassaging the child's belly or having them change positions may help if there is no return of fluid.↗
▶Ep 59 · 5:40
clinicalMassaging the child's belly or having them change positions may help if there is no return of fluid.↗
▶Ep 59 · 5:48
guidelineIf there is still no return after troubleshooting, caregivers should contact the medical team or pediatrician.↗
▶Ep 59 · 5:48
guidelineIf there is still no return after troubleshooting, caregivers should contact the medical team or pediatrician.↗
▶Ep 59 · 6:00
guidelineIf a child develops signs of enterocolitis or dehydration, caregivers should call the medical team or pediatrician immediately.↗
▶Ep 59 · 6:00
guidelineIf a child develops signs of enterocolitis or dehydration, caregivers should call the medical team or pediatrician immediately.↗
▶Ep 59 · 6:05
clinicalSigns of enterocolitis include fever, a swollen or large belly, foul-smelling stool, or no stool output in 24 hours.↗
▶Ep 59 · 6:05
clinicalSigns of enterocolitis include fever, a swollen or large belly, foul-smelling stool, or no stool output in 24 hours.↗
▶Ep 59 · 6:20
clinicalSigns of dehydration include not urinating as much as normal, fewer wet diapers than usual, a dry or sticky mouth, few or no tears when crying, sunken eyes, cool skin, irritability, dizziness, or being more tired than usual.↗
▶Ep 59 · 6:20
clinicalSigns of dehydration include not urinating as much as normal, fewer wet diapers than usual, a dry or sticky mouth, few or no tears when crying, sunken eyes, cool skin, irritability, dizziness, or being more tired than usual.↗