Never give docusate to a child under 12 years old unless their doctor prescribes it. Docusate is not suitable for some people. To make sure it is safe for you, tell your doctor or pharmacist if you have:. Liquid — this comes with a plastic cup or spoon to measure the dose.
Do not use a kitchen spoon as it will not give the right amount. If you do not have a cup or spoon, ask your pharmacist for one. When you've swallowed it, drink plenty of water or have another drink, such as milk or orange juice. Enema — squeeze the tube of liquid gently into your anus. The information leaflet which comes with your docusate will explain how to do this. Docusate does not usually upset your stomach.
You can take the capsules or liquid with or without food. Try to take your medicine at regular intervals throughout the day. Mealtimes breakfast, lunch and dinner are useful reminders.
There is no specific time of day to use an enema but it works quickly usually between 5 and 20 minutes , so use it when you know you'll be near a toilet. Capsules — the normal dose is 1 capsule, taken 3 times a day. Do not take more than 5 capsules in a day. Liquid — the normal dose is two or three 5ml spoonfuls. Take this dose 3 times a day. Enema — normally 1 tube of liquid is all you need.
If you need a second dose, you can use it later in the day or the next day. You will usually feel more comfortable within 1 or 2 days of treatment. Reduce the dose as your condition gets better. Drink plenty of fluids 6 to 8 glasses a day while you are taking docusate or your constipation may get worse. If you forget a dose of docusate, do not worry. Just take the next dose as normal.
Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one. Taking an extra dose of docusate as a one-off is unlikely to harm you, but it is a good idea to drink lots of water.
You may get diarrhoea and stomach pain, but this will usually get better within 1 or 2 days. Like all medicines, docusate may cause side effects in some people but most people have no side effects or only minor ones. When using a docusate enema you may get a burning feeling or pain around your bottom anus. Occasionally the wall of the anus may bleed.
This is a reaction to the enema and it usually clears up quickly. If the pain or bleeding does not go away or you are worried, talk to your doctor or pharmacist.
In rare cases, it's possible to have a serious allergic reaction anaphylaxis to docusate. You could be having a serious allergic reaction and may need immediate treatment in hospital.
These are not all the side effects of docusate. For a full list see the leaflet inside your medicines packet. If you're pregnant or breastfeeding, you can try to treat constipation without taking a medicine. This involves eating more fibre and drinking plenty of fluids. It may also help to do gentle exercise. If diet and lifestyle changes do not work, your doctor or midwife may recommend a laxative, such as lactulose or Fybogel. These laxatives are quite often used during pregnancy and while breastfeeding.
Docusate is occasionally used in pregnancy and there is no evidence to suggest it will harm your baby. However, other types of laxative are usually tried first, because there is more information to say that they are safe. The amounts of docusate found in breast milk are probably very small and are unlikely to affect your baby. If you notice that your baby is not feeding as well as usual, or if you have any other concerns about your baby, talk to your health visitor, midwife or doctor as soon as possible.
For more information about how laxatives can affect you and your baby, read this leaflet about treating constipation on the Best Use of Medicines in Pregnancy BUMPs website. There's very little information about taking herbal remedies and supplements with docusate. Each enema tube contains 5 ml of solution.
This is equivalent to one teaspoon. For further information please refer to pack insert. Twist off the cap and squeeze a drop of the solution out of the tube — that will make it even easier to insert the tip of the tube. Sit down on the toilet in your usual position or just squat down a little and insert the neck of the tube completely into your rectum.
The small rounded tip is thinner than a suppository, and can be inserted safely and painlessly when used as directed, even for children under 3.
Gently squeeze out the entire contents only 5ml of the tube into the rectum. Fleet is a popular brand of these types of enemas. Your doctor or other healthcare provider can tell you which formulation to use based on your needs. Unlike cleansing enemas, barium enemas are typically performed by your doctor or radiologist for imaging studies.
Your provider will insert a metallic liquid solution barium sulfate mixed in water into your rectum. After the barium has had time to sit inside and coat your distal colon, your doctor will perform a series of X-rays. The metal shows up as bright contrast on the X-ray images. A cleansing enema can be done as a do-it-yourself procedure. You can purchase everything you need for an enema over the counter OTC in a drugstore or pharmacy.
A colonic is also known as colonic hydrotherapy or colon irrigation. They use specialized equipment to irrigate your colon.
A cleansing enema is intended to reach only your lower colon, usually just to the point of constipated stool near the rectum. A colonic may be able to affect more of the colon, as a colon irrigation typically uses a much higher volume of water than a cleansing enema.
You should always follow the directions provided with your enema kit. Try listening to calming music, practicing deep breathing , or first soaking in a hot bath to ease your muscles and your mind. Breathe deeply. Focus on your breath. Exhale for a slow count of 10 after the tube is in place. While the fluid is going into your rectum, you may keep practicing these breathing beats to keep you distracted and focused. Bear down. If you have difficulty inserting the tube, bear down, as if you were trying to pass a bowel movement.
This may relax the muscles and allow the tube to slide further into your rectum. Discomfort may happen. Pain should not. Pain may be the result of hemorrhoids or tears in the rectal lining. If you experience pain when inserting the enema tube or pushing the fluid into your colon, stop the enema immediately and call your healthcare provider or local medical services.
If you know that you have hemorrhoids, tears, or other sores, wait for them to heal before administering an enema.
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