Concerns About Lost Rubber Gasket During Enema: What to Do?

Enema pad missing?

Hello Doctor: Recently, I've been experiencing some difficulty with bowel movements, so I tried using an enema to help expel stool.
I disassembled the showerhead and used a hose to inject water, but afterward, I realized that the plastic washer (about the size of a 5-cent coin) was missing.
I'm worried that it might be left inside my rectum or colon.
Do I need to get an X-ray to confirm its presence, or is it likely that if it's inside, it will pass out with the stool? Thank you, Doctor!

Zhang Jingqian, 20~29 year old female. Ask Date: 2020/01/28

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Hello Mr.
Chang Jingqian, you can visit the outpatient department of the hospital for an evaluation by a physician.
If necessary, arrangements can be made for an X-ray or other appropriate examinations.
Thank you for your inquiry.

Reply Date: 2020/01/28

More Info

It sounds like you're experiencing a concerning situation regarding the lost rubber gasket during your enema procedure. First and foremost, it's important to stay calm. The rubber gasket, while it may seem significant, is typically not a material that would cause harm if it were to remain in the rectum or colon. However, there are a few considerations to keep in mind.

When performing an enema, the primary goal is to facilitate bowel movements, and the introduction of foreign objects can sometimes lead to anxiety about potential complications. In most cases, small, non-sharp objects that accidentally enter the rectum can be expelled naturally with bowel movements. The human body is quite adept at handling small foreign materials, and they often pass through the digestive system without issue.

However, if you are concerned that the gasket may have lodged itself in a way that could cause obstruction or irritation, it is advisable to monitor your symptoms closely. Here are some signs to watch for:
1. Abdominal Pain: If you experience significant or worsening abdominal pain, it could indicate a blockage or irritation.

2. Changes in Bowel Movements: If you notice a significant change in your ability to pass stool, such as constipation or inability to pass gas, this could be a sign of a problem.

3. Rectal Bleeding: Any blood in your stool or from the rectum should be taken seriously and warrants immediate medical attention.

4. Fever or Chills: These could indicate an infection, which is a more serious concern.

If you do not experience any of these symptoms, it is likely that the gasket will pass naturally. However, if you are still feeling anxious about the situation, it may be prudent to consult with a healthcare professional. They may recommend an X-ray or other imaging studies to confirm whether the gasket is present in the rectum or colon, especially if you have any symptoms that concern you.

In terms of prevention for the future, it’s essential to ensure that all components of the enema kit are intact before use. Always double-check that no small parts are missing, and consider using kits that are designed to minimize the risk of losing components during the procedure.

In conclusion, while the lost rubber gasket is likely to pass without issue, it’s important to be vigilant about any symptoms that may arise. If you have any doubts or if symptoms develop, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and a healthcare provider can offer reassurance and appropriate care if needed.

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