Is the enema done standing or squatting

It is usually recommended to use a lateral or knee chest position for enema, as squatting and standing positions may increase the difficulty and risk of the procedure. The choice of enema position should consider safety, ease of operation, and patient tolerance. The commonly used clinical positions include left lateral position, knee chest position, supine position, etc. Using a lateral position during enema can help relax the anal sphincter, reduce intestinal curvature, and facilitate catheter insertion. This position is suitable for most people, especially the elderly or those with limited mobility, and can reduce intestinal mucosal damage caused by improper positioning. When operating, the buttocks should be close to the edge of the bed, and the legs should be bent to the abdomen to maintain body stability. If squatting is used, it may cause discomfort due to increased abdominal pressure and is not conducive to fluid retention. It is only recommended for short-term use under the guidance of medical personnel.

Standing enema is prone to rapid fluid outflow due to gravity, which affects the effectiveness of the enema and may also trigger dizziness or the risk of falling. In special circumstances such as spinal cord injury, patients need to use a stand to assist in fixation, but blood pressure changes must be strictly monitored. The knee chest position has a good effect on cleaning the intestines, but it may cause respiratory restriction and is not suitable for individuals with abnormal cardiovascular and pulmonary function. The supine position is often used for bedridden patients, which requires raising the hips and using pillows to elevate them, but the efficiency of intestinal cleaning is relatively low.

Before and after enema, avoid eating stimulating foods, and maintain a supine rest after the procedure to observe for abdominal pain or bleeding. When choosing a body position, it is necessary to consider one's own health condition and consult medical staff if necessary. Long term constipation patients can improve intestinal function and reduce enema dependence by increasing dietary fiber intake and regular exercise. If there is persistent difficulty in defecation or anal pain, seek medical attention promptly to rule out organic diseases.