Barium Enema: Step-by-Step Procedure
A Barium Enema is a diagnostic X-ray procedure used to examine the colon and rectum. It helps detect conditions like polyps, tumors, ulcers, and inflammation.
Step 1: Patient Preparation
- The patient follows a clear liquid diet a day before the procedure.
- A laxative or enema is used to cleanse the colon.
- The patient fasts for several hours before the test.
Step 2: Positioning the Patient
- The patient changes into a hospital gown.
- They lie on their side on the X-ray table.
Step 3: Inserting the Enema Tube
- A lubricated rectal catheter is gently inserted into the rectum.
- The barium sulfate contrast is introduced slowly into the colon.
Step 4: Taking X-ray Images
- The patient is asked to turn in different positions for clear imaging.
- In a double-contrast study, air is introduced to expand the colon.
- The radiologist captures multiple X-ray images.
Step 5: Removing the Barium
- The enema tube is removed after the imaging is complete.
- The patient is asked to use the restroom to expel the barium.
Step 6: Post-Procedure Care
- The patient may experience white-colored stools due to the barium.
- Drinking plenty of fluids helps flush out the contrast.
- The doctor reviews the X-ray results for any abnormalities.


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