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Barium Enema

About the Exam
A barium enema is a common method of diagnosing problems in the colon (large intestine). The barium enema exam uses barium sulfate (a thick, chalky liquid) and a fluoroscope, which is like an x-ray video camera, to take pictures of your colon.

A barium enema is a safe procedure. The nurse and technologist will do everything possible to make you comfortable during the exam.

Before the Exam
Clear liquid diet only for 24 hours starting at lunch the day before the exam. This includes fruit juices (nothing with pulp), soda pop, tea or coffee (no cream), broth, popsicles, Italian ices, hard candy, and JELL-O. Do not include milk products.
Force fluids the day before the exam. (An 8 oz. glass of water every hour for 10 hours should be sufficient.)
Take Citrate of Magnesia, 10 oz. bottle, 24 hours prior to the exam.
Take Dulcolax, 3 tablets, 5 mg. each, the evening prior to the exam some time after dinner.
Tap water enemas two hours before the exam, one pint to one quart, until returns are clear. (Fleet chemical enemas are not satisfactory.)
Do not eat or drink the morning of the exam and until the exam is completed.
Do not smoke or chew gum the morning of the exam.

During the Exam
The x-ray technologist positions you on your side on the examining table. Then the technologist inserts a lubricated enema tube into your rectum. As the barium enters your colon, you may have cramps and feel a strong urge to use the bathroom.

As the barium fills your colon, the radiologist takes x-ray pictures. The radiologist may reposition you or push on your abdomen to make sure that all the loops of your colon fill with barium. The technologist will put air into your rectum to make the colon more visible. This may give you a cramping feeling, but this feeling is normal and will go away.

The entire procedure usually takes about an hour.

After the Exam
Once the exam is completed, you can go to the bathroom and expel the barium. The remaining barium usually passes out in small amounts over the next few days. Resume your regular or prescribed diet and medications. Eating normally and drinking plenty of fluids will help remove the barium from your system. It’s normal for barium to give a whitish color to your bowel movements for a day or two. Watch for signs of constipation. If you have not had a bowel movement within two or three days of your barium examination, it may be necessary to take a laxative.

Rochester Radiology sends the results of your exam to your physician so she or he can make a diagnosis and explain to you what the findings mean.

We encourage you to contact us at any time to discuss your questions and concerns.

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