From the Guidelines
Recommended Enema Type
A hyperosmotic saline enema is recommended for a 49-year-old male with constipation and normal bowel sounds 1.
- This type of enema increases water content and stimulates peristalsis to aid in expulsion, working more quickly than oral laxatives.
- Suppositories and enemas are preferred first-line therapy when a full rectum or faecal impaction is identified, and can be used to soften and evacuate stool.
- The use of hyperosmotic saline enemas is supported by clinical practice guidelines, which suggest that they are effective in increasing water content and stimulating peristalsis to aid in expulsion 1.
- It is essential to note that while suppositories containing glycerine, bisacodyl, or CO2-releasing compounds can also be used, enemas such as hyperosmotic saline may be more effective in this scenario 1.
From the Research
Enema Recommendations
There are no research papers to assist in answering this question about the type of enema recommended for a 49-year-old male with constipation and normal bowel sounds, as the provided study 2 focuses on age-related changes in hormone levels in women of reproductive age and does not address enema recommendations or constipation treatment in males.
Relevant Information
- The study 2 discusses follicle stimulating hormone, luteinizing hormone, oestradiol, and immunoreactive inhibin levels in women aged 21-49 years.
- It does not provide information on constipation treatment or enema recommendations for males.
- The study's findings are related to women's reproductive health and do not apply to the treatment of constipation in males.