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Barium Enema Test

Dr. HelloDox Care #
HelloDox Care
Consult


Barium Enema Test

Overview
A barium enema is an X-ray exam that can detect changes or abnormalities in the large intestine (colon). The procedure is also called a colon X-ray.
An enema is the injection of a liquid into your rectum through a small tube. In this case, the liquid contains a metallic substance (barium) that coats the lining of the colon. Normally, an X-ray produces a poor image of soft tissues, but the barium coating results in a relatively clear silhouette of the colon.
During a barium enema exam, air may be pumped into the colon. The air expands the colon and improves the quality of images.This is called an air-contrast (double-contrast) barium enema.
Before a barium enema, your doctor will instruct you to completely empty your colon.

Why it's done?
Your doctor may recommend a barium enema to determine the cause of signs and symptoms, such as the following:
Abdominal pain
Rectal bleeding
Changes in bowel habits
Unexplained weight loss
Chronic diarrhea
Persistent constipation
A barium enema X-ray may enable your doctor to detect such conditions as:
Abnormal growths (polyps)
Inflammatory bowel disease

Risks
A barium enema exam poses few risks. Rarely, complications of a barium enema exam may include:
Inflammation in tissues surrounding the colon
Obstruction in the gastrointestinal tract
Tear in the colon wall
Allergic reaction to barium
Barium enema exams generally aren't done during pregnancy because X-rays present a risk to the developing fetus.

How you prepare?
Before a barium enema exam, you'll be instructed to empty your colon. Any residue in your colon may obscure the X-ray images or be mistaken for an abnormality.
To empty your colon, you may be asked to:
Follow a special diet the day before the exam. You may be asked not to eat and to drink only clear liquids — such as water, tea or coffee without milk or cream, broth, and clear carbonated beverages.
Fast after midnight. Usually, you'll be asked not to drink or eat anything after midnight before the exam.
Take a laxative the night before the exam. A laxative, in a pill or liquid form, will help empty your colon.
Use an enema kit. In some cases, you may need to use an over-the-counter enema kit — either the night before the exam or a few hours before the exam — that provides a cleansing solution to remove any residue in your colon.
Ask your doctor about your medications. At least a week before your exam, talk with your doctor about the medications you normally take. He or she may ask you to stop taking them days or hours before the exam.

What you can expect?
During the exam
Illustration of barium enema
Barium enema
During your barium enema, you'll wear a gown and be asked to remove eyewear, jewelry or removable dental devices. The exam will be performed by a radiology technician and a physician who specializes in diagnostic imaging (radiologist).
You'll begin the exam lying on your side on a specially designed table. An X-ray will be taken to make sure your colon is clean. Then a lubricated enema tube will be inserted into your rectum. A barium bag will be connected to the tube to deliver the barium solution into your colon.
If you're having an air-contrast (double-contrast) barium enema, air will flow through the same tube and into your rectum.
The tube that's used to deliver the barium has a small balloon near its tip. When positioned at the entrance of your rectum, the balloon helps keep the barium inside your body. As your colon fills with barium, you may feel the urge to have a bowel movement. Abdominal cramping may occur.
Do your best to hold the enema tube in place. To relax, take long, deep breaths.
You may be asked to turn and hold various positions on the exam table. This helps ensure that your entire colon is coated with barium and enables the radiologist to view the colon from various angles. You also may be asked to hold your breath at times.
The radiologist may press firmly on your abdomen and pelvis, manipulating your colon for better viewing on a monitor attached to the X-ray machine. A number of X-rays will likely be taken of your colon from various angles.
A barium enema exam typically takes about 30 to 60 minutes.

After the exam
After the exam, most of the barium will be removed from your colon through the enema tube. When the tube is removed, you'll be able to use the toilet to expel additional barium and air. Any abdominal cramping usually ends quickly, and you should be able to return to your usual diet and activities right away.
You may have white stools for a few days as your body naturally removes any remaining barium from your colon. Barium may cause constipation, so you may find you can reduce your risk of constipation by drinking extra fluids in the days following your exam. Your doctor may recommend a laxative, if needed.
Check with your doctor if you're unable to have a bowel movement or pass gas more than two days after the exam or if your stool doesn't return to its normal color within a few days.

Results
The radiologist prepares a report based on the results of the examination and sends it to your doctor. Your doctor will discuss the results with you, as well as subsequent tests or treatments that may be required:
Negative result: A barium enema exam is considered negative if the radiologist detects no abnormalities in the colon.
Positive result: A barium enema exam is considered positive if the radiologist detects abnormalities in the colon. Depending on the findings, you may need additional testing — such as a colonoscopy — so that any abnormalities can be examined more thoroughly, biopsied or removed.
If your doctor is concerned about the quality of your X-ray images, he or she may recommend a repeat barium enema or another type of diagnostic test.






Published  

Barium Enema Test

Dr. HelloDox Care #
HelloDox Care
Consult

Barium Enema Test

Overview
A barium enema is an X-ray exam that can detect changes or abnormalities in the large intestine (colon). The procedure is also called a colon X-ray.
An enema is the injection of a liquid into your rectum through a small tube. In this case, the liquid contains a metallic substance (barium) that coats the lining of the colon. Normally, an X-ray produces a poor image of soft tissues, but the barium coating results in a relatively clear silhouette of the colon.
During a barium enema exam, air may be pumped into the colon. The air expands the colon and improves the quality of images.This is called an air-contrast (double-contrast) barium enema.
Before a barium enema, your doctor will instruct you to completely empty your colon.



Why it's done?
Your doctor may recommend a barium enema to determine the cause of signs and symptoms, such as the following:
Abdominal pain
Rectal bleeding
Changes in bowel habits
Unexplained weight loss
Chronic diarrhea
Persistent constipation
A barium enema X-ray may enable your doctor to detect such conditions as:
Abnormal growths (polyps)
Inflammatory bowel disease



Risks
A barium enema exam poses few risks. Rarely, complications of a barium enema exam may include:
Inflammation in tissues surrounding the colon
Obstruction in the gastrointestinal tract
Tear in the colon wall
Allergic reaction to barium
Barium enema exams generally aren't done during pregnancy because X-rays present a risk to the developing fetus.


How you prepare?
Before a barium enema exam, you'll be instructed to empty your colon. Any residue in your colon may obscure the X-ray images or be mistaken for an abnormality.
To empty your colon, you may be asked to:
Follow a special diet the day before the exam. You may be asked not to eat and to drink only clear liquids — such as water, tea or coffee without milk or cream, broth, and clear carbonated beverages.
Fast after midnight. Usually, you'll be asked not to drink or eat anything after midnight before the exam.
Take a laxative the night before the exam. A laxative, in a pill or liquid form, will help empty your colon.
Use an enema kit. In some cases, you may need to use an over-the-counter enema kit — either the night before the exam or a few hours before the exam — that provides a cleansing solution to remove any residue in your colon.
Ask your doctor about your medications. At least a week before your exam, talk with your doctor about the medications you normally take. He or she may ask you to stop taking them days or hours before the exam.


What you can expect?
During the exam
Illustration of barium enema
Barium enema
During your barium enema, you'll wear a gown and be asked to remove eyewear, jewelry or removable dental devices. The exam will be performed by a radiology technician and a physician who specializes in diagnostic imaging (radiologist).
You'll begin the exam lying on your side on a specially designed table. An X-ray will be taken to make sure your colon is clean. Then a lubricated enema tube will be inserted into your rectum. A barium bag will be connected to the tube to deliver the barium solution into your colon.
If you're having an air-contrast (double-contrast) barium enema, air will flow through the same tube and into your rectum.
The tube that's used to deliver the barium has a small balloon near its tip. When positioned at the entrance of your rectum, the balloon helps keep the barium inside your body. As your colon fills with barium, you may feel the urge to have a bowel movement. Abdominal cramping may occur.
Do your best to hold the enema tube in place. To relax, take long, deep breaths.
You may be asked to turn and hold various positions on the exam table. This helps ensure that your entire colon is coated with barium and enables the radiologist to view the colon from various angles. You also may be asked to hold your breath at times.
The radiologist may press firmly on your abdomen and pelvis, manipulating your colon for better viewing on a monitor attached to the X-ray machine. A number of X-rays will likely be taken of your colon from various angles.
A barium enema exam typically takes about 30 to 60 minutes.



After the exam
After the exam, most of the barium will be removed from your colon through the enema tube. When the tube is removed, you'll be able to use the toilet to expel additional barium and air. Any abdominal cramping usually ends quickly, and you should be able to return to your usual diet and activities right away.
You may have white stools for a few days as your body naturally removes any remaining barium from your colon. Barium may cause constipation, so you may find you can reduce your risk of constipation by drinking extra fluids in the days following your exam. Your doctor may recommend a laxative, if needed.
Check with your doctor if you're unable to have a bowel movement or pass gas more than two days after the exam or if your stool doesn't return to its normal color within a few days.



Results
The radiologist prepares a report based on the results of the examination and sends it to your doctor. Your doctor will discuss the results with you, as well as subsequent tests or treatments that may be required:
Negative result: A barium enema exam is considered negative if the radiologist detects no abnormalities in the colon.
Positive result: A barium enema exam is considered positive if the radiologist detects abnormalities in the colon. Depending on the findings, you may need additional testing — such as a colonoscopy — so that any abnormalities can be examined more thoroughly, biopsied or removed.
If your doctor is concerned about the quality of your X-ray images, he or she may recommend a repeat barium enema or another type of diagnostic test.






Published  

बेरियम एनेमा टेस्ट

Dr. HelloDox Care #
HelloDox Care
Consult


बेरियम एनेमा टेस्ट

आढावा
बेरियम एनीमा एक्स-रे परीक्षा आहे जी मोठ्या आंत (कोलन) मधील बदल किंवा असामान्यता ओळखू शकते. प्रक्रिया कोलन एक्स-रे देखील म्हणतात.
एक एनीमा एक लहान नलिकाद्वारे आपल्या गुदाम मध्ये द्रव इंजेक्शन आहे. या प्रकरणात, द्रव मध्ये धातुचा पदार्थ (बेरियम) असतो जो कोलनच्या आरामात कोट करतो. सामान्यतः, क्ष-किरण मुलायम ऊतकांची खराब प्रतिमा तयार करते, परंतु बेरियमचे कोटिंग परिणामस्वरूप कोलनच्या तुलनेने स्पष्ट सिलेक्टेटमध्ये होते.
बेरियम एनीमाच्या परीक्षेदरम्यान हवेला कोलनमध्ये टाकता येईल. हवा कोलोनचा विस्तार करते आणि प्रतिमांची गुणवत्ता सुधारते. याला एअर-कॉन्ट्रास्ट (डबल-कॉन्ट्रास्ट) बेरियम एनीमा म्हटले जाते.
बेरियम एनीमाच्या आधी, आपला डॉक्टर आपल्या कॉलोनला पूर्णपणे रिकाम्या करण्यास सांगेल.

हे का केले आहे?
चिन्हे आणि लक्षणांचे कारण ठरविण्यासाठी आपले डॉक्टर बेरियम एनीमाची शिफारस करू शकतात, जसे की खालील:
पोटदुखी
रेक्टल रक्तस्त्राव
आंत्र सवयींमध्ये बदल
अस्पष्ट वजन कमी होणे
तीव्र अतिसार
सतत कब्ज
एक बेरियम एनीमा एक्स-रे आपल्या डॉक्टरांना अशी परिस्थिती ओळखण्यास सक्षम करेल:
असामान्य वाढ (पॉलीप्स)
इन्फ्लॅमेटरी आंत्र रोग

धोके
बेरियम एनीमाच्या परीक्षेत काही धोके आहेत. बऱ्याचदा, बेरियम एनीमा परीक्षेत असलेल्या जटिलतांमध्ये हे समाविष्ट असू शकते:
कोलनच्या सभोवतालच्या ऊतींमध्ये सूज येणे
गॅस्ट्रोइंटेस्टाइनल ट्रॅक्टमध्ये अडथळा
कॉलोन भिंत मध्ये फासणे
बेरियम वर ऍलर्जी प्रतिक्रिया
बेरियम एनीमाची परीक्षा सामान्यत: गर्भधारणेदरम्यान केली जात नाही कारण एक्स-रेमुळे विकसनशील गर्भाला धोका असतो.

आपण कसे तयारी करता?
बेरियम एनीमा परीक्षेपूर्वी, आपल्याला आपल्या कॉलोनला रिकामा करण्यास सांगितले जाईल. आपल्या कॉलोनमधील कोणतेही अवशेष एक्स-रे प्रतिमा अस्पष्ट करू शकतात किंवा असामान्यतेसाठी चुकीचे असू शकतात.
आपल्या कॉलोनला रिक्त करण्यासाठी, आपल्याला असे विचारले जाऊ शकतेः
परीक्षेच्या दिवसापूर्वी विशेष आहार घ्या. आपल्याला पाणी किंवा चहा किंवा कॉफ़ी, मटनाचा रस्सा आणि स्पष्ट कार्बोनेटेड पेये न घेता फक्त पाणी, चहा किंवा कॉफी यासारख्या स्पष्ट द्रवपदार्थ खाण्यास सांगितले जाऊ शकते.
मध्यरात्री नंतर जलद. सामान्यत :, आपणास परीक्षापूर्वी मध्यरात्रानंतर काहीही न पिण्यास किंवा खाण्यास सांगितले जाणार नाही.
परीक्षा आधी रात्री एक लक्षणीय घ्या. एक गोळी किंवा द्रव स्वरूपात एक रेचक, आपल्या कोलन खाली सोडण्यात मदत करेल.
एनीमा किट वापरा. काही प्रकरणांमध्ये, आपल्याला एक ओव्हर-द-काउंटर एनीमा किट वापरण्याची आवश्यकता असू शकते - एकतर परीक्षापूर्वी किंवा परीक्षेच्या काही तास आधी - आपल्या कॉलनमध्ये कोणतेही अवशेष काढण्यासाठी साफ करणारे समाधान प्रदान करते.
आपल्या डॉक्टरांना आपल्या औषधांबद्दल विचारा. आपल्या परीक्षणाच्या किमान एक आठवडा आधी, सामान्यत: आपण घेत असलेल्या औषधांबद्दल आपल्या डॉक्टरांशी चर्चा करा. परीक्षेच्या काही दिवसापूर्वी किंवा तास घेण्यापासून ते तुम्हाला विचारू शकतात.

आपण काय अपेक्षा करू शकता?
परीक्षा दरम्यान
बेरियम एनीमाचे चित्र
बेरियम एनीमा
आपल्या बेरियम एनीमा दरम्यान, आपण गाउन घालता आणि चष्मा, दागदागिने किंवा काढता येण्यासारख्या दंत उपकरणे काढून टाकण्यास सांगितले जाऊ शकते. परीक्षा रेडिओलॉजी तंत्रज्ञ आणि चिकित्सक द्वारा केली जाईल जी निदान इमेजिंग (रेडिओलॉजिस्ट) मध्ये माहिर आहेत.
आपण विशेषतः डिझाइन केलेल्या सारणीवर आपल्या बाजूला पडलेली परीक्षा सुरू कराल. आपले कोलन स्वच्छ असल्याचे सुनिश्चित करण्यासाठी एक्स-रे घेण्यात येईल. नंतर आपल्या गुंडाळीमध्ये एक स्नेही एनीमा ट्यूब घातला जाईल. आपल्या कॉलोनमध्ये बेरियम सोल्यूशन वितरीत करण्यासाठी एक बेरियम बॅग ट्यूबला जोडला जाईल.
जर आपल्याकडे एअर-कॉन्ट्रास्ट (डबल-कॉन्ट्रास्ट) बेरियम एनामा असेल तर, त्याच नलिकातून आणि आपल्या गुदामांमधून हवा वाहत जाईल.
बेरियम वितरीत करण्यासाठी वापरण्यात येणारी नळी त्याच्या नजीकच्या जवळ एक लहान गुब्बारा आहे. आपल्या गुप्ताच्या प्रवेशद्वारावर असताना, फुग्यामुळे आपल्या शरीरातील बेरियम ठेवण्यास मदत होते. जसे आपले कोलन बेरियमने भरले आहे, आपणास आंत चळवळ होण्याची इच्छा वाटू शकते. ओटीपोटात क्रॅम्पिंग होऊ शकते.
एनीमा ट्यूब ठेवण्यासाठी आपले सर्वोत्तम कार्य करा. आराम करण्यासाठी, दीर्घ, दीर्घ श्वास घ्या.
आपल्याला परीक्षेच्या टेबलावर विविध पोजीशन चालू आणि धरण्यास सांगितले जाऊ शकते. हे आपले संपूर्ण कोलन बेरियमसह लेपित आहे याची खात्री करण्यात मदत करते आणि रेडिओलॉजिस्टला कोनला विविध कोनातून पाहण्यास सक्षम करते. आपल्याला कधीकधी आपला श्वास घेण्यास सांगितले जाऊ शकते.
क्ष-किरण यंत्राशी संलग्न असलेल्या मॉनिटरवर अधिक चांगल्या प्रकारे पाहण्यासाठी आपल्या कॉलोनमध्ये कुशलतेने रेडियोलॉजिस्ट आपल्या पोटावर आणि श्रोणीवर स्थिरपणे दाबून ठेवू शकते. बऱ्याच क्ष-किरणांमुळे आपल्या कोळशाचे विविध कोनातून घेतले जाईल.
बेरियम एमिना परीक्षेत साधारणतः 30 ते 60 मिनिटे लागतात.

परीक्षा नंतर
परीक्षेनंतर, बहुतेक बेरियम आपल्या कोलनमधून एनीमा ट्यूबमधून काढले जातील. जेव्हा ट्यूब काढला जातो तेव्हा आपण अतिरिक्त बेरियम आणि हवा बाहेर काढण्यासाठी शौचालय वापरण्यास सक्षम असाल. कोणतीही ओटीपोटात क्रॅम्पिंग सहसा त्वरीत संपते आणि आपण आपल्या नेहमीच्या आहारावर आणि क्रियाकलापांवर परत येऊ शकता.
आपल्या शरीरात नैसर्गिकरित्या आपल्या कोळशातून उर्वरित बेरियम काढून टाकतांना आपल्याकडे काही दिवस पांढऱ्या रंगाचे मल दिसून येतील. बेरियम कब्ज होऊ शकते, म्हणून आपल्या परीणामानंतरच्या दिवसांमध्ये अतिरिक्त द्रवपदार्थ पिण्यासाठी आपण कब्ज होण्याची जोखीम कमी करू शकता. आवश्यक असल्यास आपले डॉक्टर रेचक करणारी शिफारस करु शकतात.
जर आपणास आंत चळवळीचा अभाव नसेल किंवा दोन दिवसांपेक्षा जास्त काळ गॅस पास करता येत नसेल तर आपल्या डॉक्टरांशी तपासून पहा
परीक्षा घ्या किंवा काही दिवसांत तुमचे मल सामान्य रंगात परत येत नसेल तर.

परिणाम
रेडियोलॉजिस्ट परीक्षा परिणामांच्या आधारावर अहवाल तयार करते आणि आपल्या डॉक्टरकडे पाठवते. आपले डॉक्टर आपल्याबरोबरच्या परिणामांसह चर्चा करतील तसेच पुढील परीक्षणे किंवा उपचार आवश्यक असतील:
नकारात्मक परिणाम: रेडिओलॉजिस्टला कोलनमध्ये काही असामान्यता आढळल्यास बेरियम एनीमा परीक्षा नकारात्मक मानली जाते.
सकारात्मक परिणाम: रेडिओलॉजिस्ट कोलनमध्ये असामान्यता आढळल्यास बेरियम एनीमा परीक्षा सकारात्मक मानली जाते. निष्कर्षांनुसार, आपल्याला अतिरिक्त चाचणीची आवश्यकता असू शकते - जसे की कोलोनोस्कोपी - जेणेकरुन कोणत्याही असामान्यता तपासल्या जाऊ शकतील, बायोप्सीड किंवा काढून टाकल्या जाऊ शकतात.
जर आपल्या डॉक्टरांना आपल्या क्ष-किरणांच्या प्रतिमांच्या गुणवत्तेबद्दल चिंता वाटत असेल, तर ती पुन्हा बारीम एनीमा किंवा दुसऱ्या प्रकारचे निदान चाचणी करण्याची शिफारस करू शकते.

Dr. Amruta Kolte (Chaudhary)
Dr. Amruta Kolte (Chaudhary)
BDS, Dental Surgeon, 5 yrs, Pune
Dr. Annasaheb Labade
Dr. Annasaheb Labade
BAMS, Ayurveda Family Physician, 19 yrs, Pune
Dr. Manisha Dandekar
Dr. Manisha Dandekar
BAMS, Ayurveda, 25 yrs, Pune
Dr. Shital Chavan
Dr. Shital Chavan
BDS, Cosmetic and Aesthetic Dentist Dental Surgeon, 10 yrs, Pune
Dr. Rupali Sawarkar
Dr. Rupali Sawarkar
BAMS, Family Physician Physician, 11 yrs, Pune
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