Recto-manoscopy

Recto-manoscopy is an examination of the mucous membrane of the rectum and sigmoid colon. The study helps to identify the causes of pain, false urges, difficulties with defecation, diagnose prolapse of the rectum, the presence of hemorrhoids. Using the sigmoidoscope, inflammatory lesions of the rectus and part of the sigmoid colon, ulcers, polyps, and tumors are detected.

With the development of fibre-optic optics, there appeared more sophisticated instruments - colonophibroscopes, which allow to study in detail all the departments of the large intestine.

To study the patient should be prepared well in advance: THREE DAYS BEFORE STUDYING FROM THE RATION SHOULD EXCLUDE A DIFFICIALLY REPEATED CELL (VEGETABLES, FRUITS). The investigation is conducted by the NATO. LAST TIME YOU CAN EAT FOR 7 HOURS OF THE EVENING ON THE EVE OF THE DAY WHEN THE RECTOR-NOSKOPIA IS CONDUCTED, NOT LATE! IN THE EVENING, YOU SHOULD MAKE A CLEANING CLEARANCE.

CLEANING KLIZMA should contain no more than 1 liter of water, its temperature plus 25-35 degrees. Excess fluid excessively stretches the bowel, violates its tone.

Sometimes a little soap is added to the water as instructed by the doctor (1 tablespoon of scraped laundry soap per 1 liter of water). Toilet soap in this case is not suitable because of the essential additives it contains. Instead of soap, you can use glycerin (1-2 tablespoons per 1 liter of water), it also enhances peristalsis.

If the patient suffers from constipation, several hours before the enema, it is recommended to take a laxative-vaseline or castor oil or an infusion of herbs that have a laxative effect. MORNING 1-2 HOURS BEFORE THE STUDY, ANOTHER CLEANING WITH A LOW QUANTITY OF WATER WATER AND WASHING THE ANAL HOLE AREA (REAR PASSAGE). The better the intestine is cleared, the easier it is to examine it, and, therefore, the diagnosis will be more accurate. If the cleansing enema did not work enough (as is often the case with prolonged constipation), you can inject a small amount of pure glycerin or vaseline oil into the rectum. One or the other is injected with a small rubber can of 50-100 grams. Glycerin and vaseline oil lubricate the intestinal wall, soften the feces and facilitate its excretion. The solution must be dialed into the rubber bulb slowly, making sure that no air gets into it.

Having prepared the enema and brushing the tip with liquid petrolatum, lightly rotational movements gently inject it into the anus. If the injection is difficult and the tip rests against the intestinal wall, hemorrhoids or hardened feces, do not inject it with force, but by pressing on the pear or opening the tap, if the enema is pendant, you need to pour some liquid into the lumen of the intestine. The water will expand it and allow the tip to be inserted further. Do not try to enter it deeply, it is quite enough, if you enter it to a depth of 8-10 centimeters. If the flow of liquid slows down, you need to slightly change the position of the tip, and the water again will go easily. STRONG PAIN OR STATEMENT OF BLOOD-SIGNAL FOR IMMEDIATE TERMINATION OF THE PROCEDURE.