The enema tube and solution may stimulate the vagus nerve, which may trigger an arrhythmia such as bradycardia.
Enemas should not be used if there is an undiagnosed abdominal pain since the peristalsis of the bowel can cause an inflamed appendix to rupture.
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Internal bleeding or rupture may leave the individual exposed to infections from intestinal bacteria.In a lower gastrointestinal series an enema that may contain barium sulfate powder or a water-soluble contrast agent is used in the radiological imaging of the bowel.Called a barium enema, such enemas are sometimes the only practical way to view the colon in a relatively safe manner.Following barium enema administration, patients often find that flushing the remaining barium with additional water, baking soda, or saline enemas helps restore normal colon activity without complications of constipation from the administration of the barium sulfate.Improper administration of an enema can cause electrolyte imbalance (with repeated enemas) or ruptures to the bowel or rectal tissues resulting in internal bleeding.
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After our swim, we went inside for a snack and she very bluntly asked me if I had ever taken an enema.