Enema or No enema with Radiotherapy

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Just had 2 sessions out of my 20 Rt sessions and I'm a bit puzzled about the "empty bowel". Hospital spends a lot of time pre -treatment to get a moderately full bladder (380ml) and I understand the reason for this to try and minimise any bladder damage. So far this hasn't been a problem for me. However, apart from some initial advice about trying to have an empty bowel (rectum) no-one seems to be concerned about this. I have a dodgy digestive system at the best of times and am very concerned that I do everything to help limit any extraneous damage from the RT. 

Many hospitals seem to practice self administerd mini enemas shortly before the RT session including the Royal Marsden as far as I can see. What is common practice? 

  • The Western General hospital in Edinburgh gave me 10 days of micro enemas to clear gas out of the rectum. I arrived early and used the enema before drinking the required water amount and going to the radiotherapy unit. 

    Ido4

  • Hi Panda,

    My partner had problems with emptying his bowel for his radiotherapy, he had one day where he arrived at 9am but had to stay till the end of the day to have it done because he was internally "backed up" He had Senokot for a few days and then was ok without anything. The reason is that that the bowel needs to be as far away as possible and not pushing into the area of the radiotherapy. Before he had the RT he would have a scan to check the bowel and be sent off to try again if it wasn't empty enough ( no pressure!) He was told to stop eating bulky foods like cereal and porridge.

     Also be prepared for a crash of energy halfway through, it' seems to hit you roughly two weeks in and last for a couple of weeks after.

    Best wishes

    LSlight smile

  • Hi

    In Poole I had to use a mini enema before every session - 37 in total. As for liquid, 380ml would have been dead easy - 600ml for me!

    We are all different, and where the PC is,  I'm guessing, determines all sorts of things!

    Regards

    Stuart

    Trying to get fit again!
  • Hi Bob

    At Oldham we were the "odd man out" it was empty bladder so you had a wee before RT as they said an empty bladder is so they can "see" the prostate on the first scan.

    Oh yes -I was given a pack of 24 "micro enemas to administer at no more than 2 hours before my "sunbed" appointment.  They worked in 20 minuets of administration and then I either walked in or got the bus if it was raining!!

    I have 3 spare if you need them!!!!Thumbsup

    Honest answer - ask the radiologist on Monday. I hope it works for you.

    Cheers - Brian.

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  • Hi Brian

    How interesting. In my cohort, in Poole, no one ( as far as I could tell) used the enema at home. It used to take me 45 mins, to travel 6 miles, or so, and I really wouldn't have wanted to take a chance, and use it before I got to safety - if you get my drift!

    Regards

    Stuart

    Trying to get fit again!
  • Hi Stuart

    I am just over a mile from the hospital.

    I am type 2 diabetic on Metformin - you can set your clock by my motions!! If someone wants to give me a hand that's fine!

    Most of my RT appointments were between 5 and 7pm which fitted in with my normal "calling pattern". Happy days.

    And yes- I do get your drift!! Joy.

    Been there, got the t - shirt!

    Best wishes

    Brian.

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  • Thanks, that seems to be the best regime. I have appointments at 7.30am so looks like an early start!

  • Hi Brian

    Yes a discussion with staff tomorrow. After only 2 treatments I already have reduced flow at night and an irritated bowel, which has come as a surprise to me as I wasn't expecting anything very noticeable until about the half way stage. I have bought a pack of mini enemas to help manage things particularly as I have a late afternoon appointments when the rest are about about 8am.

    Regards

    Bob

  • Hi Bob

    Good luck with it tomorrow - I hope you get it sorted out.

    When you are lying on the "sunbed" you can spend the time planning your next holiday. SunglassesThumbsupSunglasses

    Keep us posted.

    Best wishes - Brian.

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  • Or sleeping!

    WinkRoflRoflRofl

    Trying to get fit again!