What are the risks of administering an enema to a child with a fever?

Jan 25, 2025 Source: Cainiu Health

Dr. Zhou Xiaofeng

Introduction

Improper administration of enema treatment for fever in children may lead to adverse consequences such as intestinal flora imbalance, digestive dysfunction, electrolyte disturbances, anal injury, and an increased risk of infection. Therefore, enema therapy should be carefully selected and performed under a doctor's guidance. If fever persists or adverse symptoms occur, prompt medical attention is necessary.

Generally speaking, fever refers to an elevated body temperature. Administering an enema to treat fever in children is a common practice and typically poses minimal risk. However, if improperly performed, it may lead to adverse effects such as intestinal flora imbalance, digestive dysfunction, electrolyte disturbances, anal injury, and an increased risk of infection. If the fever persists, medical attention should be sought. The specific risks are analyzed as follows:

1. Intestinal Flora Imbalance

Enema therapy mainly involves the administration of antipyretic or laxative medications through the rectum. During treatment, beneficial intestinal bacteria may be harmed, leading to an imbalance in the intestinal microbiota. This can be alleviated under a doctor's guidance using medications such as Bifidobacterium triple viable capsules, lactobacillus tablets, or Bifidobacterium viable capsules.

2. Digestive Dysfunction

The medications used during enema therapy may irritate the gastrointestinal tract, causing digestive disturbances and resulting in symptoms such as nausea, diarrhea, and abdominal pain. It is recommended to reduce food intake appropriately after treatment to ease the burden on the gastrointestinal system.

3. Electrolyte Imbalance

Long-term enema therapy may disrupt intestinal fluid secretion, leading to imbalances in water and electrolytes, which can cause muscle cramps, arrhythmia, and other symptoms. After treatment, these effects can be alleviated by replenishing fluids.

4. Anal Injury

Children's intestines are relatively delicate, and excessive force during enema administration may cause anal damage, resulting in symptoms such as redness, swelling, and pain. It is recommended to rinse the area with warm water afterward and gently pat dry with a towel.

5. Increased Risk of Infection

Enema administration is an invasive procedure. If the sterilization during the process is inadequate, the risk of infection may increase, potentially worsening the condition. In cases of severe infection, prompt medical treatment with antibiotics such as Cefixime granules, Cefaclor granules, or Amoxicillin granules may be necessary, as directed by a physician.

In conclusion, enema therapy should be carefully considered for treating fever in children. To ensure safety, treatment should be conducted at a正规 hospital under the guidance of a qualified physician.

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