First impressions of the application microlax in Coloproctology
Science Articles / / April 18, 2016
Andrianov AV Advisory - polyclinic department of OJSC "Samara Diagnostic Center"
In the treatment of patients with different profiles are often used enemas.Types of enemas used in medicine, most fully represented in the works of A.M.Amineva.
Despite the long history of the use of enemas, their undoubted benefits when done correctly, on strict conditions, many patients and health care providers are reluctant to resort to their destination, and especially - the implementation.Typically, this is associated with long flatulence, incomplete bowel movement, pain and discomfort in the abdominal cavity, etc.
recently in the pharmaceutical market there is a new tool for the treatment of constipation - microlax (M) in the form of micro-enemas, "Pharmacia Corporation" (USA).Manufacturer - Pharmacia and Upjohn AB, Stockholm, Sweden.1 ml contains 90 mg of sodium citrate, sodium lauryl 9 mg Sorbic acid (E200), glycerol, sorbitol.1 tube contains 5 ml of the drug.
specifications given in the attached to the dr
- guaranteeing full control - effect occurs within 5-15 min .;
- security actions;
- the possibility of use in pregnant women and young children;
- the absence of contraindications;
- not addictive;
- convenient and hygienic to use.
- treatment of constipation;
- Preparation for surgery, X-ray and instrumental studies;
- application in the postoperative period.
We analyzed the use microlax in 160 patients who applied to the outpatient coloproctology Samara Diagnostic Center Department.The results exceeded all expectations.We are convinced of the reliability and safety microlax, refined and expanded indications for its use in Coloproctology.We emphasize the latter circumstance asconvinced that microlax can be applied in other fields of medicine.
women were 129 (80.6%), men - 31 (19.4%).Age ranged from 4 months to 78 years.In 2 (1.25%) had transient superficial burning sensation in the rectum.There was a well tolerated and patients rave reviews about its application, particularly those who have previously used the different types of enemas and had the opportunity to compare them.
58 patients microlax applied in preparation for sigmoidoscopy (PPC) in 2 x versions.30 patients applied for an hour (30-40 min.) To instrumental studies.The vast majority of these were rural residents, nonresident patients who did not know that it is a PPC, and it is necessary to properly prepare for it.In 2 patients in this group effect for 40 minutes.has not occurred, the second tube microlax was applied after 10 and 15 min.effect was achieved.After 30 and 40 min.PPC was performed.In 28 patients microlax applied as follows: 1 tube at night, about an hour before bedtime, the second - an hour before the examination.
inspection carried out in all patients.In 3 patients (1 st variant preparation) having the following fecal residues were not an obstacle to the PPC.The features of the endoscopic picture at PPC we checked, constantly observed, light pale, matte mucosa and the presence of traces of fluid (mucus) light turbid color with a whitish hue.
in 40 patients microlax used to prepare for a pelvic ultrasound (gynecology department).Classical training is the use of cleansing enemas standard scheme.They were patient, appear on the consultation without prior appointment and bowel cleansing.Earlier, in a similar situation, consultations were transferred to other days.In this group, after applying microlax (1 dose), it was carried ultrasound.Reduction of research quality were observed.
15 patients microlax applied in complex conservative treatment of acute and chronic anal fissures.Many authors have noted a positive effect on wound cleansing enemas anal fissures.We have also, without fail, apply cleansing enemas called "counter" - "towards the urge," as one of the main components in the complex of conservative measures, but in the amount of 400, 0-600, 0 This component is seen by us on microlax (5mL).Aesthetic enema, ease of use, a considerably smaller amount of injected drug, always a permanent effect in the form of a generous, soft, much less painful defecation, make preferably use microlax instead of cleansing enema.
14 patients microlax applied in the postoperative period after hemorrhoidectomy, excision of anal fissure and fistula adrectal.Microlax successfully replaced cleansing "counter" enema to treat the available surgical wounds of the anal canal.
13 patients microlax of 5 mL successfully used for preoperative preparation to "small" proctology operations (excision of anal fissures, intrasfinkternyh adrectal fistulas, hemorrhoids, genital warts).
6 patients with anorectal thrombosis, accompanied by severe pain during bowel movements, appointment microlax significantly reduce its intensity.
Finally, microlax used in 2 children under the age of 1 year (4 and 8 months).Positive effect was achieved after 5 and 10 minutes.Microlax applied in an amount of 1/3 of the tube.
We can not confirm that microlax not addictive in the treatment of constipation, as the developers say the drug.This requires a longer period of observation.But the fact that it operates smoothly during the 12-15 days we can definitely tell.
Thus microlax, in our opinion, is really perfect and modern tool for the treatment of constipation.We take the liberty to say that where there are indications for a cleansing enema, should be appointed microlax.
In conclusion I would like to draw the attention of domestic farmakoproizvoditeley the need for the development and mass production of such analogs microlax as microclysters, for example, sea buckthorn oil, tykveol, rosehip oil, etc.