Milk and Molasses Enemas

Nurses General Nursing

Published

There are still physicians at the hospital where I work ordering milk and molasses enemas. Is anyone else out there still using these?! If so, what is the procedure followed for mixing and administering?

Thanks

Specializes in ER, ICU, Medsurg.

I have done several of them. They are a sticky mess but do work.

Specializes in Family Practice, Urgent Care, Cardiac Ca.

As far as evidence-based practice goes, there is NO evidence that Milk o' mo works any better than a warm H20 enema. plus, you're screwed if you missed that milk allergy in their chart...

Specializes in Trauma Surgery, Nursing Management.

Oh goodness! I have HAD one of these as a patient. They work!

When I was little I used to come home from school and my mom would make me molasses milk... to drink. Pretty tasty. Never knew I was drinking an enema haha.

"Gently insert the tube approximately 12 inches into the rectum or until you feel resistance.

Do not force the tube. "( MD Anderson Cancer quote)

That's a loooooong way... I was taught 3-4" max for an adult. Has anyone ever inserted a foot of tubing?

Specializes in acute care med/surg, LTC, orthopedics.

I was taught beyond the internal sphincter so 4-6 inches for adults.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
"Gently insert the tube approximately 12 inches into the rectum or until you feel resistance.

Do not force the tube. "( MD Anderson Cancer quote)

That's a loooooong way... I was taught 3-4" max for an adult. Has anyone ever inserted a foot of tubing?

Not quite that far but to the point of slight resistance...........we had a MD who always ordered 3H enemas......

High....Hot....and a helluva lot!:lol2:

Specializes in ER.
I had a physician order it, but the pharmacy said we don't carry molasses.

It's a nonformulary drug in this case, suck it up pharmacy!

Specializes in ER.
"Gently insert the tube approximately 12 inches into the rectum or until you feel resistance.

Do not force the tube. "( MD Anderson Cancer quote)

That's a loooooong way... I was taught 3-4" max for an adult. Has anyone ever inserted a foot of tubing?

no way, never 12 inches. That's just ridiculous.

Specializes in ER.

why not just skip all that and use some Habanero peppers..... that'd clear a person out!

Specializes in ER I/CCU Cath lab LTC.

I remember when those 3H enemas from the 70's! Also,"Enemas till clear" was a common order for test prep, and some patients tolerated it very poorly. I, too, thought someone was yanking my chain when I first heard of an M&M enema. I've never given one. Are they worse than Kayexelate PR? Hate that stuff!

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