Milk and Molasses Enema - page 3
by medicrnohio 141,087 Views | 38 Comments
The other night at work I had an order to give a patient a milk and molasses enema. Having never done this before and only heard in nursing school that they used to be given I asked the other nurses about it. No one had really... Read More
- 1Sep 10, '05 by hollysterQuote from suzanne4If it been used for more than 100 years and is still used. I would call it evidence based.:chuckleThis has been used for probably more than 100 years, it has been around at least since my grandmother was a little girl.
This was used before any of these companies made the newer things........plus it is 100% natural..........
- 0Sep 11, '05 by jsteine1Quote from MamaTheNurseI haven't given one since Moses wore short pants but they did/do work great and before the poop smell started, the warm milk and molasses mixture used to make the whole unit smell like my grandma's molasses cookies baking in the oven - yum!!!
I'm an oldie but goodie, but never heard of this one! Whatever works!
- 1Sep 11, '05 by DaytoniteDoesn't the molasses also have an osmotic effect and pull fluid into the bowel (similar to what a Fleets does)? I've seen Lactulose ordered for patients in nursing homes as a laxative. Seems taking molasses orally would have the same effect except that it would be pretty hard on the digestion because of the high sugar content.
- 0Sep 11, '05 by Ifs_WinteryQuote from Monica RN,BSNI would think not, this would help the patient go to sleep though Tryptophan and sugar are the magic combination sometimes!Wondered if warm milk and molasses mixed and drank instead of given anally could be just as effective???
The milk and molasses probably work because the sugars in the milk and molasses cannot be or are not easily absorbed by your colon (but they would be easily absorbed by your small intestines if you drank the mixture). The milk might also provide a barrier (as someone mentioned before) keeping the sugar in the molasses from being absorbed by the colon. It then works as an osmotic type laxative. The same as lactulose and sorbitol. I believe these can be taken orally because the sugar in these products can not be absorbed by your body, so it makes it past the small intestines intact where it can go to work on the lower regions.
I've given lactulose enemas to many hepatic encephalopathy patients and let me tell you WHOA! First, I learned to pad the whole bed from head to toe and then I learned to pad all around the bed on the floor also!
- 0Sep 12, '05 by VeryPlainJaneQuote from nrskarenrnwouldn't a coffee enema work just as well but less messy?milk and molasses works as mild stimulant to stimulate bowel peristalsis, evacuate stool and is easy on the bowel lining.
see prior post on subject:
for those patients whose hard stool is just beyond the reach of your glove,and you don't have a sse bag or rectal tube available. attach a 18 fr or larger foley to end of a fleets enema bottle, lubricate well with water soluble gel, insert tube with rotating motion up past stool as high as it will reach. administer enema up high, try to keep the patient side-lying for 15 min, expect great results.
brown cow = m+m = milk and molasses enema
warm 8oz milk in pan on stove or microwave 1 min. mix in 8 oz molasses. allow mixture to cool to room temp (test on inside of forearm).
once cooled, add to enema bag and your ready to go.
swear too that brear rabbit superior to grandma's molasses as has higher darkstrap molasses content. :chuckle
see diane k. newman, rnc, msn, crnp, faan incontinence nurse practitioners article for good info: http://www.seekwellness.com/incontinence/bowel.htm
- 0Sep 12, '05 by StraydandelionQuote from VeryPlainJaneMakes you wonder doesn't it, have given it also and it does work! Appears also to be less uncomfortable then the typical SSE. Wonder if a coffee enema would keep the patient from sleeping!!:chuckleWouldn't a Coffee Enema work just as well but less messy?