Troubleshooting

Problem

Cause

Solution

Rectal tube does not go in rectum easily

There may be stool low in the rectum

Do not force the rectal tube. Remove and check if the rectal tube is blocked with stool. Reinsert the rectal tube and flush with a small volume of saline.

Fluid does not run in with gravity

There may be stool low in the rectum

Hold the syringe higher. Use the 50ml syringe plunger to gently start the flow. If this is unsuccessful, remove the rectal tube and flush as above.

Fluid does not drain out

The rectal tube may be blocked with stool

Pull the rectal tube slightly backwards and forwards and remove rectal tube slowly. (fluid may escape around the sides of the rectal tube or when the rectal tube is removed)

No stool passed in the washout fluid

The rectum may be empty

If the abdomen is soft and flat retry later.

If no stool is passed in a day, seek medical advice (please refer to How to Seek Help)

There is blood in the stool

The rectal tube may have irritated the lining of the bowel

If it is a small amount in the fluid, no action is required.

If bleeding continues in the nappy seek medical advice (please refer to How to Seek Help)