• In order to get ready for this examination, follow preparation instructions from your doctor or the Radiology Department.
• It is very important for your bowel to be clean for a worthwhile examination. Any waste material that shows up in the colon could be misinterpreted as an abnormality and the exam may have to be repeated.
• Be sure to allow yourself sufficient time for the procedure (or multiple procedures if your doctor has ordered more than one examination for that day).
• You should allow approximately two (2) hours per examination, although you are not being X-rayed the entire time, some time is needed for preparation of the room, film development, and sometimes emergency situations arise that can preempt scheduled exams.
• It is necessary to gear your diet toward liquids and away from solid food. In some instances, you may need to go on a full-liquid diet. Examples of a full liquid diet : water, clear soup, any broth, plain gelatin, black coffee/tea – no sugar – NO MILK OR CREAM; unsweetened fruit juices. In most cases, you will be taking a laxative and a suppository and
  possibly a cleansing enema to help clean the colon. On the day of your exam, you should not have anything to eat or drink. If you have any questions, your doctor or the Radiology Department can give you more information.
• If there is a possibility that you may be pregnant, please inform your doctor or the technologist BEFORE beginning the examination.
• REMEMBER: These preparations are essential for an examination that will give the most complete results.

THE BARIUM ENEMA

• For the Barium Enema examination, you will need to remove all of your clothes and put on a hospital gown.
• You will then have a preliminary film of your abdomen to make sure the preparations you took were successful and that no waste material shows up on the X-ray film.
• After entering the examination room, you will be asked to lie on the X-ray table under a piece of equipment called a fluoroscope.
• You will be instructed to turn up on your side and a lubricated enema tip will be inserted into your rectum.
• When these preparations are finished, the Radiologist (the doctor performing the exam) will enter and ask you questions about why the exam is being done.
• The Radiologist will regulate the flow of a liquid barium mixture into your bowel so the colon can be visualized.
• You will be asked to move into different positions while the Radiologist watches the colon fill. You may feel the urge to move your bowels, but do your best to resist this urge.
• The enema tip is specially made to help you hold the liquid in your bowel; if you have a problem holding it, let the examiners know.
• During the fluoroscopy, you may have to hold still in different positions and the table may tilt slightly. You may also feel some pressure applied to your abdomen.
• It is very important to hold perfectly still and hold your breath when instructed. Any motion creates a blurry image on the film. You will hear sliding and snapping noises as the film holders are positioned.

COMPLETION OF THE BARIUM ENEMA

• When the Radiologist has finished taking films of selective areas, the technologist will take additional films of the entire bowel.  You will then be able to evacuate the barium, followed by another film of your empty bowel.
• The Radiologist will then review the films to make sure he/she has as much information as needed. Sometimes, more films may be taken.
• You may pass whitish stools for a few days and you might be given a laxative to help you get rid of the barium in your bowel. You can resume your regular diet, unless your doctor tells you differently.
• IMPORTANT: Drink lots of liquids.
• Your doctor will receive a typed report. He/she will talk to you about the results and discuss their meaning in regard to your health. If you have not heard from your doctor within a week of your examination, you should contact him/her to discuss the findings.

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Radiologic Studies