With any job there are always tasks that are not performed
often and that are not very enjoyable. I encountered one such task recently,
administering rectal contrast. It is used instead of oral contrast when a
patient can’t tolerate drinking it or when the doctor suspects a particular
diagnosis. The patient I was working with had a fistula and the use of rectal
contrast proved to be very helpful in making this determination.
I also had to give this patient IV contrast. She was a
trooper and tolerated both routes of contrast very well. This is a time when
it’s very important that I extend that extra bit of compassion to my patient,
pulling out all of the stops to ensure she is as comfortable as possible. Also,
instead of sending her back to our holding area to wait for transport I always
take patients who have received rectal contrast back to their room myself as
quickly as possibly so they can use the restroom.
It is an uncomfortable procedure for all involved,
especially the patient, but with a little extra reassurance and kindness you
can encourage your patient to work with you and help achieve best possible exam
results.