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More about Barium Enema:
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When the patient undergoes a single-contrast enema, their intestine is steadily filled with barium to differentiate the colon's markings. A normal result displays uniform filling of the colon. As the barium is expelled, the intestinal walls collapse. A normal result on the x ray after defecation will show the intestinal lining as having a standard, feathery appearance.
Accordingly, the double-contrast enema expands the intestine which is already lined with a thin layer of barium, but with air to display a detailed image of the mucosal pattern. Varying positions taken by the patient allow the barium to collect on the dependent walls of the intestine by way of gravity.
— Beth A. Kapes




