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LETTERS: Walter H Curioso and Klaus E Monkemuller Neomycin should not be used to treat hepatic encephalopathy BMJ 2001; 323: 233 [Full text]

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The importance of enemas

Joseph W. Mc Dermott   (5 February 2004)

The importance of enemas 5 February 2004
Joseph W. Mc Dermott, M.D. Internal Medicine Physician, M.G.S.S. Luis Vernaza General Hospital, PO Box 09-06-2049 Guayaquil, Ecuador, South America Send response to journal: Re: The importance of enemas	To all medicine professionals who read this interesting article, Drs. Krige & Beckingham, give us important quick tips for ascites, encephalopathy, hepatorenal syndrome and spontaneous bacterial peritonitis. I would like to make some comments about encephalopathy. From my experience, the most useful method we have used to treat it are enemas, Lactulose, antibiotics, gum pocion, plus saline, rectally 3 to 4 times daily; this will improve patients' condition in no time. Sometimes we use lanexat and if the preponderant mechanism are the increase of the benzodiazepines like, the patient will wake up, in few minutes. Truly yours, Joseph W. Mc Dermott MD, MGSS Internal Medicine Physician Catholic University Profesor Luis Vernaza General Hospital Competing interests: None declared