• Barium Enema

    (Barium X-ray; Lower GI Series)


    Barium is a milky fluid that absorbs x-rays. Barium is placed into the bowels through the rectum. This is called an enema. Barium coats the lining of the lower intestines. This makes that area easier to see on an x-ray.
    Barium Enema
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    Reasons for Test

    You may have a barium enema to look for problems in your lower intestines. Some things your doctor may be looking for include:
    • Abnormal growths such as polyps and cancers
    • Ulcers
    • Diverticula—small pouches in the wall of the large intestine
    • Thickening of the lining of the large intestine

    Possible Complications

    Complications are rare. Some may have an allergic reaction to the barium or latex tube used during the test. Talk to your doctor about any allergies you may have.

    What to Expect

    Prior to Test

    Tell your doctor if you are allergic to latex or barium.
    Your intestines must be empty before this test. Your doctor may ask you to:
    • Eat a clear liquid diet.
    • Take laxatives.
    • Use a warm water or over-the-counter enema.
    • Do not eat or drink anything after midnight.

    Description of Test

    A well-lubricated enema tube will be gently inserted into your rectum. You may be given an injection to relax the rectum. Barium will be inserted through the tube. A small balloon at the end of the tube will be inflated. This balloon keeps the barium inside. You will be moved several times to make sure the barium coats the walls of the colon and rectum. A small amount of air will be inserted through the tube. A series of x-rays will be taken. After this, the enema tube will be removed.

    After Test

    After the test, you:
    • Will be shown to the bathroom to pass the barium and may be given a laxative
    • May feel mild-to-moderate abdominal cramping and may need to wait before driving home
    • Can return to your regular diet unless your doctor tells you not to
    • Can return to regular activities when you feel ready
    • Should drink lots of fluids—barium can cause dehydration
    • May have white or gray stools for 2-3 days after the test due to the barium

    How Long Will It Take?

    About 1-2 hours

    Will It Hurt?

    You may feel discomfort when the enema tube is inserted. You may have bloating and severe cramping during the test. You may also feel as if you need to move your bowels.


    It may take up to a few days to receive your test results. If the results are abnormal, your doctor will recommend:
    • Follow-up testing
    • Treatment options

    Call Your Doctor

    After you leave the hospital, call your doctor if any of the following occurs:
    • Severe pain
    • Inability to pass gas or have a bowel movement for two or more days after the exam
    • Abdominal bloating
    • Bloody stools
    If you think you have an emergency, call for emergency medical services right away.


    American Society of Radiologic Technologists http://www.asrt.org

    Radiology Info—Radiological Society of North America http://www.radiologyinfo.org


    Canadian Association of Radiologists http://www.car.ca

    Health Canada http://www.hc-sc.gc.ca


    Barium enema. McKinley Health Center, University of Illinois at Urbana-Champaign website. Available at: http://www.mckinley.uiuc.edu/handouts/barium%5Fenema.html. Updated June 14, 2011. Accessed September 3, 2014.

    Lower gastrointestinal (GI) tract x-ray (radiography). Radiological Society of North America Radiology Info website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=lowergi. Updated March 7, 2013. Accessed September 3, 2014.

    Lower GI series. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://www.niddk.nih.gov/health-information/health-topics/diagnostic-tests/lower-gi-series/Pages/diagnostic-test.aspx. Updated May 7, 2014. Accessed September 3, 2014.

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