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Hydrogen Peroxide Colitis: The Accidental Enema.

Ramin Karimi1, Ashish Sharma1, Kevin Tran1

  • 1Coliseum Medical Center, Macon, GA.

HCA Healthcare Journal of Medicine
|July 10, 2023
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Hydrogen peroxide enemas can cause chemical colitis, leading to severe abdominal pain and bloody diarrhea. While often treatable, this highlights the risks of using hydrogen peroxide rectally.

Keywords:
adultchemical colitiscolitiscolitis/chemically inducedenemaenema/adverse effectsfemalehydrogen peroxide/adverse effectsrectal administrationulcerative

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Area of Science:

  • Gastroenterology
  • Toxicology

Background:

  • Chemical colitis is colon inflammation from harsh enema chemicals.
  • Hydrogen peroxide, an antiseptic, was historically used for constipation via enema.
  • High concentrations can cause severe symptoms, but recovery is typical with supportive care.

Observation:

  • A case study involved accidental low-concentration hydrogen peroxide enema in a young adult.
  • The patient experienced symptoms consistent with chemical colitis.

Findings:

  • Accidental rectal administration of hydrogen peroxide can damage mucosal membranes.
  • Even low concentrations pose risks for gastrointestinal tract injury.

Implications:

  • This case underscores the dangers of hydrogen peroxide enemas.
  • Highlights the need for caution with rectal administration of chemicals.