Peripherally acting mu-opioid antagonists are effective for opioid-induced constipation but are expensive. and transmitted securely. Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Sign up for our free Healthy Living Newsletter, Back and Neck Surgery (Except Spinal Fusion), https://onlinelibrary.wiley.com/doi/abs/10.5694/mja18.00241, https://www.ncbi.nlm.nih.gov/books/NBK554924/, https://www.healthdirect.gov.au/constipation-in-children, https://www.nature.com/articles/nrgastro.2017.124, https://www.fda.gov/food/food-additives-petitions/food-additive-status-list, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140151/, https://www.uptodate.com/contents/constipation-in-infants-and-children-beyond-the-basics/print, https://www.cancer.gov/publications/dictionaries/cancer-terms/def/suppository. DailyMed. Need a Telehealth Visit? Will she need a transplant? Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. According to a 2019 review of research, certain health conditions that affect the gastrointestinal (GI) tract may also reduce the effectiveness of the drugs being administered rectally, and even increase the risk of pain. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). In older adults, rectal receptors may have a diminished response to stretching, blunting the urge to defecate despite accumulation of large quantities of stool. The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of Defense, the U.S. Army Medical Corps, or the U.S. Army at large. 2021 Apr;32(4):950-959. doi: 10.1681/ASN.2020081120. Some other questions people often ask about glycerin suppositories include: Constipation is a common problem among both children and adults. It generally works within 6 to 12 hours. endobj If youre a parent or caregiver, you can also use these steps to give a suppository to a child or another adult. Semin Dial. Hypoglycemia-Related Hospitalizations and Mortality Among Patients With Diabetes Transitioning to Dialysis. Findings may provide novel insight into better management strategies to alleviate constipation symptoms and reduce medication requirements in patients with advanced CKD. National Library of Medicine This will help ensure the medication is administered properly, and will also reduce the risk of pain and other side effects. Insert the suppository into the rectum, narrow end first. Glycerin suppositories do not usually cause These laxatives draw water into the intestinal lumen. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Patient education: Constipation in infants and children. 6 Foods to Avoid with Eosinophilic Esophagitis. Changing some of your daily habits is often all thats needed. A more recent article on chronic constipation in adults is available. Osmotic laxatives are available as OTC products, including: Miralax Polyethylene glycol, or PEG (Miralax), Glycerin (Fleet and Pedia-Lax suppositories). doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: All drugs may cause side effects. And Buspar daily. For children, the typical frequency of bowel movements varies from once or twice daily to once every 23 days. Research shows that as many as 15% of people in the world are affected by chronic constipation. Sumida K, Dashputre AA, Potukuchi PK, Thomas F, Obi Y, Molnar MZ, Gatwood JD, Streja E, Kalantar-Zadeh K, Kovesdy CP. Laxatives. You should drink a lot of water while taking bulk-forming laxatives. Call your doctor or 911 if you think you may have a medical emergency. Put suppository into the rectum with gentle pressure, pointed end first. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Honda Y, Itano S, Kugimiya A, Kubo E, Yamada Y, Kimachi M, Shibagaki Y, Ikenoue T. BMC Nephrol. Patients report hard stool or difficulty with defecation, but have normal stool frequency.4 Slow transit constipation, caused by abnormal innervation of the bowel or visceral myopathy, leads to increased transit time of stool through the colon with infrequent defecation, bloating, and abdominal discomfort.5 Disorders of defecation can occur in any age group but are particularly common in older patients.6 Defecation may be impaired by decreased smooth muscle contraction in the rectum or the inability to relax the muscles of defecation. MedlinePlus. Tell all of your health care providers that you take this medicine (glycerin suppositories). (2021). Secondary constipation is associated with chronic disease processes, medication use, and psychosocial issues. Hold the buttocks together for a few seconds to stop the suppository from coming out. To take advantage of the gastrocolic reflex, patients should schedule toileting after meals.4 They should place their feet on a small step stool instead of on the floor to straighten the anorectal junction. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Influence of peritoneal dialysis catheter type on dislocations and laxative use: a retrospective observational study. This will make it difficult to have a bowel movement without using a glycerin suppository. The presence of other medical problems may affect the use of this medicine. Keep them in the refrigerator if the medication label says to do so. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. Patients typically experience other symptoms such as hard stools, abdominal bloating, pain, and distention. Can patients with kidney failure use glycerin suppositories? Fecal impaction should be treated with mineral oil or warm water enemas. doi: 10.1111/sdi.13030. FOIA x[mo7na!}-9 C?d3.R"gf/}qXW?x{WoBYWUuVFTr{yqv;|Z] dV7h>_^|Xd///};wZ~]z (2003). Now, youll enjoy a streamlined experience created specifically for healthcare providers. This site complies with the HONcode standard for trustworthy health information: verify here. Children of age 2 to under 6: Insert one 1 g suppository rectally, or as directed by doctor. Safe and effective use of glycerin rectal suppositories is not established for children under 2 years of age. Which drugs or supplements interact with glycerin suppository? No drug interactions have been established with glycerin rectal suppositories. When to Worry About Blood in Your Stool. Be ready to tell or show what was If it is close to the time for your next dose, skip the missed dose and go back to your normal time. It lubricates the stools, making them easier to pass. Do not use 2 doses at the same time or extra doses. Many times this medicine (glycerin suppositories) is used on an as needed basis. Do not use more often than told by the doctor. What are some side effects that I need to call my doctor about right away? You can learn more about how we ensure our content is accurate and current by reading our. Unable to load your collection due to an error, Unable to load your delegates due to an error. Purohit TJ, et al. Patient information: A handout on constipation, written by the authors of this article. Endoscopy vs. Colonoscopy: How Do They Differ? Over-the-counter laxatives. It is effective and moderately well tolerated in older adults.16 A subgroup analysis of 163 patients older than 65 years found that nausea was the most common adverse effect, occurring in 18% of patients.22 In one study of patients with constipation after orthopedic surgery, lubiprostone was as effective as senna.31 Lubiprostone may be reserved for constipation that does not respond to less expensive treatment options. (2020). Bandla, H. P. R, et al. HHS Vulnerability Disclosure, Help Glycerin also has lubricating and softening properties that ease evacuation. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. If you have trouble giving yourself a rectal suppository, ask a loved one to follow these steps to help you. Glycerin can be administered as a suppository and is often clinically effective. (2017). If you think there has been an overdose, call your poison control center or get medical care right away. Among laxative users, stool softeners were the most commonly prescribed (30%), followed by hyperosmotics (20%), stimulants (10%), bulk formers (3%), chloride channel activator (<1%) and several combinations of these. I would also like to sign up for a free GoodRx account, Written by Tegan Smedley, PharmD, BCPS, APh, Written by Nicole E. Cieri-Hutcherson, PharmD, BCPS, NCMP, Written by Sonia Amin Thomas, PharmD, BCOP, Written by Ronilee Shye, PharmD, BCGP, BCACP, CDE. The FDA classifies glycerin as an additive that is generally recognized as safe (GRAS). If you have questions about side effects, call your doctor. If you need to cut the suppository, carefully cut it lengthwise with a clean, single-edge razor blade. Do not share your drugs with others and do not take anyone else's drugs. Proportion of laxative use within each 6-month period over 36 months pre- and, Proportion of laxative types used alone or in combination among patients with at, Factors independently associated with pre-ESRD, Factors independently associated with pre-ESRD laxative use. 2020;51(9):715-725. doi: 10.1159/000509451. They include children and people who have diabetes or kidney disease. Results: International Foundation for Gastrointestinal Disorders. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Signs of an allergic reaction, like rash; Keep all drugs in a safe place. Phosphate enemas should be avoided in older adults because of the high risk of electrolyte disturbances, which are sometimes fatal. The use of anticoagulants, oral iron supplements, non-opioid analgesics, antihistamines and opioid analgesics were among the factors independently associated with pre-ESRD laxative use. Copyright 2023 IBM Watson Health. Although glycerin suppositories come in different shapes and sizes, they are usually narrower at one end to make insertion easier. WebHyperosmotic Laxatives: Glycerin is the primary example of a hyperosmotic laxative. WebBisacodyl suppositories (Dulcolax) are generally more effective than glycerin-based suppositories. The sphincter is the muscular opening of the rectum. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. (1999). Contact Laxative Use and the Risk of Arteriovenous Fistula Maturation Failure in Patients Undergoing Hemodialysis: A Multi-Center Cohort Study. Taking fever-reducing drugs rectally can also reduce possible adverse effects on the stomach and small intestine. If you experience any other symptoms, speak with your doctor. Why do fleet enemas (sodium bisphosphate) put stress on the kidneys? Call your doctor for medical This helps avoid straining during a bowel movement, which is especially important in people with heart conditions or hemorrhoids. StatPearls. Whats the connection between eosinophilic esophagitis and food? The dose of Created for people with ongoing healthcare needs but benefits everyone. help if any of these side effects or any other side effects bother you or do not go away: These are not all of the side effects that may occur. Video chat with a U.S. board-certified doctor 24/7 in a minute. Glycerin Suppositories are indicated for acute and temporary episodes of constipation. Video chat with a U.S. board-certified doctor 24/7 in a minute. Because of the limited data and potential harm, long-term use of magnesium salts is not recommended. If constipation continues despite laxative use, contact your healthcare provider. Fleet Glycerin Suppositories Adult, Pedia-Lax Liquid Glycerin Suppositories, Fleet Glycerin Suppositories Pediatric, Sani-Supp. If youre still experiencing constipation after 7 days, contact your healthcare provider. They may monitor your electrolyte levels or recommend another laxative. Before Find qualified telemedicine providers for a variety of symptoms and conditions. GoodRx provides no warranty for any information. Store the suppositories in a cool place to prevent melting. Pre-ESRD laxative use was defined as, MeSH Get surprising tips for reducing gas and relieving painful bloating. This site needs JavaScript to work properly. DailyMed. %PDF-1.5 Glycerin rectal is a medication administered rectally in the form of suppositories, to relieve occasional constipation in both adults and children. What is the life expectancy for a patient with stage 4 kidney failure? Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. Plain warm water enemas are safe and preferable to soapsuds enemas, which may cause rectal mucosa damage.2 Glycerin suppositories are safe alternatives to enemas and have been shown to improve rectal emptying in patients with chronic constipation.26. If suppository is soft, chill in a refrigerator or run cold water over it. Place the pointed end of the suppository at the entrance of the rectum and then use your finger to gently insert the suppository about .5 inches (in) or 1.2 centimeters (cm) into the opening. Check with your In some situations, your healthcare provider may recommend combining a stool softener and laxative. If you need medication, your obstetrician may recommend bulk-forming laxatives, Milk of Magnesia, or stool softeners. Stool softeners usually have minimal side effects. A Guide to Chronic Pancreatitis Treatment, Acute Pancreatitis Treatment: What You Need to Know. The effect of glycerin, if any, on the rectal mucosa is unknown. (n.d.) Laxatives during pregnancy. Most patients are initially treated with lifestyle modifications, such as scheduled toileting after meals, increased fluid intake, and increased dietary fiber intake. Physiological and pharmaceutical considerations for rectal drug formulations. If lifestyle changes dont work, there are many over-the-counter (OTC) products that can help. To learn more, please visit our, Glycerine sup does not damage kidneys. Copyright 2023 American Academy of Family Physicians. Background: Never disregard or delay professional medical advice in person because of anything on HealthTap. It works by drawing water into the intestines. I would suggest you see your doctor if the, I have thought about your question and have dome a little reading. Pregnant people should aim for 25g of fiber daily. Schuster, B. G., et al. Never disregard or delay professional medical advice in person because of anything on HealthTap. WebNo &yes: Glycerin suppositories don't cause electrolyte imbalance and is safe for heart patients! (2001). These steps should make it easier to insert a rectal suppository. Note that you shouldnt administer acetaminophen both rectally and orally, as this can potentially lead to an overdose and subsequent liver damage. Constipation is more common during pregnancy. A second screen is used to confirm positive test results. See permissionsforcopyrightquestions and/or permission requests. There are a large number of laxative products on the market. This is because the suppository melts inside the body and is absorbed directly into the bloodstream. They can provide quick relief for constipation in both children and adults. DailyMed. If you are helping a child by using an infant glycerin suppository, follow the package instructions or talk with your childs pediatrician before administering the suppository. Long-term use of magnesium-based laxatives should be avoided because of potential toxicity. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Clinical management of hiv on kidney failure patients? No drug They come in different shapes and sizes but are usually narrowed at one end. endobj Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. ANNE MOUNSEY, MD, MEGHAN RALEIGH, MD, AND ANTHONY WILSON, MD. They have few side effects when used occasionally and as directed. (2021). If you use this medicine (glycerin suppositories) on a regular basis, use a missed dose as soon as you think about it. Are they safe for heart patients? Doing this helps the stools move out of the body more easily. 4. Are glycerin suppositories safer for heart patients? Using a liquid glycerin suppository is a good option for it to act quickly. Do not handle too much. One systematic review concluded that there is insufficient evidence from high-quality trials to support the effectiveness of biofeedback.14 Since the publication of this review, a randomized trial of 88 persons with obstructive constipation found that biofeedback-guided pelvic floor exercises were superior to polyethylene glycol (PEG; Miralax) in improving constipation symptoms at six-month follow-up.15 Biofeedback may be appropriate for patients who are physically and mentally capable of participating. Overall, the recommended position for rectal suppository administration is on your side. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Bulk-forming laxatives are available as OTC products, including: Bulk-forming laxatives add soluble fiber to the stool, causing more water absorption. The effectiveness and safety of magnesium salts, such as magnesium hydroxide and magnesium citrate, have not been well studied in older adults. To make sure glycerin rectal is safe for you, tell your doctor if you have: nausea, vomiting, or stomach pain; Sandhoff disease is an inherited lipid storage disorder that is characterized by a progressive deterioration of the central nervous system. Constipation is common in childhood. Intake should be slowly increased over several weeks to decrease adverse effects, including flatulence, abdominal cramping, and bloating.13. For these, please consult a doctor (virtually or in person). Third Party materials included herein protected under copyright law. There may be drug take-back programs in your area. Pedia-Lax Warnings Make sure your doctor knows if you are pregnant or breastfeeding, or if you have kidney disease, stomach pain, nausea, or vomiting. (2005). Medications for constipation are listed in Table 1.1624 Figure 1 provides a suggested approach to the management of chronic constipation in older adults. <>>> For non-prescription products, read the label or package ingredients carefully. Glycerin suppositories side effects You should also talk with them if you have a history of GI conditions, or if you experience any side effects, such as ongoing pain and discomfort. (2021). Do not use more often than told by the doctor. Unauthorized use of these marks is strictly prohibited. (2021). It can keep the suppository from melting after it is inserted. DailyMed. Constipation is a symptom, not a disease. You can use these instructions to use a rectal suppository by yourself. Generic name: Glycerin Suppositories [GLIS-er-in] Laxative Use and Risk of Dyskalemia in Patients with Advanced CKD Transitioning to Dialysis. Which drugs or supplements interact with glycerin suppository? (2018). Osmotic laxatives usually have minimal side effects, but the most common are stomach pain, diarrhea, and nausea. Avoid using petroleum jelly, such as Vaseline, to lubricate the suppository. Copyright 2015 by the American Academy of Family Physicians. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. Remove all of the foil wrapper from the suppository. Healthgrades Can Help. In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. If soap and water are not available, use hand sanitizer instead. Kidney: Glycerine sup does not damage kidneys. Throw away used materials and wash your hands thoroughly. MedlinePlus. Generally, laxatives are safe for people who are 12 years or older. Tell your doctor if you are breast-feeding. Other laxatives, like saline or lubricant laxatives, may be good options in certain situations. But some fleet enemas (sodium bisphosphate) containing Epub 2018 Jul 20. (2019). It also blocks pain signals in the brain. (2021). WebGlycerin suppositories are used to treat constipation, especially where painful anal conditions such as hemorrhoids are involved. 1 0 obj The .gov means its official. Do not use this medicine (glycerin suppositories) for more than 1 week unless told to do so by your doctor. They are metabolized by colonic bacteria and then absorbed by colonic mucosa. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. American Pregnancy Association. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. All saline laxatives are some form of a salt, which naturally draws water. (2020). This is not a list of all drugs or health problems that interact with this medicine (glycerin suppositories). Tell your Healthline Media does not provide medical advice, diagnosis, or treatment. Make sure you tell your doctor if you have any other medical problems, especially: Portions of this document last updated: Feb. 01, 2023. Chronic constipation occurs in 16% of adults, with older patients experiencing constipation more often.1 About one-third of adults 60 years or older report at least occasional constipation1, and in nursing home residents, the prevalence is 50% or more.2 Approximately 33 million adults in the United States have constipation resulting in 2.5 million physician visits and 92,000 hospitalizations each year.3. DailyMed. Encourage your child to remain lying down for 1520 minutes until the suppository stimulates their bowels. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. One of the most commonly used osmotic laxatives is PEG. 2021 Oct 27:10.1111/sdi.13030. Doctors diagnose chronic constipation when symptoms persist for over 3 months. Gently but firmly, push the suppository past the sphincter. And glycerine is a simple lubricant for the intestin. 2022 Jun 3;19(11):6842. doi: 10.3390/ijerph19116842. If your symptoms or health problems do not get better or if they become worse, call your doctor. Our website services, content, and products are for informational purposes only. Rectal bleeding, blood in stools Contact your provider if youve been taking laxatives for over a week with no improvement. Peripherally Acting mu-Opioid Antagonists. An official website of the United States government. This will allow time for the suppository to melt and give you better relief. If a cancer patient starts to have kidney failure, can it be still be cured and turned around? Naloxegol is administered orally and is approved for opioid-induced constipation in patients who do not have cancer. Liquid glycerin suppositories provide faster relief for occasional constipation. Advertising revenue supports our not-for-profit mission. Proper insertion and following post-administration instructions may help reduce these effects. Its always best to talk to your healthcare provider or pharmacist about which constipation medication is best for you. It stimulates the muscles around the rectum and makes them contract to expel the stools. Lie on your side and raise your knee to your chest. Any added fluid loss under these circumstances will only make matters worse. Definitions & facts for constipation. You may report side effects to the FDA at 1-800-332-1088. If youre giving the suppository to someone else, you may want to place them in this second position. DailyMed. Weinstein, M. (2001). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. (2021). Some drugs may have another patient information leaflet. It can be used rectally for constipation caused by impaction (a hard lump of stool that gets stuck in the rectum). Epub 2022 May 6. How to safely give acetaminophen. Is ACEI or ARBS harmful for kidneys in case on renal impairment (s.creatinine1.7,b,urea39,age72) what are the safe anti hypertensive that can be use? Glycerin belongs to a class of drugs known as hyperosmotic laxatives. Lactulose and sorbitol are hyperosmolar sugar alcohols that increase frequency of defecation and reduce straining. The rectal enema formulation can cause: Mineral oil is the only OTC lubricant laxative. Hua S. (2019). Does renal impairment require a dosage reduction? Paediatrics Child Health. Avoid mineral oil if you have difficulty swallowing. Search dates: August 2014 and June 2, 2015. Trademarks, brands, logos, and copyrights are the property of their respective owners. Hoang Anh T, Nguyen PA, Duong A, Chiu IJ, Chou CL, Ko YC, Chang TH, Huang CW, Wu MS, Liao CT, Hsu YH. (2018). Diet Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Epub 2017 Jul 5. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Osmotic laxatives allow water to be easily absorbed in the small intestine. WebMark Feldman MD, in Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 2021. Always consult a medical provider for diagnosis and treatment. Rectal suppositories are alternatives to taking oral medications. Suppositories for Hemorrhoids: Do They Work? If the first position is not comfortable, or if youre having difficulties inserting the suppository, you can also try kneeling face down with your hips lifted, and your head toward the floor. % WebBELLADONNA; OPIUM (bell a DON a; OH pee uhm) treats severe pain caused by bladder spasms. Wet suppository before putting in rectum. Use this medicine (glycerin suppositories) as ordered by your doctor. Int J Environ Res Public Health. Peripherally acting mu-opioid antagonists are more effective than placebo for chronic opioid-induced constipation. Glycerin reduces water in the body, and there may be an increased risk that elderly patients taking it could become dehydrated. Saline laxatives work quickly and can be used to clear the colon before a colonoscopy. To insert a rectal suppository, youll first need soap and water or hand sanitizer to clean your hands. This includes your doctors, nurses, pharmacists, and dentists. A hair strand drug test can be used to detect drugs used over the past 90 days. We address the safety of clinical trials and discuss what you should consider before deciding to participate. For potential or actual medical emergencies, immediately call 911 or your local emergency service. https://www.aafp.org/afp/2011/0801/p299.html. You can either stand with one foot up on a chair, or you can lie down on your side with your top leg slightly bent toward your stomach and your bottom leg straight. What foods are recommended for patients with kidney failure? This content is owned by the AAFP. One product may be preferred depending on whats causing your constipation. Rectal suppositories can deliver many types of medication. Xing, J. H., et al. Well show you the research behind why massage can relieve your symptoms. BISAC-10 Bisacodyl stimulant laxative - bisacodyl suppository. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. advice about side effects. Case of PUJ stenosis Rt side,Rt moderate hydronephrosis with reduction of renal parenchymal thickness 7mm & 1.4cm stone in lower calyx of Rt kidney. Because the suppository is already in liquid form, there is no need to wait for it to dissolve. official website and that any information you provide is encrypted If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. You may also need a clean, single-edge razor blade and lubricating jelly. StatPearls. To learn more, please visit our, is not absorbed through the rectum, which is why it draws water out of the body into the, . 2018 Nov;72(5):701-710. doi: 10.1053/j.ajkd.2018.04.022. People may become constipated when they eat a diet that is low in fiber, do not drink plenty of water, or do not relieve themselves as soon as they feel the need. Oral saline laxatives can cause loose and watery stools. The suppository is inserted into the rectum with a finger. This can cause too much absorption of the mineral oil. These medications are relatively safe when used under a doctors direction. Consider trimming your fingernails to help prevent cuts and scratches while inserting the suppository.

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