Proctogram

Why have a Proctogram?

The Proctogram is a test to demonstrate the lower portion of the bowel. It is a functional study, showing how the lower bowel moves during the passing of a bowel motion.

Your Doctor may have suggested this test because you have difficulty passing bowel motions, or incontinence.

Preparing for the test

Please contact Mokoia Radiology for an appointment.

It is important that the rectum (very lowest part of the bowel) is empty before we start this test. 
You will be given a laxative suppository to insert 2 hours prior to the test.

It is important you follow the instructions; and if you have any queries, please don't hesitate to call or phone us for advice or reassurance. 

The test usually takes between 30 and 40 minutes, and at the start you will be asked to undress and put on a gown.

Female patients - please let us know prior to this test if you are, or think you may be pregnant.

There is a consent form for this examination outlining the preparation, procedure, possible complications and aftercare. You will be asked to read through this, asked questions to ensure you are happy to continue with the procedure and lastly to sign the consent form.

Who does the test?

A Radiologist (x-ray doctor) and a Medical Imaging Technologist (x-ray technician) will be in the room with you. They will explain the procedure, but don't hesitate to ask them if you do not understand or have questions.

What is Barium Paste?

Barium Paste is the contrast used for a proctogram. It is a dense white chalky paste, with a consistency of toothpaste. Due to its density it can show up on x-ray images 

The procedure

Two small tube syringes are used to insert 90ml of barium paste into the back passage. This will be administered by either the Radiologist or the Medical Imaging Technologist.

For all female patients 5ml of paste is inserted into the vagina. This enables the doctor to see how the bowel moves in relation to the vagina.

X-ray images will be taken both lying down and sitting with the barium inside the bowel. You will need to hold on to the barium while these are taken. You will then be asked to sit on a commode (toilet) chair in the x-ray room.

The Radiologist or technologist will clearly state when you can pass the barium.  Real time (fluoroscopy) x-ray imaging is taken at the time you pass the motion (pass the barium). 

After the Radiologist has seen your x-rays and the test is completed.

You, will be taken to the bathroom to pass any remaining barium.

You can eat and drink normally when the test is completed.

Your images will be sent to you or your Doctor, with a copy of the Radiologists interpretation of the study.

After the examination

The radiologist will review the pictures and provide a written report to your referring Doctor.

An aftercare sheet outlining any further care will be given to you at the end of your examination.

Please settle your account on the day of the examination.

Please contact Mokoia Radiology for an appointment on 0800 466 564.