Instructions for Suppository Insertion
(Please read this document prior to the use of any suppository.)
Purchase KY jelly and one box of finger cots (like a little glove for one finger) from your local drug store. A compounding pharmacy can even add Lidocaine to the KY Jelly to help with local topical anesthesia, if necessary.
It is best to insert a suppository when the lower colon is relatively empty – meaning that the child has recently “pooped”.
Make sure your index finger nail is short (so it will be more comfortable for your child upon insertion of suppository).
Remove the rubbery outside cover from the suppository – this is the mold that it was poured into when it was made. The suppository itself looks like a small, white, waxy bullet-shaped object. Make sure you do not hold it very long because it will melt in your hand. It is designed to melt at body temperature within 10 -20 minutes.
Lubricate the finger cot and suppository with KY jelly. (Do not use Vaseline. It is NOT water-soluble and will impair absorption.)
The best position for the child is on their side with bare bottom facing you, their knees to their chest.
Position the suppository at the rectal opening and push it up into the rectum to a depth of between your first and second knuckle, depending on the size of your child. The suppository must be up beyond the “squeeze” muscle (sphincter) in the rectum.
Watch the child for 20-30 minutes and make sure the child does not poop or push the suppository out. If the child does defecate (poop) before 30 minutes, the suppository will not have been absorbed.
CHALLENGE TESTING: For a challenge test, make sure the child starts with an empty bladder. Immediately after insertion of the suppository, start collecting all of the next 6-12 hours of urine, according to the exact instructions in the Urine Toxic Metals kit from Doctor’s Data. Then process and ship the urine according to the test kit instructions. If the suppository is inserted at night and your child is dry overnight, a first morning urine collection is fine. If the child does pee during the night and that urine is not collected, the challenge test will not be valid. You may also insert the suppository in the morning and collect urine during the day.
Special Note: Because suppository insertion can make some children embarrassed or emotionally uncomfortable, it is always important to first discuss what you are going to do with your child. Show them the suppository itself, and explain to them that it is medicine, and it needs to go in their bottom (or use other language appropriate to the level of your child). If you are planning to insert it when the child is asleep, tell them about it anyway – the mind is aware of what is happening to the body even when asleep, or they might wake up. If the child knows in advance what you are doing, and understands that you are doing it to help them, then it is unlikely to be a source of emotional upset for them.