• Melanie Walker, Brad W Warner, Richard J Brilli, and Brian R Jacobs.
• Division of Critical Care Medicine, Cincinaty Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.
• J. Pediatr. Gastroenterol. Nutr. 2003 Jan 1;36(1):144-8.

ObjectiveConstipation is a common childhood problem that frequently confronts pediatric practitioners. When enema treatment is indicated to treat constipation, milk and molasses enemas are sometimes used. Side effects and adverse outcomes have been described with many types of enemas, but not with milk and molasses. The purpose of this study is to describe five children who acutely decompensated after receiving milk and molasses enemas.MethodsRetrospective review of the medical records of children with constipation who received milk and molasses enema with subsequent PICU admission at Cincinnati Children's Hospital Medical Center between 1994 and 2000.ResultsFive children developed significant hemodynamic deterioration after receiving milk and molasses enemas. One of these children died and the others recovered after aggressive resuscitation.ConclusionsMilk and molasses enema administration can be associated with significant hemodynamic compromise. These risks appear similar to those risk observed with the use of other enema preparations.

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