A doctor holding rectal tubes.

A rectal tube is inserted into the colon to help release gas.

A rectal tube is inserted through the rectum.
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Written By: Erin J. Hill

Edited By: Bronwyn Harris

Last Modified Date: 05 November 2014

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Figure 88.5 The Sims exaggerated left lateral

position

A rectal tube, also called a rectal catheter, is a long slender tube which is inserted into the
rectum in order to relieve flatulence which has been chronic and which has not been
alleviated by other methods. The term rectal tube is also frequently used to describe a rectal
balloon catheter, although they are not exactly the same thing. Both are inserted into the
rectum, some as far as the inner colon, and help to collect or draw out gas or feces.
The use of a rectal tube to help remove flatus from the digestive tract is needed primarily in
patients who have had a recent surgery on the bowel or anus, or who have another condition
which causes the sphincter muscles not to work appropriately enough for gas to pass on its
own. It helps to open the rectum and is inserted into the colon to allow gas to move
downward and out of the body. This procedure is generally only used once other methods
have failed, or when other methods are not recommended due to the patients condition.
In some cases, a rectal tube refers to a balloon catheter, which is commonly used to help
reduce soiling due to chronic diarrhea. This is a plastic tube inserted into the rectum, which is
connected at the other end to a bag used to collect stools. It is only to be used when
necessary, as the safety of routine usage has not been established. Serious complications have
also been noted, and include rectal perforation and reduced sphincter muscle tone.
Use of a rectal tube and drainage bag does have some benefits for patients who are critically
ill, and may include protection for the perineal area and greater safety for health care
workers. These are not great enough to warrant use for most patients, but those with
prolonged diarrhea or weakened sphincter muscles may benefit. Use of the rectal catheter
should be closely monitored and removed as soon as feasible.
Insertion of a rectal tube must be done by a trained professional and it should be completed
very carefully using a well-lubricated tube. Patients should be taken to a private area and
relaxed for maximum benefits. The nurse or doctor will raise one cheek of the buttocks and

carefully insert the tube into the colon. After a few moments, flatus may have exited through
the tube, but if not, the procedure may have to be repeated at a later time.