How to Give a Suppository: A Nurse’s Guide to Rectal Medication

Rectal medicines are used for constipation, fever, seizures, nausea and pain. Giving them well means good technique and respect for the patient’s dignity.

Imagine a frightened older man who needs a suppository for severe constipation. A calm explanation, privacy and gentle technique turn an embarrassing moment into a respectful one.

Common uses

• Laxatives such as glycerin or bisacodyl
• Paracetamol for fever or pain
• Anti-sickness medicines
• Some medicines for seizures

Before you start

• Check the prescription, patient identity and allergies
• Explain the procedure and get consent
• Ensure privacy
• Ask the patient to empty their bladder if needed
• Gather gloves, lubricant and the suppository

Technique

1. Position the patient on their left side with knees bent
2. Put on gloves and lubricate the suppository
3. Gently insert it past the anal sphincter, following the product’s instructions on which end first
4. Ask the patient to stay lying down for the advised time
5. Clean the area, remove gloves, wash hands and document

When not to give one

• Recent rectal or bowel surgery
• Severe bleeding disorders or low platelets, unless advised
• Neutropenia in some cases
• Rectal pain or bleeding without review

Frequently asked questions

Should I push the suppository in blunt end first?

Follow the product information. Advice varies, so check the instructions for the specific product.

But patients find it embarrassing

That is why dignity matters. Explain, keep them covered, and stay professional and kind.

Related: Continence care and dignity

Sources: Royal College of Nursing guidance on bowel care, manufacturers’ product information, NHS patient information.