I’ll never forget the look on a young mom’s face in my clinic. Her toddler had a high fever, was miserable, and couldn’t keep any medicine down. Every time she tried to give him a spoonful of liquid pain reliever, he’d just vomit it right back up. She was at her wit’s end.
That’s when I brought up the idea of suppositories. Her face went from worried to… well, a little confused and awkward. And that’s completely normal! It’s a form of medicine we don’t talk about much, but it can be an absolute lifesaver in certain situations. If you’ve been prescribed one for yourself or a loved one, let’s walk through it together. It’s much simpler than it sounds.
What Exactly Are Suppositories?
Think of a suppository as a small, torpedo-shaped package for medicine. It’s usually made of a substance like cocoa butter or gelatin that’s solid at room temperature but melts at body temperature.
Once you insert it into the body (we’ll get to the “how” in a moment), your body’s warmth melts the outer shell, releasing the medication inside. The medicine is then absorbed directly into the bloodstream or works right on the spot where you placed it.
You might need to use them for a few common reasons:
- You’re having trouble swallowing pills or liquids (like that sick toddler).
- A blockage in your digestive system prevents oral medication from working.
- The medication is simply more effective when delivered directly to a specific area.
The Different Types of Suppositories and Their Uses
There are three main places where suppositories are used. I’ve put together a quick table to show you the most common types we see in family practice.
| Type of Suppository | Common Reasons We Use Them | A Doctor’s Tip |
|---|---|---|
| Rectal (inserted into the rectum) |
|
Try to have a bowel movement before inserting it. This helps it stay in place and get absorbed properly. |
| Vaginal (inserted into the vagina) |
|
It’s often easiest to insert these at bedtime so you can lie down afterward, which helps prevent leakage. |
| Urethral (inserted into the urethra) |
|
Always empty your bladder right before use. The instructions for these are very specific, so follow them closely. |
A Gentle Guide on How to Use Suppositories
Okay, here’s the part that can feel a little intimidating. But I promise, with a few simple steps, it’s very manageable. The key is to be relaxed.
First things first: Always wash your hands thoroughly before and after.
For Rectal Suppositories
- If you can, try to poop first to empty your rectum.
- Unwrap the suppository. Don’t handle it too much, or it might start to melt in your warm hands.
- Find a comfortable position. Lying on your side with one knee pulled up toward your chest is often easiest.
- With one hand, gently spread your buttocks to expose the rectal opening.
- With your other hand, push the suppository in, pointed end first. For an adult, it should go in about one inch. For a child, about half an inch is enough.
- Close your legs and stay still for about 15 minutes. Try to avoid having a bowel movement for at least an hour to give the medicine time to be absorbed.
For Vaginal Suppositories
- These often come with a plastic applicator, similar to a tampon. If so, place the suppository into the end of the applicator.
- Get into a comfortable position. You can lie on your back with your knees bent, or stand with one foot up on a chair.
- Gently insert the applicator into your vagina as far as it will comfortably go.
- Push the plunger to release the suppository, then remove the applicator.
- Stay lying down for a little while to let it dissolve. Wearing a panty liner can be helpful to catch any minor leakage.
- Clean the applicator as directed if it’s reusable, or throw it away if it’s disposable.
For Urethral Suppositories (for ED)
This is a very specific procedure, and your doctor or pharmacist will give you detailed instructions. Generally, it involves urinating first, then using a special applicator to insert a tiny medicated pellet into the opening of the penis. It’s crucial to follow the package directions to the letter.
The most important thing is to follow the specific instructions that come with your medication. They are all slightly different. If you’re unsure, just ask your pharmacist or give my office a call. No question is silly.
What About Side Effects?
Suppositories are very safe, but a few things can happen.
- Irritation: You might feel some mild burning or irritation where you inserted it. This usually goes away quickly.
- Leakage: Sometimes, a little bit of the melted base can leak out. This is normal.
- It falls out: If it comes out within a few minutes, it likely hasn’t had time to work. You may need to insert a new one, but check with your doctor first.
If you’ve recently had surgery on your rectum or vagina, or have any other concerns, please talk to us before using a suppository. We need to make sure it’s the right and safe choice for you.
Take-Home Message
- Suppositories are a safe and effective way to deliver medicine when swallowing it isn’t an option or when you need treatment in a specific area.
- They come in rectal, vaginal, and urethral forms, each for different conditions.
- Hygiene is key! Always wash your hands before and after handling them.
- Relax and follow the instructions on the package. Finding a comfortable position makes it much easier.
- Don’t hesitate to ask your doctor or pharmacist if you have any questions. We’re here to help you feel comfortable and confident with your treatment.
You’re not alone in feeling a bit strange about this. But now you have a doctor’s guide in your back pocket. You’ve got this.