Freddie WindRiver, Licensed Nurse Shutesbury, MA (413) 259-1416
Holistic Nursing Services
Getting a colonic
Taking a Sauna
Giving yourself an enema
How to Give an Enema - To yourself or to someone else
The first and most important thing to do to enable a successful enema is to RELAX! Copy these instruction to refer to during the process. Find a comfortable place to lie down near your toilet. If you use your bed, place a water-proof covering under an absorbant towel to lie on. If you prefer the floor, treat yourself also to something soft to lie on. Find a picture of the colon http://digestive.niddk.nih.gov/ddiseases/pubs/anatomiccolon/anatomiccolon.pdf so you are familiar with its shape. Put on some soothing music, do some deep breathing, and give yourself ample time and privacy.
Experiment with water temperature; most people are comfortable with
water close to the body's natural internal temperature of 98 degrees.
You can test it on the inside of your wrist for comfort. After you
fill the bottle, or plastic water reservoir, with the delivery tube
clamped, unclamp the tube briefly so a little water runs out in order
to fill the tube with water. If you forget this step, you will give
yourself a tube-full of air first, which compounds the difficulty of
holding enough water to start the cleansing process.
You will get a better cleansing if you start your first fill lying on your LEFT
side. It's helpful to use plenty of LUBRICATION (such as olive oil or
KY Jelly) on your anus and also on the tip of the tube. Close the clamp
so that water is not flowing through it and insert the tube. When the
tip reaches a sharp bend in the colon, about 4 inches in, you will feel
resistance as you push it forward. At this point it helps to open the
clamp slightly on the delivery tube so water is trickling into the
colon only while the rectal tube is being pushed around that bend in
the colon. Then the clamp should be closed again while the tube is
being inserted along the next length of colon so you can relax your
rectal sphinctor. When the tip of the tube is being inserted, it
should slide along easily. For the first fill, at least a foot of the tube should be inserted.
What to avoid: What affects the flow of water most strongly is gravity. Therefore it is never effective to instill enema water while sitting on a toilet because it will not flow uphill into the colon. It can be effective, however, to use a small bulb syringe douche to insert a small amount of water, less than 1 cup, into the rectum to induce a bowel movement while sitting on the toilet. This is a very effective procedure for bowel training and for initiating a bowel movement at a convenient time; but this is a douche, and is not a cleansing procedure.
It is also not an efficient enema to use a short 3 inch rectal tip which delivers water only a few inches into the rectum but below the colon, especially in a sitting position. If the water does not flow in about a foot, around the bend into the Sigmoid Colon, a large enema can overstretch the rectum, damaging it. Therefore it is important both to lie down during instillation, and to use a long rectal tube. Don't be fooled by the fact that almost all commercial enema equipment provides us with the damaging short rectal tip. I have long rectal tubes on hand for $5.
Damage from a large enema in an upright sitting position is, in my opinion, the primary reason some people believe enemas are dangerous. Once the rectal sphincters have been overstretched, a person may not be able to have a bowel movement without resorting to an enema, leading to the belief enemas are habit forming. I can assist my clients in such circumstances to rest their damaged muscles with safer hydrotherapy methods and regain their own ability to defecate. Far better is to use a safe enema procedure and avoid the damage.