Should you use an enema for constipation relief. What are the potential side effects of enemas. What safer alternatives exist for treating constipation. How does an enema work to relieve constipation. When should you consider using an enema as a last resort.

The History and Mechanism of Enemas for Constipation Relief

Enemas have been used for thousands of years as a method to alleviate constipation. Their development predates oral and intravenous medications, making them one of the oldest remedies for bowel issues. But how exactly do enemas work to provide relief?

An enema involves introducing fluid into the intestines through the rectum. This process serves to soften and break up stool, facilitating its passage through the digestive system. Dr. Bryan Curtin, a gastroenterologist and director of the Center for Neurogastroenterology and GI Motility at the Melissa L. Posner Institute for Digestive Health and Liver Disease at Mercy in Baltimore, explains that various types of enemas exist, including:

• Tap water enemas
• Sodium phosphate enemas (e.g., Fleet enemas)
• Saline enemas
• Glycerin enemas
• Soap suds enemas
• Mineral oil enemas

While phosphorus-based enemas are traditionally considered the most potent, Dr. Curtin notes that any enema can be effective if administered correctly. He typically avoids oil-based enemas due to their messy nature.

Proper Administration of an Enema: Step-by-Step Guide

Administering an enema correctly is crucial for both effectiveness and safety. Dr. Bharat Pothuri, a gastroenterologist at Memorial Hermann in Houston, provides the following guidelines for safe and effective enema use:

1. Drink 16 ounces of water (two glasses) before the enema to prevent dehydration.
2. Lie on your stomach with your knees pulled to your chest. If this position is uncomfortable, lie on your left side with both knees bent and arms resting comfortably.
3. Lubricate the enema tube and gently insert it into your rectum.
4. Squeeze the enema container to allow the contents to enter your rectum.
5. Maintain your position until you feel the need to move your bowels.
6. Try to hold the enema for at least five minutes to achieve maximum benefit.

Dr. Curtin emphasizes the importance of holding the enema until the urge to defecate is strong. This ensures optimal effectiveness of the procedure.

Potential Risks and Side Effects of Enema Use

While enemas can be effective for treating severe constipation, they are not without risks. What are the potential side effects of enema use?

• Anorectal pain disorders from frequent use
• Damage to intestinal tissue
• Bowel perforation
• Risk of infection, including sepsis, if the enema is not sterile
• Electrolyte imbalances from long-term use
• In rare cases, death due to complications such as perforation, hyperphosphatemia, or sepsis

Dr. Curtin warns against regular use of enemas unless specifically instructed by a healthcare provider. The risks associated with enemas make them a last-resort option for constipation relief.

Who Should Avoid Using Enemas?

Certain individuals should exercise caution or avoid enemas altogether. Dr. Pothuri advises against enema use for people with:

• Colorectal cancer
• Enlarged or distended colon (at higher risk of perforation)
• Active inflammatory bowel disease

If you have any doubts about the safety of enemas for your specific situation, it’s crucial to consult with your healthcare provider before use.

Safer Alternatives for Constipation Relief

Given the potential risks associated with enemas, what safer options exist for treating constipation? Healthcare professionals typically recommend exploring the following alternatives before considering an enema:

1. High-Fiber Diet

Increasing your fiber intake is often the first line of defense against constipation. Dr. Curtin recommends aiming for 20 to 30 grams of daily fiber. How can you incorporate more fiber into your diet?

• Add more fruits and vegetables to your meals
• Choose whole grain products over refined grains
• Consider over-the-counter fiber supplements like Metamucil (consult your doctor first)

When increasing fiber intake, it’s important to do so gradually over a few weeks to avoid bloating and gas.

2. Proper Hydration

Adequate water intake is crucial for maintaining regular bowel movements. How much water should you drink daily? While individual needs vary, a general guideline is to aim for 8 glasses (64 ounces) of water per day. Proper hydration helps soften stool and promotes easier passage through the digestive system.

3. Regular Exercise

Physical activity can stimulate bowel movements and improve overall digestive health. What types of exercise are beneficial for constipation relief?

• Brisk walking
• Jogging
• Swimming
• Yoga

Aim for at least 30 minutes of moderate exercise most days of the week to support healthy digestion.

Over-the-Counter Remedies for Constipation

When lifestyle changes aren’t sufficient, over-the-counter remedies can provide relief. What are some effective OTC options for constipation?

• Osmotic laxatives (e.g., Miralax, Milk of Magnesia)
• Stimulant laxatives (e.g., Dulcolax, Senokot)
• Stool softeners (e.g., Colace)
• Glycerin suppositories

These options are generally safer than enemas and can be effective for occasional constipation. However, it’s important to follow package instructions and consult a healthcare provider if constipation persists.

When to Consider an Enema as a Last Resort

While enemas carry risks, there are situations where they may be necessary. When might a healthcare provider recommend an enema?

• Severe constipation that hasn’t responded to other treatments
• Preparation for certain medical procedures (e.g., colonoscopy)
• Management of specific medical conditions (under close medical supervision)

It’s crucial to use enemas only under the guidance of a healthcare professional and after exhausting safer alternatives.

Debunking Enema Myths and Misconceptions

Despite their long history, enemas have been subject to various myths and misconceptions. What are some common misunderstandings about enemas?

Myth 1: Enemas detoxify the body

Contrary to claims made by some celebrities, enemas do not “detoxify” the body. The human body has its own highly efficient detoxification systems, primarily the liver and kidneys. There’s no scientific evidence supporting the need for additional detoxification through enemas.

Myth 2: Regular enemas improve overall health

Regular use of enemas can actually be harmful, potentially leading to electrolyte imbalances, dependency, and other health issues. A healthy digestive system doesn’t require frequent “flushing” to function properly.

Myth 3: Enemas are completely safe

While enemas can be safe when used correctly and sparingly, they do carry risks. Potential complications include bowel perforation, infection, and electrolyte imbalances. It’s crucial to use enemas only under medical guidance.

Understanding these myths helps in making informed decisions about constipation relief methods and avoiding potentially harmful practices.

The Role of Probiotics in Digestive Health

While not directly related to enema use, probiotics play a significant role in maintaining digestive health and potentially preventing constipation. How do probiotics contribute to gut health?

• Balancing gut microbiome
• Improving digestion
• Enhancing immune function
• Potentially alleviating constipation symptoms

Probiotic-rich foods include yogurt, kefir, sauerkraut, and kimchi. Alternatively, probiotic supplements are available, but it’s advisable to consult with a healthcare provider before starting any new supplement regimen.

The Importance of Listening to Your Body

Understanding your body’s digestive patterns is crucial for maintaining regular bowel movements and preventing constipation. How can you become more attuned to your digestive health?

• Pay attention to your normal bowel movement frequency
• Note any changes in stool consistency or color
• Be aware of factors that may affect your digestion (e.g., stress, travel, dietary changes)
• Don’t ignore the urge to have a bowel movement

By being mindful of your body’s signals, you can often address constipation issues early, potentially avoiding the need for more invasive interventions like enemas.

When to Seek Medical Attention for Constipation

While occasional constipation is common, persistent or severe symptoms may warrant medical attention. When should you consult a healthcare provider about constipation?

• Constipation lasting more than two weeks
• Severe abdominal pain or cramping
• Blood in the stool
• Unexplained weight loss
• Alternating constipation and diarrhea
• Constipation accompanied by fever

These symptoms could indicate an underlying health condition that requires professional evaluation and treatment.

The Future of Constipation Treatment

As medical research advances, new approaches to treating constipation are emerging. What innovative treatments are on the horizon?

• Targeted probiotic therapies
• Novel pharmaceutical agents
• Personalized nutrition plans based on gut microbiome analysis
• Non-invasive neuromodulation techniques

While these treatments are still in various stages of research and development, they offer hope for more effective and personalized constipation management in the future.

In conclusion, while enemas have a long history in treating constipation, they should be considered a last resort due to potential risks and side effects. Safer alternatives, including dietary changes, proper hydration, exercise, and over-the-counter remedies, should be explored first. Always consult with a healthcare provider before using an enema or if you experience persistent constipation symptoms. By understanding your body and adopting healthy lifestyle habits, you can often maintain regular bowel movements without resorting to more invasive interventions.

Should You Use An Enema for Constipation Relief?

Having been used for thousands of years, enemas are one of the oldest methods of getting the bowels moving again if you’re suffering from constipation. Historically, the use of enemas makes sense, developing before the invention of oral and intravenous medication, notes the Canadian Society of Intestinal research.

In recent years, some celebrities have touted enemas as a way to “flush out” the digestive system and detoxify the body. However, this advice is a load of nonsense, and the regular use of enemas can actually be dangerous.

Today, better and safer treatment options, including laxatives, suppositories, and a high-fiber diet, mean enemas are typically recommended as a last resort for constipation because of possible side effects.

The Back Story: How Does an Enema Treat Constipation?

Treating constipation with an enema involves introducing fluid into the intestines via the rectum. This helps soften and break up the stool, says Bryan Curtin, MD, a gastroenterologist and director of the Center for Neurogastroenterology and GI Motility at the Melissa L. Posner Institute for Digestive Health and Liver Disease at Mercy in Baltimore.

There are several types of enemas, including tap water, sodium phosphate (such as Fleet enemas), saline, glycerin, soap suds, and mineral oils.

“While phosphorus-based enemas are traditionally considered the most potent, I find that any enema can be effective if done correctly,” Dr. Curtin says. “The oil-based enemas are fairly messy and I typically avoid those.”

How to Administer an Enema

To administer an enema, follow the instructions on the box or leaflet closely.

Bharat Pothuri, MD, a gastroenterologist at Memorial Hermann in Houston, offers the following tips for using an enema safely and effectively:

• Drink 16 ounces of water (two glasses) prior to the enema, as an enema can cause you to become dehydrated.
• Lie on your stomach with your knees pulled to your chest. If you are unable to, lie on your left side with both knees bent and your arms resting comfortably.
• Lubricate the enema tube and gently insert it into your rectum, squeezing the enema so that the contents can enter your rectum.
• Wait in that position until you feel the need to move your bowels. Try to hold the enema in for at least five minutes to achieve maximum benefit.

“It’s important to make sure you hold onto the enema until the urge to defecate is strong,” Curtin says.

Possible Side Effects of Enemas

While enemas can be a useful tool for treating severe constipation, they do come with some risks and are not meant for frequent use.

“Like any other medication, enemas can be abused,” Curtin says. “Too much enema use can lead to anorectal pain disorders. Generally, you should avoid using enemas regularly unless instructed to by your doctor.”

Enemas that are administered incorrectly can damage the tissue in the large intestine and cause bowel perforation, research such as a case report published in 2020 in SAGE Open, has shown. If an enema is not sterile, it can put you at risk of an infection, including sepsis, Dr. Pothuri notes.

One study notes that perforation, hyperphosphatemia (a condition characterized by too much phosphate in the blood), and sepsis following enema use may cause death in up to 4 percent of cases.

Long-term use of enemas can lead to electrolyte imbalances, which can cause uncomfortable symptoms like fatigue, headache, muscle cramping, nausea and vomiting, per the Cleveland Clinic.

People with colorectal cancer, an enlarged distended colon which may be more prone to perforation, and people who have active inflammatory bowel disease should avoid using enemas, Pothuri says.

If you have any questions about the safety of enemas, talk to your doctor. It’s best to consult your healthcare provider before using an enema and to exhaust all other ways of treating constipation first.

Safer Options for Constipation Relief

Because of the possible side effects of enemas, it’s usually only advised as a last-resort option to treat constipation.

Before considering an enema, make sure you’ve tried the following options:

High-Fiber Diet “Generally, your doctor will first start by recommending dietary changes,” Curtin says. Adding fiber to your diet increases the bulk of your stool, speeding up its passage through the digestive system. Curtin says patients who are constipated should aim for 20 to 30 grams of daily fiber. A good starting point is to add more fruits and vegetables into your diet, as well as whole grains. A sharp increase in fiber can cause bloating and gas, per the Mayo Clinic, so aim to gradually increase the amount over a few weeks. Over-the-counter supplemental fiber, such as Metamucil, is also available. Talk to your doctor to learn if this is a good option for you.

Stay hydrated. Drinking enough water is important for overall health, including digestion. “The main purpose of the colon is to reabsorb water from the stool, and if you are dehydrated more water will be taken in, leading to harder to pass stools,” Curtin says. The National Academies of Sciences, Engineering, and Medicine suggests that women get a total of about 2.7 liters (11 cups) of fluid per day and that men get about 3.7 liters (16 cups) per day. Note that not all of this fluid has to be water; it can also include nutrient-rich foods and beverages like fruit, vegetables, juice, and tea. Also, it’s important to spread out the fluids over the day. Alcohol and caffeinated drinks can cause dehydration, so you’ll want to avoid those if you’re constipated.

Laxatives Laxatives, or stool softeners, such as docusate or milk of magnesia, are available over the counter. Talk to your doctor or pharmacist if you have any questions about these medications. Overusing laxatives can lead to worsening symptoms, per the Cleveland Clinic, so you should not use the treatment for more than two weeks without talking to your healthcare provider.

Other lifestyle changes like exercise can help get things moving in your digestive tract. It’s also smart to keep a food journal so you can see which foods trigger your constipation. Certain medications and supplements may also cause constipation, so if that is a concern, talk to your doctor, who may adjust your dose or switch your prescription.

Some prescription drugs are also available to treat chronic constipation. Your healthcare provider will work with you to decide on which one is best for you. If there’s a structural problem in your colon that’s causing your constipation, your doctor might recommend surgery.

Call your doctor to talk through options if constipation is a new issue for you or you’ve been constipated for more than a few weeks.

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Enemas are used to relieve constipation and cleanse the colon. Water- or saline-based enemas tend to carry the least risk. However, enemas can have side effects, such as disturbing your gut bacteria and affecting your body’s electrolyte balance.

Enemas are rectal injections of fluid intended to cleanse or stimulate the emptying of your bowel.

They have been used for hundreds of years to treat chronic constipation and prepare people for certain medical tests and surgeries (1).

Enemas can be administered by a medical professional or self-administered at home.

This article reviews different types of enemas, as well as their potential benefits and health concerns.

Constipation is a condition in which the natural movement of your stool slows down, making them hard, dry, and difficult to excrete. For many people, this can be a chronic problem that requires an intervention like an enema — or a laxative inserted rectally.

Enemas may also be prescribed to flush out your colon before certain diagnostic tests or surgeries. Your bowel needs to be empty before these procedures to reduce infection risk and prevent stool from getting in the way.

According to some enema advocates, when waste builds up in your colon over time, it leads to ailments like depression, fatigue, headaches, allergies, and irritability, and using enemas can provide relief.

While it’s true that many people with chronic constipation experience depression and other psychological symptoms, evidence is lacking to suggest that waste buildup directly leads to the other aforementioned effects (2, 3).

There are two main types of enemas — cleansing and retention.

Cleansing enemas

Cleansing enemas are water-based and meant to be held in the rectum for a short time to flush your colon. Once injected, they’re retained for a few minutes until your body rids itself of the fluid, along with loose matter and impacted stool in your bowel.

Some of the most common cleansing enemas include (3, 4):

• Water or saline. The least irritating of all options, water or saline — salt water that mimics your body’s sodium concentration — are used primarily for their ability to expand the colon and mechanically promote defecation.
• Epsom salt. This is similar to a water or saline enema, but magnesium-rich Epsom salt is said to be more effective at relaxing bowel muscles and relieving constipation.
• Sodium phosphate. This is a common over-the-counter enema that works by irritating your rectum, causing it to expand and release waste.
• Lemon juice. Lemon juice mixed with warm, filtered water is said to balance the pH of your body while cleansing your colon.
• Apple cider vinegar. Advocates say that mixing apple cider vinegar with warm, filtered water can quickly clear the bowel and may have other antiviral healing effects on your digestive system.
• Soap suds. Adding castile soap, or another mild soap with minimal additives, to water mildly irritates the bowel, which encourages the rapid excretion of stool.

Retention enemas

Retention enemas are designed to be held in your bowel for an extended period — usually a minimum of 15 minutes — before being released. Retention enemas may be water- or oil-based, which softens the stool and makes it easier for your body to expel.

Some of the most common retention enemas include (5, 6, 7):

• Coffee. Coffee enemas are a mixture of brewed, caffeinated coffee and water thought to promote bile removal from the colon. They were popularized by Max Gerson, a physician who used them to help treat people with cancer.
• Mineral oil. This type of enema works primarily by lubricating waste inside of your colon, sealing it with water, and promoting its removal.
• Probiotic. Mixing probiotics with water may cleanse your bowel while helping colonize your good gut bacteria. Lactobacillus reuteri enemas have been shown to reduce inflammation in children with ulcerative colitis.
• Herbal. Some people use herbs like garlic, catnip tea, or red raspberry leaf mixed with water to make herbal enemas with purported nutritional, infection-fighting, and anti-inflammatory benefits.

Summary

Enemas are rectal injections of fluid that are intended to cleanse your bowel or treat chronic constipation. The two main types — cleansing and retention enemas — come in a variety of solutions and can be injected at home.

Enemas can treat constipation and clear out your bowel. However, many people choose to use enemas for other purported health benefits (8, 9).

Some advocates claim that enemas can support weight loss, remove toxins and heavy metals from your body, and improve your skin, immunity, blood pressure, and energy levels.

Still, evidence is limited to suggest that enemas are effective for these purposes or that they benefit everyone who uses them. Most evidence in support of their effectiveness is anecdotal, despite their widespread use in modern medicine (10).

Enemas appear to be most effective when used to relieve chronic constipation in a medical setting, though they come with many risks, especially when self-administered at home (11, 12).

Summary

Enemas can be effective in cleansing the bowel and treating chronic constipation, but most evidence in their favor is anecdotal rather than science based.

Though enemas can clean out your bowel, you should consider their risks and take certain precautions before using one.

May interrupt your body’s natural balances

Enemas may disturb your gut bacteria and throw off your body’s electrolyte balance.

Research shows that enemas used in preparation for medical procedures significantly disrupt gut bacteria, though the effect appears to be temporary. However, enemas that are split and administered in two doses seem to have fewer effects on the microbiome (13, 14).

Electrolyte disturbances have been observed with various types of enemas, such as large-volume soap suds enemas and those containing minerals.

For instance, there have been reports of Epsom salt enemas causing death from magnesium overdose. In another case, an older man died from severe electrolyte disruption caused by taking two sodium phosphate enemas (3, 15, 16).

Other reports note that the overuse of enemas to flush out the colon may lead to severe dehydration, which can be fatal (17).

Enema solutions can harm your bowel

Lemon juice, apple cider vinegar, and coffee enemas are highly acidic, and scientific evidence to suggest their effectiveness or safety is lacking.

What’s more, the evidence shows that their acidity and makeup can harm your bowel and lead to rectal burns, inflammation, infections, and even death (1).

Similarly, there are reports of children being given acidic hydrogen peroxide enemas, which resulted in an inflamed colon, bloody diarrhea, vomiting, and long-term complications (18).

Furthermore, in some people, herbal enemas have caused internal bleeding that required a blood transfusion and removal of the colon (1).

Dirty or improperly used tools can cause infection and damage

If you self-administer an enema at home, it’s critical to make sure that the tools you use are sterile, meaning they’re free of harmful germs. The use of dirty tools increases your risk of contracting a potentially dangerous infection.

Improper tool use may also cause physical damage to your rectum, anus, or colon. Studies indicate that perforation of the bowel is not a rare complication of frequent enema use that could put your internal organs at risk of infection (3, 12, 19).

Sterile enema injection kits, which usually include a bucket, tubing, solution, and sometimes a bulb, can be found online or at many local drug stores. They come with directions for cleaning and safe use.

Summary

Though enemas can be safe and effective, they come with many risks, especially when administered at home. Improperly used enemas can cause potentially life-threatening physical and chemical damage to your rectum or colon.

If you’re mainly considering an enema to stimulate and clean out your digestive system, there may be other, less invasive options.

Some potential alternatives to enemas, which can promote waste excretion and bowel regularity, include (20, 21, 22, 23):

• drinking caffeinated coffee, which is known to stimulate defecation
• staying well hydrated with water
• getting regular exercise like walking, running, biking, or aerobics
• trying an over-the-counter oral laxative like magnesium
• increasing your fiber intake by eating whole plant foods like fruits, vegetables, whole grains, nuts, and seeds.

If you have severe constipation or other medical issues, speak to your medical provider to determine whether an enema would be a safe and appropriate treatment.

Summary

Less risky alternatives to enemas that can help stimulate bowel movements include staying hydrated, getting regular exercise, and following a healthy, high-fiber diet.

Enemas are used to relieve constipation and cleanse the colon. Water- or oil-based solutions are injected into the bowel through your rectum to expel impacted waste.

Mild enemas like water or saline carry the least risk, but you should consult your healthcare provider before using one at home. Furthermore, ensuring the proper use of sterile injection tools is very important for safety.

Many people swear by enemas to promote regularity and prevent constipation, but evidence of their effectiveness is limited.

Other, less risky alternatives may be a better option in most cases.

what to choose for the treatment of chronic constipation

Chronic constipation is most often observed in the elderly: more than 36% of patients over 60 years of age suffer from defecation disorders, while before the age of 60 the problem is 3 times less common. Also at risk are people with limited mobility, bedridden patients, patients after operations on the abdominal organs.

Constipation significantly impairs the quality of life, disrupts the digestive process, and can lead to dangerous coloproctological diseases. Therefore, patients with chronic constipation must be prescribed treatment: diet therapy, exercise therapy, drug therapy (laxatives), enema, if indicated.

Laxatives for constipation – types and features of use

Medication for constipation is challenging because most people self-medicate and take over-the-counter laxatives for a long time. Unsystematic therapy exacerbates existing disorders, therefore, by the time of examination by a doctor, a person usually has many days of constipation, and the defecation process is accompanied by strong straining, the need for manual assistance for emptying.

General principles for the use of laxatives:

● the choice of the drug is carried out taking into account the cause of constipation: irrational nutrition, physical inactivity, intestinal atony after surgery, chronic diseases of the gastrointestinal tract, etc.;

● with long-term constipation and the presence of concomitant diseases, a combination of laxatives with a different mechanism of action is recommended;

● The dosage and frequency of use of laxatives are periodically changed in order to achieve a good therapeutic result without harm to health and adverse reactions;

● with difficult and painful bowel movements, oral laxatives are combined with local remedies in the form of rectal suppositories;

● for neurological and psycho-emotional causes of constipation, drugs are prescribed that affect the peripheral and central nervous system.

In medical practice, different types of laxatives are used. They differ in mechanism and strength of action, adverse reactions, indications. Next, we will talk in detail about each group of drugs, mentioning their advantages, disadvantages and nuances of use.

Please note that the information is provided for informational purposes only! For the selection of laxatives, we recommend that you consult an ID-Clinic therapist, which is available online, at a clinic appointment, at home for patients with limited mobility.

Stool bulking agents

Medicines contain bran, cellulose, flax seeds and other components that increase the amount of feces and normalize its consistency. The increased volume of feces stimulates mechanoreceptors, increases intestinal motility and promotes the process of defecation.

The drugs act gently and physiologically, so they are prescribed for long-term use, including in elderly and debilitated patients. The exception is patients in the postoperative period and those with adhesive disease, in whom such laxatives can provoke an increase in pain.

The advantages of drugs from this group:

● have good drug compatibility, which is important for people who constantly take drugs to correct chronic diseases;

● safe medicines with a minimum number of adverse reactions and complications;

● do not “turn off” the motor function of the intestine and are not addictive;

● can be used for a long time without the risk of complications;

● bind cholesterol and increase its excretion with feces, thereby helping to correct dyslipidemia and atherosclerosis.

Osmotic laxatives

Another commonly used group of laxatives. They increase the osmotic pressure in the intestinal lumen and retain water, thereby softening the stool. Like the previous group of drugs, osmotic preparations increase the volume of feces, contribute to its promotion and painless removal during defecation. Medicines can be used long-term to normalize the functioning of digestion and regular stools in patients with chronic constipation.

Benefits of osmotic laxatives include:

● do not irritate the intestinal mucosa;

● are not addictive;

● are not absorbed into the blood, do not wash out salts and vitamins from the intestines;

● have an additional prebiotic effect – stimulate the growth of beneficial intestinal microflora;

● show an auxiliary therapeutic effect in cardiovascular diseases, renal and hepatic insufficiency, diabetes mellitus.

Drugs that cause chemical irritation of intestinal receptors

Drugs from this group have a dual effect. First, they increase intestinal motility, helping to move the stool and causing the urge to defecate. Secondly, drugs stimulate the secretion of fluid and electrolytes into the intestinal lumen, which allows you to increase the volume of feces and make them more liquid. Medicines have a quick laxative effect, so patients often purchase them for self-medication.

However, this category of drugs has a number of significant disadvantages:

● provoke secretory type of diarrhea, causing disturbances in water and electrolyte balance in the body;

● quickly addictive, require a constant increase in doses, which is fraught with dangerous side reactions;

● with prolonged uncontrolled use cause degenerative changes in the nervous structures of the intestine;

● can provoke a specific drug complication – laxative disease.

Given the potential risks and complications, stimulant laxatives are usually given in short courses of up to 2 weeks. They help to cope with long-term constipation, after which patients are transferred to milder and gentler drug options for continuous use.

Softeners

This category includes various types of oils that are taken orally, administered in the form of rectal suppositories. They soften the feces, coat the mucous membrane of the rectum and facilitate the process of defecation.

Such drugs do not have a pronounced laxative effect, so they are used to a limited extent. Most often, oil products are used in the postoperative period and in bedridden patients to reduce straining during bowel movements.

Enemas for constipation – when and why they are prescribed

For many people, enema becomes the main self-help remedy for constipation, but in fact, this procedure is not a treatment and does not help solve the problem of the gastrointestinal tract. Abuse of artificial bowel cleansing is fraught with a violation of the microflora, progressive atony of the colon and aggravation of constipation. Therefore, enemas are prescribed only as a one-time procedure to remove the accumulation of stool and improve the patient’s condition.

The main indication for enema is the lack of effect from drug treatment of constipation. However, do not prescribe an enema yourself. This is a medical procedure that should be carried out on the recommendation of a doctor no more than 1 time per week. For cleansing, ordinary water or water-oil solutions are used, which cover the walls of the intestine, facilitate the removal of dry, lumpy feces.

In addition to conventional enemas, microclysters are also used. They contain a combination of laxatives that are injected in small amounts into the rectum. On sale there are options for single use – a portioned tube with a special tip for rectal use. Microenemas show a strong and fast effect, but like regular enemas, they are not suitable for frequent use.

If the prescribed therapy regimen does not help, and there is a frequent need for enemas to empty the intestines, you should visit the doctor again. A change in pharmacotherapy, the use of stronger laxatives or drug combinations may be required.

With the progression of constipation, the absence of the effect of conservative tactics and complicated forms of colostasis, surgical intervention is indicated. In this case, the ID-Clinic doctor gives a referral for hospitalization, so that the hospital surgeon selects the tactics of the operation and performs the necessary treatment.

How is an enema done for constipation at home?

Contents

• Is it really necessary: ​​advantages and disadvantages of the procedure
• What are enemas?
• Which enemas are suitable for adults and which are suitable for children?
• How to do the procedure at home?
• Precautions: what not to do?

Various laxatives, herbs, prebiotics and even diets can be used. But it also happens that all these means do not have the expected result, and then the last, most powerful and effective way is enema.

This is a medical procedure and should therefore be approached responsibly and competently. There are even a number of specific rules, on the implementation of which the success of self-help depends.

Those who suffer from chronic constipation will benefit from knowing who, when and how to properly administer an enema.

Contents

Is it really necessary: ​​advantages and disadvantages of the procedure

Enemas can be classified into several main types: medicated, rinsing, voiding, and subaqueous. Each of them can be hypertonic, oily and cleansing.

And there are two radically different opinions about the benefits and disadvantages of enemas. Traditional medicine is of the opinion that the abuse of such procedures can lead to thinning of the intestinal walls, so the use of an enema is recommended only for acute toxic poisoning. Traditional medicine advises the use of enema for almost any disease.

But both of them agree on one thing, besides the obvious cleansing advantages, the method also has no less pronounced disadvantages:

• With regular use of enemas, the natural acid balance in the large intestine is disturbed.
• Dysbacteriosis may develop, as unnatural disturbances of the microflora occur.
• The walls of the large intestine are stretched under the influence of the volume of injected fluid, which leads to muscle atony and the so-called “lazy bowel”. This only exacerbates the problem of constipation.

But if you approach such an influence wisely, using an enema only as an extreme option, then there is nothing wrong with that. The advantages of the method include its indispensability in the paralytic postoperative state of the intestine, during infectious diseases of the gastrointestinal tract, in case of poisoning and after a heart attack. An enema is the only way out when it is impossible to treat with laxatives, when its use is not only justified by the indications, but also extremely necessary. But resorting to intensive cleansing techniques with an enema is not only harmful, but also dangerous.

What are enemas?

Enemas can be divided according to the volume of fluid to be injected into micro, medium and large. For the first, the volume of liquid is 100 ml, and often these are medicinal solutions. For medium – 500 ml, and for large ones, up to 2 liters are introduced. At home, you can do:

• Cleansing enema – does not affect the muscles of the intestine, but simply flushes the feces with water.
• Hypertonic enema is a kind of microclyster designed to provoke receptors in the intestinal mucosa and spur the process of self-cleansing.
• Oil enema – in which olive, sunflower or paraffin oil is added to 100 ml of solution.
• “Microlax” enema – is made on the basis of a viscous solution, which is sold ready-made in pharmacy kiosks. It contains sodium citrate, sodium lauryl sulfate and sorbitol in different dosages. The tool starts working after 10 minutes, and to get the effect, it is enough to use only 5 ml of the drug. Such drugs cannot have a prolonged action, and therefore do not affect the functioning of the intestines, there is no addiction.

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Which enemas are suitable for adults and which are suitable for children?

A child has a problem with stool much more often than an adult. For young children, problems with stools are very typical due to the partial immaturity of the intestines, as well as the lack of the necessary bacterial microflora, which will appear only in the first few months of life. Before giving an enema to a baby, you need to determine the causes of constipation. And for this it is better to bring him for a consultation with a local pediatrician or surgeon.

Very often, constipation is provoked by dysbacteriosis, which manifests itself after antibiotic treatment or with weakness of the intestinal muscles. But in this case, you can avoid enema, just give the child prebiotics that help normalize the digestive process.

Enemas are not recommended for children under 5 years of age, it is better to simply lubricate the anus with oil and inject a little into the rectum. If the cause of difficult emptying is dryness of the anus, then this is the best way to avoid problems.

To give an enema to an adult, it is enough to get a syringe or Esmarch’s mug. Prepare two liters of warm and boiled water. The container is filled with water half of the free volume, while the faucet must be closed.

The mug is hung up so that it is much higher than the lying person. The speed at which the liquid will flow into the intestine depends on the height at which it will hang. An adequate height is 1.5, if the mug hangs higher, then there is a chance of damaging the intestinal walls.

For adults, any of the components of the enema solution will work. These can be pharmaceutical antiseptics, herbal infusions, and even a very weak solution of citric or acetic acid. For 2 liquids, you need a few drops of apple cider vinegar or freshly squeezed lemon juice.

Strongly infused chamomile, peppermint, pomegranate peel or oregano herb can be used as a medicinal decoction. All of them have anti-inflammatory and laxative qualities. Acetic and citric acids increase peristalsis.

Salt solution is also suitable for adults, which irritates receptors in the rectum. This type of enema is called hypertonic. Such a tool attracts fluid from the walls of the intestines, which helps to soften and remove feces.

Buy a solution as in finished form, which includes heptahydrate and magnesium sulfate, current and prepare at home. In a glass of warm water, it is necessary to dilute a teaspoon of salt, fine-grained, without a slide. Or dissolve 20 g of powdered magnesia in 250 ml of water.

Hypertonic enema is done using an ordinary medical pear, the volume of which is 250 ml. The methodology is very simple: the solution is injected into the rectum of a person lying on their side. The urge to go to the toilet will begin in about 25 minutes.

Hypertonic enemas should not be given to children as the saline solution can seriously damage the intestinal walls. And adults should not resort to this method more than once every 7 days. And only with the approval of a doctor.

[warning] Amounts of liquid that children of different ages are allowed to give in the form of an enema solution:

• infants: 30-50 ml;
• 1 to 8 years: up to 300 ml;
• 8 to 12 years old: 500-700 ml.[/warning]

Use only a bulb or syringe and buy one with a soft tip. The temperature is also important: the solution should not be colder or hotter than 26C. This temperature is comfortable for the baby’s intestines.

How to do the procedure at home?

To get the maximum effect from an enema, you need to know how to do it correctly. It is best to carry out the procedure in the bathroom, or, if space permits, then directly in the bathroom. It is better to cover the floor with oilcloth. The solution is prepared in advance, if the enema is oil, then it must be warmed up and not tightened with the enema.

The person lies on the left side, bends the legs at the knee and pulls them slightly towards the stomach. With a cleansing enema, air must first be released from the hose, until water drips from the tip. After the faucet can be blocked. The tip of a syringe or an Eismarch mug is lubricated with Vaseline, and then gently, with the help of rotation, is inserted into the anus.

[warning] When using an oil mini enema – the solution must be injected very slowly, and if the volume of liquid is large, then just open the tap. If pain occurs, the procedure is stopped, allowing the liquid to move through the intestines. [/warning]

There is one important nuance with the cleansing enema. The fluid is not injected all at once. First, 500 ml is poured in, the fecal plugs that block the rectum are removed, and only after that the remaining 1.5 liters are used. You need to lie down and wait 20 minutes, and then slowly go to the toilet.

If there is no urge to defecate, then begin to massage the stomach, smooth movements, directed from the pubis to the sternum. Or you can simply lie on your right side, helping the fluid to penetrate further, following the direction inside the colon.

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Precautions – what not to do?

It is strictly not recommended to use soap and soda as additives to the enema solution. These two agents lead to erosive destruction of the walls of the large intestine.

Being highly concentrated, they cause severe irritation of the mucosa, which provokes the formation of micro-ulcers, tenzemas and edema.

If an ordinary enema does not work, it is better to seek help from a pharmacy.