Should you use an enema for constipation relief. What are the potential risks and side effects of enemas. What are safer alternatives for treating constipation. How to administer an enema safely. When should enemas be considered as a treatment option.

The History and Purpose of Enemas for Constipation

Enemas have been used for thousands of years as a method to relieve constipation and promote bowel movements. This ancient practice developed long before the advent of modern oral and intravenous medications. In recent times, some celebrities have promoted enemas as a way to “detoxify” the body, but these claims are unfounded and potentially dangerous.

An enema involves introducing fluid into the intestines through the rectum to soften and break up stool. While once commonly used, enemas are now typically considered a last resort for constipation due to potential side effects and the availability of safer alternatives.

Types of Enemas

There are several types of enemas available, including:

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

While phosphorus-based enemas are often considered the most potent, any type can be effective if administered correctly. Oil-based enemas tend to be messier and are generally avoided by medical professionals.

How to Properly Administer an Enema

If you’re considering using an enema, it’s crucial to follow the instructions provided carefully. Here are some tips for safe and effective enema administration:

1. Drink two glasses (16 ounces) of water before the enema to prevent dehydration.
2. Lie on your stomach with your knees pulled to your chest, or on your left side with both knees bent.
3. Lubricate the enema tube and gently insert it into your rectum.
4. Squeeze the enema container to release the contents into your rectum.
5. Hold the position until you feel a strong urge to defecate, ideally for at least five minutes.

It’s important to note that enemas should not be used regularly unless specifically instructed by a healthcare provider.

Potential Risks and Side Effects of Enemas

While enemas can be effective for treating severe constipation, they come with several risks and potential side effects. Are enemas safe for regular use? The answer is generally no. Frequent use of enemas can lead to various complications:

• Anorectal pain disorders
• Damage to intestinal tissue
• Bowel perforation
• Infection, including sepsis
• Electrolyte imbalances
• Dehydration

In rare cases, complications from enema use can be life-threatening. Research has shown that perforation, hyperphosphatemia, and sepsis following enema use may result in death in up to 4% of cases.

Who Should Avoid Enemas?

Certain individuals should not use enemas, including those with:

• Colorectal cancer
• Enlarged or distended colon
• Active inflammatory bowel disease

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

Safer Alternatives for Constipation Relief

Given the potential risks associated with enemas, they are typically recommended only as a last resort for constipation treatment. What are some safer options for relieving constipation? Consider trying these alternatives before resorting to an enema:

High-Fiber Diet

Increasing your fiber intake is often the first recommendation for managing constipation. A high-fiber diet can help increase stool bulk and speed up its passage through the digestive system. Aim for 20 to 30 grams of fiber daily, gradually increasing your intake to avoid bloating and gas. Good sources of fiber include:

• Fruits and vegetables
• Whole grains
• Legumes
• Nuts and seeds

Over-the-counter fiber supplements like Metamucil may also be beneficial, but consult your doctor before adding them to your routine.

Hydration

Proper hydration is crucial for maintaining regular bowel movements. How much water should you drink to prevent constipation? While individual needs vary, aim for at least 8 glasses (64 ounces) of water per day. Increase your intake if you’re physically active or live in a hot climate.

Regular Exercise

Physical activity can stimulate bowel function and promote regularity. Aim for at least 30 minutes of moderate exercise most days of the week. This can include activities such as brisk walking, swimming, or cycling.

Over-the-Counter Constipation Remedies

When lifestyle changes aren’t sufficient, over-the-counter remedies can provide relief from constipation. These options are generally safer and more convenient than enemas:

Osmotic Laxatives

Osmotic laxatives, such as polyethylene glycol (Miralax), work by drawing water into the intestines to soften stool and promote bowel movements. These are generally well-tolerated and can be used for longer periods under medical supervision.

Stimulant Laxatives

Stimulant laxatives, like bisacodyl (Dulcolax) or senna, work by increasing intestinal contractions. While effective, they should be used sparingly to avoid dependence.

Stool Softeners

Stool softeners, such as docusate sodium (Colace), help moisten the stool to make it easier to pass. These can be particularly helpful for individuals who strain during bowel movements.

When to Consider Enemas as a Treatment Option

While enemas carry risks, there are situations where they may be appropriate. When should enemas be considered for constipation relief? Enemas might be recommended in cases of:

• Severe, treatment-resistant constipation
• Fecal impaction
• Preparation for certain medical procedures

It’s crucial to consult with a healthcare provider before using an enema, especially if you have chronic constipation or other digestive issues.

The Importance of Proper Bowel Health Management

Maintaining regular bowel movements is essential for overall health and well-being. How can you promote healthy bowel function naturally? Consider these tips:

• Establish a regular bathroom routine
• Don’t ignore the urge to have a bowel movement
• Use proper posture on the toilet (a squatting position can help)
• Manage stress through relaxation techniques
• Consider probiotic supplements to support gut health

By adopting these habits and lifestyle changes, you can often improve bowel regularity without resorting to more invasive methods like enemas.

Understanding the Root Causes of Constipation

To effectively manage constipation, it’s important to identify and address its underlying causes. What factors can contribute to chronic constipation? Common causes include:

• Insufficient fiber intake
• Dehydration
• Lack of physical activity
• Certain medications (e.g., opioids, antidepressants)
• Medical conditions (e.g., hypothyroidism, diabetes)
• Ignoring the urge to have a bowel movement
• Changes in routine or travel

By addressing these factors, you may be able to resolve constipation without resorting to enemas or other invasive treatments.

The Role of Gut Microbiome in Constipation

Recent research has highlighted the importance of the gut microbiome in maintaining digestive health. How does the gut microbiome affect constipation? A diverse and balanced gut microbiome can promote regular bowel movements by:

• Producing short-chain fatty acids that stimulate intestinal motility
• Breaking down fiber to create bulk in the stool
• Regulating inflammation in the digestive tract
• Influencing the production of neurotransmitters that affect gut motility

To support a healthy gut microbiome, consider incorporating fermented foods into your diet, such as yogurt, kefir, sauerkraut, and kimchi. Prebiotic foods, which feed beneficial gut bacteria, can also be helpful. These include garlic, onions, leeks, and asparagus.

The Psychological Aspects of Constipation

Constipation isn’t always purely physical; psychological factors can play a significant role. How can stress and anxiety contribute to constipation? Stress and anxiety can:

• Alter gut motility
• Cause tension in the pelvic floor muscles
• Lead to changes in eating habits
• Disrupt sleep patterns, which can affect bowel regularity

Addressing psychological factors through stress management techniques, such as meditation, deep breathing exercises, or cognitive-behavioral therapy, can sometimes help alleviate constipation symptoms.

The Mind-Gut Connection

The relationship between the brain and the gut, often referred to as the gut-brain axis, is bidirectional. This means that not only can psychological factors affect digestive function, but gut health can also influence mood and cognitive function. Maintaining a healthy gut through proper diet, regular exercise, and stress management can have far-reaching benefits beyond just alleviating constipation.

When to Seek Medical Help for Constipation

While occasional constipation is common, persistent or severe symptoms may indicate an underlying medical condition. When should you consult a healthcare provider about constipation? Seek medical attention if you experience:

• Constipation lasting more than three weeks
• Severe abdominal pain
• Blood in the stool
• Unexplained weight loss
• Persistent changes in bowel habits
• Constipation alternating with diarrhea

These symptoms could be signs of more serious conditions, such as inflammatory bowel disease, colorectal cancer, or thyroid disorders. A healthcare provider can perform necessary tests and recommend appropriate treatment options.

Diagnostic Tools for Chronic Constipation

If you’re experiencing chronic constipation, your healthcare provider may recommend various diagnostic tests to determine the underlying cause. These may include:

• Blood tests to check for hormonal imbalances or other systemic issues
• Stool tests to check for infections or blood in the stool
• Colonoscopy to examine the colon for structural abnormalities or signs of disease
• Anorectal manometry to assess muscle function in the anal and rectal area
• Colonic transit studies to evaluate how quickly food moves through the digestive system

Based on the results of these tests, your healthcare provider can develop a tailored treatment plan that addresses the specific causes of your constipation.

The Future of Constipation Treatment

As our understanding of digestive health continues to evolve, new approaches to treating constipation are emerging. What innovative treatments are on the horizon for constipation relief? Some promising areas of research include:

• Targeted probiotics designed to improve gut motility
• Fecal microbiota transplantation for severe cases of constipation
• Novel pharmaceutical agents that target specific receptors in the gut
• Bioelectronic medicine, using electrical stimulation to regulate bowel function
• Personalized nutrition plans based on individual gut microbiome profiles

While these treatments are still in various stages of research and development, they highlight the ongoing efforts to find more effective and personalized approaches to managing constipation.

The Role of Artificial Intelligence in Digestive Health

Artificial intelligence (AI) is increasingly being applied to various aspects of healthcare, including digestive health. How might AI contribute to better constipation management? Potential applications include:

• Analyzing patterns in symptoms and lifestyle factors to predict constipation risk
• Optimizing treatment plans based on individual patient data
• Developing more accurate diagnostic tools for gastrointestinal disorders
• Creating personalized dietary recommendations based on gut microbiome analysis

As these technologies continue to advance, they may offer new insights and more targeted approaches to managing constipation and other digestive issues.

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.

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 properly carry out 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: ​​the 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 amount of liquid 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 the receptors of the intestinal mucosa and spur the process of self-cleansing.
• Oil enema – in which olive, sunflower or vaseline oil is added to 100 ml of solution.
• “Mikrolaks” enema – is made on the basis of a viscous solution, which is sold in pharmacy kiosks ready-made. 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 carry out 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. For example, Microlax is a viscous solution intended for rectal administration.

Enema is strictly contraindicated in:

• Appendicitis, internal bleeding, peritonitis, other acute conditions and diseases of the gastrointestinal tract.
• During recovery from abdominal surgery.
• Hemorrhoids, hemorrhoidal bleeding;
• Inflammatory processes in the cavity of the rectum, with erosion and ulcerative lesions.
• Prolapse of the rectum.
• Tumors of the intestine, regardless of where it is localized.
• Severe degree of ischemia.
• Bleeding in the stomach or uterus.
• Pain in the retroperitoneum and suspicion of the need for surgery.

Many people solve the problem of constipation without going to the doctor by giving themselves an enema. But this is a fundamentally wrong approach, since in 30% of such cases forced bowel movements lead to serious consequences. If you have problems with regular stools, you do not need to immediately purchase a douche, but it is better to take care of your health and visit a specialist.

Enema for constipation – how to do, contraindications, types

Enema for constipation
Enema for constipation – how to do, contraindications, types | Phytomucil Norm
Enema for adult constipation is an effective treatment that can be done at home. The article is about how to properly put an enema for constipation of the intestine and their types (for example, cleansing). Phytomucil Norm
Phytomucil Norm

Constipation is often accompanied by painful sensations and is fraught with intoxication. It is necessary to fight constipation, so doctors often offer an integrated approach to treatment: dieting, increasing physical activity, taking laxatives or other medications. With prolonged constipation, it is important to empty the intestines as soon as possible. An enema will help to do this.

An enema is a medical procedure that involves injecting water or liquid solutions into the rectum through the anus. It can be performed both by the patient himself, and by a medical worker or relative – no special knowledge is required during the procedure. However, it should be understood that such manipulation has certain indications and contraindications, the technique of execution and the features of the conduct.

Enema for constipation

Enema is one of the most affordable methods used both in the hospital and at home. It allows you to get a quick effect and empty the intestines within 5-15 minutes after the introduction of the solution. Understanding how to make an enema for constipation allows you to instantly alleviate the symptoms of stool retention: cleanse the large intestine, stimulate intestinal motility, remove gases.

This approach has disadvantages, especially if we are not talking about once occurring, but about chronic constipation. An enema is not a treatment for constipation and the digestive system disorders that cause it. Many people who have tried all the ways to get rid of constipation note the following disadvantages of an enema:

• discomfort – when washing the intestines, discomfort is inevitable;

• the impossibility of using an enema repeatedly – it is strongly not recommended to use an enema regularly, as this can lead to complications;

• the presence of contraindications in the form of hemorrhoids, anal fissure and other anorectal diseases – frequent companions of constipation;

• the risk of developing addiction – enema can cause the development of lazy bowel syndrome and provoke dependence on manipulations.

According to the gastroenterologist, KMN Shulpekova O. Yu., “in some cases, the formation of dependence on enemas is a big problem” (Shulpekova Yu. O., 2006, p. 90). This happens due to not agreed with the doctor or too frequent use.

The constant use of an enema does not solve the underlying problem. The person fights against the symptom, but does not direct their attention to the source of the problem – the disease of the gastrointestinal tract, the specifics of the diet or the level of physical activity. Therefore, you should not be zealous with enemas, it can only help in special cases when you need to urgently empty your intestines.

Readings

A pear enema is indicated for acute constipation – in cases where stool retention is rare and not chronic. In addition, the procedure is carried out with caution if the patient has a so-called fecal blockage.

A fecal blockage is a condition in which an accumulation of feces forms in a certain area of ​​​​the rectum. The lump is gradually compacted, while gaps remain between it and the walls of the intestine, through which liquid feces pass and are brought out. The person thinks they are developing diarrhea and may start taking antidiarrheal medication, which exacerbates the problem.

With partial obstruction of the rectum, symptoms of intoxication quickly increase. Treatment of fecal obstruction is carried out without laxatives. However, the enema is also used with caution: the procedure will help in cases where the enema tip freely penetrates above the stone and there is no risk of injuring the walls of the rectum.

In addition to constipation, there are other indications for bowel cleansing with enemas:

• intoxication, poisoning;

• planned operations;

• forthcoming birth;

• upcoming proctological examination;

• preparation for X-ray examination of the digestive, urinary system, pelvic organs;

• preparation for endoscopic interventions;

• preparation for the formulation of a medicinal enema.

Sometimes an enema is prescribed in the postoperative period, when your own stool is not observed after a certain time after surgery. Usually on the second or third day.

But for whatever indication an enema is planned, it is important to remember that this procedure must be carried out only with a doctor’s prescription. After all, there are a number of serious contraindications that you may not recognize in yourself.

Enema contraindications

Enemas for constipation are categorically contraindicated in cases of suspected complete intestinal obstruction. Doctor Subbotin A. M. emphasizes that “due to its low efficiency, the use of enemas is currently used mainly only in patients with signs of partial intestinal obstruction” (Subbotin A. M., 2010, p. 1754).

But it is important to distinguish between partial and complete obstruction: in the first case, loose stools pass. Partial blockage ends with a resolution in the form of liquid feces with a putrid odor.

Complete intestinal obstruction is characterized by acute pain, pallor of the skin, sweating, tachycardia, often accompanied by nausea and vomiting. A characteristic feature is asymmetric bloating. In some cases, long-term constipation can only be distinguished from intestinal obstruction using ultrasound or x-rays. Therefore, if you suspect such a condition, it is better to consult a doctor.

There are other contraindications to enema:

• bleeding from any part of the gastrointestinal tract, bleeding from the rectum;

• inflammation of the large intestine;

• rehabilitation period after interventions in the rectal area, perianal area, for example, after removal of hemorrhoids;

• hemorrhoids, anal fissure, proctitis, proctosigmoiditis;

• intestinal tumors.

Enema stimulates intestinal peristalsis and uterine tone, so if possible it is better to refuse the procedure during menstruation, so as not to increase bleeding. During pregnancy, an enema is done only under the supervision of a doctor and in case of urgent need.

How to make an enema

How to make an enema for an adult with constipation? If you have been prescribed an enema by a doctor, it is important to know how to do it correctly. First of all, you should prepare. You will need an Esmarch mug or a rubber pear with a tip, an oilcloth or an absorbent sterile diaper, liquid paraffin or baby cream, an antiseptic (for example, a solution based on chlorhexidine).

It is better to carry out the procedure in the bathroom, if it is suitable for this. It is important that the surface on which the person lies is flat and firm. It is necessary to cover the surface with oilcloth and prepare a solution for enema. About which solution is best suited in a particular case, we will describe later in the article.

The tip of a syringe or Esmarch’s mug should be wiped with an antiseptic, applied to the tip with petroleum jelly or baby cream, in extreme cases – vegetable oil. A person should take a comfortable position – lie on either side or stand in a knee-elbow position, relax.

The enema is injected into the anus to a depth of 5-10 centimeters. The urge to go to the toilet can begin immediately after the start of the introduction of the solution, and it is important to restrain them for a certain time. The temperature of the solution can be from 10-21 to 39 ° C, depending on the indications.

Please note that the steps involved in administering an enema may vary depending on the type of enema.

The steps for self-administering an enema are as follows:

• collect Esmarch’s mug according to the instructions;

• fill it with a solution;

• bleed some fluid to bleed air;

• treat the tip with vaseline oil or baby cream;

• lie on your left side, pull your knees to your chest;

• push the buttocks apart, insert the tip into the anus to a depth of no more than 10 cm;

• pour in the solution;

• remove the tip, turn on your back and wait 15 minutes.

After the procedure, there will be a strong urge to defecate, it is important to restrain them only in the first few minutes, and then ensure the opportunity to spend as much time in the toilet as needed. Defecation can occur several times, so there is no need to rush.

Types of enemas for constipation

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The correct enema for constipation should be carried out taking into account the general state of health, the situation, the causes of stool retention. The characteristics of the solution used may vary depending on the type of enema.

The following solutions are used for cleansing and therapeutic measures:

• Oily: used for regular, prolonged constipation, often at bedtime. Unlike many other solutions, in this case, the laxative effect occurs after a few hours.
• Soapy: This solution is prepared with water and baby soap with glycerin. Used for a simple cleansing enema.
• Hypertonic: provides for the dissolution of salt in water, promotes the removal of excess fluid.
• Acidic: Involves the use of acids (eg lemon juice or vinegar), used as a cleanser.
• Ognev’s enema solution: contains hydrogen peroxide, glycerin, soap shavings in the ratio 1:1:1. This solution is used for severe, prolonged constipation.
• Starch: this solution is used for hot enemas with temperatures up to 40-42 degrees. Also used for colitis. The composition of this solution includes starch and medicinal substances.
• Drip: The solution is a combination of drugs prescribed by a doctor. Can be used for dehydration, usually up to 4 treatments per day.
• Nutrient: May contain glucose, amino acids, etc. Also used for dehydration.

By volume, enemas are classified as follows:

Oil

It is recommended for spastic constipation, dehydration of feces. For example, in cases where constipation was the result of a poor drinking regimen. The solution is olive, castor, vaseline or other oil in its pure form.

The oil is heated in hot water to 38 ° C, drawn into a Janet syringe or syringe, injected into the anus. The urge to empty may not come immediately, but only after a few hours, so it is often more appropriate to use laxatives with a delayed, predictable effect.

Hypertonic enema

Hypertonic enema involves the use of water with salt or potassium permanganate dissolved in it. Such an enema is used, as a rule, to remove excess fluid during edema. Usually enough 0.2-0.5 liters of clean cold water. Warm water can be absorbed into the intestines, then the desired effect will not be. Salt solution increases osmotic pressure, stimulates the liquefaction of feces, the effect occurs after 20-30 minutes.

Cleansing enema

Cleansing enema for constipation involves thermal irritation with water of a certain temperature. Pure warm water is used, which mechanically stimulates the intestinal walls, has a temperature effect, and changes the consistency of feces. The effect comes immediately after the procedure.

Cleansing enema thins stools, stimulates bowel movements and can be used as part of the treatment of chronic constipation, and to promote detoxification and elimination of stool in preparation for childbirth or surgery. Sometimes a cleansing enema is placed before the medicinal one. So medications based on medicinal enema are better absorbed.

In addition to pure water, it is possible to use water with the addition of 2 tbsp. l. glycerin or vegetable oil. As a preparation, you need to lay an oilcloth on the couch, lower one edge into a container on the floor.

Esmarch’s mug is filled with a solution with a temperature of 25−35 degrees, open the valve to remove air. Next, you need to close the tap and hang the mug above the couch. The person lies on his side, bending his knees.

Cleansing enema algorithm:

• Treat the tip with Vaseline.
• Insert tube 10 cm.
• Open tap, inject fluid.
• Detect 10 minutes.

If the pressure of the solution is not enough, pull the tip out a little and increase the water pressure, and if soreness is felt, reduce the pressure.

Siphon enema

Siphon enema involves cleansing the intestines with the help of a repeated washing procedure according to the principle of two communicating vessels – intestines and funnel. It differs from the cleaning one not only in the multiplicity of conduction, but also in technology. Before the procedure, you need to put an oilcloth, the edge of which is lowered into the container.

The person is laid on his side, after which the vaseline-treated tip of the rubber tube is inserted into the rectum by 10 cm. Then the funnel at the other end of the tube is filled with liquid, it is held at the level of the buttocks, then it is raised 0.5 m above the body level. When the waning water reaches the boundary of the constriction of the funnel, the funnel is lowered below the level of the body.

The contents of the intestines will begin to flow from it. This raising with the addition of liquid and lowering the funnel is repeated several times until the water coming out of it becomes clear. It should be remembered that only a specialist should carry out a siphon enema.

Medicinal

Typically, such enemas are indicated for inflammatory diseases of the rectum or sigmoid colon. In some cases, medicines are used as a solution, including decoctions of medicinal herbs. Sometimes general medicines are administered. systemic action. Only a specialist can prescribe a drug. It is important to do such enemas strictly in accordance with medical recommendations.

It should be understood that enema is not a treatment for constipation. In addition, in the case of alimentary constipation, it does not have any effect on the causes. Chronic constipation occurs in 15–25% of the adult population of developed countries, and in most cases it is associated with the diet and low physical activity of a modern person.

That is why the first recommendation of a gastroenterologist for constipation in a patient is almost always a menu correction – supplementing the diet with foods rich in dietary fiber. Sometimes additional fiber supplementation is required.

For this reason, the most effective laxatives are bulk ones, in particular preparations based on psyllium hulls. One of these laxatives is the British drug Fitomucil Norm, which contains soluble fibers in the form of psyllium seed husks and plum fruit pulp, as well as insoluble fibers.

Due to the latter, the agent stimulates peristalsis, and soluble fiber increases the water content in the feces, contributes to their softening and comfortable excretion. Plum pectin additionally promotes the growth of beneficial microflora. “Fitomucil Norm” acts without pain, swelling and sudden urges, is not addictive, unlike drugs with hay in the composition.

It is important to consult your doctor about enemas for constipation. There may be certain limitations, and only a specialist will tell you how to deal with the problem.
The article is for informational purposes only. The authors are not responsible for the quality of services provided by third parties and for possible complications.

References

• Parfenov AI Strategy and tactics of treatment of chronic constipation // Medical Council.