How to do an enema at home and what are the risks?

Anal enemas are more common than you might think. However, a few precautions should be taken into account. Learn how to do an enema correctly.

How to do an enema at home and what are the risks?

Last update : February 26, 2023

For various reasons, some people have to do an anal enema at home to free the rectum of feces. This is part of the preparation for some medical procedures. It is also a method for relieve constipation, and a cleaning step before anal sex.

It is a rather usual practice, but of which we still speak little, because of a taboo. So read on to find out how to properly do an enema at home.

What is an enema?

Also known as anal shower or of colon cleansingan enema is a procedure in which large amounts of pressurized water are introduced through the anus through a tube or pear. Fluid is then expelled, along with stool, until a clear color is achieved. At this time, the rectum, colon and part of the small intestine are clean.

Some argue that using enemas can help detoxify the body, increase energy, and improve the immune system. However, there is no medical evidence that supports these benefits.

Enemas can be a good method for dealing with constipation, as they help relieve discomfort and make it easier to pass stools. It is a recommended procedure for people with chronic constipation, although it cannot be repeated too much, as the body may get used to it and normal peristalsis may then slow down.



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Types of enema

Enemas can be classified into two broad categories, depending on their purpose. Some are indicated to be done at home, while others are exclusively intended for professional use.

It all depends on the cause and how they will be used. We detail the different types below.

Enemas can alleviate constipation, but the causes must always be investigated in order to follow an appropriate treatment.

1. Cleansing enemas

Also called evacuation enemas, these are the most frequent anal enemas. They can be done without problems at home.

They are administered for the purpose of cleansing the colon, rectum and part of the intestines any faeces that may be there. In this class of enemas, pure water or saline solutions are usually used.

These enemas are recommended in case of constipation, to obtain stool samples, before an X-ray examination of the rectum or as a method of preparation for anal penetration. Typically the liquid is held for 2-3 minutes before being completely expelled and the procedure repeated until the water is clear and clean.

2. Retention enemas

The difference between the cleansing enema and retention enema is that with the first the patient evacuates water almost immediately, while with the second the liquid must be retained less than 30 minutes. In this type of enema, drugs are usually given into the rectum mixed with water, when they cannot be taken orally.

In addition to drugs, nutrients are usually introduced. In both situations, the retention enema should be performed professionally to ensure correct dosing.

Before performing a retention enema, cleansing should be performed. And this, so that the drugs administered quickly reach the bloodstream.



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How to correctly do an enema at home?

Each person may have their own way of performing an enema at home. The instrument used may vary, as well as the position adopted.

Here are some general recommendations for performing an enema at home in a simple and safe way that will be of great help to you when you perform this procedure for the first time:

  1. Choose your favorite instrument: Disinfect it.
  2. Fill it with lukewarm water: Pay attention to the temperature, so as not to generate a sudden or uncomfortable change once the liquid enters the body.
  3. Lubricate the plastic tip: Using petroleum jelly or a lubricant, grease the tip of the tool with which you will perform the enema to facilitate its entry.
  4. Get into a comfortable position: You can lie on your side with your legs bent, lie on your back with your legs towards your chest, or even squat.
  5. Carefully insert the tip: Gently insert the tip of the enema or pear into the anus, being very careful not to generate aggressive movements.
  6. Open or tap the tool: If it’s a pharmacy enema, hang it 90 centimeters off the floor, turn on your side or back, and turn on the tap to let the water in. If you’re using a pear, squat down and gently press it down.
  7. Wait a few minutes: Stay in the chosen position and try to keep the water. Wait until you want to have a bowel movement.
  8. Repeat the wash: Do this enema 3 to 4 times until the water runs clear and clean. Remember not to introduce more than 250 milliliters of water for each enema.
Bulbs for homemade enemas are almost always standard size.

Risks and precautions

Although it is true that enemas are a very useful procedure and can be done from home, they should not be overused. Excessive consumption can have repercussions on health and end up damaging the intestinal flora.

Here are some precautions to take to get the most out of enemas and not take unnecessary risks:

  • The use of coffee or soapy water enemas should be avoided as they irritate the bowel and can cause abdominal pain and discomfort.
  • Enemas are not recommended in situations where it is dangerous to increase intestinal peristalsis or natural bowel movements, such as appendicitis or intestinal perforation.
  • An enema may be harmful in patients with fluid and electrolyte imbalance. For example, in case of kidney failure.
  • In some people, improper execution of an enema can cause nausea, abdominal pain, proctitis, or anal itching.

Doing an enema at home is a serious task

Now that you have learned regarding the benefits of enemas and the precautions to be taken, exercise caution when performing them so as not to take any type of risk. Remember not to abuse them and only use them when necessary.

If the main problem is constipation, look for natural alternatives first, then possibly consider having an enema. See your doctor if constipation lasts longer than a week.

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