How To Take An Enema
(How To Cleanse Your Colon Safely)
An effective home enema program (intestinal cleanse) occurs when you are able to infuse enough filtered water into your colon to stimulate peristalsis* throughout the full length of the colon, thus cleansing the entire colon — not just the rectal or sigmoid areas reached by Fleet® enemas and other disposable chemical enemas (see diagram). Once enough water is in the colon, you then expel it, along with the resulting waste, into the toilet. You then repeat the process one or two more times.
*Peristalsis: The involuntary constriction and relaxation of the muscles of the intestine or another canal, creating wavelike movements that push the contents of the canal forward.
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VIDEO: How To Take a Large-Volume Enema
This video details how a new enema user can easily and effectively use an enema bag to clear out the entire length of the colon, which supports healing of anal fissures. Kristina Amelong, CCT, CNC, and a female model demonstrate how to set up and use an enema bag, how to prepare the enema solution, how to use an enema tubing clamp, and how to lubricate and insert the enema nozzle.
1. WHERE TO TAKE AN ENEMA
Find a comfortable, warm area where you can lie down to take your enema yet from which you can easily get up and reach the toilet. The bathroom floor can be ideal due to the proximity of the toilet. Many prefer to take an enema series right in a hot bathtub. In this way, you are more comfortable and relaxed as your body is slightly lifted off the ground. Others prefer to take their enema bag, a rubber mat, and their IV stand into their bedroom or sunny living room. Taking an enema in a sunny location is quite therapeutic, especially during the winter months. Try different locations until you find what works for you.
2. ENEMA SOLUTIONS
Prepare your first enema solution. Before you fill the bag, make sure the tubing clamp is shut tightly so that no water spills out as you are filling the bag. The essential oils peppermint, frankincense, fennel, and lavender (1-3 drops of each) stimulate peristalsis and immune function. You can try them together or individually. I recommend them over soap, but if you want to use soap, use one teaspoon to one tablespoon of Unscented Coconut Oil Soap. This will promote a positive musculature response, without chemical exposure, and move your bowels well. A water temperature of 98° to 100°F (37° to 38°C) is ideal. Hang the enema bag at least two feet above your body. Some people find that preparing two to three enemas using two to three different enema bags at the start of the enema series works most easily. For this purpose, it is an excellent idea to own an IV stand.
3. ENEMA LUBRICANTS
Use a non-petroleum-based lubricant on your enema nozzle. Petroleum-based products always take a toll on your liver. I like Super Salve the most, or a similar plant-based lubricant. I use sterile, water-soluble lubricating jellies such as KY Jelly or Surgilube. Olive oil and vitamin E oil also work. Lie on your right side or your back, whichever makes insertion easier for you. Insert the lubricated nozzle.
4. ENEMA FLOW CONTROL
Make sure you are comfortable, and then open the clamp. Keep the clamp in your hand or nearby so you can, without difficulty, control the flow of water into your body. Go slowly! The skill needed for successful colon cleansing is to let only a small amount of water enter your colon at a time. If you add water too quickly, you will stimulate peristaltic action in the sigmoid and the rectum, making it nearly impossible to get water into the transverse and ascending colon. If a hint of cramping occurs, immediately stop the flow and relax. Take a big breath and slowly let it out. When there is no more cramping, or 30 to 60 seconds have passed, resume filling your colon with small amounts of the enema solution until you have taken in 1 to 3 quarts, or you can no longer tolerate the amount of cramping that is occurring. You do not need to force yourself to withstand any pain. If you were only able to take a pint of solution before you experience consistent cramping, sit on the toilet, and let your bowel empty.
View our instructional video on DVD, Cleansing, Coffee Enemas, and Colon Tubes
Or please refer to Kristina’s book, Ten Days to Optimal Health: A Guide to Nutritional Therapy and Colon Cleansing
5. ABDOMINAL MASSAGE DURING THE ENEMA
It can be helpful to gently massage your abdomen to assist the flow of the enema solution into the entire colon. Massage your colon from the bottom left corner of your abdomen toward your chest, moving the water up the descending colon, then across toward the right, moving the water through the transverse colon and finally down the right side into the ascending colon and the cecum area. Reverse the direction of massage when eliminating the enema solution. At our health center, we use a massage tool called a percussion massager. It works wonders. If you have difficulty holding water or eliminating during an enema, you may also want to try a massager.
6. ENEMA POSITION
Some people find that being on their left or their right side at some point during an enema session can make a big difference. Give it a try. Turn over onto your left side and, while gently massaging the abdomen, take in more water. This will facilitate filling the entire colon. Others find that lifting the buttocks off the ground with the body propped up on a pillow or using the yoga position of a full shoulder stand (not recommended if you haven’t tried this before) will further move the liquid into your colon. Try to retain the enema for about 5 to 15 minutes. Sit on the toilet and evacuate whenever you need to.
7. ENEMA WATER VOLUME
If you can’t take all 2 quarts of water, that’s okay. Take only what you can hold comfortably. On the first enema, you are most likely very full in the sigmoid and rectal area. This is where the nerve endings that stimulate peristalsis are, so it is very common to only be able to take a small amount of liquid on this first fill. Take the enema nozzle out and sit on the toilet. Make sure you have first closed the hose clamp.
8. ENEMA COMFORT LEVEL
After you have expelled your first enema and most of the fecal matter on the toilet, you will want to repeat the procedure. This time follow the same procedure, but now try to increase the volume of water. With your colon now empty, you will have room for more water. Taking into your colon 1 to 3 quarts of water is key to an effective enema series. Take only as much as you can comfortably hold. Do not put yourself in pain that lasts for more than a couple of passing seconds. Use pain as a guide to what your colon is comfortable with. Again, go slowly. Repeat the enema again if you have time and are still passing feces.
9. RECOMMENDED ENEMA SERIES
How to Colon Cleanse: The Enema Series
10. ENEMA SAFETY
With all of this in mind, remember that colon cleansing is a very important tool in health maintenance. I recommend that you start with a program that is easy for you as soon as possible. I think that you will be pleased!
I wish you good health!
Kristina Amelong, CCT, CNC