Administering an Enema

Administering an enema is a simple procedure to perform whether to yourself or someone else.

For the recipient Person receiving the enema

The Administrator :  Person administering the enema

Directions for  Administering a Retention Enema

The administrator has most of the responsibility. The enema recipient is usually embarrassed and in a delicate position. You should respect their modesty in everything that you do.  Communication between the recipient and person administering the enema is a very important tool to insure a successful procedure. The following advice should make the process go as smoothly as possible.

  • Positive Reinforcement:  Words of encouragement to the recipient during the administration of the enema will be of great benefit for a positive outcome of the procedure.  Telling the recipient, how good they are doing, and to relax and breathe correctly during the procedure will greatly increase the chances of a successful enema experience.
  •  Anal Lubrication: The recipients anal area needs lubrication to ease insertion of the colon tube or nozzle. The best lubricant we have found for this purpose is Liquid Silk (recommended for enema use)  but you can use KY Jelly,  Vaseline 13oz ) or even vegetable oil.

    Agloved finger is excellent for this purpose.  It allows easier entrance to the rectum. Apply a liberal amount of lubricant to your finger tip and to the outside of the recipients anus. Next, press the tip of your finger into the center of the recipients anus. Use about enough pressure to crack an egg shell. Applying constant pressure for several seconds this will usually allow the anus to relax allowing you to insert a lubricated finger. Apply lubricant liberally working it in and out and around inside the anus and into the rectum.

    Assuming the recipient reacts positively to anal stimulation, they probably won't mind .

  • Suspend the enema bag: about 1 foot to 18 inches above the anus. Suspending an enema container higher than 18 in. produces a faster flow and will and will increase the chance of cramping.
    A good tool for this is the IV Stand for Enemas
    If you need the best flow control of the enema solution.  A ramp clamp is a good choice for flow control.

    Dropping the bag below the level of the anus will result in back-flow of waste into the enema bag during the procedure.

    Always open clamp and allow any air to escape tubing before inserting the nozzle or rectal tube.

  • Inserting the:  nozzle /rectal tube , Being careful and learning from the experience of your finger when you lubricated the anus. You should know about how much pressure will be required and the direction in which the nozzle should be pointed. The nozzle should slide in easily.
    Never Force an Enema Nozzle into the rectum.
  • Next open the clamp slowly: Don't try to give the entire amount of solution at once. It can take as much as15 minutes to administer a large volume enema, add the solution very slowly, one-half to one cup per minute (4 to 8oz.).

    If the recipient has a full colon (Hasn't recently defecated) they may not be able to take the full amount of solution the first time. 
    You can have them evacuate and then refill the container, and administer another enema. This procedure can be repeated until the recipient can take a complete filling without having to evacuate in between.  If you have to repeat the procedure use only warm water for the solution.  Using a soapy solution or irritating solution will irritate the anus and rectum and be very uncomfortable for the recipient.  You want the recipient to come away with a positive experience from the enema procedure.

  • While filling the recipient: watch for signs of cramping. If this occurs you should slow or stop the flow until the recipient can relax.
  • You might want to massage the recipients abdomen to encourage the solution further into the colon.
  • When the recipient needs to evacuate you need to stop the flow and encourage the recipient to retain the enema solution. (five or 10 minutes this is usually enough time to achieve good results.) Then have them breathe only through the mouth while retaining the Enema Solution.

    Then while waiting for the recipient to expel their enema,  It is a good time to clean the equipment.

Massaging the abdomen:
When receiving the enema:

Massage abdomen in a counter-clockwise direction this will help move the solution higher into the colon. Start on the lower left side and slowly & deeply massage up and across just below the ribs and down the right side. Do this when you feel full in one particular area.

Massaging the abdomen during the administration of an enema will help the recipient except more of the enema solution. It will also help loosen fecal material along the colon walls.

When expelling the enema:
Massage abdomen in a clockwise direction this will help move the solution back toward the rectum and anus.

Massaging the abdomen while expelling the enema helps move the solution and feces toward the rectum and out the anus.

Remember: Always keep your feet up when expelling the enema :
It is now well known by all doctors and most enema enthusiasts that the way standard toilets are setup are too low for natural elimination.

The fix of course is to do the "third world squat." This squatting position is able to "un-kink" your colon and allow your waste to flow. This is important for everyday bathroom breaks, but especially important when expelling an enema. Afterall, your goal is to get everything out, remember?

Luckily, some doctors and designers got together to come up with a fix to our everyday colon-kinking toilets. It is a simple step you can put your feet on while you go to bring your knees up and allow your waste to fully expel.

Click here to learn more about the Squatty Potty

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Warning: Do not use enemas or laxatives if abdominal pain, nausea, or vomiting are
  present unless directed by your health care provider.
  Rectal bleeding or failure to have a bowel movement after use of a laxative or enema may indicate a serious condition.
  Discontinue use and consult your health care provider.
  Statements contained within these web pages are for informational purposes only, and have not been evaluated by the FDA.
  These products and information are not intended to diagnose, treat, cure, or prevent any disease.
  If pregnant or have an existing medical condition consult your healthcare provider before using.