Administering an Enema
Administering an enema is a simple procedure to perform whether to yourself or someone
For the recipient: Person
receiving the enema
- Pick a comfortable position.
The position in which you take your enema should
be comfortable so you can relax. Place a folded towel underneath you in case an accident
should occur. Make sure the person dispensing the enema has clear access to your
- Relaxation is the
key for every aspect of an enema. Relaxation of the anus so the insertion
of the nozzle is comfortable. Relaxing the whole body makes receiving the liquid as
comfortable as possible. When receiving the enema solution breathe in the nose and out the
mouth to help the solution flow in as comfortably as possible.
- Anal Lubrication.
Have the administrator massage lubricant outside
and inside your anus and rectum. This will help
relax the anal muscles when the nozzle/rectal tube is inserted. You might want to take a
couple of deep breaths as the nozzle passes your anal sphincter.
As the administrator starts the
flow of enema solution, mentally picture yourself receiving the liquid.
A good administrator will stop or slow the flow
if you are experiencing any cramping. Many problems occur if you tense up or panic, try to
relax, everything will be fine. If cramps do occur (and they sometimes do during your
first enema) have the administrator stop or slow the flow, Take several deep breaths, and
try massaging your abdomen. When you are relaxed, the administrator will turn the
enema flow on again.
- If you feel the need to evacuate, ask the person
administering the enema to stop the flow. "Relax",
the need to expel will pass shortly as your colon relaxes and the enema continues deeper
into the intestine.
- You will probably feel your stomach expanding
somewhat. Try to relax and let your stomach expand naturally as the enema fills you.
Breathe through the mouth while retaining the Enema Solution.
Try to hold the enema for a few minutes. (Five to10 minutes is usually long enough for the
enema to achieve a good evacuation.) the amount of enema liquid can vary from day to
day as well as the length of time you can hold it. There are a multitude of
variables regarding these aspects, so it's hard to find any kind of reliable average for
the amount of enema liquid or the time to hold it.
- When it is time to evacuate, take yourself
(with the tube still in place) or you if you can remove the nozzle from your anus and not
leak, then proceed to the toilet and release.
Wait until you are in a position to evacuate before you remove the nozzle.
If you are having trouble retaining the solution you can press a folded wash cloth tightly
against your anus. This will help you retain the enema solution.
- After you evacuate, take several deep breaths and feel a lightness and euphoria
that commonly follows a good enema.
The Administrator : Person administering the enema
Directions for Administering a
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
Liquid Silk (recommended for enema use) but you can use KY
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
- 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
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.
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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
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