For the recipient: "the person getting 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 anus.
- 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.
( Super
Salve Surgilube
Vaseline
13oz.) any of these are a decent lubricant.
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
: "The 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: Always 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 Super
Salve but you can use ( Surgilube
Vaseline
13oz ) or any type of vegetable oil.
A gloved
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 leftside and slowly & deeply massage up and across
just below the ribs and down the rightside. 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.
The best position for expelling your enema is squatting over the
toilet. Not Sitting down on It. The squatting position puts pressure on your abdomen from
your thighs.
In many countries, toilets are made so that people squat when they move their bowels. The
Welles Step positions your body so that you are squatting when you sit on the toilet.
Squatting, supports the abdominal wall and the bowel as you bear down.
This brings about an easier bowel evacuation. Many people who use the Welles Step tend to
have fewer hemorrhoids,
hernias, anal fissures, varicose veins and a tendency to use less laxatives. It also
slides under the toilet when not in use.
It is best if you place a Welles
Step and then squat down over the toilet to release your enema. |
