Phosphate Enemas

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Sodium phosphate is known as an 'osmotic laxative' containing monobasic sodium phosphate and dibasic sodium phosphate. It works by causing water to be drawn through the intestinal wall into the Colon. This increases the water content and volume of the feces, making it softer and easier to pass,  relieving mild constipation.
It is important to drink plenty of fluids while being treated with this enema.
This enema contains sodium, and may not suitable for those individuals on a sodium restricted diet.

Sodium phosphate enemas are available over-the-counter at most drugstores or supermarkets. or you can
purchase them here discreetly.

Rectal phosphate enemas are used to provide short-term relief only, unless otherwise directed by your health care provider who is helping you to manage your bowel function.

Warning and Recall for Bowel Cleansing Preps ! Oral sodium phosphate (OSP) products

“Though rare, these are serious adverse events associated with the use of oral sodium phosphates—both prescription and over-the-counter products,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research.  Woodcock added, “In some cases, these serious adverse events occurred in patients with no pre-existing health factors that would have put them at risk for developing kidney injury.  We cannot rule out, however.   Some of these patients were dehydrated prior to taking these OSP products or they did not drink sufficient fluids after ingesting OSP products.”

In 2006, the FDA issued a “Science Paper and a Healthcare Professional” sheet describing the risks associated with the use of OSP products for bowel cleansing.  As part of the FDA’s post-marketing surveillance, it has received 20 reports of kidney injury linked to OsmoPrep; three were biopsy-proven cases of acute phosphate nephropathy.  The onset of kidney injury varied, with some occurring within several hours and others within 21 days after using the OSP.

The FDA warns that OSPs should never be used by children under 18 years of age or with other laxative products containing sodium phosphate and is recommending caution for bowel cleansing by people over 55 years of age; who suffer from dehydration, kidney disease, acute colitis, or delayed bowel emptying; and people taking certain medicines that affect kidney function, such as diuretics (fluid pills), angiotensin converting enzyme inhibitors (blood pressure lowering medications), angiotensin receptor blockers (for treatment of high blood pressure, heart, or kidney failure), and, possibly, nonsteroidal, anti-inflammatory drugs (such as ibuprofen and other arthritis medications).


Unusual side effects that should be reported to your physician as soon as possible: rectal bleeding, blistering, burning, itching.
It should be assumed that anybody who experiences pain or bleeding upon enema administration has a rectal injury until proven otherwise, and prompt evaluation is recommended.

Positions for taking a Phosphate enema !
Left-side position:
Lie on left side with knee bent towards chest and arms resting comfortably.

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Or better yet is the Knee-Chest position:
Kneel, then lower head and chest forward until left side of
face is resting on surface with left arm folded comfortably.

The knee chest position for taking an enema

Administering the ENEMA :
CAUTION : Remove the protective shield from pre lubricated rectal tip before inserting.
Hold bottle upright, grasping the grooved bottle cap with fingers.
Grasp the protective shield with other hand, pull gently to remove cap.

With steady pressure, gently insert lubricated tip into anus with a slight side to side
movement, with tip pointing toward navel. Insertion may be easier if the person receiving the ENEMA bears down, as if in having a bowel  movement. This helps relax the muscles of the anus.
After inserting the tip into the anus, gently squeeze the bottle to inject the liquid into the  rectum.
Squeeze the bottle until nearly all the liquid is expelled. Remove the tip from the anus.
Discontinue use if resistance is encountered. Forcing the ENEMA nozzle can result in injury to the intestines.
If possible maintain position until the urge to evacuate is extremely strong. (usually 5 to 15 minutes )
If after the ENEMA solution has been administered and there is no return of liquid, contact a physician immediately as dehydration can possibly occur.

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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 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.