Step-by-Step Instructions for Doing an Enema

By Becky Makool, guest blogger

WHAT IS AN ENEMA?
An enema is the injection of a large amount of liquid into the rectum to flush out and cleanse the colon.

ONLINE RESOURCES
Here are a couple great resources to check out before you try your first enema:

• How to Do an Enema Safely from Home (Kimberly Davidson)

• Everything You Ever Wanted to Know About Giving Yourself an Enema and Were Afraid to Ask

WHEN TO DO AN ENEMA 
• When you have privacy and time to relax without distractions 
• Preferably anytime after you have emptied your bowels that day

HOW TO DO AN ENEMA What You Will Need:
- A hot water bottle kit from Walgreens or any large pharmacy (costs less than $20)
-  Hot water bottle
- Rubber hose P Plug P Hook P Shut-off clamp
- Nozzle (enema pipe or rectal tip)
- Organic coffee or tea or another recommended product (organic Chamomile tea works great)
 - A gallon of distilled water
- KY lubricating jelly or an organic oil such as olive oil or coconut oil
- A large towel

How to Prepare (in the Kitchen) It can save a little time to do all of the following steps in the kitchen: 
• Set out the items above from the hot water bottle kit.

• Attach the clamp about 6 to 8 inches from the end of the hose. You want the clamp to be positioned near the end of the hose so you can reach it easily to control or stop the flow of the fluid while you’re administering the enema. It’s also important to attach the clamp correctly so that fluid doesn’t leak out while you’re getting set up. The part of the clamp that opens and closes is the bottom of the clamp. Run the hose through the hole at the top of the clamp and out through the hole in the bottom. Then close the clamp tightly.

  

• Insert the nozzle into the end of the hose that is closest to the clamp.

• Insert the hook into the small hole at the top of the hot water bottle.

• The hot water bottle holds 64 ounces (half a gallon) of fluid. Heat 64 ounces of distilled water and prepare the coffee or tea following the instructions on the package. If you boil the water to make the tea or coffee, you must either add more cold water to the finished product or allow the tea or coffee to cool down to a comfortably warm temperature before you pour it into the hot water bottle. WARNING: You could easily burn yourself if the water is too hot when you administer the enema.

• Pour the fluid into the hot water bottle (using a kitchen funnel makes this easier).

• Screw the plug tightly into the hot water bottle and continue to hold the bottle upside down or else the fluid will pour out through the hole in the plug.

• Attach the upper end of the hose to the plug (after double-checking to make sure that the clamp is tightly closed at the other end of the hose).

• Turn the hot water bottle over so the hook is on top and head to the bathroom.

How to Prepare (in the Bathroom): 
• Place a large towel on the bottom of the bathtub.

• Set the tube of KY jelly (or the oil) on the edge of the bathtub so it’s within easy reach.

• Hang the hot water bottle on the back of the bathroom door (on the doorknob) if the door is near the bathtub. If not, hang it on something else near the tub. You can hang it from the showerhead if that’s all that’s available, but the height of the hot water bottle determines the rate of flow of the fluid. The fluid flows more slowly if the hot water bottle is closer to you. The farther away it is, the faster the fluid will flow. It feels more comfortable when the fluid is flowing more slowly. Pressure from the intake of the fluid doesn’t build up as quickly when the flow is slower, so it tends to be easier to take in more fluid. The more you can take in, the better. The goal is to continue to take in the fluid until the hot water bottle is empty.

How to Administer the Enema:
• Sit down on the towel in the bathtub with your knees drawn up.

• Rub some KY jelly or oil on the nozzle and on your rectum.
• Insert the nozzle into your rectum, keeping your knees up, and open the clamp so the fluid will begin to flow.

• Keep your hand on the clamp or hose to prevent the nozzle from coming out as the fluid flows into your colon. You can recline back as much as possible while still holding the hose.

• Take some deep breaths and relax. The more you can relax, the easier it will be to take in more fluid. You can feel the pressure build as the fluid goes in. If the pressure is building too quickly, you can close the clamp for a minute to allow the pressure to lessen or you can partially close it to slow down the flow. Again, the goal is to take in all of the fluid. It may require a little practice (two or three enemas done over time) before you can take in all 64 ounces of fluid.

• Remove the nozzle and lay back on the towel (still keeping your knees up) after you’ve taken in all of the fluid or as much as possible.

• Continue to focus on breathing deeply as you hold the fluid in and begin to rotate your body 360 degrees from right to left. Rotating your body in this manner will allow the fluid to fully coat your colon. Lie on your right side first and try to hold that position for about 15 seconds. Then turn and lie on your stomach for about 15 seconds (or kneel and lean your forehead down on the towel if your tub is too short to permit you to stretch out). Then rotate again and lie on your left side for about 15 seconds. Finish by rotating back to your original position.

• Hold the fluid in for as long as possible. The goal is to keep it in for at least 5 minutes (up to 15 minutes), but it will probably require some practice to gradually build up to that. It helps to continue to breathe deeply and focus on relaxing while holding in the fluid. Sometimes repeating a simple mantra in your head (such as “I can, I can, I can”) can help you to relax and hold the fluid in longer, too.

• Move to the toilet when you know that you can’t hold it in any longer. Although the colon will empty fairly quickly, you may need to stay put there for 5 to 10 minutes. The colon will probably release fluid at least two or three times, if not more often.

How to Clean Up:
• Hold the hot water bottle over the bathtub or set it down in the tub and remove all of the attachments (except the hook). That way, any fluid remaining in the bottle and hose will drain into the tub and not onto your floor.

• Set the small attachments in the bathroom sink or on a washcloth or hand towel near the sink. Leave the hose in the tub.

• Rinse out the hot water bottle immediately—so the tea or coffee residue inside won’t have time to dry—by running warm water (not too hot) into it from the bathtub faucet and using a mild soap like a liquid hand soap or dish detergent. Then rinse the bottle thoroughly with warm water and hang it by the hook on the showerhead to drain and dry.

• Hold one end of the hose under the faucet and run warm water through it. Then take a sponge or a washcloth with some mild soap on it and thoroughly wipe off the outside of the hose. Rinse it in warm water and hang it over the showerhead to drain and dry.

• Wash all of the small attachments thoroughly with hot water and soap and place them on a clean towel to dry.

• Pack the hose and attachments back in the box that they came in when everything is dry and store the box under your bathroom sink or wherever you have room for it. The hot water bottle should be stored flat in a dark, cool, and dry place, so if it fits, it can go under the sink, too. Don’t place anything heavy or sharp on top of it.

• Gather up all of the dirty towels and washclothes and toss them in the washing machine.