The process itself
Enemas may be used to resolve fecal impaction and stimulate movement of the bowels. They may help to relieve constipation, overcome the need to strain and temporarily relieve related pain.
Remember that each of us is different and we will have varying bowel habits depending upon diet, exercise and other factors. Adding fiber to the diet can help the bowels to move more regularly.
It is important that equipment is reserved only for the use of one person to prevent the transmission of disease.
Enema Bags
Enema bags generally hold two to six quarts, have a hole for hanging the bag and an end that attaches to a threaded fitting for tubing or small diameter hose.
There are several types of enema bags. The hot water bottle style closed rubber bag is probably the most well known. These are a beneficial choice because they tend to last longer. A homemade version can be made from an actual hot water bottle. The bags used for douching may serve the same purpose.
Disposable bags are transparent; a clear bag allows you to see the solution level during the enema. Disposable bags are convenient because they are made to be thrown out after use, although they can be reused.
The bag style or fountain style is made of plastic and can be folded to travel, but the open form may spill more easily. Finally, steel can types offer ease of clean up.
Enema Process
Enemas may be given two times per day for three days, if needed. If you are assisting someone in need of an enema, the preferred position is to have the person lie on his or her stomach with knees pulled up toward the chest.
Drink 8 to 16 oz. of water prior to starting the enema. Gather the materials and mix the solution if you are making it at home.
Lubricate (use mineral oil, petroleum jelly or other lubricating product) the nozzle end of the tube. Gently insert the nozzle 1-1/2 to 2 inches into rectum.
Squeeze the bag gently or allow gravity flow to move the bag's contents. Hold the bag a maximum of two feet high and lower the bag height if cramping becomes a problem. The full enema should take about five to 10 minutes.
Follow the urge to evacuate your bowels. This should appear within 10 minutes, but try to wait for five minutes, if possible, to allow the enema more time to work.
Afterward
Rinse the enema bag with water if you plan to reuse it. Clean the tube with antibacterial soap and water and follow that with a 10-minute sterilization in boiling water.
Enema Solutions
There are several styles of enema solutions, including mineral oil, phosphate and saline varieties. These solutions can be purchased in a drug store or you can make a version at home.
Make a saline enema solution by using 2 tbsp. salt added to a quart of warm distilled water. For teens and adults, make a batch of 16 oz. or less; use 6 to 8 oz. per enema.
One of the most effective combinations involves whole milk and molasses mixed 1 to 1. Never use plain water or soap as an enema.
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