The Enema Procedure

1. Mix and Warm the Enema Solution

Mix and warm the the enema solution to body temperature. This is necessacery as heat can stimulate the rectal mucosa (a solution temperature of 40.5-43.3 degsC for non-oil-based enemas is recommended such as a coffee enema). Cold solutions are not advised as they may cause cramping.

2. Assemble and Fill the Enema Bag

Connect the enema bag to the enema tube, and in turn connect to the nozzle. Fill the enema bag with the pre-headted enema solution. Ensure that the enema tube is clamped. Hang the enema bag at a height of about 3-4ft.

3. Get Comfortable and Position Yourself Correctly

Position yourself on the left side (similar to photo above), lying with the knees drawn up to the abdomen which eases the passage and flow of fluid into the rectum. It can also aid enema distribution and retention.  Lubricate the anus and nozzle gently insert into the anus.  Release the clamp which will allow the enema liquid to flow into the colon. 

Good results can be obtained by massaging the belly and holding the water as long as is comfortable.  As soon as there is a sensation of fullness or the bag is empty, the tubing is clamped and the nozzle removed from the anus.  The enema is retained for up to 10 minutes before emptying the bowel. 

The procedure can be repeated several times until the colon is clean.