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Home > Enema


What is an Enema?

A procedure used to clean the large intestine (a.k.a. colon) of fecal material.  Removal of the fecal material may lend relief from constipation, gas, or bloating. 

What is an Enema Bag?

The enema bag is an open-topped 2 4 liter (quart) bag having a long, skinny water outlet hose (tubing) attached to its bottom.   The skinny hose has a clamp to assists with water flow regulation.  The skinny hose also serves as a pre-lubricated nozzle for rectum insertion.  An enema bag purchase usually includes an enema bag, pre-lubricated tip, tubing clamp, a moisture proof drape, and soap packet. 

What solution should I use inside the Enema Bag?

There are many different solutions one could use inside an enema bag.  If you are trying an enema for the first time, play it safe and keep it simple by using warm, filtered or distilled water.

How do I prepare myself for an Enema?

First, make sure you allot yourself plenty of time to complete your enema process.  It is important that you give your body plenty of time to become comfortable.  Second, find a place in your home where you are comfortable giving yourself an enema.  Make sure this place is warm and in very close proximity to the toilet.  Next, make sure you have a sturdy chain or hanger to secure the enema bag on a hook, towel bar, door knob, etc.  One should have enough distance between the body and enema bag to allow an easy flow of water.  Lastly, make sure the enema bag clamp is closed prior to filling the enema bag with your solution.  After you fill the bag, release the bag clamp slowly to allow the remainder of the tubing to fill with water.  Some of your solution will release from the bag, however, this last step will prevent the introduction of unwanted gas/air into the colon.  Now you are ready to begin your enema. 

What kind of lubricant should I use on the enema tip?

In some cases, the enema tip is pre-lubricated with a cap to ensure sterility.  Individuals may use a water-soluble lubricating jelly like Surgilube or an oil like Vitamin E or Olive Oil. 

How many enema fills should I administer to myself at one time?

During an enema session, one should administer no more than two (2) fills to the colon.  Additional fills may leave a person feeling very tired or exhausted.

How do I administer an enema to myself?

The three most important things to remember when administering an enema to yourself is the following:

A.  Treat yourself kindly         
B.   Remain patient with yourself        
C.   Breathe 

Furthermore, every colon is different in size and response so one may determine that at the onset of the enema, (s)he is able to retain only a small amount of fluid and remain in one position during the fill, which is fine.  This will change over time.  Please only try a maximum of 2 enema fills during each enema session.  Also, allow the water to flow into the colon slowly.  Take your time.

1.  Hang your enema bag on a door knob, or a place that is suitable for your environment.


2.  Lay down on the floor, table surface or bathtub.


3.  Place your body in the Sims position Lie on your left side.  Keep your left leg straight.  Bend your right leg at the knee.


4.  Relax your breathing.  Repeatedly take a deep breath in through your nose and release the breath out through your mouth.  This deep breathing helps to relax your mind and body.  As you exhale from your mouth, the three muscles in your rectum open up and allow for easy insertion of the enema tip into the rectum.  This deep breathing also helps the colon to receive an optimal amount of water from the enema bag.


5.  Once the enema tip has been inserted, start the water flow.  You will take in a small amount of water and close the clamp at different intervals of the enema process.  When you begin to feel like you have enough water, turn off the water flow.  Massage your stomach.  Continue breathing.


6.  Turn onto your back.  Continue breathing.  When the pressure eases, begin the water flow again.  When you begin to feel like you have enough water, turn off the water flow.


7.  Use your legs to push your butt off the floor.  Use your hands to support your lower back or place a pillow under your back, while your shoulders and head remain on the floor.   Massage your stomach.  Continue breathing.


8.  When the pressure eases, roll onto your right side.  Begin the water flow again.  When you feel like you have enough water, turn off the water flow.  Massage your stomach.  Continue breathing.   Stay in this position several minutes and then turn onto your back once more.


9. Leave the enema tip in until just before you are ready to expel the water.  Leave enough time to transition yourself to the toilet.  While on the toilet, continue breathing and massage your stomach.


10.The best position for expelling a bowel movement is the squat position.  The standard American toilet does not allow one to assume the squat position.  You can achieve the squat position on the toilet by employing a HealthStep®.  The HealthStep® design is great for helping to achieve the squat position for an optimal bowel movement.  Visit to order yours today!


11.If the colon feels spastic, irritable, or painful and has a tendency to expel the enema tip and water after two gentle attempts, please discontinue the use of the enema and consult with your medical practitioner.

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