How to clean the enema

The key to a cleaner enema lies in proper operation, solution selection, and sufficient preparation of the intestine. There are mainly methods such as warm water cleaning, solution concentration control, position adjustment, infusion speed control, and auxiliary massage.

1. Warm water cleaning

Using warm water close to body temperature can reduce intestinal irritation, and it is most suitable to control the water temperature at around 37 degrees Celsius. High water temperature may damage the intestinal mucosa, while low water temperature can easily cause intestinal spasms. Before enema, warm water can be placed in a dedicated enema bag and hung at an appropriate height from the anus. If there is obvious abdominal pain during the enema process, the operation should be stopped immediately.

2. Solution concentration control

physiological saline is the safest enema solution, with a concentration controlled at 0.9% consistent with human osmotic pressure. Avoid using high concentration soapy water or medication solutions, as they may disrupt the balance of gut microbiota. For those with severe constipation, glycerol solution can be used for a short period of time, but it is not suitable for long-term use. It is advisable to control the amount of liquid for each enema at 500-800 milliliters.

3. Position adjustment

Adopt a left lateral position to allow the enema to reach the descending colon and sigmoid colon more fully. Elevating the hips by 10-15 centimeters helps retain fluids. After the enema, switch to a knee chest position for minutes, then switch to a right side position to allow the fluid to reach the ascending colon. The position change should be slow to avoid the liquid being discharged too quickly and affecting the effect.

4. Injection speed control

The liquid flow rate should be kept constant and slow, preferably 100-150 milliliters per minute. Use an adjustable flow enema device to avoid discomfort caused by excessive pressure. Maintaining deep breathing during enema can help relax the anal sphincter. If there is a strong urge to defecate, pause the infusion and continue after the urge to defecate subsides.

5. Auxiliary massage

After enema, clockwise massage of the lower left abdomen can promote intestinal peristalsis and help eliminate residues. The massage intensity should be moderate, pushing from the ileocecal area towards the rectum. Coordinating with abdominal breathing can enhance the massage effect. If necessary, apply a warm towel to the abdomen to alleviate possible intestinal spasms. The frequency of enema should not be too high, and it is recommended not to exceed 2 times a week. Long term frequent enema may lead to intestinal dysfunction. Daily improvement of intestinal function should be achieved through increasing dietary fiber intake and regular exercise. The enema equipment should be strictly disinfected before and after use to avoid cross infection. Special populations such as pregnant women and patients with cardiovascular diseases should seek medical attention promptly if they experience persistent abdominal pain, rectal bleeding, or other symptoms after enema.