Best "one and done" recipe

Hello all!

I love a good enema series, but in this case, I'm looking for an enema I can give to patients as part of medical play exams.

I want a single enema (if a rinse is needed, so be it) that clears the rectum and lower GI for all but the deepest anal play. I'd like to be able to administer the enema early in the exam process and not have residual enema solution lingering by the time I get to the rectal exam and anal play later.

I've done simple soapsuds enemas with a saline rinse and while effective at clearing the solids, I often find that even an hour+ after expelling the rinse that if I do anything more than a finger for an anal exam, I will end up encountering residual enema liquid and/or runny poo. Obviously, anal play is never perfectly clean, I get that. But if I'm going to spend the time on enemas, I want them to be as effective as possible 😂 And I figured I'd see if maybe I'm not using the best recipe I can for this use case.

Also, I'd like this to be a recipe I can tweak the strength/volume of easily to fit the patient's experience and desires. If they are an enema newbie, best not load them up with 5 quarts of soapy water and glycerin and make them never want an enema again 😂

Appreciate any advice and experience you can share!

Nick,

I have often given a small enema to "patients" in order to clean them out for a digital anal exam and an anoscope or anal dilator. I have been using a bulb syringe to administer about 8 ounces of very warm (not hot) soapy water. Generally, I have the patient in the Syms position, but sometime in the knee/chest position. That usually does the trick, emptying the rectum for examination without the residual water "surprise". I have tried using a standard Fleets enema, but that tends to bring on evacuation of more than just the rectum and also results in the patient being on the toilet much longer then on the exam table. If I have an experienced patient who has plenty of time for the exam, I will give a two-quart Castile soap (Dr. Bronner's peppermint) and have them walk around the exam room for a bit, then a second round on the toilet before the rectal exam.

Here is a link to one of my bulb enema sessions: https://en.zity.biz/gallery/image/76073

Dr. Ed

I like about 2 L of warm (110 F or 42 C +/- ) filtered water with about a 1.0 to 1.5 tsp. of Dr. Bronner's Hemp Tea Tree liquid castile soap. That works well for me, although I usually do a 2 L rinse after that just to be sure. Whether one and done or followed by a rinse, I usually get up and walk around for a few minutes after expelling to ensure I'm empty and ready for the exam or procedure my "nurse" will be doing. Sometimes there's a little left to come out but fairly often there's nothing left.