How to expel the enema in a reasonable time

You say you are only using two quarts. Try more volume, say three quarts. The extra volume will create pressure that will help you squirt it all out quicker,

You can use bisacodyl, (Dulcolax,) tablets to speed up the emptying. Soak two or three tablets in a shot glass of hot water with a 1/4 tsp of baking soda, then crush. Add the crushed tablets to your bag. They will not mix well but will settle to the bottom of the bag, this is good. Take the enema as usual. If you want it to get to the caecum use multiple positioning, letting the water run down hill all the way. You will have to do this rather promptly, the Dulcolax will kick in and cause you to expel before long.

You can get in three quarts and get it to the ascending colon with multiple positioning. I recommend doing this with an assistant. The crushed tablets will be in the bottom of the bag and your assistant can squeeze the bag to move the particles to the tube. (I'm assuming that you use a clear bag and tube.) Start on your left side and let about a third of the solution in then roll onto your back and take at least another third, then roll onto your right side and let the rest of the solution in. You will feel and possibly hear water gurgling as it transverses the transverse colon and begins it trip down the ascending colon.

Expect results to begin rather soon, not more than ten minutes and to be rather rapid as the Dulcolax will propel the water through your bowel without delay.

After your first experience you can decide if this is right for you and also adjust the amount of Dulcolax you use.

STEPHENS: If you use Magic Bullet bisacodyl suppositories you can completely dissolve them in plain hot water which you can add to your bag. In 150 degree F hot water it takes about 90-120 seconds to dissolve. One or two can go into a two or three quart enema. They stay dissolved in cold water once dissolved.

I dissolve about 30 suppositories in a quart of hot Dr Bronners peppermint soap and use a 3-4 ounces of the mixture in two quarts of water for one of my hard to hold punishment enemas.

Beware!

My doc has prescribed two warm enemas a day for a month to help my enlarged prostate. I'm on day four now, and they have begun to help a bit. But since these are meant more for their soothing effect rather than "fun" enemas, I am having some problems. He suggested that I take my first enema with some mild soap (I use Dr. Bonner's plain castile soap) and the second one with plain water. But since too much plain water can be absorbed into the colon with enemas that need to be retained for 15-20 minutes I have been adding some salt and baking soda (not very much) to my second round. I am taking these enemas in the knee/chest position because the bathroom is too small for my 6 feet to fit comfortably on the floor in the left side Sims position. I am using a four quart clear silicone bag and filling it up to approximately three quarts for each enema.

Last night, I had a lot of trouble expelling the second enema after the first and second usual expulsions, and I am worried that a lot of the salt/soda solution ended up staying inside my colon because today I am having a lot of soft bowel movements, gas and cramping. I heard a lot of rumbling in my gut almost all night, but no more of the original enema came out. My appetite is OK but not great, I feel a bit queasy but not nauseated, and am bloated with an almost constant urge to have bowel movements. Any suggestions about what I am doing wrong, or perhaps how I can take these enemas without so much of the liquid remaining inside my colon and resulting irritating side effects would be very much welcome.

If as a result of your adding salt and baking soda you are "retaining" water in your colon, you are probably making too concentrated a salt solution.

The hypertonic solution you are making isn't "retaining" water in your colon, the too concentrated salt solution you are making is actually drawing water out of your body into the colon giving return trips to the bathroom.

You should use 9 grams of table salt per quart or liter. That's about 1 1/2 MEASURING teaspoons of salt. That will be isotonic and will not give recurring liquidy expulsions after the colon is cleared out of feces and the initial enema volume.

Sounds like a recipe for an accident susi.

I take it you're referring to the use of the concentrated soap and multiple suppository solution for the punitive enema, not the one or two suppositories in a two to three quart enema. My point was to say that the Magic Bullets dulcolax/bisacodyl suppositories can easily be dissolved in hot water and then used as you described.

The concentrated soap and bisacodyl mix is for a punitive enema that's hard one hold. The other will give a gentle but definite evacuation.

Thank you very much for all of this helpful information. Switchablesusie! As you have a very impressive nursing background, I am getting this info from the horse's mouth. I am not adding even that much salt to the water. Just a half teaspoon. Tonight, I took only one three quart enema (salt and soda) while sitting on the toilet as I figure that the whole purpose of this is to bathe the rectum and lower descending colon in warm water as this is the area closest to the prostate. Even then, after the initial urge to "go" as the enema was going in, I felt no urge to let it out. In fact, after fifteen minutes, I had to force out a rather small volume expulsion. As I now write this email, I am sitting at my computer 45 minutes post enema, feeling quite bloated, but no pressure whatsoever in the rectum. I also feel light headed. I must be doing something very wrong, but I have never had this reaction to enemas in the past. I really enjoy enemas, but my wife is not in the least interested since she has a medical background (radiation therapist) and sees enemas as something that is a disgusting necessity. I very much disagree. If you have any more suggestions (i.e. adding glycerin, suppositories, etc.) to get some major peristaltic action going in my colon, I would be most grateful.

BTW, I see from your profile that you are a classically trained flutist. I am a professional symphony musician and play contrabassoon and bassoon in a major US orchestra.

Even after 43 years of doing this, I wouldn't trade this job for all the money in the world. Now, if I could just find a lovely woman who is into giving and receiving enemas.

Maybe your enemas are to large. Try one of smaller volume and a bit warmer. It seems the purpose of your enemas is to warm up the prostate and increase blood flow to the area to aid healing. You need not use a large volume for that. In fact, small ones given and expelled will maintain a higher temperature in the area more effectively than a large one that you retain for a long time but that cools down a lot as you hold it.

Many thanks Switchablesusie. I will do just that. Makes a lot of sense. How much volume would you suggest, and what position would be best for this type of enema?

One quart of 110 degreeF water should be plenty at a time. Retain for maybe 5 minutes or so, then repeat a few times. The one quart size should go in and expel easily.

Many thanks. I'll start doing that tomorrow.

You never get back all of the water that you put in. Some of it will be passed into the blood stream. Sitting on the toilet waiting to get it all out probably will never expel the last drop. However, you may pass the water as urine and that may also increase your toilet time.

For the most part, I enjoy expulsion and do it with a book or magazine in hand. I call my time in the bathroom my "library" and go there to take on some positive thoughts while getting rid of the negative! I visit my library at least once a day because, an enema a day keeps the doctor away.