Concentrations of soap/glycerine used in hospitals

In the various discussion posts, different concentrations of ingredients are mentioned all the time, and to each their own, of course. Whatever works, works. It made me wonder what concentrations are prescribed by doctors, and I found an interesting article. I thought I'd post it, maybe you like it too:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2777229/

Concentrations mentioned in the article (for separate enemas, not all at once!):

1.5 tsp salt per liter (seen that before on Zity)

9-27mL soap per 500mL (27mL seems rather much to me!)

20-30mL glycerin per 500mL

1 fleet enema in a large enema (doesn't say how large)

Also interesting is that they try saline first, then glycerin, then soap. They also mention adding soap to glycerin. Fleet is a last resort as there are some associated complications. I would have expected soap to be before glycerin, as I find glycerin more difficult to hold. Anybody know why they try glycerin before soap, any complications perhaps?

I have looked at reports and studies in medical journals before I started because I wanted to be safe. I found the following:

Saline and PEG enemas were the safest, with little or no visible irritation or damage to the epithelium. There were also no reported serious issues other than mechanical damage, such as someone pushing a nozzle through the rectal wall.

Glycerin, soapsuds, Fleet and bisacodyl all showed some epithelium damage and irritation and/or inflammation in studies.

Glycerin didn't seem to have any major "horror stories" (i.e. case reports) where it caused big damage.

Soapsuds has some "horror stories"

Fleet has the most "horror stories", with renal damage, necrosis of tissues around injuries to the mucosa, and other nastiness. However it does have the "plus" of being an approved, standardized pharmaceutical.

As a result when I started I started with the safest solutions - water and salt/soda. After a while I realized that in most or all of the soapsuds "horror stories" there was a significant amount of stupidity involved - antibacterial soap, detergents, crazy strong concentrations. I also realized that the colonic epithelium regenerates itself really fast, and that unless you were doing a biopsy right away there wasn't any danger noted. As a result I now am fine using stronger solutions, including soapsuds. That said there still are all those cases reported, and if something were to happen you bet they'd be trotted out and waved in peoples faces ("see here where this person put a whole bottle of Hibiclens in 1.5L of water and took it then had severe chemical colitis? Why did you recommend the use of 9mL of castile soap here knowing that soap can cause severe problems?")

Many of us grew up in the 1950's where mothers introduced us to the soapsuds enema given for constipation. They used a bulb or bag syringe to give the enema. Most common additive to warm water was Ivory soap by swishing a bar of soap in a sink or container so the resulting fluid was a milky white color. My experience was that this mixture was not difficult to receive. After a few minutes holding I was allowed to expel. Mom always wanted to view the results before flushing. As an adult, salt added to plain water works well. The prepackaged enema widely available is awful. No thanks for that. Ivory soap is still available from many stores. Just my opinion.

Be careful using Kirk's "Hard Water" Castile soap. It dissolves very easily in any water, giving a very strong solution. I left it in a quantity of water as long as I would leave Ivory soap and got a bloody mucous discharge. Obviously, way too strong.

Lance my mother was the same. I did not believe in harsh Ivory or bronners she s enough. Out to have fun not torture myself

Rtenesup asked 'why glycerine before soap'.

My guess is that because glycerine irritates by dehydrating the intestinal mucosa, while soap can dissolve cell membranes, glycerine is likely to cause less damage. In my experience soap+glycerine is dangerous. I've had many glycerine enemas, and very many soap enemas, with no problem, regardless of concentration. together though, they seem to work synergystically. I've used them together in smaller amounts, and just had wondeful, desperate, expulsions. I seem to have overdosed that time. I've had soap enemas strong enough to make me nauseous.

So, though I'm still up for glycerine and soap, I'd be careful of the combo.

Soap and glycerine together is perfectly OK.

10% glycerine mixed into milky Ivory solution works pretty completely with one good sized enema. You'll have several return trips to the toilet. After that is all out in 1-2 hours a quick water rinse and you'll be able to do deep anal play and stay clean.

I have done that more times than I can count without any problems.

My new favorite enema regimen is 120ml 50% glycerin/50%water solution; Hold for 5 mins and expel. Follow with 2.5 l of water, hold as long as you want, expel and repeat 2.5 l water enema. The small glycerin/water enema produces some wonderful urgency and just the right amount of cramps. This continues throughout the 2 plain water enemas to a lesser degree. Ejaculate on the last enema (the vibrating massager helps with this, so I can be hands free.) Great cleanout, too. I'm about to take the second water enema right now ?