Other than a several-year golden period with a generous friend/lover who liked to give, I’ve never been rolling in real-life enema offers and have never turned one down.
In retrospect I should have turned down most of the enemas given to me for IBS by my physician ex-husband. His technique seemed pitched toward speed and guaranteed results for someone with traditional left-sided constipation, but in those days my IBS problems were pain and right-sided constipation that required warmer water, a higher volume, no air, and a gentler administration generally.
Initially I gratefully let him administer thinking he’d know what to do, but even after a few dismal experiences that netted out at marginally better than no enema, I didn’t think to say no, ask him to change his methods, or just get up to self-administer a more comfortable enema.
I can’t really explain why I wasn’t more assertive, except that this always happened during very bad IBS flares. Hours of pain and low-level nausea did not lend themselves to presence of mind.
Even recently when I’ve known a self-administered enema would immediately help, I’ve found it hard to muster the activation energy to get up and try when IBS pain is at its worst. I end up lying in bed, trying not to move, and riding out the agony.
There’s just something transfixing about that level of abdominal pain, which I can now attest is far worse than what I had this past December with a gallbladder so inflamed I was booked for same-day surgery. I rated the gallbladder pain as a 6/10 against IBS pain that can get up to an 8/10. (I don’t know what 9 and 10 are but assume I should leave room on the pain scale for widespread burns or nerve pain, which I hope never to know.)
In the context of very bad IBS pain, sad to say, I’d probably accept any enema I was offered, by anyone.