High Enemas

I know this shows my ignorance, but I am certain others want to know the answer too and don't want to ask. so here goes-

Is a High Enema because the liquid gets High inside the colon or is it called a High Enema because the tube is inserted high inside? ??? ??? ??? ??? ???

If you look it up in a medical dictionary, it will tell you a "high enema" is "high" because of how high the solution goes up the colon.

The tube has NOTHING to do with it.

You can get the solution just as high with a four inch nozzle as a four foot colon tube.

The solution ALWAYS goes higher than the tube.

It's just more fun to insert the tube a few feet.

For a high enema it is not necessary to take a long enema tube, but probably you will have a lot of pain. In inserting a very long colon tube while taking a high enema you will traverse the gas assembly in your colon, so you will avoid this sort of pain.

I've had high enemas since childhood. Took some getting used to at first, but I soon learned they were a much more intimate way to have an enema. Mom would take lots of time getting me relaxed (gentle back rubs, massage, soft whisper about what she was about to do, etc.). Just the thought of what was about to happen would give me an erection, which she dismissed as being a normal reaction. The enema itself was done very slowly as well - upwards of 10 minutes for 2 quarts - which for my 80 pound body was enough to reach my ascending colon. She offered lots of coaching to help with any discomfort. She used the douche fitting since it wouldn't slip out as easily.

A high enema can be how far up the colon the tube goes or how high you hold the bag above the butt. Heard of the 3H enema: high, hot and hell of a lot; the 4H high, hot, hell of a lot and hold it.

A "High Enema" is one describing how high the solution goes. It has NOTHING to do with the tube or nozzle of any kind. That's what the medical dictionaries say.

You can't go by what "people" say. If you want a definition, you have to go by the dictionary.

Does volume necessarily equate to being a "high enema"? I would think it would, since the solution has no place to go (barring an accident, heehee) but up. Susie?

[quote author=Anne B link=topic=29402.msg289371#msg289371 date=1271996252]

Does volume necessarily equate to being a "high enema"? I would think it would, since the solution has no place to go (barring an accident, heehee) but up. Susie?

[/quote]

Volume sufficient to reach the cecum/proximal end of the colon is generally what constitutes a high enema.

The volume will be somewhat different for each person.

Readyand willing you need to listen to switchablesusie and know that high enemas are the volume of the solution give or introduced into the colon some people love to use they're imaginations and let them run wild 😘

Then according to the definition Switchablesusi provided I am doing a high enema when I do my 4 qts

I like the multiple positioning technique to give a high enema without undue discomfort. Prepare four quarts of solution but do not be fixated on getting it all in. Begin by helping your patient to relax as she will probably be very anxious if she sees a four quart bag. I prefer to use a open top bag of two quarts capacity and keep the other two quarts in a pitcher where she will not notice it.

Begin with your patient in the Sims, (left side), position. Use a nozzle with a small balloon such as a barium enema nozzle. Lubricate the nozzle well and then lubricate her anus and rectum with copious amounts of lube. (KY or Astroglide are my favorites). Lift her right cheek and gently insert the nozzle its entire length then open the valve and with the bag no more than one foot above her rectum. Watch the level in the bag and raise the bag if flow is too slow but always question your patient about her comfort. She should feel some pressure but not cramping. She should be able to take most of two quarts in this position.

Next, stop the flow and refill the bag if necessary. Then, holding the nozzle in place ask her to slowly roll onto her back. (Alternatively, she can get into the knee-chest position. As long as she is comfortable this is an excellent position for the next stage of the enema.) With your patient comfortable open the valve and let about another quart flow into her then close the valve. She will have felt the first two quarts moving inside her as she turns and her transverse colon will be filled. If you have gotten this far without cramping you are doing very well.

Next, have her turn onto her right side. She will feel water moving and may notice gurgling as gas moves. Open the valve and let the last quart flow freely.

By using the multiple positioning technique you can get solution into the ascending colon without undue pressure. If she feels very full at some point while taking the second step, stop the flow and help her to turn onto her right side. This usually lowers the pressure and allows more solution to be administered.

Now you have a patient with a bowel full of solution. You cannot use a very irritating or stimulating solution or your patient will not be able to take it as the urge to expel will take over and she may not be able to make it to the toilet. Now, deflate any balloon and slowly and gently remove the nozzle with as little manipulation as possible. Help your patient to turn and lay on her back with her knees flexed. This should be a comfortable position. When she tells you that she needs to expel help her to the toilet without delay. She may not be able to retain without some pressure on her anus or her cheeks pressed firmly together.

Give her time to expel. The solution which has worked its way into the transverse colon and especially the ascending colon will not come out right away. When she tells you that she feels like she is done help her to clean herself and encourage her to walk around the house. She will probably walk back to the bathroom without too much delay! Expect it to take at least an hour or two for her colon to pump out all of the enema.

After she is done expelling ask her how she feels. She should feel very relaxed and have no cramping or burning. If she has burning of the anus apply Prep H cream or vitamin A&amp 😁 ointment.

I recently had to go back in the hospital to repair a "bleeder" caused by a colonoscopy performed a week prior. For clean-out prep to allow the colonoscopy equipment to return for repair, the Dr "ordered Hi-volumn 2 Liter tap water enemas" the night before and morning of the procedure.

The night-before nurse said that she hadn't seen an 'order' written like that in 30 years! The following morning nurse said that she hadn't ever given one like that. (She was younger.)

the boxcar

Because the liquid goes high into the colon. In german you have the "Klsitier" = small enema, and the "Einlauf" = big size, high enema.

I would like to be given a high enema. The thought turns me on.

Using a colon tube to administer a high, or large volume enema, makes the process easier.

The solution is initially placed further along the colon as it fills it. This seems to avoid the full rectum/gotta go now reaction in the recipient.

Also stopping the flow every minute or so helps the colon to adjust to the volume being injected.

I have also used a double balloon catheter to administer a high enema. The seal permits abdominal massage as the solution flows. Massaging in concert with intermittent flow control eases cramping and aids in distributing the solution.

In either delivery method giving the enema slowly is essential to getting it all in.

In looking in my father-in-law's old medical books, a high enema was almost universally defined as one where the liquid was injected "high" into the colon using a rectal or colon tube and of sufficient quantity to adequately fill the colon.

That said, I think many of us who regularly use colon tubes as a means of delivery and take 3+ quarts as a routine practice are getting the effects of a high enema. Without question the use of a colon tube inserted deeply along with slow administration of the enema solution itself makes it considerably easier to tolerate and makes for a more thorough cleansing.

As for using a balloon nozzle, I have done that, too. Although with me, the pressure of the balloon in the rectum causes the "to go" urge to be increased, I've still had successful high enemas this way as well.

Have fun and play safe!

Deb

I use a Colonic Irrigating Tube made by RUSCH its a 48 French Scale and it works great while taking High Enemas. It really cleans you out I take 3-4 Quarts of a high enema hold it for 10-15 minutes and then expell it. It makes me pee a lot but it really cleans you out.....

Mainenemansnow,

So a high enema will not only be good for your colon but for your kidney too.

A good "high enema" involves getting the solution "high" into the intestine, usually to fill the ascending colon; in other words the whole colon is filled.

It's not hard to do with a willing and cooperative person. Start with a comfortable environment for the recipient, then have a large open top bag available, or better if available, an enema can of at least two quart capacity. Mix up a gallon of your preferred solution and fill the bag or can. Reserve the rest of the solution.

Begin with the recipient on his or her left side, (Sims Position). Insert your choice of nozzles being sure to expel air from the tube first. A nozzle with a thick end to insert and a narrow shaft is easier to retain, otherwise a retention nozzle like a barium enema nozzle. In fact, a barium enema bag is an excellent device for this enema as they are clear and the recipient can see what is going into them.

Once the recipient is comfortable begin the flow with the bottom of the bag or can only 24' above their rectum. If flow is too slow raise the bag carefully, you don't want to stimulate the reflex to expel. Allow a good third of the solution to flow in then clip the tube and have the recipient roll onto their back and raise their legs or if more comfortable use the "knee-chest" position. I find the back more comfortable for most individuals. Allow another third of the solution to flow in with the recipient in this position. Let them know to expect to feel the solution moving inside them and that they may hear and feel gas moving. Now clip the tube. By now you should have administered about 2/3rds of the solution.

Now help the individual to roll gently onto their right side. Warn them of feeling the solution move and that "gurgling" is not unusual at this point. Unclip the tube and allow the rest of the solution to flow. At some point in all this procedure you will have to clip the tube and add the reserved part of the solution to the bag or can. Do not add the solution while the tube is unclipped, the pressure may produce the reflex to expel. Four quarts is usually more than the beginner can hold so adjust your amounts as you go. Just go slow and allow them to adjust to the volume.

Next, remove the nozzle and help the individual onto their back and place a pillow or wedge cushion under their knees. This relieves pressure on the bowel. Let them retain until they tell you that they need to expel; don't worry, they will tell you before long! Help them to stand and get to the toilet. They will need at least a half hour to relax and expel this enema. The ascending colon will pump the water slowly uphill so it may be more comfortable when things slow down for the client to lay on their left side for a short time to allow for downhill drainage of the solution. Then they can return to the toilet to continue to expel.

Stephen S. has it right. He's a retired R.N., so he should know.

Now for you folks who love colon tubes here is an exciting idea. After the 4 quart high enema gently insert the longest tube you can into your intended recipient, (Victim). The tube should be primed with water to avoid injecting air. Then attach a piston syringe with about 50cc of warm water with six bisacodyl tablets crushed in it. Inject the dosed water then hook up the tube to a bag and let a couple of quarts flow in if possible. (Your subject should be close to a toilet for this procedure).

The recipient will not hold the enema long as the bisacodyl starts working almost immediately high up in the colon. Don't expect to be able to tell them to hold it ether, it will be imposable. Expect a very strong expulsion to begin very soon and continue until all of the bisacodyl is out of the colon.

Let your recipient tell you how this feels, I bet they will not look for forward to a repeat performance.

I have given a few enemas to people in my time . An have to say that I have done a good job giving them a HIGH ENEMA. In most any enema giving you need you to make sure you empty the colon out . That takes a couple of enemas first . Then you can slowly take your time an really fill the colon with 3 to 4 QTs . Like the guy a RN . you need to have them change their position 3 times . This helps move the water around in the colon . Using a colon tube is great . But if you don't know how to put one in . You can cause more harm than good .

Colon tube inserted high in the intestines. 24 inches or more. Enjoy.

You don't need the full length of a colon tube to achieve the clean out of a high enema. A tube does help but from my experience it's time, patience and keeping tabs on your electrolytes.

I was severely plugged up from pain medications and bedrest when a visiting nurse at home gave me multiple enemas using a large disposable bag. Lying in bed and seeing her hang that bag for the first time was very scary. I was quite anxious and the first enema was not comfortable, but it sure got a lot better results than the Fleets they gave me in the hospital. Trust me, happiness is not being awakened at 5:30am by a nurse holding a Fleet bottle!

Each new enema the visiting nurse inserted the tube a little higher into me, but she assured me it wasn't that far, 8-10 inches. It did sort of freak me out until She got me to relax, and that's when my senses turned from pain to pleasure that I didn't know existed in me. After over two hours from bed to bathroom and back several times, I was so tired but also exhilarated from being cleaned out.

I was 22 at the time and I took the nurse's advice to eat healthier, get out of bed and start physical therapy, reduce the pain meds, use a "softener" to get my system back in order, and buy a good enema bag. I will never forget her for changing my life.

The argument is that if you put enough liquid in your colon, some of it will make its way to the cecum end and you will, in effect, have had a high enema. I like to put a tube in perhaps 30", maybe more, to be sure the liquid is in the cecum and therefore behind the fecal mass. People would argue the reverse of the idea that if you put it in your rectum, it will make its way to the cecum and say that liquid put in the far end will make its way to the rectum.

I prefer to be certain that the liquid is all of the way in and put in 4 quarts near the cecum and use the tube. I also enjoy the experience/process of putting it in and taking it out.

hankb

A high enema is best administered slowly

Both. A long colon tube is inserted 3 to 4 feet into the colon so that the water can go further up into the colon.

To amplify Barry's point, the advantages of using a colon tube to affect a high enema has much to do with injecting water beyond the rectum. The "urge to expel" is centered in the nerve endings in the rectum and getting beyond those nerve triggers is where the advantage lies in using a colon tube inserted high. Most medical books published during the "golden age" of the enema describe a high enema as one administered with a colon tube inserted high in the colon 10 inches or more.

Have fun and play safe!

Deb

Adding to debgurl, she's right on. When I feel the need for a high enema, I'll attach a rectal tube (15 in, 24fr) that a visiting nurse recommended when she was giving me water enemas for the first time. It helps me do a thorough cleaning out if I'm sick or my IBS is kicking up, but a high enema also keeps me near the bathroom sometimes for much longer for the reason that debgurl describes.

I once saw a Dr OzTV show where he spoke about high enema's with a colon tube. He said it flushes out the good bacteria that protect the colon increasing the chances of colon disorders and disease.

Anyone hear anything about this or saw the show?