Enemas and Diverticulosis
I have diverticulosis, confirmed by both a CT scan and more recently a colonoscopy. Had one attack of diverticulitis in October 2011. Been fine since but occassionally have very mild tenderness in the magic spot on the left side. Goes away after a few hours.
Had my colonoscopy late July 2012 - the surgeon who performed it said everything went well.
Yesterday I saw my family doctor for some follow up. Things look good. I asked him about enemas. He told me straight out that the medical profession is against them. From his perspective, enemas are to be avoided because of pressure and some irritating substances. Being full to the point of cramping and retaining through cycles of cramping is very hard on the colon and dangerous if one has diverticulosis. However, if someone is in the habit of having enemas already it may be possible to acceptably alter their habit by keeping the water pressure low, expelling the water before any cramps and avoiding any irritating substances, saops etc. If this advice is followed the rinsing of fecal material out of the diverticuli could be helpful for diverticulosis. Follow up by orally taking electrolytes and yogurt.
He asked me if I was "an enema enthusiast" and I was honest and spilled my guts with all the details. He said I had the bag way too high [ I used to hang my bag on the shower and lay in the tub]. He said keep the bag no higher than 2 feet off the floor assuming you are laying on the floor or in a tub. Use two clamps - one for on/off and the other to vary the flow. Avoid latex bags for anything more than occassional [once or twice a year use] as the latex exposure could over time make one allergic to latex. Avoid PVC tubing. Open top are easiest to clean, clear silicone is the best for avoiding mold / mildew issues. At the first sign of feeling full, expell, repeat. Avoid cramps. A session should consist of multiple little rinses so there is no pressure, no strain on the colon.
He told me that some level of "enema enthusiam" still exists among medical professionals even today. While they won't recommend it to others, they will use it themselves.