[I firmly believe that to obtain effective results from enemas at home, equivalent to the results from professional Colonic Irrigation treatments, after a number of smaller enemas to remove debris and gases from the lower colon, the largest enemas possible need to be taken. The circular muscles in the walls of the colon, which are used for peristalsis, cause sacculations along the full length of the colon. These muscular bands (haustra) trap the fecal residues, which harden and lead to impacted material. My motive for compiling this material, is not for the sake of some sick game of ‘one-up-man-ship’ to encourage others to take dangerously large enemas. I have included the opinions of Medical Doctors in Germany and America. My personal comments are enclosed in [square brackets] to distinguish them from my referenced material.]
It has been estimated that with the majority of people living in our so called “civilised life” nearly 70% suffer from constipation to a greater or lesser degree. A well-known authority has said “Daily movements of the bowel are no sign that the colon is not impacted; in fact the worst cases of impaction that we ever saw were those in which daily movements of the bowels occurred.”
Dr.Turner conducted an extended series of investigations with the startling result that he felt justified in claiming that fully 70% of all adults are afflicted with impacted colons in various degrees. A Chicago physician in the “Medical Examiner” says “The formation of cells or cavities in the colon become the seat of faecal accumulations only too often unnoticed by the physician”.
Accumulations can occur in any part of the colon. These cavities in the colon contain small faecal accumulations extending over weeks, months or even years. Reports from hospitals where autopsies are conducted show that in about 500 cases in which examinations of the colon have been made, about 50 were found to have colons in a natural condition. The majority (90%) were found to be greatly clogged with hardened excrement.
From The Practical Water Cure - Yogi Ramacharaka. The pen name of a British Yoga practitioner.)
[The current ‘wisdom’ from the Medical Establishment is to deny the evidence for the widespread existence of impacted colons in the general population. Here is the opinion of an enlightened Medical Doctor:-]
I must report that in the process of inspecting the lining of this organ with a colonoscope, a procedure that I have had occasion to perform many times, one does not ordinarily see large residues in the colon. How might this be? How can it be that there are reliable accounts of these casts that are not seen by the endoscopist? I have come to the conclusion that the answer is that, in preparation for endoscopy, the patient invariably is asked to take a strong purgative to clean out the contents of the bowel so the endoscopist can indeed inspect the lining. Almost certainly these purgations remove all the residues and therefore none is observed when the endoscopic inspection is performed. From Thomas A. Dorman, MD Paracelsus Clinic - 2012.
[During the ‘Golden Age’ of enema therapy, before the development of Colonic Irrigation treatments, the need for full capacity enemas which stretch the walls of the colon, was recognized. Unless the colon is filled completely with about six quarts (liters) of water, the haustra will not be completely unfolded along the full length of the colon, and the impacted material will not be fully released.]
Injections of water are used for determining the capacity of the colon. The normal capacity of the large bowel is about six quarts, therefore if six quarts can be introduced by a fountain syringe, there is no obstruction in the colon; and if less than four quarts can be introduced there is probably some obstruction. From Diagnostic Therapeutics – Albert Abrahams 1910 Page 550.
For a domestic enema, or one which is to be used in ordinary cases of habitual constipation, the quantity of fluid injected is important. Most people use too small a quantity. If enough fluid is slowly injected into the intestines to produce very considerable distension, the result can scarcely fail to be perfectly satisfactory. The liquid should completely fill the whole of the colon. It then stimulates by its temperature, fluidity, and the distension it produces, not only the colon and rectum, but indirectly, the whole of the small intestine.
From Boston Medical and Surgical Journal Volume 3 1931 Page 468.
When fluid is passed into the colon, and particularly when it is passed in skillfully, without introducing any air, there is a gradual distention of the organ. An increase in the pressure of the lumen of the bowel has an instantaneous effect on the pressure of the rest of the abdominal contents. Is stretching the colon a good idea? My answer is a clear Yes! The stretching evens out tensions and restores function. One way to improve the overall function and integrated action of the colon is by stretching the organ, and it is quite plain that the only available way for stretching is through the installation of water gradually under slight-to-moderate pressure through the anal canal. Almost certainly this is a way to retrain the bowel.
From Fact, Fiction, Fraud in Modern Medicine - Thomas A. Dorman, MD
[Where there was a family history of diverticulosis, many Doctors all over Europe during the period 1850 to 1950, recommended regular distension enemas of up to 7 liters for teenagers and adults. Some Doctors today, especially in Austria and Germany still recommend regular distension enemas for teens starting at about 16 years.]
I’m German living in Austria. I am 39 and feel healthy, but during a test at a hospital diverticulae were found when I had a Barium enema. The doctor asked me if they troubled me sometimes. I said Yes they did. He told me that the diverticulae are harmless, provided I took large enemas to prevent getting severe diverticulitis. He asked me if I knew what enemas were. I said Yes, my mother often gave me two liter enemas. When I was 16 years and older, she gave me 4 liter enemas. He told me it would be best to do larger full distension enemas of 6 to 7 liters every one or two weeks.
After I started to take regular weekly enemas, I was soon able to hold 4 liters like my mother used to give me. Based in the doctor’s advice, I decided to take more for each enema. After 6 months of slowly increasing the volume of the enemas, I am now able to receive from 6 to 7 liters. It took a long time, but I’m feeling healthier than before. From Herb – 2003.
I am in my 60’s. I have taken large enemas of 3 to 4 liters once a week for most of my adulthood. In spite of this I got an attack of diverticulitis. [When the small pouches that develop in the walls of the colon of most people over the age of 50 years on a Western diet, become inflamed.] I spoke to a Doctor friend of mine about this. She said "I know large enemas are out of fashion, but they work." I told her that I do regularly take large enemas of 3 or 4 liters. She said:"Enemas of 4 liters are not large enough. You need to take 2 or 3 more liters to really stretch and distend your colon!" She told me that she had given large enemas on a regular basis to her son and her two daughters till their university years. Twice a week she gave them enemas of 2 to 4 liters and once a week large ones of 5 to 7 liters. Since speaking to this doctor, I do an enema series twice a week, once a week with 2 liter enemas and once a week with a large enema of at least 4 liters. When I do the series alone I lack the willpower to take more than 4 liters, but with the help and encouragement of my female partner (I’m divorced) I can manage from 5 to 6 liters.
From Herbert – Germany – 2005.
[Even in America today, there are some Medical Doctors who accept the benefits of regular large enemas.]
My internist told me many years ago that my use of enemas (I, too, told my Dr. about my enema practices) was a good preventative measure against diverticulosis and polyps. He told me that some level of "enema enthusiasm" still exists among medical professionals even today. While they won't recommend it to others, they will use it themselves. My last colonoscopy showed the healthy colon of a thirty five year old, and I'm almost seventy. According to my current internist, unfolding the haustra and removing the fecal residue is one of the better things that you can do for colon health. (He, too, is an enema enthusiast, which, I'm sure, biases his recommendation). The cautions that he said to observe were: always use an isotonic solution, especially for long retention times, limit the use of soap or other irritants, such as Fleet or other OTC enema preparations, and if it hurts, don't do it. As to the bacteria in the colon, it is almost impossible to wash out enough to cause a problem, as the bacteria will regenerate to full strength in about three hours. From Frank Robinson 2013.
It is especially important for Americans, whose culture does not teach one to be tolerant of discomfort, to keep in mind that pain is the body’s warning that actual damage is being done to tissues. The correct description for the experience of a full capacity enema is discomfort, not pain. You may have to work at increasing your tolerance for discomfort or it will take you a long time to achieve the goal of totally filling the colon with water. Be brave! And relax. From How and When to Be Your Own Doctor - Dr. Isabelle A. Moser with Steve Solomon - June, 1997.
[Here are at least two members of this Forum who are more enlightened than the average population. Good for you and others like you.]
If the enema is being taken for constipation, you should expect it to get uncomfortable as you will need to be filled to capacity. I have read numerous articles published by doctors, radiologists and chiropractors who state that gentle, but complete filling of the colon to capacity and then slightly distending it, is necessary to completely clean it, just like the old fashioned hospital enemas used to do. That is also the accepted procedure for colonic irrigations. This is why I prefer hospital-style enemas given by a nurse. I know every one will be a challenge! From Manybags – 2013.
I'm not young any more and I've been doing enemas for many years. I like to feel full distension before I let go - to know there are no folds of colon still folded and concealing waste I'm trying to get rid of; and this can be any time after about six and half litres.
From Eleutheros