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By regularly emptying the bowel using transanal irrigation, [43] controlled bowel function is often re-established to a high degree, thus enabling development of a consistent bowel routine.

An international consensus on when and how to use transanal irrigation for people with bowel problems was published in , offering practitioners a clear, comprehensive and simple guide to practice for the emerging therapeutic area of transanal irrigation.

The term retrograde irrigation distinguishes this procedure from the Malone antegrade continence enema , where irrigation fluid is introduced into the colon proximal to the anus via a surgically created irrigation port.

Patients who have a bowel disability, a medical condition which impairs control of defecation , e. While simple techniques might include a controlled diet and establishing a toilet routine, [44] a daily enema can be taken to empty the colon, thus preventing unwanted and uncontrolled bowel movements that day.

In a lower gastrointestinal series an enema that may contain barium sulfate powder or a water-soluble contrast agent is used in the radiological imaging of the bowel.

Called a barium enema , such enemas are sometimes the only practical way to view the colon in a relatively safe manner.

Failure to expel all of the barium may cause constipation or possible impaction [46] and a patient who has no bowel movement for more than two days or is unable to pass gas rectally should promptly inform a physician and may require an enema or laxative.

The administration of substances into the bloodstream. This may be done in situations where it is undesirable or impossible to deliver a medication by mouth, such as antiemetics given to reduce nausea though not many antiemetics are delivered by enema.

Additionally, several anti-angiogenic agents, which work better without digestion, can be safely administered via a gentle enema. The topical administration of medications into the rectum, such as corticosteroids and mesalazine used in the treatment of inflammatory bowel disease.

Administration by enema avoids having the medication pass through the entire gastrointestinal tract , therefore simplifying the delivery of the medication to the affected area and limiting the amount that is absorbed into the bloodstream.

Rectal corticosteroid enemas are sometimes used to treat mild or moderate ulcerative colitis. They also may be used along with systemic oral or injection corticosteroids or other medicines to treat severe disease or mild to moderate disease that has spread too far to be treated effectively by medicine inserted into the rectum alone.

Improper administration of an enema can cause electrolyte imbalance with repeated enemas or ruptures to the bowel or rectal tissues resulting in internal bleeding.

However, these occurrences are rare in healthy, sober adults. Internal bleeding or rupture may leave the individual exposed to infections from intestinal bacteria.

Blood resulting from tears in the colon may not always be visible, but can be distinguished if the feces are unusually dark or have a red hue.

If intestinal rupture is suspected, medical assistance should be obtained immediately. The enema tube and solution may stimulate the vagus nerve , which may trigger an arrhythmia such as bradycardia.

Enemas should not be used if there is an undiagnosed abdominal pain since the peristalsis of the bowel can cause an inflamed appendix to rupture.

There are arguments both for and against colonic irrigation in people with diverticulitis , ulcerative colitis , Crohn's disease , severe or internal hemorrhoids or tumors in the rectum or colon , and its usage is not recommended soon after bowel surgery unless directed by one's health care provider.

Regular treatments should be avoided by people with heart disease or kidney failure. Colonics are inappropriate for people with bowel, rectal or anal pathologies where the pathology contributes to the risk of bowel perforation.

Recent research has shown that ozone water, which is sometimes used in enemas, can immediately cause microscopic colitis. A recent case series [62] of 11 patients with five deaths illustrated the danger of phosphate enemas in high-risk patients.

Enema entered the English language c. The first mention of the enema in medical literature is in the Ancient Egyptian Ebers Papyrus c.

One of the many types of medical specialists was an Iri, the Shepherd of the Anus. Many medications were administered by enemas. The god Thoth , according to Egyptian mythology, invented the enema.

In parts of Africa the calabash gourd is used traditionally to administer enemas. On the Ivory Coast the narrow neck of the gourd filled with water is inserted the patient's rectum and the contents are then injected by means of an attendant's forcible oral inflation, or, alternatively, a patient may self-administer the enema by using suction to create a negative pressure in the gourd, placing a finger at the opening, and then upon anal insertion, removing the finger to allow atmospheric pressure to effect the flow.

Along the upper Congo River an enema apparatus is made by making a hole in one end of the gourd for filling it, and using a resin to attach a hollow cane to the gourd's neck.

The cane is inserted into the anus of the patient who is in a posture that allows gravity to effect infusion of the fluid. The Olmec from their middle preclassic period 10th through 7th centuries BCE through the Spanish Conquest used trance-inducing substances ceremonially, and these were ingested via, among other routes, enemas administered using jars.

As further described below in religious rituals , the Maya in their late classic age 7th through 10th centuries CE used enemas for, at least, ritual purposes, Mayan sculpture and ceramics from that period depicting scenes in which, injected by syringes made of gourd and clay, ritual hallucinogenic enemas were taken.

For combating illness and discomfort of the digestive tract, the Mayan also employed enemas, as documented during the colonial period, e.

The indigenous peoples of North America employed tobacco smoke enemas to stimulate respiration, injecting the smoke using a rectal tube. A rubber bag connected with a conical nozzle, at an early period, was in use among the indigenous peoples of South America as an enema syringe, [73] and the rubber enema bag with a connecting tube and ivory tip remained in use by them while in Europe a syringe was still the usual means for conducting an enema.

In Babylonia, by BCE, enemas were in use, although it appears that initially they were in use because of a belief that the demon of disease would, by means of an enema, be driven out of the body.

In China, c. Insert a bamboo tube three or four inches long into the rectum and inject the mixture" are his directions, according to Wu Lien-teh.

In India, in the fifth century CE, Sushruta enumerates the enema syringe among surgical instruments described. Early Indian physicians' enema apparatus consisted of a tube of bamboo, ivory, or horn attached to the scrotum of a deer, goat, or ox.

In Persia, Avicenna A. Hippocrates BCE frequently mentions enemas, e. In the first century BCE the Greek physician Asclepiades of Bithynia wrote "Treatment consists merely of three elements: drink, food, and the enema".

In the second century CE the Greek physician Soranus prescribed, among other techniques, enemas as a safe abortion method, [81] and the Greek philosopher Celsus recommended an enema of pearl barley in milk or rose oil with butter as a nutrient for those suffering from dysentery and unable to eat, [82] and also Galen mentions enemas in several contexts.

In medieval times appear the first illustrations of enema equipment in the Western world , a clyster syringe consisting of a tube attached to a pump action bulb made of a pig bladder.

This device had its rectal nozzle connected to a syringe with a plunger rather than to a bulb. Beginning in the 17th century enema apparatus was chiefly designed for self-administration at home and many were French as enemas enjoyed wide usage in France.

When clyster syringes were in use in Europe, the patient was placed in an appropriate position kneeling, with the buttocks raised, or lying on the side ; a servant or apothecary would then insert the nozzle into the anus and press the plunger, resulting in the liquid remedy generally, water , but also some other preparations being injected into the colon.

Because of the embarrassment a woman might feel when showing her buttocks and possibly her genitals, depending on the position to a male apothecary, some contraptions were invented that blocked all from the apothecary's view except for the anal area.

Another invention was syringes equipped with a special bent nozzle, which enabled self-administration, thereby eliminating the embarrassment.

Clysters were administered for symptoms of constipation and, with more questionable effectiveness, stomach aches and other illnesses. More generally, clysters were a theme in the burlesque comedies of n the 17th century.

In an enema bag prepared from a pig's or beef's bladder attached to a tube was described by Johann Jacob Woyts as an alternative to a syringe.

In the 18th century Europeans began emulating the indigenous peoples of North America's use of tobacco smoke enemas to resuscitate drowned people.

Clysters were a favourite medical treatment in the bourgeoisie and nobility of the Western world up to the 19th century.

As medical knowledge was fairly limited at the time, purgative clysters were used for a wide variety of ailments , the foremost of which were stomach aches and constipation.

According to Claude de Rouvroy, duc de Saint-Simon , clysters were so popular at the court of King Louis XIV of France that the duchess of Burgundy had her servant give her a clyster in front of the King her modesty being preserved by an adequate posture before going to the comedy.

However, he also mentions the astonishment of the King and Mme de Maintenon that she should take it before them. In the 19th century many new types of enema administration equipment were devised, including the bulb enema.

These consist of a nozzle at the end of a hose which connects a reservoir, either a bucket or a rubber bag, which is filled with liquid and held or hung above the recipient.

In the early 20th century the disposable microenema , a squeeze bottle, was invented by Charles Browne Fleet.

The term "colonic irrigation" is commonly used in gastroenterology to refer to the practice of introducing water through a colostomy or a surgically constructed conduit as a treatment for constipation.

The same term is also used in alternative medicine where it may involve the use of substances mixed with water in order to detoxify the body.

Practitioners believe the accumulation of fecal matter in the large intestine leads to ill health. In the late 19th century Dr. John Harvey Kellogg made sure that the bowel of each and every patient was plied with water, from above and below.

His favorite device was an enema machine "just like one I saw in Germany" that could run fifteen gallons of water through a person's bowel in a matter of seconds.

Every water enema was followed by a pint of yogurt—half was eaten, the other half was administered by enema "thus planting the protective germs where they are most needed and may render most effective service.

Chlorine dioxide enemas have been fraudulently marketed as a medical treatment, primarily for autism. This has resulted, for example, in a six-year-old boy needing to have his colon removed and a colostomy bag fitted, [96] [97] complaints to the FDA reporting life-threatening reactions, [98] and even death.

Proponents falsely claim that administering autistic children these enemas results in the expulsion of parasitic worms " rope worms " , which actually are fragments of damaged intestinal epithelium that are misinterpreted as being human pathogens.

Chlorine dioxide is a potent and toxic bleach [] that is relabeled for "medicinal purposes" to a variety of brand names including, but not limited, to MMS, Miracle Mineral Supplement , and CD protocol.

No clinical trials have been performed to test the health claims made for chlorine dioxide, which originate from former Scientologist Jim Humble [] in his self-published book, The Miracle Mineral Solution of the 21st Century [] and from anecdotal reports.

The name MMS was coined by Humble. Sellers sometimes describe MMS as a water purifier so as to circumvent medical regulations.

Well documented as having no proven benefits and considered by medical authorities as rash and potentially dangerous is an enema of coffee.

A coffee enema can cause numerous maladies including infections , sepsis including campylobacter sepsis , severe electrolyte imbalance , colitis , polymicrobial enteric sepsis, proctocolitis , salmonella , brain abscess , and heart failure, [] [] [] [] [] [] [] [] [] and deaths related to coffee enemas have been documented.

Gerson therapy includes administering enemas of coffee, [] as well as of castor oil and sometimes of hydrogen peroxide or of ozone. Some proponents of alternative medicine have claimed that coffee enemas have an anti- cancer effect by "detoxifying" metabolic products of tumors [] but there is no medical scientific evidence to support this.

Enjoyment of enemas is known as klismaphilia , which medically is classified as a paraphilia. Klismaphiles can gain satisfaction of enemas through fantasies, by actually receiving or giving one, or through the process of eliminating steps to being administered one e.

That some women use enemas while masturbating was documented by Alfred Kinsey in "Sexual Behavior in the Human Female.

Enemas are sometimes used in sadomasochistic activities [] [] for erotic humiliation [] or for physical discomfort. Another sexual use for enemas is to empty the rectum as a prelude to other anal sexual activities such as anal sex , anilingus , and pegging , [] possibly reducing risk of infection.

This is different from klismaphilia, in which the enema is enjoyed for itself and as a part of sexual arousal and gratification. Rectal douching is a common practice among people who take a receptive role in anal sex.

Noting that deaths have been reported from alcohol poisoning via enemas, [] an alcohol enema can be used to very quickly instill alcohol into the bloodstream, absorbed through the membranes of the colon.

However, great care must be taken as to the amount of alcohol used. Only a small amount is needed as the intestine absorbs the alcohol far more quickly than the stomach.

Preceding an enema for administration of drugs or alcohol, a cleansing enema may first be used for cleaning the colon to help increase the rate of absorption.

All across Mesoamerica ritual enemas were employed to consume psychoactive substances, e. With historical roots in the Indian subcontinent , enemas in Ayurveda , called Basti or Vasti, form part of Panchakarma procedure in which herbal medicines are introduced rectally.

In the vastly influential Argentine text Facundo, or Civilization and Barbarism , for example, Domingo Faustino Sarmiento describes the use of pepper and turpentine enemas by police forces as a way of discouraging political dissent in post-independence Argentina.

In the Guantanamo Bay Detention Camp , the Senate Intelligence Committee report on CIA torture documented instances of enemas being used by the Central Intelligence Agency in order to ensure "total control" over detainees.

In the Dionysus ' satyr play Limos , Silenus attempts to give an enema to Heracles. In Shakespeare 's play Othello Act II, Scene I Iago says, "Yet again your fingers to your lips?

In George Orwell 's novel Nineteen Eighty-Four , the narrator notes, "Sexual intercourse was to be looked on as a slightly disgusting minor operation, like having an enema.

Sex, with a capital S-E-X. I know she gave you the enemas. In Anne Roiphe 's novel Torch Song , Marjorie, not knowing how to otherwise address her dysphonia , reminisces on unhappy memories, one of which is her German nurse inflicting on her painful enemas.

In Anne Sexton 's poem "Cripples And Other Stories", is the couplet "Oh the enemas of childhood, reeking of outhouses and shame! In The Right Stuff , during flight training astronaut Alan Shepard retains a barium enema, [] given two floors away from a toilet, embarrassingly riding a public elevator wearing a hospital gown and holding the enema bag with its tip still inserted in him.

In Sybil , Sybil's psychiatrist, while having taken her for a picnic in the country, heard her re-experience, among other things, her mother having bound her with a broom handle on the kitchen table and suspended her by her feet from the hanging light, in preparation for forcing her to take an enema.

The lyrics of Frank Zappa 's song The Illinois Enema Bandit are concerned with Michael H. Kenyon 's sexual assaults which included administering involuntary enemas.

A kilogram pound brass statue of a syringe enema bulb held aloft by three cherubs stands in front of the "Mashuk" spa in the settlement of Zheleznovodsk in Russia.

Inspired by the 15th century Renaissance painter Botticelli, it was created by a local artist who commented that "An enema is an unpleasant procedure as many of us may know.

But when cherubs do it, it's all right. Taber's Medical Dictionary. Davis Company. Retrieved 17 July From Wikipedia, the free encyclopedia.

This section needs expansion. You can help by adding to it. March Main article: Transanal irrigation. Main article: Bowel management.

Main article: Colon cleansing. Main article: Coffee enema. Main article: Klismaphilia. Main article: Rectal douching.

Main article: Alcohol enema. Medicine portal. Noah Webster's American Dictionary of the English Language.

Retrieved 15 April The Free Dictionary. Biology-Online Dictionary. Retrieved 6 August Przeglad Gastroenterologiczny. Journal of Pain and Symptom Management.

Medical Dictionary. Retrieved 17 February Care of patients. Ternopil State Medical University. Fundamentals of Nursing Practice.

Professional Education, Testing and Certification Organization International. Retrieved 11 January Schiller, Richard Meyer, Susan M. Rugari, PattiCase November Applied Nursing Research.

Retrieved 9 September Bertani, A. Chiappa, R. Biffi, P. Bianchi, D. Radice, V. Branchi, S. Spampatti, I.

Vetrano, B. Andreoni , "Comparison of oral polyethylene glycol plus a large volume glycerine enema with a large volume glycerine enema alone in patients undergoing colorectal surgery for malignancy: a randomized clinical trial", Colorectal Disease , 13 10 : e—e, doi : Bibcode : NYASA..

Retrieved 12 September Vilke, 'Correspondence information about the author MD Gary M. Vilke, Gerard DeMers, DO, DHSc, MPH, Nilang Patel, MS, Edward M.

Castillo, PhD June The Journal of Emergency Medicine. American Academy of Emergency Medicine. Retrieved 19 March Journal of Emergency Nursing.

The Emergency Nurses Association. Cleveland Clinic. Retrieved 1 April NHS Grampian Campaign. National Health Service. Retrieved 4 March Zwaving "Laxatives" in Ullmann's Encyclopedia of Industrial Chemistry, Wiley-VCH, Weinheim, Retrieved 3 March Sykes Supportive Oncology.

WHO Collaborating Centre for Drug Statistics Methodology. World Health Organization. Report on Carcinogens. National Toxicology Program, Department of Health and Human Services HHS.

November Critical Reviews in Food Science and Nutrition. Archived from the original on 30 June Latest medicine updates.

NPS MedicineWise. National Prescribing Service. Lieberman American Journal of Proctology. Spinal Cord. Spinal Cord Health Library. Johns Hopkins School of Medicine.

Our Services. Southwest Medical Center in Liberal, Kansas, USA. BMC Infectious Diseases. Nurs Stand.

Archived from the original PDF on 28 March COM Registry Domain ID: NA Registrar WHOIS Server: whois. COM Name Server: NS1.

COM Name Server: NS2. COM Name Server: NS3. The company offers a wide spectrum of Web hosting and cloud services including Shared Hosting, Virtual Private Servers VPS , Dedicated Server Hosting, Domain Name Registration, the cloud storage service, DreamObjects, and the cloud computing service DreamCompute.

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