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Encyclopedia > Enema
This 2qt (about 1.89 liters) open-topped enema bag, or "fountain syringe", equipped with a rectal nozzle, is to be filled with water or a solution, then suspended near and slightly above the patient using the hook. Then, the nozzle (shown equipped) is inserted into the anus and the clamp is released. This bag may also be used for vaginal douches.
This 2qt (about 1.89 liters) open-topped enema bag, or "fountain syringe", equipped with a rectal nozzle, is to be filled with water or a solution, then suspended near and slightly above the patient using the hook. Then, the nozzle (shown equipped) is inserted into the anus and the clamp is released. This bag may also be used for vaginal douches.
This rectal bulb syringe may be used to administer small enemas.
This rectal bulb syringe may be used to administer small enemas.
Enema Device for bowel irrigation
Enema Device for bowel irrigation

An enema (plural enemata or enemas) is the procedure of introducing liquids into the rectum and colon via the anus. Enemas can be carried out for medical reasons (as a treatment for constipation), as a remedy for encopresis, as part of alternative health therapies, and also for erotic purposes, particularly as part of BDSM activities. In earlier times, they were often known as clysters, and were probably used more frequently than at present. Image File history File links Mergefrom. ... A normal clyster syringe (in front) and the nozzle for a syringe designed for self-administration (in the back). ... Download high resolution version (1500x1112, 176 KB) Wikipedia does not have an article with this exact name. ... Download high resolution version (1500x1112, 176 KB) Wikipedia does not have an article with this exact name. ... A douche (IPA: ) is a device used to introduce a stream of water into the body for medical or hygienic reasons, or the stream of water itself. ... Download high resolution version (948x716, 61 KB) Wikipedia does not have an article with this exact name. ... Download high resolution version (948x716, 61 KB) Wikipedia does not have an article with this exact name. ... Image File history File links This is a lossless scalable vector image. ... Image File history File links This is a lossless scalable vector image. ... The rectum (from the Latin rectum intestinum, meaning straight intestine) is the final straight portion of the large intestine in some mammals, and the gut in others, terminating in the anus. ... It has been suggested that this article or section be merged with Large intestine. ... This article is about the bodily orifice. ... Constipation or irregularity, is a condition of the digestive system where a person (or animal) experiences hard feces that are difficult to egest; it may be extremely painful, and in severe cases (fecal impaction) lead to symptoms of bowel obstruction. ... Encopresis is involuntary fecal soiling in children who have usually already been toilet trained. ... Eroticism is an aesthetic focus on sexual desire, especially the feelings of anticipation of sexual activity. ... A collar is a common symbol in BDSM Female bottom in bondage with leather monoglove BDSM is any of a number of related patterns of human sexual behavior. ... A normal clyster syringe (in front) and the nozzle for a syringe designed for self-administration (in the back). ...

Contents

Medical usage

The main medical usages of enemas are:

  • As a bowel stimulant, not unlike a laxative -- the main difference being that laxatives are commonly thought of as orally administered while enemas are administered directly into the rectum, and thereafter, into the colon. When the enema injection into the rectum is complete, and after a set "holding time," the patient expels feces along with the enema in the toilet.
  • Enemas may also be used to relieve constipation and fecal impaction, although in many professional health-care settings, their use has been largely replaced by oral laxatives and laxative suppositories. In-home use of enemas for constipation and alternative health purposes is somewhat harder to measure.
  • Bowel stimulating enemas usually consist of water, which works primarily as a mechanical stimulant, or they may be made up of water with baking soda (sodium bicarbonate) or water with a mild hand soap dissolved in it; sodium phosphate solution, which draws additional water from the bloodstream into the colon and increases the effectiveness of the enema, but which can often be rather irritating to the colon, causing intense cramping or "gripping"; or mineral oil, which functions as a lubricant and stool softener, but which often has the side effect of sporadic seepage from the patient's anus which can soil the patient's undergarments for up to 24 hours. Other types of enema solutions are also used, including equal parts of milk and molasses heated together to slightly above normal body temperature. In the past, castile soap was a common additive in an enema, but it has largely fallen out of use because of its irritating action in the rectum and because of the risk of chemical colitis as well as the ready availability of other enema preparations that are perhaps more effective than soap in stimulating a bowel movement. At the opposite end of the spectrum, an isotonic saline solution is least irritating to the rectum and colon, having a neutral concentration gradient. This neither draws electrolytes from the body, as can happen with plain water, nor draws water into the colon, as will occur with phosphates. Thus, a salt water solution can be used when a longer period of retention is desired, such as to soften an impaction.
  • Cleansing the lower bowel prior to a surgical procedure such as sigmoidoscopy or colonoscopy. Because of speed and supposed convenience, enemas used for this purpose are commonly the more costly, sodium phosphate variety -- often called a disposable enema. A more pleasant experience preparing for testing procedures can usually be obtained with gently-administered baking soda enemas; cleansing the lower bowel for colonoscopy and other bowel studies can be effectively achieved with water-based, or water with baking soda, enema administration.
  • 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. Medicines for cancer, for arthritis, and for age-related macular degeneration are often given via enema in order to avoid the normally-functioning digestive tract. Interestingly, some water-based enemas are also used as a relieving agent for Irritable Bowel Syndrome, using cayenne pepper to squelch irritation in the colon and rectal area. Finally, an enema may also be used for hydration purposes. See also route of administration.
  • 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.
  • General anesthetic agents for surgical purposes are sometimes administered by way of an enema. Occasionally, anesthetic agents are used rectally to reduce medically-induced vomiting during and after surgical procedures, in an attempt to avoid aspiration of stomach contents.
  • A barium enema is used as a contrast substance in the radiological imaging of the bowel. The enema may contain barium sulfate powder, or a water-soluble contrast agent. Barium enemas are sometimes the only practical way to "view" the colon in a relatively safe manner. Following barium enema administration, patients often find that flushing the remaining barium with additional water, baking soda, or saline enemas helps restore normal colon activity without complications of constipation from the administration of the barium sulfate.

In certain countries such as the United States, customary enema usage went well into the 20th century; it was thought a good idea to cleanse the bowel in case of fever; also, pregnant women were given enemas prior to labor, supposedly to reduce the risk of feces being passed during contractions. Under some controversial discussion, pre-delivery enemas were also given to women to speed delivery by inducing contractions. This latter usage has since been largely abandoned, because obstetricians now commonly give oxytocin to induce labor and because women generally found the procedure unpleasant. The intestine is the portion of the alimentary canal extending from the stomach to the anus and, in humans and other mammals, consists of two segments, the small intestine and the large intestine. ... Laxatives are foods, compounds, or drugs taken to induce bowel movements, most often taken to treat constipation. ... A laxative is a preparation used for the purpose of encouraging defecation, or the elimination of feces. ... Horse feces Feces, faeces, or fæces (see spelling differences) is a waste product from an animals digestive tract expelled through the anus (or cloaca) during defecation. ... For other uses, see Toilet (disambiguation). ... Constipation or irregularity, is a condition of the digestive system where a person (or animal) experiences hard feces that are difficult to egest; it may be extremely painful, and in severe cases (fecal impaction) lead to symptoms of bowel obstruction. ... A fecal impaction is a solid, immobile bulk of stool that can develop in the rectum as a result of chronic constipation. ... Four 500mg acetaminophen/paracetamol suppositories A suppository is a medicine that is inserted either into the rectum (rectal suppository) or into the vagina (vaginal suppository) where it melts. ... Trisodium phosphate (TSP), available at most hardware stores in white powder form, is a cleaning agent and degreaser, commonly used to prepare household surfaces for painting. ... Mineral oil or liquid petrolatum is a by-product in the distillation of petroleum to produce gasoline. ... Castile soap is a name used in English-speaking countries for soap made exclusively from vegetable oil, as opposed to animal fat. ... Chemical colitis is a type of colitis, an inflammation of the large intestine or colon, caused by the introduction of harsh chemicals to the colon by an enema or other procedure. ... 70. ... Saline may refer to: Salinity Saline (medicine) Saline, Michigan Saline, Scotland - a village in the burgh of Fife, Scotland. ... An electrolyte is a substance containing free ions that behaves as an electrically conductive medium. ... Sigmoidoscope inserted through the anus and rectum and into the sigmoid colon. ... Colonoscopy is the minimally invasive endoscopic examination of the large colon and the distal part of the small bowel with a CCD camera or a fiber optic camera on a flexible tube passed through the anus. ... An antiemetic is a drug that is effective against vomiting and nausea. ... For other uses, see Nausea (disambiguation). ... In chemistry, hydration is the condition of being combined with water. ... In pharmacology and toxicology, a route of administration is the path by which a drug, fluid, poison or other substance is brought into contact with the body. ... In physiology, corticosteroids are a class of steroid hormones that are produced in the adrenal cortex. ... Mesalazine (INN, BAN), also known as Mesalamine (USAN) or 5-aminosalicylic acid (5-ASA), is an anti-inflammatory drug used to treat inflammation of the digestive tract (Crohns disease) and mild to moderate ulcerative colitis. ... In medicine, inflammatory bowel disease (IBD) is a group of inflammatory conditions of the large intestine and, in some cases, the small intestine. ... Upper and Lower gastrointestinal tract The gastrointestinal tract (GI tract), also called the digestive tract, or the alimentary canal, is the system of organs within multicellular animals that takes in food, digests it to extract energy and nutrients, and expels the remaining waste. ... Anesthesia or anaesthesia (see spelling differences) has traditionally meant the condition of having the perception of pain and other sensations blocked. ... A barium enema, also called a lower gastrointestinal series, is a medical procedure used to examine and dignose problems with the human large intestines. ... An X-ray picture (radiograph) taken by Röntgen An X-ray or Röntgen ray is a form of electromagnetic radiation with a wavelength in the range of 10 nanometers to 100 picometers (corresponding to frequencies in the range 30 PHz to 3 EHz). ... (19th century - 20th century - 21st century - more centuries) Decades: 1900s 1910s 1920s 1930s 1940s 1950s 1960s 1970s 1980s 1990s As a means of recording the passage of time, the 20th century was that century which lasted from 1901–2000 in the sense of the Gregorian calendar (1900–1999... This article needs additional references or sources for verification. ... Horse feces Feces, faeces, or fæces (see spelling differences) is a waste product from an animals digestive tract expelled through the anus (or cloaca) during defecation. ... Oxytocin (Greek: quick birth) is a mammalian hormone that also acts as a neurotransmitter in the brain. ...


Home usage

Many self-given enemas used at home are the pre-packaged, disposable, sodium phosphate solutions in single-use bottles sold under a variety of brand names, or in generic formats. Costing up to a dollar per use, these units come with a pre-lubricated nozzle attached to the top of the container. Some enemas are administered using so-called disposable bags connected to disposable tubing (despite the names, such units can commonly be used for many months or years without significant deterioration).


Patients who want easier, more gently-accepted enemas often purchase Combination Enema Syringes which are commonly referred to as "closed top" syringes, and which can also be used as old-fashioned hot water bottles, so as to relieve aches and pains via gentle heat administrations to parts of the body. Cost for each enema can be as little as a few pennies for the baking soda added to ordinary tap water. A hot water bottle is a rubber container that you can use to keep your feet warm at night. ...


In medical or hospital environments, reusable enema equipment is now rare because of the expense of disinfecting a water-based solution. For a single-patient stay of short duration, an inexpensive disposable enema bag can be used for several days or weeks, using a simple rinse out procedure after each enema administration. The difficulty comes in from the longer time period (and expense) required of nursing aides to give a gentle, water-based enema to a patient, as compared to the very few minutes it takes the same nursing aide to give the more irritating, cold, pre-packaged sodium phosphate unit.


For home use, disposable enema bottle units are common, but reusable rubber or vinyl bags or enema bulbs may also be used. In former times, enemas were infrequently administered using clyster syringes. If such commercially-available items are not at hand, ordinary water bottles are sometimes used. This does not cite any references or sources. ... Chemical structure of the vinyl functional group. ... A normal clyster syringe (in front) and the nozzle for a syringe designed for self-administration (in the back). ...


Colonic irrigation

Colonic irrigation or colon hydrotherapy is a large-volume enema which cleanses the whole colon. Colonic irrigation was in vogue for health and hygienic purposes at the beginning of the 20th century (see John Harvey Kellogg) and remains popular as an alternative health therapy in many parts of the world. Advocates believe that, when carried out by trained personnel using clean or sterilized equipment, colonic irrigation is a safe and valuable tool for eliminating toxins from the body and restoring normal muscular activity in the colon. However, there have been cases of intestinal perforation due to improperly done colonic irrigations. The actual medical benefit of colonic irrigation is controversial. Colon hydrotherapy, also known as colonic irrigation, is an alternative medicine form of body cleansing, sometimes associated with naturopathy. ... It has been suggested that this article or section be merged with Large intestine. ... (19th century - 20th century - 21st century - more centuries) Decades: 1900s 1910s 1920s 1930s 1940s 1950s 1960s 1970s 1980s 1990s As a means of recording the passage of time, the 20th century was that century which lasted from 1901–2000 in the sense of the Gregorian calendar (1900–1999... John Harvey Kellogg (February 26, 1852 – December 14, 1943) was an American medical doctor in Battle Creek, Michigan who ran a sanitarium using holistic methods, with a particular focus on nutrition, enemas and exercise. ... For other uses, see Toxin (disambiguation). ...


Enema Usage in Rectal Drug Administration

In rectal administration of dissolved drugs or alcohol an enema might be used to help increase the rate of absorption by cleaning the colon of feces first [1]. Horse feces Feces, faeces, or fæces (see spelling differences) is a waste product from an animals digestive tract expelled through the anus (or cloaca) during defecation. ...


Enemas have also been used for ritual rectal drug administration such as balché, alcohol, tobacco, peyote, and other hallucinogenic drugs and entheogens, most notably by the Mayans and also some other American Indian tribes. Some tribes continue the practice in the present day. [2] Balché is a mildly intoxicating beverage common among ancient and indigenous cultures in areas of what is now Mexico, Guatemala, Belize, Nicaragua and Honduras. ... This article does not cite any references or sources. ... Shredded tobacco leaf for pipe smoking Tobacco can also be pressed into plugs and sliced into flakes Tobacco is an agricultural product processed from the fresh leaves of plants in the genus Nicotiana. ... This article or section does not cite any references or sources. ... The general group of pharmacological agents commonly known as hallucinogens can be divided into three broad categories: psychedelics, dissociatives, and deliriants. ... This entry covers entheogens in the strict sense of the word (i. ... This article is about the pre-Columbian Maya civilization. ...


People who wish to become intoxicated faster have also been known to use enemas as a method to 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 more quickly than the stomach. Deaths have resulted due to alcohol poisoning via enema. [1] Colon has several meanings: colon (anatomy) colon (punctuation) colon (rhetoric) See also Colón This is a disambiguation page — a navigational aid which lists other pages that might otherwise share the same title. ... Alcohol poisoning is a serious — sometimes deadly — result of drinking excessive amounts of alcohol (ethanol). ...


For more information on rectal drug administration, see route of administration. In pharmacology and toxicology, a route of administration is the path by which a drug, fluid, poison or other substance is brought into contact with the body. ...


Recreational usage

An aluminium enema nozzle. Specialty enema nozzles are common for non-medical usage, available on the internet and in sex shops in a variety of sizes, styles, and materials.

The paraphilia directed towards enemas is known as klismaphilia, the enjoyment of enemas. Enemas may be used as part of BDSM activities for either males or females, or as a regular sexual activity for an individual or between partners. In many cities, enemas are available as a service from practitioners in the sex industry to cater to klismaphiliac desires. Enemas can be pleasurable to either sex, and in males, enemas can can stimulate the prostate gland. Unexpected erections are common in medical settings, even if the person would otherwise consider it an unpleasant procedure. Image File history File linksMetadata Size of this preview: 657 × 459 pixelsFull resolution (657 × 459 pixel, file size: 34 KB, MIME type: image/jpeg) I took this photo myself, of my enema nozzle, and release it under the GFDL. I, the creator of this work, hereby grant the permission to... Image File history File linksMetadata Size of this preview: 657 × 459 pixelsFull resolution (657 × 459 pixel, file size: 34 KB, MIME type: image/jpeg) I took this photo myself, of my enema nozzle, and release it under the GFDL. I, the creator of this work, hereby grant the permission to... Front window of a Tokyo sex shop advertising adult toys A sex shop is a shop that sells products such as sex toys, pornography, erotic lingerie, erotic books, and safer sex products such as condoms and dental dams. ... Look up paraphilia in Wiktionary, the free dictionary. ... Klismaphilia (sometimes spelled Klysmaphilia) is the paraphilia of deriving sexual pleasure from enemas. ... A collar is a common symbol in BDSM Female bottom in bondage with leather monoglove BDSM is any of a number of related patterns of human sexual behavior. ... This article does not cite any references or sources. ... The prostate is a compound tubuloalveolar exocrine gland of the male mammalian reproductive system. ... The erection of the penis, clitoris or a nipple is its enlarged and firm state. ...


An enema may also be used prior to anal sex or anilingus in order to enhance the sensation of intercourse, or to remove feces prior to sex, possibly reducing bacterial transmission and risk of infection, or just to reduce the possibility of fecal material adhering to the genitals or sex toys used during the following activity. Roman men having anal sex. ... 14th century manuscript illustration of the accusations of sodomy against the Knights Templar Anal_oral contact (commonly referred to as anilingus and colloquially known as rimming or tossing salad) is sexual activity involving contact between the anus or perianal areas of one person and the mouth of another. ... Horse feces Feces, faeces, or fæces (see spelling differences) is a waste product from an animals digestive tract expelled through the anus (or cloaca) during defecation. ...


Also, only air is sometimes inserted to produce immediate flatulence. This puts air directly into the anus, causing immediate flatulence, which is usually louder than natural flatulence. Reports of inserting as much air as possible can produce flatulations each lasting several minutes in length. Often, these "fakies" have little or no odor. Also, when doing it with air, it causes very noticeable inflation to the belly. This is why a lot of people have this "Rastyphilia", because they like to see themselves getting inflated like balloons.


Precautions

Improper administration of an enema may cause electrolyte imbalance (with repeated enemas) or ruptures to the bowel or rectal tissues resulting in internal bleeding, however these occourances are rare in healthy, sober adults. Internal bleeding or rupture may leave the individual exposed to infections from intestional bacteria. Blood resulting from tears in the colon may not always be visible, but can be distinguished if the feces is unusually dark or has red hue. If intestional rupture is suspected, medical assistance should be obtained immediately. [3] The intestine is the portion of the alimentary canal extending from the stomach to the anus and, in humans and other mammals, consists of two segments, the small intestine and the large intestine. ... The rectum (from the Latin rectum intestinum, meaning straight intestine) is the final straight portion of the large intestine in some mammals, and the gut in others, terminating in the anus. ... For other uses, see Bleeding (disambiguation). ... This article does not cite any references or sources. ...


The enema tube and solution may stimulate the vagus nerve, which triggers 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. The vagus nerve (also called pneumogastric nerve or cranial nerve X) is the tenth of twelve paired cranial nerves, and is the only nerve that starts in the brainstem (within the medulla oblongata) and extends, through the jugular foramen, down below the head, to the abdomen. ... A cardiac arrhythmia, also called cardiac dysrhythmia, is a disturbance in the regular rhythm of the heartbeat. ... Bradycardia, as applied to adult medicine, is defined as a resting heart rate of under 60 beats per minute, though it is seldom symptomatic until the rate drops below 50 beat/min. ... Abdominal pain can be one of the symptoms associated with transient disorders or serious disease. ... In much of the digestive tract, muscles contract in sequence to produce a peristaltic wave which forces food (called bolus while in the esophagus and chyme below the esophagus) along the alimentary canal. ... The intestine is the portion of the alimentary canal extending from the stomach to the anus and, in humans and other mammals, consists of two segments, the small intestine and the large intestine. ... Look up appendix in Wiktionary, the free dictionary. ... The term rupture describes various sorts of breaking in a number of fields. ...


References

  • M. R. Strict, Intimate Invasion: The Erotic Ins & Outs of Enema Play, Greenery Press, 2004. ISBN 1-890159-51-4.
  • Rectal drug Administration - Clinical Pharmacokinetic Considerations by Dr.Boer Dr.Moolenaar Dr.Leede Dr.Breimer, PMID: 6126289 PubMed - indexed for MEDLINE.
  • Enema administration by R.N. Mary Elizabeth Martelli B.S. in the Encyclopedia of Nursing and Allied Health - Article

Categories: BDSM | Book publishers | Stub ...

See also

An alternative technique for cleansing the human rectum either for reasons of health, or for sexual-hygienic purposes. ... For other persons named Michael Kenyon, see Michael Kenyon (disambiguation). ...

External links


  Results from FactBites:
 
Enema Kit.com - Enema equipment and supplies for colon cleansing (0 words)
Enemas have been used for centuries and it is an effective and proven means of eliminating accumulated waste in the lower colon.
Enemas clear the colon of old, hardended waste material and harmful toxins restoring proper pH balance to the body.
Our large 2 quart basic enema cleans-ing system is for people looking for a good high quality kit for general purpose use.
Barium Enema - Digestion and digestive-related information on MedicineNet.com (817 words)
A lower GI series, or barium enema, is an x-ray test in which a white liquid, called barium, is placed into the rectum and colon through the anus to enhance x-ray pictures of the large bowel (colon).
Therefore, before undergoing a lower GI (barium enema), it is important to eliminate as much fecal material from the colon and rectum as is possible.
A lower gastrointestinal series (barium enema) is an x-ray test used to define the anatomy of the large intestine (colon) and the rectum.
  More results at FactBites »


 

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