|Emollient laxatives are generally known as stool softeners. They contain
a compound called Docusate Sodium (Colace), Docusate Calcium (Surfak), Docusate Potassium
(Dialose) . Docusate is a wetting agent that improves the ability of water within the
colon to penetrate and mix with stool. This increased water in the stool softens the stool
Emollient laxatives are commonly used when there is a need to soften the stool temporarily
and make defecation easier (e.g., before or after surgery, childbirth, or heart attacks).
They are also used for individuals with hemorrhoids
or anal fissures.
1 oz. Docusate Sodium (Colace) or
1 oz. Docusate Calcium (Surfak) or
1 oz.Docusate Potassium (Dialose) mix with
2 quarts warm filtered water ( Mix well )
Add solution to enema bag, mixing with warm
filtered water to achieve the required amount of solution.
Hang enema bag about 18 in. to 3
ft. above rectum. A good tool for this is the IV
Stand for Enemas
If you need good flow control for the enema solution. A ramp clamp is a good option.
The Knee-chest position with chest
against floor and rectum higher than head this is a best position to receive an enema.
tube tip into anus, using a good lubricant
(Super Salve Surgilube Vaseline
Warming Liquid Lubricant) as needed. using a good lubricant will help prevent injury
to the delicate anal tissues.
Inject solution into rectum very slowly, approximately ˝ cup per minute (4oz.) and
take as much as possible , you can refill bag if needed. Try to slightly distend the colon or until it becomes very uncomfortable to take
any more solution. You may experience some cramping because the solution is cool,
just stop the flow for a few seconds until the cramps subside. Then restart the
Massaging abdomen in counter-clockwise direction during the injection will
distribute the solution throughout the colon.
When the enema bag is empty or no more fluid can be taken remove nozzle/rectal
For those that have trouble retaining the nozzle and or the solution.
You might want to try a retention
nozzle during the administration of the enema.
Some people use a retention plug after they received their enema solution and
removed the nozzle to retain their enema for the desired amount of time. You can also fold
a washcloth and press it tightly against the anus.
Retain the solution for several minutes as, this will allow the enema to do its job.
Then you can move to the toilet and
release the enema.
When having a normal bowel movement or releasing an enema:
You can massage the abdomen in a clockwise direction this will help move the solution back
toward the rectum and anus.
Massaging the abdomen while expelling the enema helps move the enema solution , gas
and feces toward the rectum and out the anus.
The best position for expelling your enema is squatting over the toilet not sitting on
it. The squatting position puts pressure on your abdomen from your thighs.
In many countries, toilets are made so that people squat when they move their bowels. The
Welles Step positions your body so that you are squatting when you sit on the toilet.
Squatting, supports the abdominal wall and the bowel as we bear down, brings about
an easier bowel evacuation in this way.
People who use the Welles Step tend to have fewer hemorrhoids,
hernias, anal fissures, varicose veins and
almost never have to use laxatives.
It slides under the toilet when not in use.
It is best if you place a Welles Step and
then squat down over the toilet to release your enema.