Enema

An enema is the medical practice of injecting a fluid into the colon to aid expulsion of its contents. The term for enema fetish is klismaphilia. Many practitioners find the experience a relaxing and intimate one, making for enjoyable play in itself and valuable preparation for other activities.

Solutions

There are a number of different solutions that have been used in enemas. These include:

• Castile soap
• Coffee
• Alcohol

Castile soap is used to induce cramping and can cause discomfort. It aids the efficacy of the enema, but can make it an unpleasant experience. Other solutions must be considered with caution, as they can easily become dangerous. The caffeine in coffee and the alcohol in alcoholic beverages are absorbed very rapidly via the colon and it is much easier for a person to receive a toxic dose via this method than if the same solution were taken orally. very hot liquids can also be dangerous. Tepid water is the recommended enema solution, being both safe and unlikely to induce cramping.

Volume

The volume of fluid used varies widely. An enema can range from a hundred millilitres, up to two or three litres. Larger volumes should be left to those more experienced with the practice. Some enema fiction mentions much higher volumes; these should not be attempted in real life.

Risks

As with all forms of anal play, there is a risk of perforating the colon. This is an extremely serious condition and requires an emergency room visit should it occur. In order to avoid the uncomfortable conversation with the triage nurse, it is wise to be gentle and proceed slowly. Do not use a great deal of pressure. Normally gravity alone is sufficient for propelling the enema fluid into the rectum. An attachment known as the "Shower Shot" is available, which fits to the shower head in a normal bathroom. Domestic water supply, however, is commonly at 50psi, which is well in excess of that required to perforate the colon. The safety of these devices is very much in question.