Friedenwald, Julius; Morrison, Samuel (January 1940). "The History of the Enema with Some Notes on Related Procedures (Part I)". Bulletin of the History of Medicine. Johns Hopkins University Press. 8 (1): 68–114. JSTOR 44442727. In Cervantes' Don Quixote, a narrative to Sancho includes “The Knight of the Sun ... bound hand and foot ... was administered a clyster of snow water and sand that almost disracted him" [160] Kinsey, Alfred Charles (1953), Sexual Behavior in the Human Female, Bloomington, Indiana, U.S.A.: Indiana University Press, ISBN 978-0-253-33411-4

In Grace Metalious's novel Peyton Place, the town doctor tells of "a young boy with the worst case of dehydration I ever saw. It came from getting too many enemas that he didn't need. Sex, with a capital S-E-X.". [164] As a teenager, the boy enjoys receiving enemas from his mother. [165]a b Marilee Schmelzer; Lawrence R. Schiller; Richard Meyer; Susan M. Rugari; Patti Case (November 2004). "Safety and effectiveness of large-volume enema solutions". Applied Nursing Research. 17 (4): 265–274. doi: 10.1016/j.apnr.2004.09.010. PMID 15573335. Agnew, Jeremy (October 1982). "Klismaphilia—A Physiological Perspective". American Journal of Psychotherapy. 36 (4): 554–566. doi: 10.1176/appi.psychotherapy.1982.36.4.554. PMID 7158678. In Molière's play The Imaginary Invalid, Argan, a severe hypochondriac, is addicted to enemas as indicated by such lines as when Bĕralde asks, "Can't you be one moment without a purge?" [162] IFRC strongly dissociates from the claim of a 'miracle' solution to defeat malaria" (Press release). International Federation of Red Cross and Red Crescent Societies. 15 May 2013. Archived from the original on 24 February 2021 . Retrieved 24 March 2019.

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. [14] Frequent use of enemas can cause laxative dependency. [65] Brame, Gloria; Brame, William D.; Jacobs, Jon (1993). Different loving – The World of Sexual Dominance and Submission. Villard Books. ISBN 978-0-6797-6956-9. ATC (Anatomical Therapeutic Chemical Classification System) – Synopsis". National Institutes of Health . Retrieved 1 February 2020. a b "Colon Therapy". American Cancer Society. 11 January 2008. Archived from the original on 24 April 2015 . Retrieved 13 May 2011. Benjamin Rush (1769). Medical observations and inquiries. pp. 250, 251, 252 . Retrieved 22 January 2022. {{ cite book}}: |work= ignored ( help)

If you get any of the solution on uncovered skin, you should wash the area with cold running water for at least 10 minutes. Besides klismaphilia, the intrinsic enjoyment of enemas, there are other uses of enemas in sexual play. [138] BDSM A filled 5 litre enema bag connected to a bored dildo, ready to inject into a recipient on the ground beneath. Frances Ryan (13 July 2016). "The fake cures for autism that can prove deadly". The Guardian . Retrieved 24 March 2019. 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. [152] Turpentine enemas are very harsh purgatives. [153] Ribbons and Rituals". In Problems in Modern Latin American History. Ed. Chasteen and Wood. Oxford, UK: Scholarly Resources, 2005. p. 97

Equal parts of milk and molasses heated together to slightly above normal body temperature have been used. [18] Neither the milk sugars and proteins nor the molasses are absorbed in the lower intestine, thus keeping the water from the enema in the intestine. [19] Studies have shown that milk and molasses enemas have a low complication rate when used in the emergency department [20] and are safe and effective with minimal side effects. [21] Failure to expel all of the barium may cause constipation or possible impaction [53] 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. [54] Medication administration Portalatin M, Winstead N. Medical management of constipation. Clin Colon Rectal Surg. 2012;25(1):12–19. doi:10.1055/s-0032-1301754

Remain on your side or lay face side up and place legs on tub or toilet to raise the butt off the floor for about 5 to 20 minutes. Use the toilet once the urge to eliminate occurs. Tips The indigenous peoples of North America employed tobacco smoke enemas to stimulate respiration, injecting the smoke using a rectal tube. [79] [80]