An enema is a procedure that introduces liquids into the rectum and colon through the anus to be flushed out through the bowels. It is used as a treatment in Ayurveda and naturopathy for various medical conditions like constipation and digestive disorders. The standard procedure involves lying down with the buttocks raised, inserting a rubber catheter attached to an enema bag suspended 3 feet above, and allowing the liquid to flow in and be evacuated after 10 minutes of walking. Enemas vary based on size, temperature, and ingredients used. Coffee enemas have caused deaths and there are precautions to take as well as indications and contraindications for their use.

1. enema By s3 BNYS(2ndsem) S-VYASA

2. Contents… Introduction Definition Requirements Procedure Posture Operatives Types Precaution Indication Contraindication

3. Introduction… An enema is the procedure of introducing liquids into the rectum and colon via the anus Enemas is carried out as treatment for medical conditions in Ayurveda as well as naturopathy

4. History… Clyster is an archaic word for enema Clyster syringes were used from the 17thcentury to the 19th century After 19th century it is largely replaced by enema bulb syringes, bocks, and bags After a long time the enema bags and tubes are used

5. Definition… Enema is a method of treatment in which liquid is introduced into the rectum and colon through the anus, then flushed out through the bowels

6. Requirements… Standard enema tube Enema pot Rubber enema catheter Liquid

7. Procedure… Lie down on a hard bed Buttocks should be higher then rest of the body The enema bag with water should be suspended from a nail at a height of 3feet from the body The nozzle should be introduced in the rectum Open the stop cork & allow water to flow inside rectum Ask the patient to walk briskly for 10 minutes and then evacuate

8. Types… According to size According to temperature According to ingredients

9. According to size Large enema (1µ) Small enema (1/2)

10. According to temperature Cold water Neutral water Ice cold water Warm water

11. According to ingredients Water enema Neem water enema Butter milk enema Coffee enema Rectal drug administration

12. Coffee enemas In the controversial Garson therapy, coffee enemas are administered. These enemas are known to have caused three deaths in the United States

13. Rectal drug administration An enema might be used to clean the colon of feces first to help increase the rate of absorption in rectal administration of dissolved drugs

14. Precaution… Air bubbles should be removed Deep breathing should associate the entry of water Proper lubrication should be utilized

15. Indication… Constipation Digestive disorder Diarrhea Obesity Warm infection

16. Contraindication… Bleeding piles Acute inflammation of colon Ulcer Pregnancy Rectum malignancy

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