Douching and internal cleansing

‘Douching’ (or an enema) refers to a powerful jet of water or medicated solution used to clear the anus of faeces. Also known as internal cleansing, douching is not a recommended practice as it can lead to damage of the rectum, which increases the risk of contracting an STI or BBV. For this reason, other activities such as colonic irrigation are also not recommended. However, some people continue to practice regular douching, and the following information will help reduce the harms associated with this practice.

Firstly, choose an appropriate douching tool. An enema kit (bag or bottle, hose and nozzle) or a bulb syringe can be purchased at most pharmacies. Secondly, read the instructions carefully, and if there are no instructions follow these basic tips:


Use your bowels as normal before douching.
The water should be warm or tepid only. Hot water is unnecessary, uncomfortable and may even burn the rectal lining if too hot.
Let the water flow out of the nozzle first before inserting it to remove air from the hose (inserting air can cause cramps and pain).
Lubricate the nozzle.
Insert the nozzle a few centimetres into your rectum.
Allow the water to gently flow in from an enema bag for 7-10 seconds at a time.
Deep relaxed breaths will help the water flow into you.
Don’t insert any more water than you feel comfortable holding.
Hold the water for as long as you feel comfortable, then evacuate into the toilet.
If you are using a small capacity bulb, you may want to take in several batches of water before evacuating.
A shower diverter is not recommended as the water pressure is harder to control and can be potentially very dangerous. If you choose to use this system, be aware that you have less control over the water volume and pressure. Ensure that no other water source is being used in the house while you are douching as it could affect the water temperature and pressure.

Don’t add extra solutions to the water such as soaps, salt, olive oil, vegetable oil or mineral oil. These products can cause anal irritation and interfere with the body's natural digestive function. Don’t douche with alcohol solutions as it can be absorbed through the rectal lining and be absorbed into your blood, leading to the possibility of intoxication.