Enema: How to Administer an Enema

Have a bowel movement before doing the enema. If you are unable to have a bowel movement, do a plain water enema first to clear out the bowels.

Add 75-200ml of coffee concentrate* to warm filtered or distilled water. The amount of coffee depends on your sensitivity to coffee. Have 1-1.5 litres of liquid for the enema

Hang the enema kit on a tap or door with a douche bag about 3-4 feet above where your body will be. You could also hang it on a window or door knob using a metal clothes hanger. Do this in the bathroom if possible.

Taking the enema

  • Make sure the valve tap is closed. Pout 1 liter of coffee and water mixture into the douche container
  • Open the tap to clear all air out of the tubing and turn the valve off
  • Place a towel on the floor
  • Lubricate the tip of catheter with Coconut oil or olive oil (Do NOT use vaseline nor petroleum jelly)

Either lie on right side or doggie style depending on what feels most comfortable for you. I prefer to begin lying on my left for insertion, then move to my back and when the douche bag is half empty, I turn to my right and lie in this position till the bag is empty.Everyone is different, so try the positions first and see which one you feel is most comfortable. It make take 5-10 minutes or longer for the enema bag to empty into your colon; you don’t want to have to strain to hold your position.

  • Whichever position you choose, make sure you can reach you anus easily.
  • Insert the tip of the catheter about 2-3 inches, with both legs drawn close to the abdomen and turn the valve on to let the fluid run into the bowel slowly
  • Use the tap to turn off during use if you are cramping or feeling full
  • Retain the fluid as long as you can for up to15 mins for maximum absorption and benefits. Initially you may not be able to hold the fluid for longer than 2-3 minutes.
  • Massage the abdomen in a counter-clockwise manner to coax the liquid deeper into the colon
  • Do this once a day during the detoxand once a week after. The coffee enema is a way to clean out the liver and toxic gallbladder

Finishing off: if little comes out it means that you are dehydrated, drink more water

Wash the enema bag and tube with soap and hot water

Enema Troubleshooting

Certain situations may arise as your colon fills up. There is nothing to worry, they can all be relieved by simple measures.

Leaking : Leaking of enema solution from the anus is usually due to weak muscles in the rectal area. If it is only a small amount leaking, don’t worry, let it come out, you should have towels below you to soak up any leaks. If you think there is too much solution coming out, then stop the flow for 30 seconds, resume flow for 2-3 minutes, then rest and stop flow again 30 seconds. Continue in this manner to allow time for the solution to continue working it’s way deeper into the colon.

If you are lying on your side or your back, then switch to the knees down position. You are less likely to leak when the buttocks is high in the air.

Cramps : If cramps come, take a few deep breaths and relax. You can also try slowing the flow of the solution. If the cramps are more intense and you feel the need to evacuate, then clamp the tube to stop the flow and take a few moments to relax. The cramping will subside, usually in less than a minute, and you will be able to resume.

Pain : If you experience pain during your enema, it is usually because air was taken in with the enema. Clamp the tube to prevent any more solution from flowing in and try to dislodge the air. There are a few different methods to dislodge the air :

  • Breath heavily so that your abdomen moves in and out, this will help any gas in the intestines to move around.
  • Using your hand, press on the area where you are feeling the pain and massage the abdomen in a counter-clockwise direction.
  • As a preventative, be careful when your solution is getting low; you do not want to empty your bag completely as you will risk air entering the colon.

It is recommended to remain in the position for the full 10min to ensure the loosening of the impacted fecal matter

This will be a very difficult task in the beginning; if you make it to 10 minutes in any position you’re doing really well! If it is not possible to hold the solution in for more than a few minutes on your first try, don’t worry, your will be able to increase the maximum holding time with continued use. You do your best.

Assist the movement of water with massage

While you are lying there, massage the abdomen in a counter-clockwise direction to assist the water to flow into the entire colon. Begin in the lower left corner of the abdomen and massage towards the ribcage to move the water up the descending colon. Next, massage across the upper abdomen to moving the water along the transverse colon and then massage down the right side of the abdomen to move the water into the ascending colon and the cecum area.

Evacuate the Enema

When your desired holding time has been reached or you feel a strong urge to evacuate, get up and move to the toilet. The entire enema will not come out in the first evacuation, so stay close to a toilet for the next 30-60 minutes.

After the first evacuation, you can either lay back down and administer more abdominal massage (this time in the opposite direction to assist the flow out of the colon) or you can administer gentle twisting motions at the level of the abdomen to encourage more cleansing until the next urge comes. If you are familiar with the yogic technique naulikriya, doing it at this time will promote further cleansing.

After you are finished evacuating your anus may be tender, apply some more oil to help soothe the area.

After the Enema

Clean up : Clean and sanitize your enema equipment thoroughly. Use hot water to wash the tubing. Use soap and do NOT use any alcohol. Rinse the tubing with hydrogen peroxide to prevent mold. Make sure to hang the bag and tubes to dry. It will take several days to dry completely. Never store your equipment while it is still wet as it may grow mold.

Keep your enema equipment reserved for your personal use only; do not share it with anyone else.

Rest and nourish the body : After you have made your last evacuations, lie down and rest for a while. If you have administered a large enema, you may feel slightly depleted, this feeling will pass if you nourish the body and take it easy for the remainder of the day.

After you have rested, you will probably want to eat something. Keep your meals light for the remainder of the day. Eat simple, nourishing foods such as raw and living foods, dhal, and steamed vegetables.

Questions and Considerations

How often should you use an enema?

The recommended frequency or enemas depends on what you are trying to achieve.

It is better to exercise moderately and only administer daily enemas in the case of severe illnesses.

Daily enemas can be beneficial in the treatment of many chronic conditions, but do not attempt daily enemas for prolonged periods unless you are monitored by a knowledgeable health practitioner. Large enemas taken daily may upset the balance in the colon.

Can enemas weaken the colon?

It is often claimed that repeated use of large enemas can weaken the colon. But the opposite is true. The frequent use of small volume enemas (1-2 cups) to induce bowel movement can cause dependency and may even distend the rectum and sigmoid areas of the colon. High volume enemas which fill the entire colon, actually strengthen and tone the muscles of the colon, and with repeated use will increase peristalsis, reducing the transit time of feces in the colon.

Are enemas safe?

Yes, enemas are very safe and provide wonderful health benefits. Complications are very rare in healthy adults. Use your equipment properly and within reasonable limits and you should have no problems. Read the precautions below to make sure you have no contraindications for enema therapy.


  • enema usage can result in dehydration, be sure to drink a lot of fluids the day you do your enema and replenish your electrolytes if you are using enemas on a regular basis.

Do not administer enemas if :

  • you have undiagnosed abdominal pain
  • you have tumors or a perforation in the rectum or colon
  • there has been recent surgery to your colon or rectum
  • you suffer from acute flare up of Crohn’s disease, colitis, or diverticulitis
  • you have a history of heart attacks, irregular heartbeat or renal failure
  • you are less than 7 months pregnant (after 7 months check with your doctor before administering an enema)
  • you suffer from a severe illness which causes weakness

10 Reasons on Why You Should Try A Coffee Enema:

  • Reduces levels of toxicity by up to 600%.
  • Cleans and heals the colon, improving peristalis.
  • Increases energy levels, improves mental clarity and mood.
  • Helps with depression, bad moods, sluggishness.
  • Helps eliminate parasites and candida.
  • Improves digestion, bile flow, eases bloating.
  • Detoxifies the liver and helps repair the liver.
  • Can help heal chronic health conditions (along with following a mainly raw plant based diet).
  • Helps ease “die-off” or detox reactions during periods of fasting or juice fasting, cleansing or healing.
  • Used regularly in the Gerson Institute treatment protocol for healing cancer patients naturally

Even if you’re sensitive to caffeine, it won’t affect you taking your coffee this way. (Definitely do not attempt to use decaf coffee though, you won’t get the benefits.) By taking it orally, the coffee goes through your digestive system and stomach acids, which nullify any benefits you get if you took your coffee via the entero-hepatic vein to the liver!

Difference between water and coffee enemas. Water enemas are used to empty the colon whereas the coffee enema is primarily used to detoxify the liver and thus very helpful in speeding up the detox process.

Dr. Gerson recommends the daily use of coffee enemas in the Gerson protocol for cancer..

The palmitic acidin coffee activates a key enzyme system Glutathione S-transferase that is responsible for detoxifying the liver and neutralizing free radicals, the harmful chemicals commonly implicated in the initiation of cancer.

How does the palmitic acid get to the liver?

There is a duct between the sigmoid colon and the liver called the entero-hepatic circulation system. When the stool reaches this point, it contains many toxins, which are sent to the liver for detoxification. The coffee enema will increase the transit time in the bowel. The caffeine that is absorbed into the entero-hepatic system causes the liver ducts, including the bile ducts, to empty into the sigmoid colon and be eliminated. Releasing the toxins in the liver ducts, makes room for toxins from the body to enter the liver for detoxification. The alkaloidsin the caffeine stimulate the production of glutathione-S-transferase, which is an enzyme that facilitates the liver detoxification pathways.

Coffee enemas will not waste minerals and electrolytes because they have already been absorbed in the previous sections of the intestines. The coffee enema is safe even for people who are sensitive to caffeine because the coffee remains in the sigmoid colon, where it will not be absorbed, provided the proper amount is used and the enema bag is not place too high.

How to make coffee concentrate

Use the special coffee that is called gold roast for maximum effect. Used at the Gerson Institute. The coffee liquid is a cloudy liquid and does not resemble the black coffee we are used to. This enema coffee is available at SOL

Enough for 1 enema

  • Place 1/2. – 1 tablespoon of coffee to 1 cup water. When you first start to do enemas, use less coffee in case you are sensitive to it.
  • Place in coffee maker
  • Add room temperature water to cool before use. Total 1 liter to 1.5 liter depending on your weight

Enough for 8 enemas

  • Boil 2 liters of purified water and add 300 gms of Organic ground enema coffee
  • Simmer for 1/2 hour
  • Cool and strain
  • Store in glass bottle in fridge
  • Use between75-200 ml coffee concentrate to 1 liter of water. Start with lower concentration and increase gradually to 125 ml

Enjoy your coffee the other way and start your healing journey today!