Colonic Irrigation

 

Colonic irrigation, also called colonic hydrotherapy, is a variant of enema treatment, which involves flushing the bowel with water in different quantities, temperatures and pressures. Through a tube inserted via the rectum, water may be introduced alone or with added enzymes, coffee, or herbs. Treatment sessions usually last about one hour. During a "high colonic," water goes in through one tube in the colon and is removed along with debris through another tube called an obturator.

Colonic irrigation may have been used as early as ancient times in Egypt, China, India and Greece. This practice gained some popularity in 19th century European spas, and it has been used in modern times for general well being and a variety of other conditions.

 

Colonic irrigation is proposed to improve mental outlook, modulate the immune system and eliminate toxic substances. Some practitioners suggest that intestinal flora (bacteria that normally live in the intestine) or waste products can affect the entire body's immune system and may therefore be involved with diseases outside of the gastrointestinal tract. It is proposed but unproven that washing away these flora or waste products may have beneficial effects.

There are numerous anecdotes about the benefits of colonic irrigation, although there is limited published scientific research in this area.

Potential Dangers

Colonic irrigation can potentially cause severe adverse effects and must be carefully administered. People receiving frequent treatments may absorb too much water, leading to electrolyte imbalances in the blood, nausea, vomiting, heart failure, fluid in the lungs, abnormal heart rhythms or coma. Infections have been reported, possibly because of contaminated equipment or as a result of clearing out normal colon bacteria. There is a risk of bowel perforation (breakage of the bowel wall), which is a severe complication. Deaths have been reported.

Colonic irrigation should not be used in people with diverticulitis, ulcerative colitis, Crohn's disease, severe or internal hemorrhoids or tumors in the rectum or colon. It also should not be used soon after bowel surgery (unless directed by your health care provider). Regular treatments should be avoided by people with heart disease or kidney disease (renal insufficiency). Be sure that the equipment used is sterile and that the practitioner is experienced. Colonic irrigation should not be used as the sole treatment (instead of more proven therapies) for severe conditions, and it should not delay consultation with a qualified health care provider for a potentially severe symptom or illness.

Colonic irrigation has been recommended for many conditions. There are numerous anecdotes about successful treatment with colonic irrigation, although effectiveness and safety have not been thoroughly studied scientifically. Because of the potential risks involved, colonic irrigation may not be safe for many individuals.

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