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Now that it's assembled, it's time for your first enema. Make sure you have a couple hours of free time, as you'll want to relax and enjoy the experience, and it won't be any fun if you're rushing. Turn on the sink, and let it warm up. While the sink is running, spread a large towel out on the floor. When the sink has warmed up, adjust it to about 103 degrees, where it will feel hot on your wrist, but not too hot, burning, tingling, etc. Make sure the shutoff clamp on the tubing is turned off, which for the most common type of clamp, you do by squeezing it inwards until it clicks tight. If you have an open-top bag, stick the bag with attached tubing under the faucet, and fill it up through the top of the bag. If you have a closed-top bag, fill it up through the threaded opening on the bottom, then screw the hose adapter into the opening once it is full. Hold the bag upright, aim the nozzle into the sink, then open the shut-off clamp to let the air out of the hose. As soon as air-free water starts coming out, shut the clamp again. Hang the bag from the towel rack, shower door, or any other point about 3-4 feet off the floor, with the hose running over to the towel you spread out.
Get out the lube, and put a good glob on your finger. Rub it slowly onto your anus, relaxing as much as possible. After relaxing a bit, slowly work the tip of your finger further in, until you've lubed your entire anus. Apply a bit more lube to the nozzle itself, then carefully insert the nozzle into your anus. If it doesn't just slide in easily, get more lube on your finger, and work it into your anus more. After inserting the nozzle, wash your hands, then lie down on the towel. The "official" enema procedure is to start on your left side, roll to your right side halfway through, then roll again a couple more times, but this really doesn't increase the effectiveness much, so just lie down however is comfortable to you... on your right side, left side, on your back, or however else you want to.
After making yourself comfortable, relax a minute, feel the nozzle in your anus (if you used vaseline, you may need to hold it in with your hand, or it will slowly slide out), then reach down and open the shutoff clamp. You'll feel a quick bit of cool water (it cooled down in the hose while getting ready), followed by a gentle warmth. Relax and feel the warm water flowing into your body... if you feel any pressure, enough that it becomes uncomfortable, reduce the flow (partially shut the clamp) or stop the flow until it passes. Depending on your body, it may take from a minute to ten minutes to get the whole bag in, so just be sure to go slowly and relax as much as possible. Once the bag is empty, close the shutoff clamp, and carefully remove the nozzle from your anus.
The longer an enema is in you, the better it works, with 15 minutes being almost universally cited as the best time to retain an enema. You don't have to hold it the full 15 minutes, of course, but it is suggested. Gently massage your stomach, and feel its new shape. Stand up and look in the mirror. Or just curl up and enjoy the new sensation in your body. When you're done, move over to the toilet, and let your body completely empty itself... depending on your body, it might be quick, or it might be several shorter periods on the toilet over the next hour or so.
After you're all done (and given yourself a second or third enema if you want!), it's time to clean up. If you have an open-top bag, fill it back up with water, rinse it out, and open the shutoff clamp to let clean water run through the hose as well. If you have a closed-top bag, unscrew the adapter from the bag, rinse the bag out, then coil the tubing up in the sink, open the clamp, and let clean water from the sink flow through the hose. Wash the nozzle off with a mild soap if you used vaseline. Hang the bag upside down to air dry, and you're all done!
If you're giving an enema to someone else, the procedure is the same, but communication is key. Until you know your partner's body really well, you'll need to depend on hir to tell you what to do. Knowing when to start working lube and your finger further into your partner's anus, when to slow down the flow, etc takes experience, which you won't have the first time you give an enema, so you'll need to ask questions and listen to know what to do. However, giving someone an enema, or having one given to you, can be a very rewarding experience, so it's well worth the little bit of extra time to make sure it's done right!
Some enemas and results:
Bisacodyl is extremely effective at producing urgency, more effective than most other solutions, and much more effective than any other solution that's gentle and non-irritating. A high dose virtually gaurantees an accident. And when bisacodyl starts working, it won't stop until it's all out of your body. The effect of a given strength varries widely between people - some may find 25mg in 2qts produces a quick but gentle accident, while others might find 125mg does the same for them. The size for given effects also varies a lot between people, especially what constitutes "very large" and makes the effects last instead of bisacodyl's normal lack of side-effects. A patent on bisacodyl enemas for colon clensing suggests up to 45mg in up to 3 quarts of water, however they also include 20cc of soap, which makes the bisacodyl more effective, but also causes cramping and long-lasting irritation, while a large dose of bisacodyl with no soap is just as effective without the bad side-effects. Until you know just how a given dose of bisacodyl affects you or your partner, start with an average dose, rather than jumping right in with a large dose. Furthermore, if the recipient has had other enemas recently, the dose usually needs to be increased to get the same effects, as the more that's in your colon, the better bisacodyl works.
Bisacodyl, in high doses, is very difficult to retain, and will often cause accidents. A butt plug or plug-shaped nozzle will help, but over 75-100mg or so, won't stop the accident for any significant duration. An inflatable nozzle, however, will. A good inflatable nozzle (the type that prevents the recipient from leaking a drop even if they try) combined with a good dose of bisacodyl produces a rather unique effect, where every muscle in your body is trying to force the enema out, but can't - not for everyone, but something well worth trying. If the recipient gets off on a bit of bondage, or if you need a good punishment, this is not to be missed.
Bisacodyl also combines very well with other solutions. A bit of soap increases the speed and power of the bisacodyl. With most other mixtures, the bisacodyl amplifies the effects of the other ingredients, or can add some urgency to an otherwise mild solution.
Unfortunately, bisacodyl is hard to get in enema-ready form. The only available forms for rectal administration are 10mg suppositories, which do not dissolve in water (but can be quite fun on their own), and little 1.25oz enemas with 10mg of bisacodyl, which are very easy to use (just dump five into your enema bag for 50mg), but very expensive. By far the cheapest source if bisacodyl available at most stores is 5mg laxative tablets, which can be found at virtually every drug store, supermarket, pharmacy, big-box store, some gas stations, etc, etc, etc. Correctol, dulcolax, fleet, and thousands of store brands have these 5mg tablets, which are almost invariably small and orange or larger and red/pink. The smaller ones dissolve better, but the large ones will work too. Put the tablets in a cup or small bottle (5 for 25mg, 10 for 50mg, etc), add a tablespoon of baking soda (not powder), a few ounces of hot water (as hot as your sink has), and shake the container around every few minutes. Without the baking soda, the delayed-release coating on the tablets will not dissolve well, nor will it in cool water. Depending on the brand of tablets, in 5-30 minutes you should be left with orange/pink water with a fine powder at the bottom. Since the powder settles out, for open-top bags, you should dump it in just before starting the enema, and for closed-top bags, you should shake the bag well just before starting. It's also suggested the recipient have their butt elevated as much as possible, usually by kneeling with their rear in the air and their chest on the bed/floor/etc, to ensure an enema distribution of the powder throughout their colon.
When used in a 1-2qt enema, a good dose of bisacodyl will completely clean the colon, taking 10-60 minutes to flush the last remains of the enema out, after which it won't have any further effects. When a larger enema is used, it may produce liquid for several hours - so if you're planning on further anal activities, don't make it too big. Bisacodyl (other than small, strong enemas) tends to leave the anus relaxed, unirritated, and the rectum lined with smooth slipperly clear mucus - perfect for anal sex, as long as you wait long enough to make sure there's not going to be more laxative effects. So, whether it's a guy, a girl with a strapon (the best invention EVAR, btw!), or just a dildo, wait a couple hours then see how much fun you can have.
Nozzles come in a huge assortment of types, materials, sizes, and functions. While a standard drugstore enema bag is all most people will ever want, just about every enema fan starts collecting a variety of nozzles sooner or later.
The standard plastic nozzle included with most enema kits is usually poorly made, and even when the fit-and-finish is good, the shape makes the nozzle slide out, is usually too small to rapidly administer an enema, and does nothing to help hold an enema in. While they certainly have their uses, they can be improved upon.
The most common shape is like a small butt plug, having a tapered head with a narrower shaft. Unlike a smooth nozzle which has to be held in, this design holds itself in - once the head is inserted (use lube!), the anus holds the nozzle in for you. Depending on the size, which can range from the diameter of your pinky to a couple inches across, they also serve to help retain the enema, just like a butt plug would. For larger sizes, just like inserting any other object into someone's butt, be sure to go slow and use lots of lube!
Infinite variations on this design are available, such as a bulbous head instead of a tapered one, multiple bulbs on the shaft, stimulating ripples, ridges, and other fun features. The best way to shop for a nozzle is to look at what's out there, and see what looks exciting, keeping in mind the intended use. A nozzle that's relatively smooth won't be good for retaining an enema, while one that has big bulbs won't be good for thrusting in and out like a dildo while administering or holding the enema. Be wary - your eyes can be bigger than your anus - realisticly assess what you can take (measure the diameter of your favorite dildo, for example), and make sure not to get a nozzle you won't be able to fit in!
Cheaper nozzles of this variety are injection molded of inexpensive plastic, while fancier ones are turned on a lathe, and are available in a huge range of materials, the most common being delrin (a very tough plastic, usually either black or white) and aluminum. Aluminum has a much more substantial feel than plastic, and transfers heat exceptionally well, allowing you to feel the warmth or coolness evenly spread throughout your anus.
Another type of nozzle of this shape, a smooth shaft with a few ripples and a plug-like head, are nozzles sold for administering barium enemas. Due to their mass-market nature, they're much easier to find and cheaper than fetish-specific nozzles, often only a few dollars. They're quite high quality nozzles (especially the green flexible one, imho), but are only available in smaller sizes. For someone just getting into enemas, I would highly suggest purchasing one of these, before buying an expensive lathe-turned nozzle - for many people they'll be ideal, and the price is unbeatable.
Of course, with any standard nozzle, since it fit in, it can easily fit back out. For most uses this isn't a problem, but if you want to be able to truely relax your anus and body, take an enema while performing other activities, or force yourself or someone else to hold a strong solution without risk of any leaks, you'll want an inflatable retention nozzle. These are constructed of a flexible or stretchable material, typically latex or silicone rubber, which are inserted small, then inflated large, using a squeeze bulb like you'd find on a blood pressure cuff.
The first design, and least useful, are hospital catheters of various types. Deflated, they're very narrow, then the tip can be inflated to an inch or so depending on model. They don't seal well, tend to slip inwards, and don't accomplish very much.
Much more useful are double balloon nozzles, which have both an inner and an outer balloon, and typically inflate much larger than repurposed catheters. The cadillac of enema nozzles, these can seal someone completely tight, making sure not a drop is leaked no matter what solution is used or what activity you're doing, or even how much someone wants to push it out. The nozzle is inserted, then the inner balloon is inflated, filling the rectum. Next, the outer balloon is inflated outside your body, sandwiching the anus between the two balloons, and ensuring a perfect seal. While these enema nozzles may be the best you can get, the downsides are the complexity of use (completely overkill for most enemas), and the price, usually $150-$200 - but for some uses, there's no replacement.
Almost as effective as double balloon nozzles are inflatable butt plug nozzles. These have gotten really cheap, and can be had for $35. Made of latex rubber, they're shaped like a medium-sized butt plug, with two hoses out the bottom, a thick one for fluid, and a thin one for the squeeze bulb. Since they start out reasonably large, the recipient will need to relax and prepare as for anal sex or any other large object, and use lots of lube. Once inserted, the nozzle inflates to the size of a jumbo butt plug, and can't easily be removed. Due to their low cost and effectiveness, I highly recommend purchasing one of these as your first inflatable nozzle. Keep in mind that being latex, you shouldn't use vaseline, even though it's otherwise an ideal lube for large nozzles.
Another cheap and mildly effective nozzle is a disposable silicone one meant for helping people retain barium enemas. Made of a rubber body with an attached silicone sleeve at the end, the sleeve is inflated, holding the nozzle in reasonably securely. These can be had for $10-ish, and while they're meant to be disposable, they'll last several years with good care.
An alternative to a nozzle is a colon tube, which, with lots of lube, can be inserted into the rectum, then carefully manipulated until it passes further into the colon, filling you from the middle. These are sold in french sizes, and you'll want to look at a chart before buying one. Make sure to get one of springy, flexible latex or silicone, not hard rubber. Make sure it has no sharp edges, molding flaws, burs, or anything else. Cover it with a good, thick lube, and squirt some lube into your anus as well. Twisting and aiming it, very, very gently push it further into your colon. Do NOT push, shove, or in any other way be rough, or you're asking to end up in the hospital - unlike the tough anus and reasonably hardy rectum, the colon walls are thin and delicate.
A closed-top bag can double as a hot water bottle (giving you a very good excuse if someone notices it and gets nosey), can easily be moved around without risk of spillage, can be squeeze by hand or by your body weight to increase the flow, and can easily be shaken to mix up ingredients. The downside is the difficulty filling it, and the need to detach the hose to refill it, making a refill take longer, and preventing refilling it or adding anything while giving the enema.
An open-top bag can't be used as a hot water bottle, is easy to spill, and so forth, but can be refilled, can have more solution added while administering the enema, is easier to clean, and can be hung under the shower head for a high-volume water enema or douche.
Travel bags mostly come as open-top bags, but made of thin latex instead of heavy rubber, which can be folded up and placed in a small pouch, then can be unfolded and filled for use, often explanding as the weight of the water stretches the latex. Another variety takes this further, where the bag is inflated like a balloon, shrinking to an even more compact size when done. The first variety is just like any other open-top bag, and is recommended for anyone who wants to keep enema equipment with them on the go, as it easily fits in the bottom of a purse, suitcase, etc. The second variety does not work very well, can not be used with any solution other than plain water, and can't be filled from at least half the sinks out there, so I would not recommended it at all.
Beyond the standard 2qt bags are specialized bags, usually for larger or multiple enemas. 3qt ones can be found at some drugstores, but are not common. Larger bags can be purchased from fetish stores, with 1 gallon being the most common size, often available in high-quality silicone. Some stores sell even larger bags, up to 2.5 gallons, intended for multiple enemas in a session without needing to refill or prepare more solution. Specialty bags are available in a variety of colors and shapes, including ones shaped like a female torso, pieces of fruit, etc.
Another ypte, which has recently made a comeback, is intended to be sat upon, with a nozzle sticking out the side, which becomes the top when the bag is on its side. When you sit on the bag your weight compresses the bag, forcing the water upwards. While fun, and able to be used in places where there's nothing to hang a bag from, they're not very versitile, and are quite expensive.
Clamps are available in a few styles. The most common is the stock ones with most enema kits, which have some ratchet teeth and a flexible plastic body, letting you restrict the flow to an of the clicks. Another type uses a rotating lever, which is more durable and doesn't pinch the flow at all when open, but can't be set to a partial setting. A third type uses a wheel that can be rotated and slid in a slanted groove, linearly adjusting the flow.
Y-fittings and couplers allow multiple hoses to be connected, with a coupler joining two for length, and a Y connecting two bags to one person or one bag to two people.
A syringe is used like a bulb, but since it has a plunger, seals, etc, can be used in any position.
Of course, just because you can take larger, doesn't mean it's right for whatever you're doing. A larger enema takes longer to expel and increases the chances of a later accident. 2 quarts produces a good cleaning with minimal after-effects. For preparing for anal sex, 1 quart is a lot quicker. For absorbing a small retention enema, a few ounces is plenty. That said, sometimes the extra bit of fullness is exactly what you want... the largest I've taken is 6 quarts, and I'll state it's quite an experience.
Lying on your back with your knees up can be very comfortable, and lets the water fill your body evenly, with no extra pressure on any part of your colon.
The "knee-chest" position is kneeling down with your head against the floor, like you'd use for worshipping, doggy-style sex, etc, and is the best for letting an enema flow into you, as it runs downhill. This is also the best position for any enema with suspended particles, such as pepper, dissolved bisacodyl tablets, etc, as it ensures an even distribution throughout your colon, rather than concentrating in your rectum.
Standing up or leaning against a wall, counter, etc isn't best for getting an enema in, but many people find it's the best position for taking a really large enema.
Lying on your back in the bathtub with your feet against the opposite end works quite well, especially in a hot shower (keeps the tub from being cold!), and you don't have to worry about leaks. If you're already clean, you can expel the enema in this position too.
While the above are the most common, they're certainly not all there are - any position you can put your body into is a position for taking an enema!
Another position, if you could call it that, is while exercising, with sit-ups, pushups, jumping jacks, and jogging in place (or on a treadmill) quite satisfying, especially with a reasonably strong enema solution. Not only do you get your morning's exercise, but the movement helps work the solution around your body, leaving you extra-clean, and makes it a lot more interesting to try retaining, too! Also highly suggested if you wake up not in the mood to exercise, as it makes even the most tired of mornings fun...