1. You use large-volume enemas instead of store-bought enemas. Large-volume enemas hold far more solution (300 to 600 cc) than paediatric enemas (66 cc) or even adult store-bought enemas (about 130 cc). The larger volume stimulates the colon more aggressively to flush out crusty stool.
2. You use saline solution and (possibly) add at least one stimulant such as glycerine or Castile soap. These liquids draw extra fluid into the colon, stimulating contractions and lubricating stool.
• Tracking is essential. You will not know when those 30 days are up unless you keep track
• Wetting symptoms may worsen before they improve. This can happen because the high volume of enema solution places even more pressure on the bladder nerves — which, of course, are already extremely aggravated from the severe constipation. Once the large-volume enemas start clearing out the clogged rectum, usually within a couple days, the situation will improve.
• Some children feel nauseous when they start large-volume enemas. A few even throw up, this can happen because the colon is, temporarily, stretched even further. The GI tract is all connected, so the stretching down below sends waves upward, causing a more generalized bloating of the bowel. If this happens to your child, offer assurance that the nausea will soon subside