Normal life looks a lot different these days, especially in healthcare. But there is one thing that hasn’t changed at Children’s Colorado: Your child’s health and safety are our highest priority. Kids need great pediatric care as much now as ever, and it’s for that reason that we’re reactivating services we temporarily suspended due to the pandemic. We are here to deliver safe, thoughtful, high-quality care for kids who need it. Learn what to expect – and all the ways we’re keeping patients safe.
If you're concerned that you or your child may have been exposed to COVID-19, please do NOT visit an emergency or urgent care location. Instead, call your doctor or our free ParentSmart Healthline at 720-777-0123 for guidance.
In life-threatening emergencies, find the emergency room location nearest you. For non-life-threatening medical needs when your pediatrician is unavailable, visit one of our urgent care locations.
To help inform you about the latest coronavirus (COVID-19) updates, experts from Children's Colorado have gathered information from local and national health authorities.
Enemas are sometimes a necessary daily treatment for children with colorectal conditions such as anorectal malformations, constipation and encopresis. The experts at the International Center for Colorectal and Urogenital Care may recommend daily enemas for your child at home during a short amount of time to clear impacted stool from the bowel or for the daily treatment of fecal incontinence. If at-home enemas are a good option for your child, your child's care team will show you how to properly give your child enemas.
Watch this video to learn more about how to give your child an enema at home.
Ingredients to use for a home enema solution
We prefer normal saline enemas, which can be mixed at home. The doctor will give you specific guidelines for your child's enema. Sometimes it is necessary to add glycerin, castile soap or phosphate to the enema solution to produce a satisfactory bowel movement.
Recipe to make normal saline enema:
Dissolve 1 teaspoon of table salt in 1 liter (1000 cc or ml) of water to make the correct concentration of saline.
Take the recommended amount of saline prescribed by your doctor and mix in the recommended ingredients.
You will deliver the enema through a soft silicon tube (known as a Foley catheter), which you can easily insert into your child's rectum. This tube is approximately 4 inches long.
Your child's doctor will tell you how much fluid to deliver when you give the enema to your child as well as the amount of any other ingredient needed.
How to give a child an enema
To deliver an enema, place your child on their side or stomach with their knees pulled up under their chest with their bottom in the air. These two positions are most effective for giving enemas because they allow the fluid to be instilled easily into the colon by taking advantage of gravity.
Once you insert the catheter, inflate the balloon at the end of the catheter. Use 20 to 25 cc (ml) of water to inflate the balloon once the catheter is in the rectum. This forms a "plug" and prevents the enema fluid from leaking out of your child's bottom. Once you have given the fluid, your child should remain in the "enema position" for five to ten minutes. This can be difficult for young child but keeping the child in this position will help to keep the interaction between the fluid and stool as long as possible. Use a timer so the enema's retention time is constant every day.
After five to ten minutes of enema retention, have your child sit on the toilet for about 45 minutes to allow the bowel to empty completely. This experience can be made more pleasant by having books, art supplies or videos available. If your child is in diapers, you can simply put a diaper on your child and wait for the recommended 45 minutes.
When to give a child an enema
Enemas should be given at about the same time each day when used for fecal incontinence treatment. This will help your child stay free of stool accidents.
Things to watch out for when giving an enema
It is important that your child is hydrated before they receive an enema. Being hydrated means your child has had the amount of liquids recommended by their doctor.
Infusing the solution too fast may cause dizziness.
If your child has not had a bowel movement after one hour of the enema infusion, you can reinsert the Foley catheter to drain the enema fluid. Let your doctor know your child did not have a bowel movement after one hour.
If an enema has been working and suddenly your child starts to have stool accidents, please tell your child's doctor because the bowel management may need to be adjusted.
How to schedule an enema training
Every month we dedicate one week for bowel management to determine the amount of laxatives that your child may need to empty their colon on a daily basis. We also determine the specific enema that you should give to a child with fecal incontinence once a day to help keep them clean.
Call our office at 720-777-9880 to find out when the next sessions are scheduled to happen.
Children's Hospital Colorado partners with NRC Health to gather star ratings and reviews from patients, residents and family survey data.
This provider either practices in a department or specialty that we currently do not survey, or does not have at least 20 ratings in the last 12 months. Learn more about patient ratings and reviews.
Provider affiliation
Children's Hospital Colorado providers
Children’s Hospital Colorado providers are faculty members of the University of Colorado School of Medicine. Our specialists are nationally ranked and globally recognized for delivering the best possible care in pediatrics.
Community providers
Some healthcare professionals listed on our website have medical privileges to practice at Children’s Hospital Colorado, but they are community providers. They schedule and bill separately for their services, and are not employees of the Hospital.