Have a look at home-made enema formulas

What follows is a very limited excerpt (1 out of 25 pages) from Chapter 3 of the Clean Kid Manual, 6th Edition to be published in the Fall of 2015. This section will help out purchasers of prior editions to benefit from the much more specific information on rectal agents included in the new edition. (DrC).



This chapter will deal with the procedures for implementing the Soiling Solutions® protocol. It is divided into a section of cleaning out your child’s colon as preparation for the actual treatment process which features the treatment or Power Hour. The Power Hour features a one hour training period for complete emptying so that the child will be continent for the 23 hour period before the next treatment hour. CAUTION: However logical and formulaic this chapter may appear, your children will vary greatly in terms of how they respond to the procedures and substances set forth below.


Home Mixed Enema Formulas

Home mixed enema solutions should always start with a base mixture of 1.5 tsp. (teaspoons, NOT tbsp. or tablespoons) of ordinary table salt thoroughly dissolved into 1000 ml. of ordinary tap water.  A quart is very close to 950 ml. This makes the solution isomolar or body fluid neutral, that is, the same concentration in and outside of the colon. This will have a very gentle, least irritating action on the colon helping to mix and wash out stool. This base solution may be capped and stored at room temperature for later use at room temperature or prewarmed close to body temperature of 100 degrees Fahrenheit at administration.WARNING: Never use plain water enemas! They would be hypomolar which would draw out the enema water from the colon into the more concentrated surrounding body fluids. This would be dangerous and potentially deadly. Incidentally, drinking too much water could have similar results. These are likely rare events, but they should nevertheless be avoided.

If the plain saline (NaCl) solution does not trigger good, timely bowel movements then you may add certain substances to the base solution (never to plain water) in measured amounts to produce a complete evacuation. Here are some formulations in an order of preference taken from the much published work of Marc Levitt, MD, now at the Nationwide Children’s Hospital in Columbus, OH (www.ncbi.nlm.nih.gov/pmc/articles/PMC2777229/)

You may add 5-40 ml. of glycerin to 1000 ml. of the base saline solution. Adjust dosage as that appears to be necessary for a timelier and complete bowel movement. Glycerin can be bought in bulk at almost any pharmacy. Ask the pharmacist if you cannot locate it on the shelf.

Castile® soap may be added. Applicare® makes packets of Castile® soap at 9 ml. liquid content each and you could use 1-3 packets in the 1000 ml. base saline solution.

The Fleet® saline sodium phosphate solution may be added to the base solution to strengthen a voiding response. For children 10 years and under use the child Fleet® enema.  Use the adult-size Fleet® for children over 10 years of age. The limitation of no more than one Fleet® enema bottle per day still applies.

Never add more than one of the above added solutions to your base saline solution. If you have continuing contractions or accidents you may have to do a “rinse-out” enema with the base saline solution to remove any lingering added irritant.