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{{Use dmy dates|date=October 2016}}
{{Use British English|date=October 2016}}
|[[File:Rectal caption =bulb syringe.jpg|thumb|250px|Rectal bulb syringe to administer smaller enemas.]]
{{Infobox medical intervention
| name = Enema
| synonyms = Clyster
| image = Rectal bulb syringe.jpg
| caption = Rectal bulb syringe to administer smaller enemas
| pronounce = {{IPAc-en|ˈ|ɛ|n|əm|ə}}
| alt =
| ICD10 =
| ICD9 =
| ICD9unlinked =
| MeshID =
| LOINC =
| other_codes =
| MedlinePlus =
| eMedicine =
}}
 
An '''enema''', also known as a '''clyster''', is an injection of fluid into the [[Large intestine|lower bowel]] by way of the [[rectum]].<ref name=Cullingworth_introduction>Cullingworth, ''A Manual of Nursing, Medical and Surgical'':155</ref> The word enema can also refer to the liquid injected,<ref name=Merriam-Webster_Enema>{{cite web |url=https://www.merriam-webster.com/dictionary/enema |title=enema noun |work=[[Webster's Dictionary#Noah Webster's American Dictionary of the English Language|Noah Webster's American Dictionary of the English Language]] |publisher=[[Merriam-Webster]] |access-date=2019-04-15 }}</ref><ref name=Free_Dictionary_Enema>{{cite web |url=https://www.thefreedictionary.com/Enema |title=Enema|work=The Free Dictionary |publisher=[[TheFreeDictionary.com]] |access-date=2019-04-15 }}</ref> as well as to a device for administering such an injection.<ref>{{cite web |url=https://www.dictionary.com/browse/enema |title=enema |work=[[Dictionary.com]] |publisher=s[[Ask.com]] |access-date=2019-04-15 }}</ref>
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''In alphabetical order''
 
* [[Peanut oil|Arachis oil (peanut oil)]] enema is useful for softening stools which are impacted higher than the rectum.<ref name="NHS_Laxativives">{{cite web |url=http://www.nhsgrampian.org/nhsgrampian/GJF_general_new.jsp;jsessionid=9D853EB1A4631954DC26F785F611F2B1?pContentID=4659&p_applic=CCC&pElementID=522&pMenuID=7&p_service=Content.show& |title=NHS Grampian Medicines Management – Laxatives |date=2011 |work=NHS Grampian Campaign |publisher=National Health Service |access-date=4 March 2019 }}{{Dead link|date=July 2023 |bot=InternetArchiveBot |fix-attempted=yes }}</ref>
* [[Bisacodyl]] stimulates [[enteric nervous system|enteric nerves]] to cause colonic contractions.<ref>{{cite book |doi=10.1002/14356007.a15_183 |chapter=Laxatives |title=Ullmann's Encyclopedia of Industrial Chemistry |year=2000 |last1=Engelhorn |first1=Robert |last2=Seeger |first2=Ernst |last3=Zwaving |first3=Jan H. |isbn=3527306730 }}</ref><ref>{{cite web |url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=324e61eb-8f6b-48d7-85c2-b1b5642691c9 |title=Label: FLEET- bisacodyl enema |access-date=3 March 2019}}</ref>
 
* [[Dantron]] is a stimulant drug and stool softener<ref>{{cite book |doi=10.1016/B978-1-4377-1015-1.00018-7 |chapter=Constipation during active cancer therapy |title=Supportive Oncology |year=2011 |last1=Sykes |first1=Nigel P. |pages=177–186 |isbn=9781437710151 }}</ref> used alone or in combinations in enemas.<ref>{{cite web |url=https://www.whocc.no/atc_ddd_index/?code=A06AG&showdescription=yes |title=A06AG Enemas |date=13 December 2018 |work=WHO Collaborating Centre for Drug Statistics Methodology |publisher=World Health Organization |access-date=3 March 2019}}</ref> Considered to be a [[carcinogen]]<ref>{{cite web |url=https://ntp.niehs.nih.gov/pubhealth/roc/listings/index.html?substance=Danthron |title=Report on Carcinogens, Fourteenth Edition |date=November 2016 |work=Report on Carcinogens |publisher=National Toxicology Program, Department of Health and Human Services (HHS) |access-date=3 March 2019}}</ref> its use is limited, e.g., restricted in the [[United Kingdom|UK]] to patients who already have a diagnosis of terminal cancer and not used at all in the [[United States|USA]].
[[Bisacodyl]] stimulates [[enteric nervous system|enteric nerves]] to cause colonic contractions.<ref>{{cite book |doi=10.1002/14356007.a15_183 |chapter=Laxatives |title=Ullmann's Encyclopedia of Industrial Chemistry |year=2000 |last1=Engelhorn |first1=Robert |last2=Seeger |first2=Ernst |last3=Zwaving |first3=Jan H. |isbn=3527306730 }}</ref><ref>{{cite web |url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=324e61eb-8f6b-48d7-85c2-b1b5642691c9 |title=Label: FLEET- bisacodyl enema |access-date=3 March 2019}}</ref>
* [[Docusate#Constipation|Docusate]]<ref>{{cite web |url=https://www.nursingtimes.net/clinical-archive/medicine-management/docusate-sodium-18-12-2004/ |title=Docusate sodium|date=18 December 2004}}</ref><ref>{{Cite web |url=https://www.drugs.com/cdi/colace-microenema.html|title=Colace Microenema: Indications, Side Effects, Warnings|website=Drugs.com}}</ref>
 
* Glycerol has a hyperosmotic effect and can be used as a small-volume (2–10&nbsp;ml) enema (or suppository).<ref name= "Glycerol" />
[[Dantron]] is a stimulant drug and stool softener<ref>{{cite book |doi=10.1016/B978-1-4377-1015-1.00018-7 |chapter=Constipation during active cancer therapy |title=Supportive Oncology |year=2011 |last1=Sykes |first1=Nigel P. |pages=177–186 |isbn=9781437710151 }}</ref> used alone or in combinations in enemas.<ref>{{cite web |url=https://www.whocc.no/atc_ddd_index/?code=A06AG&showdescription=yes |title=A06AG Enemas |date=13 December 2018 |work=WHO Collaborating Centre for Drug Statistics Methodology |publisher=World Health Organization |access-date=3 March 2019}}</ref> Considered to be a [[carcinogen]]<ref>{{cite web |url=https://ntp.niehs.nih.gov/pubhealth/roc/listings/index.html?substance=Danthron |title=Report on Carcinogens, Fourteenth Edition |date=November 2016 |work=Report on Carcinogens |publisher=National Toxicology Program, Department of Health and Human Services (HHS) |access-date=3 March 2019}}</ref> its use is limited, e.g., restricted in the [[United Kingdom|UK]] to patients who already have a diagnosis of terminal cancer and not used at all in the [[United States|USA]].
* [[Mineral oil]] is used as a lubricant because most of the ingested material is excreted in the stool rather than being absorbed by the body.<ref name="food">{{Cite web |title=206. Food-grade mineral oil (FAO Nutrition Meetings Report Series 48a) |url=https://inchem.org/documents/jecfa/jecmono/v48aje08.htm |archive-url=https://web.archive.org/web/20070806023007/http://inchem.org/documents/jecfa/jecmono/v48aje08.htm|url-status=dead|archive-date=6 August 2007 |website=inchem.org}}</ref>
 
* [[Sodium phosphates#Uses|Sodium phosphate]].<ref>{{cite web |url=https://www.drugs.com/cdi/sodium-phosphates-enema.html |title=Sodium Phosphates Enema |access-date=3 March 2019}}</ref><ref>{{cite web |url=https://medlineplus.gov/druginfo/meds/a614018.html |title=Sodium Phosphate Rectal |access-date=3 March 2019}}</ref> Also known by the brand name Fleet. Available at drugstores; usually self-administered. [[buffer solution|Buffered]] [[sodium phosphates#Use|sodium phosphate]] solution draws additional water from the bloodstream into the colon to increase the effectiveness of the enema. But it can be rather irritating to the colon, causing intense cramping or "griping."<ref>{{cite web |title=Fleet Enema Side Effects |url=https://www.drugs.com/sfx/fleet-enema-side-effects.html |website=www.drugs.com |publisher=Drugs.com |access-date=July 12, 2021}}</ref> Fleet enemas usually causes a bowel movement in 1 to 5 minutes. Known [[Sodium phosphates#Adverse effects|adverse effects]].
[[Docusate#Constipation|Docusate]]<ref>{{cite web |url=https://www.nursingtimes.net/clinical-archive/medicine-management/docusate-sodium-18-12-2004/ |title=Docusate sodium|date=18 December 2004}}</ref><ref>{{Cite web |url=https://www.drugs.com/cdi/colace-microenema.html|title=Colace Microenema: Indications, Side Effects, Warnings|website=Drugs.com}}</ref>
* [[Sorbitol#Laxative|Sorbitol]] pulls water into the large intestines causing distention, thereby stimulating the normal forward movement of the bowels. Sorbitol is found in some dried fruits and may contribute to the laxative effects of prunes.<ref>{{cite journal |last1=Stacewicz-Sapuntzakis |first1=Maria |last2=Bowen |first2=Phyllis E. |last3=Hussain |first3=Erum A. |last4=Damayanti-Wood |first4=Bernadette I. |last5=Farnsworth |first5=Norman R. |title=Chemical Composition and Potential Health Effects of Prunes: A Functional Food? |journal=Critical Reviews in Food Science and Nutrition |date=July 2001 |volume=41 |issue=4 |pages=251–286 |doi=10.1080/20014091091814 |pmid=11401245 |s2cid=31159565 }}</ref> and is available for taking orally as a laxative.<ref>{{cite web|url=http://www.cancer.org/docroot/CDG/content/CDG_sorbitol.asp |title=ACS :: Cancer Drug Guide: sorbitol |archive-url=https://web.archive.org/web/20070630001051/http://www.cancer.org/docroot/CDG/content/CDG_sorbitol.asp |archive-date=2007-06-30}}</ref><ref>{{Cite web | url=https://www.webmd.com/drugs/2/drug-10305/sorbitol/details |title = Drugs & Medications}}</ref> As an enema for constipation, the recommended adult dose is 120 mL of 25-30% solution, administered once.<ref>{{cite web |url=https://reference.medscape.com/drug/sorbitol-342033|title= Sorbitol| access-date=3 March 2019}}</ref> Note that Sorbitol is an ingredient of the MICROLAX Enema.
 
Glycerol has a hyperosmotic effect and can be used as a small-volume (2–10&nbsp;ml) enema (or suppository).<ref name= Glycerol/>
 
[[Mineral oil]] is used as a lubricant because most of the ingested material is excreted in the stool rather than being absorbed by the body.<ref name=food>{{Cite web |title=206. Food-grade mineral oil (FAO Nutrition Meetings Report Series 48a) |url=https://inchem.org/documents/jecfa/jecmono/v48aje08.htm |archive-url=https://web.archive.org/web/20070806023007/http://inchem.org/documents/jecfa/jecmono/v48aje08.htm|url-status=dead|archive-date=6 August 2007 |website=inchem.org}}</ref>
 
[[Sodium phosphates#Uses|Sodium phosphate]].<ref>{{cite web |url=https://www.drugs.com/cdi/sodium-phosphates-enema.html |title=Sodium Phosphates Enema |access-date=3 March 2019}}</ref><ref>{{cite web |url=https://medlineplus.gov/druginfo/meds/a614018.html |title=Sodium Phosphate Rectal |access-date=3 March 2019}}</ref> Also known by the brand name Fleet. Available at drugstores; usually self-administered. [[buffer solution|Buffered]] [[sodium phosphates#Use|sodium phosphate]] solution draws additional water from the bloodstream into the colon to increase the effectiveness of the enema. But it can be rather irritating to the colon, causing intense cramping or "griping."<ref>{{cite web |title=Fleet Enema Side Effects |url=https://www.drugs.com/sfx/fleet-enema-side-effects.html |website=www.drugs.com |publisher=Drugs.com |access-date=July 12, 2021}}</ref> Fleet enemas usually causes a bowel movement in 1 to 5 minutes. Known [[Sodium phosphates#Adverse effects|adverse effects]].
 
[[Sorbitol#Laxative|Sorbitol]] pulls water into the large intestines causing distention, thereby stimulating the normal forward movement of the bowels. Sorbitol is found in some dried fruits and may contribute to the laxative effects of prunes.<ref>{{cite journal |last1=Stacewicz-Sapuntzakis |first1=Maria |last2=Bowen |first2=Phyllis E. |last3=Hussain |first3=Erum A. |last4=Damayanti-Wood |first4=Bernadette I. |last5=Farnsworth |first5=Norman R. |title=Chemical Composition and Potential Health Effects of Prunes: A Functional Food? |journal=Critical Reviews in Food Science and Nutrition |date=July 2001 |volume=41 |issue=4 |pages=251–286 |doi=10.1080/20014091091814 |pmid=11401245 |s2cid=31159565 }}</ref> and is available for taking orally as a laxative.<ref>{{cite web|url=http://www.cancer.org/docroot/CDG/content/CDG_sorbitol.asp |title=ACS :: Cancer Drug Guide: sorbitol |archive-url=https://web.archive.org/web/20070630001051/http://www.cancer.org/docroot/CDG/content/CDG_sorbitol.asp |archive-date=2007-06-30}}</ref><ref>{{Cite web | url=https://www.webmd.com/drugs/2/drug-10305/sorbitol/details |title = Drugs & Medications}}</ref> As an enema for constipation, the recommended adult dose is 120 mL of 25-30% solution, administered once.<ref>{{cite web |url=https://reference.medscape.com/drug/sorbitol-342033|title= Sorbitol| access-date=3 March 2019}}</ref> Note that Sorbitol is an ingredient of the MICROLAX Enema.
 
====== Compounded from multiple ingredients ======<!-- Klyx redirects to here -->
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[[File:Barium Contrast Enema.jpg|thumb|A barium enema in a disposable bag manufactured for that purpose]]
 
In a [[lower gastrointestinal series]] an enema that may contain [[Barium sulphate#Radiocontrast agent|barium sulfate]] powder or a water-soluble [[contrast agent]] is used in the [[X-ray|radiological]] imaging of the bowel. Called a ''barium enema'', such enemas are sometimes the only practical way to ''view'' the colon in a relatively safe manner.<ref name=NIH_barium />
 
Failure to expel all of the barium may cause constipation or possible impaction<ref name=Hopkins_Barium>{{cite web |url=https://www.hopkinsmedicine.org/healthlibrary/test_procedures/gastroenterology/barium_enema_92,P07687 |title=aGastroenterology Tests and Procedures – Barium Enema |work=Health Library |publisher=Johns Hopkins School of Medicine |access-date=2019-04-01 }}</ref> and a patient who has no bowel movement for more than two days or is unable to pass gas rectally should promptly inform a physician and may require an enema or laxative.<ref name=SW_Med_Center>{{cite web |url=http://www.swmedcenter.com/index.php/services-2/diagnostic-imaging/bariumgastroview-enema/ |title=Barium/Gastroview Enema |work=Our Services |publisher=Southwest Medical Center in Liberal, Kansas, USA |access-date=2019-04-01 }}</ref>
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In the 18th century Europeans began emulating the [[indigenous peoples of the Americas#North America|indigenous peoples of North America's]] use of tobacco smoke enemas to resuscitate drowned people.<ref name=BCMJ>{{cite web |url=https://www.bcmj.org/special-feature/special-feature-tobacco-smoke-enemas |title=Special feature: Tobacco smoke enemas |author=Sterling Haynes |date=December 2012 |work=British Columbia Medical Journal |publisher=Doctors of BC |access-date=2019-03-29 }}</ref> Tobacco resuscitation kits consisting of a pair of bellows and a tube were provided by the Royal Humane Society of London and placed at various points along the Thames.<ref name=Royal_Pharmaceutical /> Furthermore, these enemas came to be employed for headaches, respiratory failure, colds, hernias, abdominal cramps, typhoid fever, and cholera outbreaks.<ref name=BCMJ/>
 
Clysters were a favourite medical treatment in the [[bourgeoisie]] and [[nobility]] of the Western world up to the 19th century. As medical knowledge was fairly limited at the time, purgative clysters were used for a wide variety of [[ailment]]s, the foremost of which were [[stomach ache]]s and constipation.<ref name="Pharmacological treatment">{{cite journal |last1=Clemens |first1=Katri E. |last2=Faust |first2=Markus |last3=Jaspers |first3=Birgit |last4=Mikus |first4=Gerd |title=Pharmacological treatment of constipation in palliative care |journal=Current Opinion in Supportive &and Palliative Care |date=June 2013 |volume=7 |issue=2 |pages=183–191 |doi=10.1097/SPC.0b013e32835f1e17 |pmid=23478431 |s2cid=3283246 }}</ref>
 
According to [[Louis de Rouvroy, duc de Saint-Simon|the duc de Saint-Simon]], clysters were so popular at the court of King [[Louis XIV of France]] that [[Marie Adélaïde of Savoy|the duchess of Burgundy]] had her servant give her a clyster in front of the King (her modesty being preserved by an adequate posture) before going to the [[comedy]]. However, he also mentions the astonishment of the King and Mme de Maintenon that she should take it before them.<ref>Saint-Simon, ''Memoires'', vol. 10, [http://rouvroy.medusis.com/docs/1004.html ch. 4].</ref>
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===== Colonic irrigation =====
 
The term "colonic irrigation" is commonly used in [[gastroenterology]] to refer to the practice of introducing water through a colostomy or a surgically constructed conduit as a treatment for constipation.<ref name="pmid11113099">{{cite journal |last1=Locke |first1=G.Richard |last2=Pemberton |first2=John H. |last3=Phillips |first3=Sidney F. |title=AGA technical review on constipation |journal=Gastroenterology |date=December 2000 |volume=119 |issue=6 |pages=1766–1778 |doi=10.1053/gast.2000.20392 |pmid=11113099 |doi-access=free }}</ref> The [[Food and Drug Administration]] has ruled that colonic irrigation equipment is not approved for sale for the purpose of general well-being<ref>{{cite web |title = Subpart F—Therapeutic Devices Sec. 876.5220 Colonic irrigation system |website = Code of Federal Regulations, Title 21 Food and Drugs, Subchapter H – Medical Devices, Part 876 – GatroenterologyGastroenterology-Urology Devices |date = 1 April 2007 |url = http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=876.5220 |publisher = FDA }}</ref> and has taken action against many distributors of this equipment, including a [[FDA Warning Letter|Warning Letter]].<ref>{{cite web |author = Department of Health and Human Services |title = Warning letter to Dotolo Research Corp |url = https://www.casewatch.net/fdawarning/prod/1999/dotolo.shtml |format = reprint by Casewatch |date = 21 July 1999 |publisher = FDA |access-date = 31 December 2007 }}</ref>
 
===== Colon cleansing =====
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Both women and men may enjoy sexual enema play, heterosexually and homosexually, experiencing [[sexual arousal]] from enemas which they find gratifying or sensual<ref name="Agnew, 1982">Agnew, 1982</ref><ref name="Denko"/> and which can be an auxiliary to, or even a substitute for, genital [[Human sexual activity|sexual activity]].<ref name="Agnew, 1982"/><ref name="Denko">{{cite journal|last=Denko|first=JD.|date=April 1976|title=Amplification of the erotic enema deviance|journal=Am J Psychother|volume=30|pages=236–55 | issue=2|pmid=937588|doi=10.1176/appi.psychotherapy.1976.30.2.236}}</ref>
 
Klismaphiles may perceive pleasure from a large, water -distended belly, or the feeling of internal pressure. An enema fetish may include the sexual attraction to the involved equipment, processes, environments, situations, or scenarios,<ref>Brame et al., ''Different loving – The World of Sexual Dominance and Submission'':517</ref> Klismaphiles can gain satisfaction of enemas through fantasies, by actually receiving or giving one, or through the process of eliminating steps to being administered one (e.g., under the pretence of being constipated).<ref name="Denko"/>
 
That some women use enemas while masturbating was documented by [[Alfred Kinsey]] in ''Sexual Behavior in the Human Female'': "There were still other masturbatory techniques which were regularly or occasionally employed by some 11 percent of the females in the sample... Douches, streams of running water, vibrators, urethral insertions, enemas, other anal insertions, sado-masochistic activity, and still other methods were occasionally employed, but none of them in any appreciable number of cases."<ref>{{Citation | last1 = Kinsey | first1 = Alfred Charles | title = Sexual Behavior in the Human Female | publisher = Indiana University Press | place = Bloomington, Indiana, U.S.A. | year = 1953 | isbn = 978-0-253-33411-4 }}</ref>
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Enemas have also been forcibly applied as a means of punishment.
 
In the vastly influential Argentine text [[Facundo|''Facundo, or Civilization and Barbarism'']], for example, [[Domingo Faustino Sarmiento]] describes the use of [[Chili pepper|pepper]] and [[turpentine]] enemas by police forces as a way of discouraging political dissent in post-independence Argentina.<ref>"Ribbons and Rituals". In Problems in Modern Latin American History. Ed. Chasteen and Wood. Oxford, UK: Scholarly Resources, 2005. p. 97</ref> Turpentine enemas are very harsh purgatives.<ref>{{cite web|url=https://www.biology-online.org/dictionary/Turpentine_enema|title=Turpentine enema|website=Biology-Online Dictionary|publisher=Biology-Online|access-date=2019-04-20}}</ref>
 
In the [[Guantanamo Bay detention camp#Torture|Guantanamo Bay Detention Camp]], the [[Senate Intelligence Committee report on CIA torture]] documented instances of enemas being used by the [[Central Intelligence Agency]] in order to ensure "total control" over detainees.<ref>{{cite news|last1=Rushe|first1=Dominic|last2=MacAskill|first2=Ewen|last3=Cobain|first3=Ian|last4=Yuhas|first4=Alan|last5=Laughland|first5=Oliver|title=Rectal rehydration and waterboarding: the CIA torture report's grisliest findings|url=https://www.theguardian.com/us-news/2014/dec/09/cia-torture-report-worst-findings-waterboard-rectal|access-date=13 March 2015|agency=[[The Guardian]]|date=9 December 2014}}</ref> Enemas, officials said, are uncomfortable and degrading,<ref>{{cite web|url=https://www.nytimes.com/2005/01/01/us/fresh-details-emerge-on-harsh-methods-at-guantanamo.html|title=Fresh Details Emerge on Harsh Methods at Guantánamo|author=Neil A. Lewis|date=2005-01-01|department=Archives – 2005|work=[[The New York Times]]|access-date=2019-04-20}}</ref> The CIA forced nutrient enema on detainees who attempted hunger strikes, documenting "With head lower than torso … sloshing up the large intestines … [what] I infer is that you get a tube up as you can … We used the largest Ewal {{sic}} tube we had" wrote an officer,<ref>{{cite web|url=https://www.theguardian.com/us-news/2014/dec/09/cia-report-rectal-feeding-detainees|title=Controversial 'rectal feeding' technique used to control detainees' behaviour|date=9 December 2014|work=[[The Guardian]]|access-date=2019-04-20}}</ref> and "violent enemas" is how a detainee described what he received.<ref>{{cite web|url=https://www.nytimes.com/2015/06/06/opinion/a-detainee-describes-more-cia-torture.html|title=A Detainee Describes More C.I.A. Torture|author=The Editorial Board |date=2015-06-05|department=Editorial|work=[[The New York Times]]|access-date=2019-04-22}}</ref>
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In the [[Theatre of Dionysus|Dionysus]]' [[satyr play]] ''Limos'', [[Silenus]] attempts to give an enema to [[Heracles]].<ref>{{cite book|last=Shaw|first=Carl A.|date=2014|title=Satyric Play: The Evolution of Greek Comedy and Satyr Drama|page=15|location=Oxford, England|publisher=Oxford University Press|isbn=978-0-19-995094-2}}</ref>
 
In [[Miguel de Cervantes|Cervantes]]' ''[[Don Quixote]]'', a narrative to Sancho includes “The Knight of the Sun ... bound hand and foot ... was administered a clyster of snow water and sand that almost disracted him"<ref>Friedenwald & Morrison, Part I:99</ref>
In [[Shakespeare]]'s play ''[[Othello]]'' (Act II, Scene I) Iago says, "Yet again your fingers to your lips? would they were clyster-pipes for your sake!"<ref>{{cite web|url=http://shakespeare.mit.edu/othello/full.html|title=Othello, the Moore of Venice|author=William Shakespeare|date=1603|access-date=2019-03-27}}</ref>
 
In [[Miguel de Cervantes|Cervantes]]' [[Don Quixote]], a narrative to Sancho includes “The Knight of the Sun ... bound hand and foot ... was administered a clyster of snow water and sand that almost disracted him"<ref>Friedenwald & Morrison, Part I:99</ref>
 
In the 17th century, satirists made physicians a favorite target, resembling [[Molière]]'s caricature whose prescription for anything was "clyster, bleed, purge," or "purge, bleed, clyster".<ref>Magner, ''A History of Medicine'':218</ref>
 
In Molière's play ''[[The Imaginary Invalid]]'', Argan, a severe [[hypochondriac]], is addicted to enemas as indicated by such lines as when Bĕralde asks, "Can't you be one moment without a purge?"<ref>{{cite web|url=https://the-mercurian.com/2018/05/10/moliere-at-versailles/|title=?Molière at Versailles|author=Molière|date=2018-05-10|work=Theater in Translation|publisher=The Mercurian|access-date=2020-07-18}}</ref>
 
In [[Grace Metalious]]'s novel [[Peyton Place (novel)|''Peyton Place'']], the town doctor tells of "a young boy with the worst case of dehydration I ever saw. It came from getting too many enemas that he didn't need. Sex, with a capital S-E-X.".<ref>{{cite web|url=https://www.nytimes.com/2014/03/09/books/review/whats-it-like-reading-peyton-place-today.html|title=What's It Like Reading 'Peyton Place' Today?|author=Thomas Mallon |author2=Anna Holmes |date=2014-03-04|department=Book Review|work=The New York Times|access-date=2019-04-18}}</ref> As a teenager, the boy enjoys receiving enemas from his mother.<ref>{{cite web|url=https://exlibrisregina.com/2016/09/20/my-return-to-peyton-place/|title=My Return to Peyton Place|author=R. Saint Claire|date=2016-09-20|work=Ex Libris Regina|publisher=R. Saint Claire|access-date=2019-04-18|archive-url=https://web.archive.org/web/20190219184420/https://exlibrisregina.com/2016/09/20/my-return-to-peyton-place/|archive-date=February 19, 2019|url-status=dead}}</ref>
In [[George Orwell]]'s novel ''[[Nineteen Eighty-Four]]'', the narrator notes, "Sexual intercourse was to be looked on as a slightly disgusting minor operation, like having an enema."<ref>{{cite book|last=Orwell |first=George |title=1984|year=1949|location=New York|publisher=[[Harcourt (publisher)|Harcourt, Brace and Company]]|isbn=9780151660353|url=https://archive.org/details/1984orwe00orwe|url-access=registration}}</ref>
 
In [[Flora Rheta Schreiber]]'s book [[Sybil (Schreiber book)|''Sybil'']], Sybil's psychiatrist asks her "What's Mama been doing to you, dear?...I know she gave you the enemas."<ref>{{cite web |url=https://www.nytimes.com/2011/10/16/magazine/a-girl-not-named-sybil.html|title=A Girl Not Named Sybil |author=Debbie Nathan|date=2011-10-14|work=[[The New York Times Magazine]]|access-date=2019-04-21}}</ref>
In [[Grace Metalious]]'s novel [[Peyton Place (novel)|Peyton Place]], the town doctor tells of "a young boy with the worst case of dehydration I ever saw. It came from getting too many enemas that he didn't need. Sex, with a capital S-E-X.".<ref>{{cite web|url=https://www.nytimes.com/2014/03/09/books/review/whats-it-like-reading-peyton-place-today.html|title=What's It Like Reading 'Peyton Place' Today?|author=Thomas Mallon |author2=Anna Holmes |date=2014-03-04|department=Book Review|work=The New York Times|access-date=2019-04-18}}</ref> As a teenager, the boy enjoys receiving enemas from his mother.<ref>{{cite web|url=https://exlibrisregina.com/2016/09/20/my-return-to-peyton-place/|title=My Return to Peyton Place|author=R. Saint Claire|date=2016-09-20|work=Ex Libris Regina|publisher=R. Saint Claire|access-date=2019-04-18|archive-url=https://web.archive.org/web/20190219184420/https://exlibrisregina.com/2016/09/20/my-return-to-peyton-place/|archive-date=February 19, 2019|url-status=dead}}</ref>
 
In [[Flora Rheta Schreiber]]'s book [[Sybil (Schreiber book)|Sybil]], Sybil's psychiatrist asks her "What's Mama been doing to you, dear?...I know she gave you the enemas."<ref>{{cite web |url=https://www.nytimes.com/2011/10/16/magazine/a-girl-not-named-sybil.html|title=A Girl Not Named Sybil |author=Debbie Nathan|date=2011-10-14|work=[[The New York Times Magazine]]|access-date=2019-04-21}}</ref>
 
In [[Anne Roiphe]]'s novel ''Torch Song'', Marjorie, not knowing how to otherwise address her [[dysphonia]], reminisces on unhappy memories, one of which is her German nurse inflicting on her painful enemas.<ref>{{cite web|url=https://www.nytimes.com/1977/01/09/archives/sad-in-greenwich-village-glad-in-atlantic-city-torch-song.html|title=Sad in Greenwich Village, glad in Atlantic City|author=Julian Moynahan|authorlink=Julian Moynahan| date=1977-01-09|department=Book Reviews|work=The New York Times|access-date=2019-03-27}}</ref>
 
In [[Anne Sexton]]'s poem "Cripples And Other Stories", is the couplet "Oh the enemas of childhood, reeking of outhouses and shame!"<ref>{{cite web|url=https://www.poemhunter.com/poem/cripples-and-other-stories/|title=Cripples And Other Stories - Poem by Anne Sexton|author=Anne Sexton|work=Poem Hunter|date=July 11, 2006|publisher=poemhunter|access-date=2019-04-18|author-link=Anne Sexton}}</ref>
 
==== Film ====
Line 363 ⟶ 331:
In ''[[The Right Stuff (film)|The Right Stuff]]'', during flight training astronaut [[Alan Shepard]] retains a barium enema,<ref>{{cite web|url=https://www.nytimes.com/1983/10/21/movies/film-right-stuff-on-astronauts.html|title='Right Stuff,' on astronauts|author=Vincent Canby|date=1983-10-21|department=Film|work=The New York Times|access-date=2019-03-27}}</ref> given two floors away from a toilet, embarrassedly riding a public elevator wearing a [[hospital gown]] and holding the enema bag with its tip still inserted in him.<ref>{{cite web|url=https://teachwithmovies.org/the-right-stuff/|title=The Right Stuff|publisher=Teach with Movies|access-date=2019-03-27}}</ref><ref>{{cite web|url=https://www.imdb.com/title/tt0086197/characters/nm0001277|title=The Right Stuff|website=[[IMDb]]|access-date=2019-03-27}}</ref>
 
''[[Water Power (film)|Water Power]]'' is a film loosely based on the real-life exploits of [[Michael H. Kenyon]], an [[United States|American]] [[criminal]] who pleaded guilty to a decade-long series of [[armed robbery|armed robberies]] of female victims, some of which involved [[sexual assault]]sassaults in which he would give them enemas.<ref>{{cite web|title=Water Power|work=Adult DVD Talk|url=https://www.adultdvdtalk.com/review/waterpower}}</ref>
 
In ''[[Sybil (1976 film)|Sybil]]'', Sybil's psychiatrist, while having taken her for a picnic in the country, heard her re-experience, among other things, her mother having bound her with a broom handle on the kitchen table and suspended her by her feet from the hanging light, in preparation for forcing her to take an enema.<ref>{{cite web|url=https://behavenet.com/movie/sybil|title=Sybil|date=1976|work=Behavior Genetics (journal)|publisher=[[Springer Science+Business Media]]|access-date=2019-04-21}}</ref>
 
==== Song ====