Enema: Difference between revisions

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Removed the infobox (but left the photo) because an enema has many uses other than as an “intervention”. Wikidata calls it a “procedure” and there is no infobox for “medical procedure”. It has several specialties and no single ICD code describes it
Punitive usage: that's crazy writing
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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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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]]<ref>{{cite book|author= [[Domingo Faustino Sarmiento]]|title= Facundo: Civilización y barbarie|translator= Kathleen Ross|year= 1845 |publication-date= 2003|page= 210|publisher= University of California Press|isbn=0-520-23980-6}}</ref> describes the use of [[chili 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 ====
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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>
 
In ''[[Evolution (2001 film)|Evolution]]'', the main protagonists of the film, Ira Kane and Harry Phineas Block, sprayed a fire hose from a [[Fire engine]] filled with [[Head & Shoulders]] shampoo at the Alien amoeba's rectum-like orifice in an successful effort to destroy it, an effort that was called giving the giant alien an "jumbo enema" by Governor Lewis.
 
==== Song ====
 
The lyrics of [[Frank Zappa]]'s song ''The Illinois Enema Bandit'' are concerned with [[Michael H. Kenyon]]'s [[sexual assault]]s which included administering involuntary enemas.<ref>{{cite web|url=https://idnc.library.illinois.edu/cgi-bin/illinois?a=d&d=DIL19750609.2.2|title=Enema bandit suspect faces hearing today|author=Mick Ireland|date=1975-06-09|work=Illinois Digital Newspaper Collections|publisher=[[University of Illinois at Urbana–Champaign]]|access-date=2019-03-27}}</ref>
 
''Teenage Enema Nurses In Bondagea'' in 2014 was one of the 10 most influential punk records of Arizona.<ref>{{cite web |url=https://www.phoenixnewtimes.com/music/10-most-influential-punk-records-of-arizona-9-killer-pussy-teenage-enema-nurses-in-bondage-6626550 |author=Reardon, Tom| title = 10 Most Influential Punk Records of Arizona: #9 - Killer Pussy, Teenage Enema Nurses In Bondage |website = www.phoenixnewtimes.com |publisher = Phoenix New Times |archiveurl=https://web.archive.org/web/20190102143222/https://www.phoenixnewtimes.com/music/10-most-influential-punk-records-of-arizona-9-killer-pussy-teenage-enema-nurses-in-bondage-6626550 |date=2014-11-25 |archivedate=2019-01-02 |accessdate=2024-03-31 }}</ref>
 
==== Monument ====