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How to Perform Anal Cleaning? What are the Risks?

One of the main reasons people perform anal cleaning (anal douching) is to prepare for anal intercourse or "rimming," where one partner performs oral sex on the other's anus. They may not want the sight or smell of feces to spoil the moment. Anal cleaning can help them feel more comfortable and confident during sex.

Douching before anal intercourse may reduce your risk of contracting infections like shigellosis, which is transmitted through feces. However, more research is needed on this topic. To prevent these infections, the CDC (Centers for Disease Control and Prevention) recommends the following:

  • Wash your hands, genitals, and anus with soap and water before and after sex.
  • Use a condom or dental dam during sex.
  • Avoid sex if you or your partner has diarrhea.

Cleaning

You don't need to do anal douching to have a clean rectum, but some people do it to feel cleaner. Fecal particles can stick to the rectal walls, especially if you're on a low-fiber diet or don't have regular, solid stools.

Constipation

When you try to relieve constipation by injecting liquid into your rectum, this is called an "enema," not an anal douche. However, the process is similar. Enemas can be performed in a doctor's office or at home with an over-the-counter kit. Various liquids can be used, including saline solution, mineral oil, and glycerin.

Enemas are safe and effective when used correctly. However, they should not be used too frequently. Otherwise, the body may become dependent on the procedure, leading to persistent constipation. Before using an enema, try increasing your fluid and fiber intake. Then, take an oral stool softener.

If these don't work, you can try an enema. Follow the instructions on the package to do it safely. Consult your doctor if you are unsure. It usually takes effect within 2-5 minutes. However, if you notice any side effects such as bleeding, pain, blistering, burning sensation, or irritation, consult your doctor. Do not use an enema for more than one week without your doctor's approval.

Types of Anal Douches

Anal douche bulb
This is one of the most common and economical anal douching kits. It usually consists of a rubber or silicone bulb and a cap that attaches to the end. The bulb is filled with water or saline solution, the cap is inserted into the anus, and the liquid is squeezed out.

Water bag enema
It includes a bag resembling a hot water bottle and is used by hanging it high. It has a long tube at the end that is inserted into the anus. An adapter is also included to control the flow. It is portable and easy to use; however, it should be cleaned and changed frequently to prevent infections.

Saline enemas (Fleet enemas)
These over-the-counter enemas are generally used as laxatives, but they can also be safely used for anal douching. "Fleet" is a common brand name found in pharmacies. It's important to choose the saline solution type, not the laxative type. The heads in these kits are pre-lubricated, making them easy to use.

Shower hose adapters
These hoses, which attach to the shower, can be used for anal cleaning. They can be a bit difficult to use. The water pressure and temperature should not be too high. This type of hose is not inserted directly into the rectum; it is only held at the entrance of the anus.

How to Perform Anal Douche Safely?

The best way to maintain a clean digestive system is through a high-fiber diet, plenty of water, and regular exercise. However, if you are considering anal douching, keep the following points in mind:

  • Coat the hood with lubricant. This reduces the risk of tearing, swelling, or bleeding.
  • Gently insert the headset or tube into your anus. Never force it.
  • For your first attempt, spray water for only about 10 seconds. This may seem strange, but you don't need a lot of water. You just need to clean the first few centimeters.
  • Try to hold the water for a little while. You can hold your breath while doing this. To release, exhale and relax.
  • Repeat the process until the water comes out clear.
  • If you plan on having sex, wait about an hour for all the fluid to come out.

Things to Avoid During Anal Cleaning

  • Don't rush. Moving slowly reduces the risk of injury.
  • Do not use without checking the water temperature. You could get burned by hot shower water.
  • Avoid using tap water frequently, as it can disrupt electrolyte balance. The safest option is saline solution. You can make one at home by adding half a teaspoon of salt to one glass of water.
  • Do not use olive oil, bleach, alcohol, or other household chemicals. They can seriously harm your gut health.
  • When using the ampoule, do not release it immediately after squeezing. Fecal matter can be reabsorbed and contaminate the ampoule.
  • Do not use anal douches if you have hemorrhoids or anal fissures.

What are the risks of anal douching?

Studies show that anal douching may increase the risk of sexually transmitted diseases such as HIV or hepatitis B and C, chlamydia, gonorrhea, syphilis, and HPV.

Anal douching can irritate or damage the inner lining (mucosa) of the rectum. This increases the risk of infection, especially if condoms or HIV-preventive medication (PrEP) are not used.

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Furthermore, frequent anal douching can worsen constipation problems. The body may become unable to defecate without an enema.

The Difference Between Anal Douche and Vaginal Douche

Anal douching is applied to the rectum, while vaginal douching is applied to the vagina.

Most doctors do not recommend vaginal douching because the vagina is a natural environment where healthy bacteria maintain an acidic balance, allowing the vagina to cleanse itself.

Douching the vagina disrupts this balance and can lead to serious health problems such as infection, infertility, and ectopic pregnancy. In some cases, it can cause pain during sexual intercourse.

How often can anal douches be performed?

To avoid damaging the inner lining of the rectum, do not perform anal douching more than once a day or more than 2-3 times a week.

If you are unsure how to do it, if you injure yourself during the procedure, if you notice any side effects, or if you have symptoms of a sexually transmitted disease, you should definitely consult your doctor.

Summary

Anal douching is a cleaning procedure that involves squirting water or liquid into the rectum. It's not necessary, but some people do it to prepare for anal sex or to feel cleaner. If you do, proceed slowly, be careful, and don't overdo it.

Frequently Asked Questions

Why do men do anal douches?

Some men:

  • Preparing for anal sex
  • To avoid situations that could spoil the moment during sexual intercourse.
  • To boost their self-confidence
  • She uses an anal douche to feel clean.

What is the difference between an anal douche and an enema?

Both are performed using similar methods and equipment. When done for cleaning purposes, it is called an anal douche, and when done to relieve constipation, it is called an enema. Anal douches are usually done with water or saline, while enemas are done with laxatives.

Is it permissible to do an anal douche with tap water?

Using tap water occasionally is fine. However, using it every day can disrupt electrolyte balance. Therefore, using saline solution is safer. You can buy it ready-made, or you can prepare it at home by adding half a teaspoon of salt to one cup of water.

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