1. You may not be able to hold all the fluid in with one enema. In this case, the procedure can be repeated two or more times in sequence, making sure to empty the bowel in between.
2. If you have cramping, the solution is flowing too quickly. Pinch the enema tube to stop the flow and lower the bag. Do not continue until the cramps have subsided.
3. If the solution is flowing evenly, the enema tube may be bent or kinked. Slowly and gently pull it partly out and then insert it again several inches.
4. If you start to feel sick during the enema, or become dizzy, nauseous or faint, stop the enema. People with Gallstones should not try a coffee enema.