1. The fecal matter goes right into the toilet! very convenient. The board is meant to fit over the toilet bowl.
2. Dr. Bernard Jensen 's book goes over massage. Most of the book is available online here, there's a link to it in the Bowel Management notes. But really it's quite simple. While doing an enema, massage counter-clockwise while taking in water. Massage under the ribs, around belly button. When releaseing, press the left side to hel pthe water leave.
3. You have intestines all through the abdominal area, so pain can strike anywhere!