Cleansing procedures using enemas terrify many, as the event seems complicated and extremely unpleasant. In fact, the process is very simple, and if implemented correctly, it does not cause much discomfort, while having a significant beneficial effect. Cleansing the intestines may be necessary in different situations, and for the high-quality implementation of such a procedure, preference is given to the Esmarch mug, the features of its use will be discussed further.
What is Esmarch's mug?
Esmarch's mug is a device for sanitary and hygienic procedures, intended for reusable use. Essentially, it is a container made of rubber or plastic, which is equipped with a flexible tube with a tip. The device received its name after its inventor, a German surgeon, but it is called a mug because it was originally made of glass or metal in exactly this form. The modern main part of the device is familiar to many due to its identical appearance to a heating pad, and is often simply called an enema, of which, in fact, it is a variety.
Purpose of this medical device– liquid cleansing of the intestines or the introduction of drugs into it in the form of solutions. The rubber device is very convenient to use: it can be disinfected many times, the inner surface does not stick together, the material does not collapse upon contact with acetic acid and potassium permanganate solution, the mug is sealed. A scale is applied to the rubber part, allowing you to clearly control the volume of liquid used.
What Esmahara circles are there: types
Esmarch's mug is produced in several standard varieties, which differ from each other in various parameters, in particular:
- by volume: product No. 1 with a volume of one liter, No. 2 with a volume of one and a half liters and No. 3 with a volume of two liters. The most commonly used numbers are 2 and 3;
- presence of a faucet: the mug can be either with or without it;
- tip type: adult, child, soft, hard;
- material – the product can be made of rubber, silicone and even plastic;
- Often there are reusable ones, but there are also disposable sterile devices.
Why do you need an enema Esmahar mug?
An enema as a cleansing or therapeutic procedure can be used to solve a number of problems. Thus, Esmarch’s mug is most often used for:
- cleansing the intestines from feces before conducting a diagnostic examination or before a planned surgical intervention;
- the method is part of a set of measures to eliminate constipation;
- as part of the treatment of the inflammatory process in the intestines - medications can be administered with liquid, thereby achieving their effective local effect on the problem;
- as part of the treatment of poisoning;
- vaginal douching is used for inflammatory processes in the internal genital organs;
- for weight loss.
The advantage of this method is its simplicity even when used independently, as well as the ability to administer medications directly into the intestines and regulate the speed and volume of injected fluid.
Instructions for use at home
Buying a mug at a pharmacy is not difficult, since this is far from a rare device. The most important stage is the implementation of the washing procedure itself, which is implemented with its help, and here it is important to strictly follow the instructions. It is important to note that unreasonable and regular use of cleansing enemas can have an extremely negative impact on health.
How to administer to yourself for intestinal lavage
The first thing that needs to be done is to prepare the composition and liquid for the manipulation. This can be either plain water or herbal decoctions, solutions of salts, potassium permanganate, as well as dissolved or liquid medications as prescribed by a doctor. Temperature is also determined by the readings, so cool liquid has a stimulating effect on the organ, while warm liquid, on the contrary, relaxes it.
The event algorithm involves the following stages:
- the required solution is poured into the rubber container;
- the air is completely released from the tube and either shut off (if there is a tap) or simply squeezed;
- the disposable tip is lubricated with Vaseline;
- Next you need to stand on your elbows and knees so that your pelvis is higher than everything else. You can also take the fetal position. It is better to place a waterproof diaper under yourself, since liquid leakage is very likely;
the tip of the tube is carefully inserted into the anus, after which a flow of liquid is given; - when painful sensations appear, the liquid is stopped, and when the solution is distributed throughout the intestines and the situation returns to normal, it is resumed;
- You shouldn’t wait for the liquid to completely arrive; you need to leave a little at the bottom of the mug - otherwise unnecessary air will get inside;
- then the tip is removed and the person lies on his back or right side. You need to lie down like this for at least 5 minutes, but the recommended time is a quarter of an hour;
- then you can have a bowel movement.
After the procedure, the systems are thoroughly washed, and the tip is discarded or, if it is reusable, boiled.
How to use for vaginal douching
Vaginal douching is carried out after water procedures in a supine position with legs bent at the knees. You need to place a vessel under the basin. The container is filled with liquid, a special tip is carefully inserted into the vagina to a depth of about six centimeters, spreading the labia with your fingers. The mug is placed so that it is at least half a meter higher than the pelvis, after which the liquid is released - at first with weak pressure, gradually increasing it. The duration of the procedure is up to a quarter of an hour.
How to disinfect Esmarch's mug
Considering all the specifics of using this device and the possibility of its reusable use, the question of disinfecting the instrument becomes important. At home, it is enough to wash the rubber container and tube in soapy water and rinse with a weak solution of potassium permanganate. The tip, which was in direct contact with the body, must first be soaked in a soapy solution, then rinsed and boiled in clean water for several minutes. This will help get rid of all microorganisms and properly prepare the device for further use.
Contraindications to the use of enema
Despite all the effectiveness and importance of such a cleansing event in specific situations, the use of enemas also has its limitations, and they relate to the following contraindications for the patient:
- an acute form of the inflammatory process localized in the anal area;
- oncological diseases in the rectum;
- the presence of tumor formations in the area of manipulation;
- upset stomach, i.e. diarrhea;
- ulcerative diseases that are in the acute stage;
- inflammation of hemorrhoids;
- recovery period after a heart attack or stroke;
- Crohn's disease;
- bleeding in the digestive tract.
As for vaginal douching, you will have to abandon the procedure in case of menstruation, acute inflammatory diseases of the organs being treated, pregnancy, as well as in the first time after childbirth, surgical interventions and abortions.
Video: how to properly place Esmarch’s mug for yourself
Doing an enema on your own seems like an extremely difficult task to many, but the procedure is, in fact, as simple as possible. In order to make sure that your existing knowledge about the event is correct, it is better to watch this video - it describes in detail the rules for implementing a cleansing enema with salt water.
Or medicinal and cleansing. Indications for prescribing an enema are: stool retention for more than 3 days, various poisonings, intestinal examinations and operations, and others. Contraindications for are: inflammatory diseases in the anus, oncological diseases of the intestine, gastrointestinal, abdominal pain of unknown origin, inflammatory diseases of the small and large intestines.
There are two known ways of performing an enema: a simple one, using a pear as an enema, and a complex one, using an Esmarch mug. Be very careful: giving yourself an enema requires certain skills and considerable dexterity. You can give an enema to yourself either at home or in a hospital under the supervision of a nurse or doctor.
To perform an enema at home, you will need an Esmarch pear or mug (they are sold in every pharmacy). You can use a large rubber heating pad to administer the enema. Before purchasing an Esmarch warmer or mug, be sure to check the contents of the entire kit, as many of them are sold without tips and taps (clamps) for the hose. Before use, the tip that will be inserted into the anus must be thoroughly boiled for at least 30 minutes. The water for the enema is boiled, clean, and at room temperature. Please note: if the water temperature is equal to body temperature (+37C), then the intestines will not contract and the two liters of water that you inject into yourself will simply be absorbed in the intestines like regular drinking water. You cannot perform an enema with hot water (temperature above +40C), as you may get a burn to the intestinal mucosa.
Before carrying out the procedure, 1-2 liters of boiled water at room temperature is poured into Esmarch’s mug, you can also add 1 tablespoon of lemon juice. The mug or rubber heating pad is lifted up and the tip is lowered down. At this time, the entire system is filled with water and all the air leaves it. The tap on the rubber tube is turned off. The easiest way to administer an enema on your own is this: get on all fours, lower your head down, with one hand insert the tip, lubricated with vegetable oil or Vaseline, 5 cm deep and open the tap on the hose. During the procedure, you must keep your head down at all times. After all the water has entered the intestines, remove the tip and try to keep the water inside for another 5-10 minutes. After completing the procedure, Esmarch's mug and tip must be washed with warm water and soap. Additionally, the tip is boiled for at least 30 minutes.
Esmarch's mug is a kind of enema, which is a device made of several parts.
The device consists of a container in which liquid is held; a special tube at least 2 meters long; tip with a small diameter. The relevance of the device has not been lost for two centuries.
Esmarch's mug is a universal device that is used to cleanse the body.
In addition, the price at the pharmacy for this device is low, so the device is guaranteed to be popular.
When purchasing, it is important to request a certificate of conformity so as not to use a low-quality product. The shelf life is long.
The device is used if intestinal lavage is necessary.
There are certain restrictions regarding use: inflammatory processes, postoperative periods, pregnancy, rectal or uterine cancer.
In what cases is it used:
- To cleanse the intestines during constipation and thickening of stool.
- Used for intestinal lavage for weight loss.
- Some solution and device in combination are used for intravaginal douching.
Any adult can use the device if you carefully study the description.
The device looks ambiguous, but there is nothing scary about this device. Harm can only be caused by inserting the tip into the anus.
Kinds
Each manufacturer offers its own improvements regarding the design of the device.
Significant adjustments to the structure over the course of 200 years. A particularly popular manufacturer of this type of medical equipment is the company Alpina Plast.
Note! Differences between different manufacturers may include the use of different materials to make the mug.
It is difficult to choose the right one from such a variety of options. It is worth seeking help from a doctor who has prescribed a douching or enema procedure.
The specialist will tell you which device should be in this individual case.
Conventional types of Esmarch mug:
Assembly
There are different models that differ in modifications, but the assembly principle does not change. The set consists of three main parts.
The standard model does not have a complex arrangement. The device can be assembled in three stages. Even instructions are not required when assembling this device.
Assembly sequence:
- Connect a rubber container or bulb to the hose using a special adapter.
- Place the tip on the tube so as not to damage the tube and the tip itself.
- Check the functioning of the tap on the tube and the integrity of all parts.
If the device is assembled correctly, then no problems regarding use will arise. Each procedure will proceed without incident.
How to use?
The use of the device consists of standard manipulations that even a non-professional can perform.
Several training sessions will help you use the “enema” yourself without the help of others.
Preparation of the device and use can be done at home, since no special additional drugs or products are required.
You can give an enema to yourself - the main thing is not to rush and not to worry.
Instructions for use:
- First you need to make sure that the entire enema is sterile.
- Fill the bowl with solution and hang it or place it on a tripod. The location level must be at least 1.5 meters from the floor.
- Remove all air from the tube and close the patency until use.
- Regardless of which tips are used, they need to be lubricated with Vaseline. This will eliminate pain during insertion of the tube into the anus.
- The patient should get on all fours so that the pelvis is at shoulder level. The tube is inserted using progressive rotating movements. When part of the tube is inserted, the tap opens.
- It is worth finishing the procedure for introducing liquid before it runs out in the bowl itself. Otherwise, air will enter the intestines.
Giving an enema using an Esmarch mug is not difficult. In this way, several liters of liquid can be introduced into the intestines.
After removing the tube from the intestine, you need to lie on your back for 5 minutes, then turn on your side and remain in a resting position for another 15 minutes.
Disinfection of the device
In addition to the fact that you need to do the procedure itself correctly, you should take proper care of the cleanliness of all parts of the device. This is important because the Esmarch mug is a reusable system.
Disinfection of each component of the device:
- Hydrogen peroxide is used to disinfect the container itself. Pour the composition into a container and thoroughly treat the walls of the vessel.
- You can clean the hose as follows: rinse with running water, boil, and store in furatsilin solution.
- The tip is disinfected in the same way as the hose itself.
Sometimes alcohol is used to clean the tip and the container itself. Simply wipe the surface with a cotton swab soaked in alcohol.
Attention! Rubbing with alcohol does not exclude the remaining stages of disinfection. Treating with alcohol is an additional precaution.
It is also important to clean the device before first use. Cleanliness and proper storage of the device will help protect a person from bacteria and germs entering the body.
Useful video
Esmarch's mug- a reusable sanitary and hygienic device, which is a rubber container (mug) equipped with a flexible tube up to two meters long. Esmarch's mug is used for intestinal lavage, as well as for vaginal douching.
Esmarch mug - Best price!
Esmarch rubber mug (reusable) No. 1 (volume 0.8 l) RUB 130.00
Esmarch rubber mug (reusable) No. 2 (volume 1.5 l) RUB 145.00
Esmarch rubber mug (reusable) No. 3 (volume 2.5 l) RUB 160.00
The main advantage of Esmarch's mug is the presence of an open neck through which it is convenient to draw a solution for rinsing. This product is designed for repeated use, it is easy to use and sealed. Mugs of two sizes are actively used (the division is based on the volume of the device): No. 2 with a capacity of 1.5 liters and No. 3 with a capacity of 2.5 liters.
Esmarch mug disinfection
The mug can withstand repeated disinfection at home; hot water with the addition of baking soda is used to wash the mug and tip, and in medical institutions a 3% solution of hydrogen peroxide is used. Esmarch's mug is not destroyed upon contact with aqueous solutions of potassium permanganate and acetic acid. The inner surface of the mug does not stick together.
Shelf life: 3.5 years
Service life: 2 years.
Compound:
| Name | quantity |
| Rubber heating pad body with built-in bushing (1.5 l or 2.5 l) | 1 PC |
| Cork | 1 PC |
| Through Hole Screw Valve | 1 PC |
| Tip medium | 1 PC |
| Uterine tip | 1 PC |
| Rubber or PVC tube, length 145 cm | 1 PC |
| Plastic clamp (for tube) | 1 PC |
| User manual | 1 PC |
Instructions (How to use Esmarch's mug):
USING THE ESMARCH MUG FOR INTESTINAL WASHING (ENEMA)
Esmarch's mug must be filled with the composition (boiled or settled water at room temperature is suitable, a higher temperature solution is used for spastic constipation, and cold water can cause spasms), close and hang up to a height of one and a half meters above the floor. Let the air out of the tube and then turn it off (if there is no tap, then just pinch it). The tip is lubricated with Vaseline or oil. The enema recipient stands in a knee-elbow position, so that the pelvis is higher than shoulder level.
Insert the tube into the anus, performing gentle rotational movements. Then release the liquid by releasing the hose or opening the tap. If pain is felt during the procedure, then the water is turned off and the liquid is allowed to distribute throughout the intestines, after which the process is continued. To eliminate discomfort, it is necessary to complete the introduction of liquid when there is a small amount of water at the bottom of the mug, otherwise air will enter the intestines.
Place the patient on his back, placing an oilcloth and a cushion under his hips. It is recommended to lie in this position for 1-2 minutes so that the liquid passes into the deep parts of the intestines. After this, you can roll over onto your right side. If there are no strong urges, you should lie in this position for 15 minutes. The minimum liquid retention time is 5 minutes.
When performing enemas, absolute contraindications are:
. Crohn's disease
. Rectal cancer
. Acute inflammatory or erosive-ulcerative lesions of the intestinal mucosa
. Acute appendicitis
. Acute peritonitis
. Gastrointestinal bleeding
. Severe cardiovascular failure
VAGINAL DOUCHING USING ESMARCH MUG
When using an Esmarch mug for vaginal douching, it is necessary to take into account that the optimal temperature of the liquid is 37-40°C.
For douching, use Esmarch mug No. 2 - volume 1.5 l, the mug must be equipped with a vaginal tip (boil before use). Hang the mug on the wall so that it is 75 cm higher than the vessel, and open the tap. At first, the stream should be very weak, otherwise vasospasm may occur. The duration of douching is 10-15 minutes.
The procedure is carried out immediately after washing, in a lying position. The legs should be bent at the knees, and a bed should be placed under the pelvis. The tip is very carefully inserted into the vagina to a depth of 5-7 cm, spreading the outer labia with your hand (the entrance to the vagina is pre-treated with Vaseline).
Indications for douching: in the presence of chronic inflammatory processes in the uterus, appendages and vagina, as well as in order to protect against unwanted pregnancy.
Contraindications for douching are:
. Acute inflammatory processes of the genital organs
. Period
. Pregnancy
. The first weeks after childbirth
. The first weeks after an abortion or surgery.
Manufacturer: KievGuma, Ukraine
Manufacturer: "AlfaPlastik", Russia
Esmarch rubber mug (reusable) No. 2 (volume 1.5 l) RUB 170.00
Esmarch rubber mug (reusable) No. 3 (volume 2.5 l) RUB 180.00
Also purchased with this product:
An enema is a therapeutic and diagnostic procedure. In medicine, it is widely used in various fields. Used everywhere. Sometimes the procedure has to be done at home. Before you do an Esmarch mug enema at home, you must be examined by a doctor.
Depending on the purpose of the enema, it performs different functions. They are used to alleviate the patient’s condition - to cure or find out what is wrong with the patient.
Depending on the volume of fluid administered, micro- and macro-enemas are distinguished.
The former are characterized by a volume of up to 200 ml, the latter – up to 12 liters. In the latter case, we are talking about a siphon, which is made using an Esmarch mug.
Indications for performing an enema of about 2 liters (cleansing) are:
- spastic or atonic constipation;
- poisoning of various etiologies: food, alcohol, drugs;
- during an upcoming X-ray examination, ultrasound diagnostics, to eliminate interference from intestinal contents;
- before the medicinal enema, use an Esmarch mug to ensure effective absorption of the drug.
Sometimes a laxative enema is given at home:
- massive swelling;
- no cleansing effect.
This method is not recommended for weight loss.
Temperature and volume of enema liquid with an Esmarch mug
Microenemas include therapeutic, nutritious, laxative, and do not require a large amount of injected liquid. Macro-enemas include cleansing and siphon.
Temperature and volume of water have a thermal and mechanical effect on the intestinal walls, which is taken into account for constipation of various etiologies.
Cold water increases intestinal motility and can cause spasm of the smooth muscles that make up the muscular layer of the intestine. The optimal temperature is 37°C.
For atonic constipation, solutions with temperatures up to 12°C are used. Achieve stimulation of intestinal function. To eliminate this type of problem, volume is important. Stretching the wall leads to reflex stimulation of peristaltic movements.
For spastic disorders, use liquid with a temperature of 37-40°C. Such indicators relieve muscle spasm, eliminating the cause of the patient’s poor condition.
The mechanical factor, the pressure with which the solution is administered, is important. Siphon is effective in terms of cleansing.
Instructions for performing an enema with an Esmarch mug
Esmarch's mug began to be used to cleanse the intestines back in the 19th century.
The product is made of rubber, the volume of the device is 2 liters, it is a heating pad with a long hose.
To properly carry out the procedure at home, you need to carefully prepare.
Preparation for the procedure
Preparing for an enema with an Esmarch mug at home includes assembling the system, preparing the site and solution.
Esmarch's mug consists of the following elements:
- warmer;
- a tube with a lumen diameter of 1 cm and a length of 1.5 m;
- a tube connecting the tip with a rubber hose from the mug, having a valve to regulate the flow of liquid;
- rubber tips.
Everything needs to be connected. Check the valve before use. Water is released through the hose through the nozzle. If the valve shuts off the flow well, you can begin the procedure.
You will need to provide personal protection: an oilcloth apron, rubber gloves and a mask will do.
Close the valve and pour the solution into Esmarch’s mug. Secure the device to an elevated position. Open the tube and fill the system, making sure there is no air.
To make the tip easy to insert, you need to buy Vaseline at the pharmacy and lubricate the tip with it.
Having decided on the location of the procedure, you should prepare it. You need to put an oilcloth under the patient. Place a basin and container for the used enema nearby.
Enema
The patient must take the correct position: lie on his left side, bend his knees and pull him towards his stomach. In this position, the abdominal muscles relax. Breathing deeply, through the mouth, without effort.
Take the tip of the Esmarch device, lubricated with Vaseline. With your right hand, grasp the tip and insert it into the anus with slow rotational movements. Then open the valve and let out some water.
Watch the speed of the water flow. The intake of a large volume in a short period of time during an enema can provoke painful sensations.
If water does not flow, the tip location should be changed. It is protruded a little (1-2 cm). If this doesn’t help, raise Esmarch’s mug higher. As a last resort, replace the tip. It may clog.
After finishing the enema at home, the tip is removed. You need to squeeze your buttocks together and hold the liquid for at least 10 minutes. If you feel the urge to defecate after 10 minutes, you can empty your bowels. But it is necessary to release water in portions, and not all at once.
If the procedure at home does not bring the desired effect, you must go to the hospital.
Review of effective solutions for the procedure
Medicinal substances are never administered using an Esmarch mug. It makes no sense during the cleansing procedure. After bowel movements, microenemas can be used.
There are many medicinal formulations that can be administered inside the gastrointestinal tract.
Hypertonic solution is used for edema. Due to high osmotic pressure, water transudates from the capillaries into the intestinal lumen, which promotes the removal of water from the body. It is considered a gentle way to enhance peristalsis.
For preparation, use table salt (10% solution) or magnesium sulfate (20-30%). To get a remedy from table salt, take 1 heaped teaspoon (10 g), add water to 100 ml. Hypertensive enema is a laxative, its volume is up to 100-150 ml. If a mug is not available, a pear can be used.
For a cleansing enema use:
- chamomile decoction;
- soapy;
- oil.
Chamomile decoction has an astringent effect and reduces the inflammatory process. To prepare the solution, take chamomile flowers in the amount of 1 tbsp. for 250 ml.
Soap and oil help flush out stool. During an enema, they soften the stool, envelop the intestinal mucosa and, as a result, reduce friction during movement. Helps restore normal peristalsis and relieve spasms. They are not absorbed, but are partially saponified by enzymes. For the recipe use 1 tbsp. grated baby soap or 2 tbsp. sunflower, linseed or vaseline oil.
In folk medicine, the following enemas are used:
- soda;
- citric;
- manganese acid.
A solution of soda has an anti-inflammatory effect and reduces acidity. For the recipe, take 30 g of soda per 1 liter of boiled water, heat to 37°C. Sometimes, for use in a mug, Esmarch is combined with the addition of salt diluted with water.
Lemon contains citric acid, the antioxidant vitamin C, which can increase the protective function of the intestinal mucosa and vascular tone. Vitamin C is necessary for the synthesis of collagen, one of the structural components of vascular walls. Used for preventive purposes against hemorrhoids. For the recipe, take the juice of two fruits.
Potassium permanganate is a powerful antiseptic and is an oxidizing agent. Has an astringent and cauterizing effect. Excellent help with diarrhea by suppressing the growth of pathogenic microflora. To prepare an enema, take 2-3 grains per 250 ml of boiled water. After complete dissolution, add up to 2 liters to Esmarch’s device. You should get a slightly tinted pinkish liquid.
Contraindications for carrying out
Cleansing the intestines involves interfering with its work. Sometimes an enema with an Esmarch mug leads to a worsening of the condition. The contraindications are:
- acute heart failure, myocardial infarction;
- bleeding from the gastrointestinal tract of any location (prohibited - there is a risk of increased bleeding);
- diseases of the colon with a pronounced inflammatory process: ulcerative colitis, Crohn's disease;
- inflammation of the perianal area;
- oncological diseases of the colon;
- the presence of acute inflammation (inflammation of the peritoneum, appendix and other organs);
- presence of bleeding hemorrhoids;
- increased temperature (fever);
- rectal prolapse.
Contraindications apply to any type of enemas.
If the etiology of pain in the abdominal area is unknown, self-cleansing of the intestines with an Esmarch mug is prohibited.
It is correct to carry out the procedure only after examination and examination by a doctor.