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The Guidelines & Procedures for Colonic Irrigation

Colonic irrigation, also called colon hydrotherapy, is a procedure where chemicals and temperature regulated water are introduced into the colon in effort of removing waste that has accumulated in the large intestine. The water softens and loosens the waste which results in its evacuation. The International Association of Colon Hydrotherapy (I-ACT) requires that manufacturers of colonic irrigation equipment register with the Food and Drug Administration (FDA) for regulation and safety. The I-ACT also sets guidelines for the colonic irrigation procedure to ensure safety of the client and operator.

  1. Guidelines

    • The facilities and procedure room should be kept as clean and sterile as possible. This will help protect the client and operator from the transmission of disease. Have a hands free washbasin, liquid soap, and paper towels for hand washing. A toilet and shower should also be located in the procedure room for clients to use exclusively. Paper towels should be supplied for clients to clean themselves after the colonic irrigation procedure. Clean gowns, robes and towels should be provided for clients.

    Procedures

    • Assist the client with rolling over onto his or her side. The first phase of the colonic irrigation procedure is massaging the lower abdominal area. The operator should wear personal protective equipment such as single use gloves and a clean plastic apron to keep themselves and their clothing clean. Next, provide the client with wipes and single use gloves and help him or her insert a sterile single use catheter into the rectum. A water based lubricant should be used to assist the catheter's insertion. Gradually introduce filtered, gravity fed or pressure fed water into the colon. The water should be temperature regulated and should be as close to the body's normal temperature as possible. This will prevent thermal shock or scalding. The optimal temperature should be 94-100 degrees Fahrenheit. Oxygen and herbs can be used in addition to the water for patients undergoing ozone therapy. Natural evacuation of feces should begin after water is introduced into the colon. The session should last about 45 minutes and use 3-4 gallons of water. Upon completion of colonic irrigation, discard wipes, gloves and the catheter into waste bins. Wash and dry the hands thoroughly.

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