No matter the goal of the enema, the way in which it is administered is the same. However, if the goal is retention, then enemas are best done after a normal bowel movement and at least a few hours after eating. Don't eat right before doing an enema. For constipation, the enema is given to help evacuate the bowel.  Empty your bladder before an enema to reduce the discomfort associated with adding fluid to the bowel. Obtain an enema bag or a Fleets enema bottle from a pharmacy. The first uses fluid prepared at home while the second is a self-contained unit. Place a waterproof pad under the area where you will lie down in case you inadvertently release the fluid before reaching the bathroom. Fill an enema bag with the  solution recommended by your doctor. Make sure that the clamp is on to contain the fluid. Once the bag is full, hold the bag, hose end down, and open the clamp momentarily to allow the fluid to purge any air from the hose, and then close the clamp. This will help you to avoid introducing air into the colon, which can cause cramps. In general, you use smaller amounts of fluid for retention enemas so the rectum is not overwhelmed with the amount of fluid and the individual can retain it without discomfort. Your doctor will instruct you on how full the bag should be.
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