
Colon hydrotherapy, also known as colonic irrigation, is an alternative medical procedure, sometimes associated with naturopathy. Similar to an enema, it involves the introduction of large amounts of water, sometimes infused with minerals or other materials, into the colon using a tube and syringe inserted into the rectum. The fluid is removed after a short period, and the process may be repeated several times. A colema is a type of colon hydrotherapy performed by oneself using a bucket with an attached hose, while lying on a board positioned over a toilet, into which the contents of enema are released.
The practice has been known since ancient times for treating constipation which was believed to have been the root of many diseases and illnesses. In some cases, colon bypass or a colonectomy was done.
Current practitioners recommend it for a variety of ills stemming from accumulation of fecal matter in the large intestine, a process referred to as autointoxication.
While some hydrotherapists believe colonics lead to better overall wellness, others claim it helps specific diseases, including chronic fatigue, arthritis, and sinusitis. It is also claimed to improve muscle tone in the colon, leading to stronger peristaltic contractions. There is limited scientific research to back these claims and the theory of autointoxication is not recognized by the medical establishment.
There were a number of cases of amebiasis spread by a colon therapist in Colorado who failed to maintain sanitary conditions. There have been reports of electrolyte imbalances in children brought on by colonics using softened water.
Colonics are inappropriate for people with digestive conditions such as ulcerative colitis or other types of colitis, where enemas can cause colonic perforation.
The practice is currently unregulated in the United States so there is no system to track adverse events from the practice. Some practitioners go through a voluntary certification process. The American College of Gastroenterology takes the position that in the unusual case of fecal impaction complicating chronic constipation, a 5 to 10 ounce tap water enema may be of benefit, but does not otherwise recommend its use. The typical cost for a colonic is about $65 to $80 in the US. In comparison, a 30 ml (1 ounce) dose of Oral Phospho-soda or a bottle of Magnesium Citrate will give effective laxative effects at a cost of approximately $2. All saline laxatives should be used with care as complications of electrolyte levels can develop with use, especially if dosage recommendations are exceeded or if underlying medical problems exist. The safety of Colon hydrotherapy in the conditions that increase the risk of complications with oral laxatives has not been established
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