Enemas and clysters have been administered since before recorded history, using instruments ranging from cow horns and hollowed out bamboo shoots to metal syringes to inject laxatives, herbs, opium, turpentine, tobacco, oxygen and noxious chemicals. The potentially lethal dangers are today well recognised. The rectal route, now less often used for laxative enemas is still proving useful for other medications, increasingly in suppository form.
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References
1.
PorterR.The Greatest Benefit to Mankind. London: Collins; 1997.
2.
AntonS.Dictionary of the History of Medicine. New York: Parthenon Publishers; 1999.
3.
TreaseGE.Pharmacy in History. London: Balliere,Tindall and Cox; 1861.
4.
GhaliouguipX.Magic and Medical Science in Ancient Egypt. London: Hodder and Stoughton; 1963.
5.
MagnerLNA.A History of Medicine. New York: Marcel Dekker; 1992.
6.
MajnoG.The Healing Hand: Man and Wound in the Ancient World. Boston: Harvard University Press; 1975.
7.
JacksonR.Doctors and Diseases in the Roman Empire. London: British Museum Publications; 1988.
8.
CopemanWSC.Doctors and Disease in Tudor Times. London: Dawsons of Pall Mall; 1960.
9.
PagetS.Ambroise Paré and his times 1510–1590. London: GP Putnams Publishers; 1897.
10.
Glen Sonnedicher (editor). Kremner’s and Urdang’s History of Pharmacy. Philadelphia: JB Lippincott; 1951.
11.
Gijwilt-HofstraMGMVan HeterenTanseyEM (editors). Biographies of Remedies: Dutch and American Healing Cultures. Rodopi: New York, 2002.
12.
Goodman and Gilmore’s The Pharmacological Basis of Therapeutics. 9th ed. New York: McGraw Hill; 2001.
13.
GuytonACHallJE.Textbook of Medical Physiology. 9th ed. Philadelphia:WB Saunders; 1984.
14.
KellogggJH.The First Oxygen Enema. JAMA 1888; 1:258–62.
15.
Early American Manual Therapy: The Practice and Applied Therapeutics of Osteopathy. In: Hazzard C. Sunstroke and Heat Exhaustion. 1905; Chapter XX11.
16.
British Pharmacopoeia Codex, BPC Enemata. London: Pharmaceutical Society; 1912. [Lists Enema Asafetidae, Enema of Castor Oil, Enema of Castor Oil with soap, Enema of soap, Enema of Slippery Elm.]
17.
SmithINCarrOJCorradoYoungA. Rectal necrosis after a phosphate enema. Age Ageing 1987; 16:328–30.
18.
MooreDMooreN. Neonatal Enemata. Ann Trop Paediatr 1998; 18(2).
19.
SigeristHE.A History of Medicine. Oxford: Oxford University Press; 1951.
20.
BodensteinJ.Enema Syndrome. S Afr Med J 1977; 5:5.
21.
PantanowitzD.Alternative Medicine: A Doctor’s Perspective. Cape Town: Southern Book Publishers; 1994.
22.
EllenhornMJ.Medical Toxicology: Diagnosis and Treatment of Human Poisoning. 2nd ed. New York:Williams &Wilkins; 1997.
23.
KurrimboccusSRElati,Velineni V Barium enema perforation– Conservative management of two cases. http://www.edu.rcsed.ac.uk/surgical knowledge and skills [Includes 6 further references on rectal perforation.]
24.
StoneHHFabianTC.Management of perforating colon trauma; randomization between primary closure and exterioration. Ann Surg 1979; 190:430–6.
25.
SykesN.Constipation and Diarrhoea. In: Doyle D, Hanks G, Cherny N, Calman K (editors). Oxford Textbook of Palliative Medicine. 3rd ed. Oxford: Oxford University Press; 2004.
