The timing of when to give the enema may also play a role in how efficiently it cleans the bowel. We recommend giving it after the main meal of the day so as to take advantage of the gastrocolic reflex. The child should be encouraged to take their time when toileting. This could be time used for homework, special reading, or a favorite TV program. We recommend using a Fleet enema because of the convenience of having the enema in a prepared vial.
Some families find it easier and less expensive to administer saline enemas.
Occasionally, children will complain of cramping with the Fleet enema but will have no complaints with the saline enema. Patients with impaired renal function should use Fleet enemas with caution. Initially, the family will have to determine how often these enemas are to be given by substantiating how soon soiling begins after the initial enema. Usually, this can be anywhere between 24-48 hours. The position of the child is important in determining the efficiency of the enema.