Enema vs Colonic: Which One Should I Choose?

Wondering if you want an enema or a colonic? It can be tricky to tell the difference sometimes as the terms are sometimes used interchangeably.



An enema typically involves one injection of water into the rectum using a manual enema bulb, enema bag or enema bucket.

Enema can be done for many reasons. Some do them for constipation whilst other believe that they can aid in the removal of toxins from the body.


A colonic involves many flushes of water (up to 60L) into the rectum using specialised machinery.

The aim of a colonic is precisely to aid with removal of toxins from the body higher up the colon.

How are enemas and colonics classified by the FDA?

Enema kits are classified by the Food and Drug Administration as class 1 medical devices (low risk) and can be purchased over the counter.

Colonic irrigation equipment is classified as a class II (higher risk) medical device when the device is intended for medically indicated colon cleansing (for example, before a radiological examination).

When intended for other uses, such as non-medical colon cleansing for general health improvement, colonic irrigation equipment is classified as class III medical devices (high risk) and as such is not recommended for use by the FDA.

Should you do an enema or a colonic?

Due to the high levels of risk set out by the FDA at this stage we do not recommend doing a colonic unless medically required.

Due to the many different types of reasons people do enemas we recommend consulting your doctor if you are unsure if you should be doing one.

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