From the Guidelines
I strongly advise against using a toilet jet to force tap water into your colon, as this practice can lead to serious harm and potentially life-threatening complications. The use of toilet jets for colon cleansing is not a recommended medical practice and can cause severe injuries, including tears in the rectal tissue, perforation of the bowel, and damage to the anal sphincter 1. Additionally, introducing large volumes of tap water into the colon can disrupt the body's electrolyte balance, damage beneficial gut bacteria, and potentially introduce harmful microorganisms from non-sterile water.
Some key points to consider:
- The pressure from toilet jets is not regulated for internal use and can be too forceful, leading to serious injuries 1.
- The introduction of large volumes of tap water into the colon can cause water intoxication, disrupt electrolyte balance, and damage gut bacteria 1.
- Medically necessary colon cleansing should only be performed using proper medical devices, such as enema kits, and under the guidance of a healthcare provider 1.
- Safer alternatives for managing constipation and promoting colon health include increasing dietary fiber, staying hydrated, regular exercise, and using over-the-counter stool softeners when needed 1.
It is essential to prioritize evidence-based medical practices and consult with a healthcare provider for personalized advice on managing digestive health. The use of toilet jets for colon cleansing is not supported by medical evidence and can lead to severe harm, making it a practice that should be avoided altogether.
From the Research
Potential Harm of Water Jet Wash
- The use of a water jet wash from the anus into the colon through a toilet jet may cause harm, as seen in a study where a woman developed an anterior aphtoid ulcer in the anorectum due to excessive use of a bidet toilet 2.
- Excessive bidet use has also been linked to anal pruritus and anal incontinence (AI) 3.
- The force and duration of the water jet, as well as the frequency of use, may contribute to the development of these symptoms.
Safety of Colon Cleansing
- Polyethylene glycol (PEG) with or without electrolytes is a commonly used and effective treatment for functional constipation and fecal impaction 4, 5.
- However, the use of PEG without electrolytes may cause more electrolyte abnormalities, although these are typically not symptomatic 5.
- A study found that PEG combined with linaclotide may be an effective method for bowel preparation before colonoscopy in patients with chronic constipation 6.
Precautions and Considerations
- Patients with anal pruritus or AI should avoid excessive cleaning of the anus and discontinue bidet use if necessary 3.
- In the hospital setting, compromised patients should be cautious when using shared bidet toilets to prevent infection by antimicrobial-resistant bacteria 3.
- The nozzle surface and splay water of bidet toilets may be contaminated with fecal indicator bacteria, highlighting the need for proper hygiene and maintenance.