How to administer a flea (ectoparasite) enema?

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Last updated: May 23, 2025View editorial policy

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From the Guidelines

I do not recommend applying a flee enema as this is not a recognized medical procedure. If you meant "Fleet enema," which is a common sodium phosphate enema used to relieve constipation, here's how to use it:

  • First, remove the protective shield from the tip of the bottle.
  • Lie on your left side with knees bent or squat, then gently insert the lubricated tip into the rectum.
  • Squeeze the bottle until most of the liquid is emptied into the rectum (usually takes about 2-5 minutes to work).
  • Try to hold the solution in your rectum until you feel the urge to have a bowel movement. Fleet enemas work by drawing water into the bowel, softening stool and stimulating bowel contractions.
  • Only use as directed, typically no more than once daily and not for more than 3 consecutive days.
  • Overuse can lead to electrolyte imbalances or dependency. If constipation persists, consult a healthcare provider as it may indicate a more serious condition requiring different treatment. The provided evidence 1 does not support the use of flee enemas, and the focus is on prevention and management of diseases such as plague, hantavirus, and tickborne rickettsial diseases, which are unrelated to the application of enemas.

From the Research

Application of Flee Enema

There are no research papers to assist in answering this question, as the provided studies focus on the efficacy of various treatments against flea infestations in dogs, rather than the application of a flee enema.

  • The studies 2, 3, 4 discuss the use of topical combinations of fipronil and permethrin to control fleas on dogs.
  • Other studies 5, 6 examine the efficacy of nitenpyram, fipronil, imidacloprid, selamectin, and cythioate against adult fleas on cats and dogs.
  • None of the provided studies mention the use of a flee enema or provide instructions on how to apply one.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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