At a very young age we are taught to dispose of shit neatly and we are not encouraged to talk about one of life's messy taboos. And yet, while the anal area exemplifies - for some - everything that's dirty and unclean it is also one of the most sensitive and enjoyable parts of the body. Consequently, for many of us, shit is not something we deal with very well. Ironically, many gay men are forced to come to terms with shit as the arse plays such key role in the sex we have. There's probably been a time in our lives when we have shit ourselves during sex or seen our partner do the same. How we deal with the situation can make or break that hot date!
A solution is douching, which means washing out the anal canal, rectum and/or sigmoid colon with water. Although never fool-proof, it makes fingering, fucking, using dildos and, in particular, fisting much cleaner. Whether you're learning to drive, use a computer, or put in your first set of contact lenses, the first experience is often uncomfortable or daunting. Douching for the first time is no different. Like many things in life, with practice and familiarity we can get it right. Quite apart from cleaning you out, douching's a good way for you to get to know your arse, how it feels and works. While shit can be unpleasant to some people, douching helps to put it into perspective and over time it becomes little more than an occupational hazard. There are several types of douche equipment which we'll deal with in turn.
Hose (tap/bath/shower) attachments
Hose douches provide a continuous stream of water under pressure and is an effective way to clear out the rectum, the sigmoid colon and further up. Attaching one end of the hose to the shower or bath/sink taps and making sure that the water pressure and temperature are correct, you slide the nozzle up up anal canal into the rectum and further as required. Unless you have any preferences, water should be body temperature to luke warm. Gauging the correct pressure comes with practice, but as a guide turn the head of water upward like a fountain - it should be no more than one or two inches high.
Some hot water systems are not able to provide warm water at this low rate of flow and the only way you'll get water at the right temperature is with a higher fountain. Just be careful. If the water pressure's too high, this is the classic way to perforate the rectum or colon wall, but this is very rare and monitoring flow and temperature will significantly reduce any risks. This type of douche (or direct plumbing hook-up) also runs the risk of unexpected changes which can be uncomfortable or even dangerous.
A hose is more likely to wash away the protective mucus lining your arse than a gravity or bulb syringe douche. Any infections taken into your rectum (eg: dirty douche equipment) or which are already present can be taken further up where they can be difficult to treat. Again, anecdotal evidence suggests that this is rare, but it does happen and good hygiene will significantly reduce any risks.
Many hose douches comprise a standard flexible metal hose to which a shower nozzle is usually attached. The shower attachment can then be unscrewed and replaced with a douche nozzle, usually aluminium, purchased from gay shops (£10-15). You can also use a 'Y' shaped plastic shower hose which is attached to the hot and cold taps, but controlling the temperature and pressure is more problematic. Furthermore, when you take off the shower nozzle it is not advisable to simply stick the pipe up your arse as the end of the tube can be abrasive. A simple solution is to attach the smooth-edged nozzle from a gravity feed douche.
This online advice guide is an extract from the book TOGETHER, by kind permission of Patriic Gayle and Gay Times Books. The book itself is over 300 pages long and contains:
several chapters more useful advice and information
more in-depth information in some chapters
more pictures and tables
further contacts at the end of each chapter
a comprehensive listing of gay and health organisations
Described by Qx magazine as a 'Gay Bible', Together Book is a practical reference work no bookshelf should be without.
Available from Prowler Stores and all good bookshops, or click the link below for price and ordering details.