Given some of the cautionary points raised in the previous section, gravity feed douches are slower but seen by some as safer. Gravity feed douches will clear out the rectum, sigmoid colon and further with patience. Douche kits of this type usually consist of a plastic two litre (three to four-pint) bag, a one metre (three foot) tube, a 12cm (five to six-inch) nozzle and a small on/off tap to control the flow. The bag is filled with lukewarm water and hung about two metres (six feet) on a hook above the toilet. The water pressure increases the higher you raise the bag. Gravity carries the water down the tube, through the nozzle, into your rectum. One bag of water may not be enough; to avoid running out, an extra jug of water is handy. As a rough guide, it takes about 15-20 minutes, but longer if your shit is loose.
If you don't have facilities to use a hose or a gravity feed douche, a bulb syringe is a practical alternative. The size of a bulb syringe douche will restrict how far you can douche. They are used to clear out the bottom part of the rectum, although larger ones will clear out the rectum fully. This method is unlikely to clear out your sigmoid colon. The equipment consists of bulb-shaped container made of rubber and a plastic or rubbery nozzle that you either screw on or push into the top. They vary in size holding between 125-250ml (3-8fl oz). You fill the bulb with water, insert the nozzle up the anal canal and squeeze the bulb gently to pump the water into your rectum.
How far to douche
What you want to do sexually will determine how far to douche. The further up you douche the longer you will usually remain clean. Douching to the depth you require comes with practice. Factors to consider include the position of the nozzle, the amount and pressure of water and how long you keep the water inside before releasing it. You have sphincter muscles above and below the rectum and you need to bear in mind that there is sometimes shit above both of them. When douching the rectum, the nozzle or the build-up of water can accidentally stimulate the top sphincter muscle which may relax and let a dump of shit down from the sigmoid colon. This often means that you have to douche again. What was to be a 10-15 minute douche now takes much longer as you have to wash out the area above the top muscle as well as the rectum. With practice, however, you can improve your muscle control and sense how long your douche will take.
Staying clean
It's difficult to gauge how long you will remain clean. As a rough guide, a light douche (rectum only) may keep you clean for four to six hours. A heavier douche (rectum and sigmoid colon) is effective for up to 12 hours, maybe longer. Factors to consider include what and when you last ate, to what extent you've douched and whether you have any diarrhoea, irritation or infection. The digestive system moves everything along and will affect the time you will remain clean. Occasional muscle reflexes from the rectum to the stomach and small intestine can cause symptoms such as tummy upset and cramps which can affect the speed food is moved towards the rectum.
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.
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