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Enema play: Difference between revisions
Added intoxicants and case reports
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Electrolyte issues are most commonly encountered when tap water is used, which contains functionally no electrolytes and can most notably lead to hyponatremia, hypokalemia, and hypocalcemia which can be life-threatening if severe and untreated. Additionally, the hypotonic nature of tap water can cause considerably more discomfort and irritation of the colonic mucosa than if a balanced fluid is used. Electrolytes can be added to tap water to recreate a balance that matches electrolyte levels in the body, leading to both a safer and more comfortable experience for the sub. | Electrolyte issues are most commonly encountered when tap water is used, which contains functionally no electrolytes and can most notably lead to hyponatremia, hypokalemia, and hypocalcemia which can be life-threatening if severe and untreated. Additionally, the hypotonic nature of tap water can cause considerably more discomfort and irritation of the colonic mucosa than if a balanced fluid is used. Electrolytes can be added to tap water to recreate a balance that matches electrolyte levels in the body, leading to both a safer and more comfortable experience for the sub. | ||
=== Intoxicating additives === | |||
Many intoxicating substances can also be absorbed rectally and can be added to enemas to produce additional effects in the sub. Caution must be taken and specific research should be done for each substance being considered, as some substances are considerably more or less potent when absorbed rectally than via other routes. | |||
It is also possible to administer dangerously large doses of intoxicating substances via enemas, given the large volumes and rapid flow rates involved. Additionally, some substances can be directly caustic to the rectal and colonic mucosa if administered in high concentrations. Alcohol in particular has been reported to have caused multiple fatalities and episodes of colitis from administration in enemas.<ref name=":0">{{Cite journal |last=Wilson |first=Christopher I. |last2=Ignacio |first2=Susan S. |last3=Wilson |first3=Gwennaëlle A. |date=2005 |title=An unusual form of fatal ethanol intoxication |url=https://pubmed.ncbi.nlm.nih.gov/15932106 |journal=Journal of Forensic Sciences |volume=50 |issue=3 |pages=676–678 |issn=0022-1198 |pmid=15932106}}</ref><ref name=":1">{{Cite journal |last=Peterson |first=Thomas |last2=Rentmeester |first2=Landen |last3=Judge |first3=Bryan S. |last4=Cohle |first4=Stephen D. |last5=Jones |first5=Jeffrey S. |date=2014 |title=Self-administered ethanol enema causing accidental death |url=https://pubmed.ncbi.nlm.nih.gov/25436159 |journal=Case Reports in Emergency Medicine |volume=2014 |pages=191237 |doi=10.1155/2014/191237 |issn=2090-648X |pmc=4243473 |pmid=25436159}}</ref><ref name=":2">{{Cite journal |last=Seki |first=Tadahiko |last2=Fukushima |first2=Hidetada |date=2019 |title=Self-administered alcohol enema causing chemical proctocolitis |url=https://pubmed.ncbi.nlm.nih.gov/31354369 |journal=Open access emergency medicine: OAEM |volume=11 |pages=129–132 |doi=10.2147/OAEM.S208214 |issn=1179-1500 |pmc=6572673 |pmid=31354369}}</ref> | |||
== Risk mitigation<!-- Describe the risk mitigation for this kink. --> == | == Risk mitigation<!-- Describe the risk mitigation for this kink. --> == | ||
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=== Medical case reports<!-- List medical case reports related to the use of this drug. --> === | === Medical case reports<!-- List medical case reports related to the use of this drug. --> === | ||
* An unusual form of fatal ethanol intoxication (2005)<ref name=":0" /> | |||
* Charges dismissed in sherry enema death (2007)<ref>{{Cite news |last=Reuters |title=Charges dismissed in sherry enema death |url=https://www.reuters.com/article/lifestyle/charges-dismissed-in-sherry-enema-death-idUSN03280385/}}</ref> | |||
* Self-administered ethanol enema causing accidental death (2014)<ref name=":1" /> | |||
* Self-administered alcohol enema causing chemical proctocolitis (2019)<ref name=":2" /> | |||
=== RACKWiki incident reports<!-- List RACKWiki incident reports related to the use of this drug. --> === | === RACKWiki incident reports<!-- List RACKWiki incident reports related to the use of this drug. --> === | ||
== References == | == References == | ||