DEAR DR. GOTT: I frequently use a rubber enema bag to flush out my colon. It works but it is getting more difficult to get rid of my feces. Is there any danger in doing this? Are there other ways to do this?

DEAR READER: Colonic irrigation is unnecessary and should be avoided.

If you have chronic constipation, you should be examined by your primary care physician or a gastroenterologist. He or she can examine you to ensure there is no physical cause, such as blockage or polyps. You should then be checked for irritable bowel syndrome which can manifest itself as chronic diarrhea or constipation or a combination of both. Depending on the cause, you can then discuss treatment options such as bulking up with fiber, the use of stool softeners or perhaps you need medication.
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