Pudding Enema

Pudding Enema
The People's Perspective on Medicine
What can you do when constipation is a terrible challenge? Our video demonstrates how to make Power Pudding for constipation.
Video Demonstrates How To Make Nurse’s Power Pudding for Con...
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Joe Graedon is a pharmacologist who has dedicated his career to making drug information understandable to consumers. His best-selling book, The People’s Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site. In 2006, Long Island University awarded him an honorary doctorate as “one of the country's leading drug experts for the consumer.” Read Joe 's Full Bio .
Constipation is way more common than you would ever imagine. A report in the journal Gastroenterology (Jan. 2013) suggests that the median prevalence of constipation for all households is 16%. One third of people over 60 report consternation over constipation. There are lots of contributing factors, from a low-fiber diet and depression to surgery and adverse drug reactions. That’s right, a bunch of medications can cause difficult BMs. However, there are solutions. One of our go-to recommendations is Power Pudding for constipation! Watch the video to learn how to make it.
Q. I have read in your column about something called “power pudding” for constipation. Years ago I made the recipe, and it worked really well for my husband when he was suffering.
I seem to remember that it had bran and applesauce, but I cannot remember the other ingredients. Could you please share it and any other remedies that might be helpful? I don’t want to use laxatives.
A. We first heard about this recipe from nurses who were taking care of hospitalized patients. This approach requires a lot of fluid to prevent obstruction in the throat.
Power pudding contains 1 cup of applesauce, 1 cup of coarse wheat bran and ¾ cup of prune juice. Mix the ingredients together and take one to two tablespoons daily with a full eight-ounce glass of water.
You will find this recipe and another dynamite option, pumpkin bran muffins, in our book, Recipes & Remedies from The People’s Pharmacy . For those suffering from the opposite problem, we include a recipe for coconut macaroon cookies .
“I’m female, 74 years old, 5”7″ tall, weigh 125, walk 2 miles a day and am in very good health. My problem is constipation (chronic, I guess). I have gone up to over 2 weeks without a BM. If I don’t take a laxative I would be stopped up even longer.
“I have gotten so sick (to the point of throwing up and just laying on the floor) from chronic constipation. I have resorted to enemas when it gets really bad.
“In 50 years I have tried EVERYTHING on the shelf and many more things recommended by friends and maybe a few foes. Absolutely nothing works – I have truly tried everything.
“My doctor is an internist but he doesn’t seem too concerned although after the last couple weeks I am going to make another appointment soon. I have had a barium enema and recently had a sigmoidoscope to rule out something serious.
“There’s just got to be something I can take that will work. I just want to go at least once a week.”
“I was born with severe constipation. I’ve tried everything from prune juice when I was a child to high fiber, Miralax , milk of magnesia, to laxatives. I am now dependent on laxatives. In fact, I’m afraid I have become addicted. My fear of constipation has made me add more and more laxatives throughout the years. Can you help me please? I’m so afraid!”
We could go on and on with other examples, but you get the idea. We think “Power Pudding” is one possible solution. As described in the video at the top of this article, nurses have been recommending this approach for decades. If you have ever tried Power Pudding for constipation, please let us know how it worked.
Details on how to make this recipe are in the video and in our pamphlet.
We also have a number of other suggestions in our two Guides:
“You just mix the All Bran cereal (the cereal that looks like twigs ~ not the flakes) in with an equal amount of applesauce; let it sit to soften until it makes a coarse paste. Add prune juice to reach pudding-like consistency.
“After terrible suffering from post-surgical neuropathy (including weeks of catheterization), I became so constipated that I was becoming impacted. My home care nurse recommended the very same power pudding for constipation using all bran cereal and it worked. It may not taste the greatest, but it works!”
“Give it a couple of days to kick in and drink plenty of water.”
“Go very slow with the pudding at first — diarrhea, especially after constipation, could be debilitating.”
“I ate a bowl of this power pudding for constipation. I find it is very tasty and effective”
2 cups stewed prunes
1 box raisins
2 cups applesauce
1 cup dried cranberries
2 cups bran flakes
2 cups canned apricot halves (drained)
2 cups half & half
“Blend 1 cup prune juice, 1 cup bran cereal and 1 cup applesauce. Cover and refrigerate up to one week. Take two tablespoons (one ounce) daily.
“Please make sure you drink 8 ounces of water after swallowing power pudding for constipation!”
That is very good advice. Otherwise, the power pudding for constipation could cause blockage.
Let us know about your constipation story and/or solution below in the comment section. And please vote on this article and video at the top of the page. You will find Kit Gruelle’s famous high-fiber “Pumpkin-Bran Muffin” recipe that is also dynamite when it comes to combatting constipation. It is available in our Guide to Constipation . In our Guide to Digestive Disorders you will find information on heartburn, flatulence and ulcers as well as constipation.
We're empowering you to make wise decisions about your own health, by providing you with essential health information about both medical and alternative treatment options.

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Talk to your doctor before you perform your own enema. While it's typically safe to have an enema, it's probably still a good idea to talk to your doctor about it first. They may advise you to try other methods of relieving your constipation first, like taking a fiber supplement or an over-the-counter laxative, if you haven't already. If they do recommend an enema, they can tell you how often you should perform the enema, or what to do if it doesn't relieve your constipation symptoms. [2]
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In some cases, your doctor may ask you to perform an enema before you come in for a procedure like a colonoscopy.

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Mix up your own solution if you're using a saline enema. Unless your doctor tells you otherwise, it's safest to use a simple saline solution when you're performing an enema. Making your own saline solution is easy—just stir 2 tsp (12 g) of table salt into 1,000 ml (1.1 qt) of lukewarm distilled water. [3]
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Purchase distilled water, as tap water may contain contaminants that you don't want to introduce into your rectum.
If you're making a homemade enema solution, you'll also need to purchase an enema bag and tube.
Do not add any other ingredients to the saline solution unless your doctor advises you to. Even if you see them recommended online or by your family and friends, do not put fruit juices, herbs, vinegar, coffee, or alcohol into your enema. The risks posed by introducing these substances into your colon far outweigh any potential benefits. [4]
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Once you've made the saline, fill the enema bag with 6 fluid ounces (180 ml) for children 2-6 years old, 12 fluid ounces (350 ml) for children 6-12 years old, and 16 fluid ounces (470 ml) for anyone 13 or older.
Do not give an enema to children under the age of 2 unless directed to do so by your doctor.

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Purchase a kit if your doctor recommends a mineral oil or phosphate enema. Mineral oil and phosphate are both used as laxatives, so they can increase the effectiveness of your enema. Mineral oil can be less irritating than a phosphate enema, although you should talk to your doctor before you use either. [5]
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Typically, store-bought enemas come in children's and adult's sizes. Read the label carefully to ensure you get the right enema for your age and body size.

For a mineral oil enema, the dose will be 2 fluid ounces (59 ml) for children ages 2-6 and 4.5 fluid ounces (130 ml) for anyone older than 6.
If you're using a phosphate enema, the dose will be 1 fluid ounce (30 ml) for children who weigh 20 pounds (9.1 kg) or more, 2 fluid ounces (59 ml) for children who weigh at least 40 pounds (18 kg), 3 fluid ounces (89 ml) for someone who weighs 60 pounds (27 kg) or more, 4 fluid ounces (120 ml) for anyone 80 pounds (36 kg) lb, and 4.5 fluid ounces (130 ml) if the person weighs 90 pounds (41 kg) or more.

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Drink 1-2 glasses of water 30 minutes before the enema. Enemas can sometimes cause you to become dehydrated, since they'll stimulate your bowels to evacuate. You can help prevent that by drinking 8–16 fluid ounces (240–470 ml) of water a half-hour before you plan to have the enema. [7]
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You should also drink plenty of fluids after your enema to replenish your fluid levels.
Drinking more water may also help prevent your constipation from returning.

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Place folded towels on the bathroom floor. Since you may have to get to the toilet very quickly, it's best to perform an enema in your bathroom. In addition, this is the best place to ensure you have privacy during the procedure. To set up your area, lie several folded towels on the bathroom floor so you'll have a comfortable place to rest while you wait. [8]
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Make sure there's a place nearby where you can place the enema bag while you wait, like a small stool or a hook you can hang it from.
You may also want to have a book or magazine nearby so you'll have something to read while you're performing the enema.

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Lubricate the nozzle tip on the enema tube. Coat the last 3 in (7.6 cm) of the nozzle with petroleum jelly or a water-based personal lubricant. [9]
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Muhammad Khan, MD, MPH Board Certified Gastroenterologist

Expert Interview. 24 August 2021.

This will make it easier and more comfortable to insert the nozzle when you begin the enema. [10]
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If you'd like, you can also spread a little of the lubricant around your anus.

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Lie on the floor and pull your knees up to your chest. When you're ready to begin your enema, remove your clothes and make sure your enema supplies are near the towels you placed on your floor. Then, lie flat on your back, bringing your knees up until you can easily reach your bottom. [11]
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Michigan Medicine
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If lying on your back is difficult, you may prefer to lie on your left side. Choose whichever position is more comfortable for you. [12]
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It may help to use a hand mirror so you can see what you're doing better. [13]
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Expert Source

Muhammad Khan, MD, MPH Board Certified Gastroenterologist

Expert Interview. 24 August 2021.

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Insert the tip of the nozzle 3 in (7.6 cm) into your rectum. If there's a cap on the nozzle, take it off. Then, very gently, push the tip of the nozzle into your bottom. Don't force the tip in, and take your time. If you need help relaxing, take several slow, deep breaths, and focus on how much better you'll feel after your constipation is relieved. [14]
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This may feel a little uncomfortable, but it should not be painful. The nozzle tip should be rounded to make it eas
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