Anal Douching Practices

Anal Cleansing

How To Anal Douche

Interior anal cleaning can best be accomplished through a high fiber diet that will naturally help bulk your stool for complete evacuation. Conversely, exterior anal cleaning can be done with a simple shower using soap and water.

However, we know that most bottoms enjoy the peace-of-mind that comes along with a freshly rinsed anus, so if you still insist on a more thorough cleansing, then it’s best to understand all that’s out there to best accomplish this feat.

The main anal douches are a pre-filled store bought enema, a bulb douche, a water bag douche, and a shower douche. Bespoke Surgical recommends you find the one that suits you best, with the understanding of all the principles for their proper use. Our best advice: keep it simple. You only need to clean a few inches, not your entire gut. The anal canal is about 4-6” deep, so contrary to popular belief, only a minimal amount of preparation is needed. Avoid the temptation to vigorously squeeze in an entire bucket full of water. Less distention is the goal, with one thinking of douching as more of an irrigant, than an enema. Think of how a colonic works — what goes in, comes right back out. It’s just a gentle rinse cycle.

Is Anal Douching Safe? Risks Of Over-douching

Over-douching (cleaning too deep, with too much force, or with too much water) can cause problems, such as douche dependency, prolonged anal irritation, elevated mucus production, and lengthening or incomplete contraction of the rectum/colon, which can lead to chronic constipation. One’s anal sphincters keep everything inside and the constant pushing required for douching can cause injury to these muscles, let alone just the insertion of a device can cause added localized injury. Proper use and lots of lubrication aids proper mechanics. Additionally, your gut contains some good bacteria that assists in digesting food, absorbing nutrients, and keeping bad bacteria in check. Aggressive and frequent anal douching can actually flush away the good shit (pun intended), leaving you susceptible to a whole host of stomach and intestinal issues. Aside from the health risks, over-douching can also loosen stools that are higher up in the rectum, which wouldn’t normally interfere with anal sex, making it even messier than if you hadn’t douched at all. Remember: douching creates a lot of mucus and dryness in the area, which can cause cell damage, cracking, and bleeding, making it easier to contract and pass along both HIV and other STDs.


The biggest piece of advice Bespoke Surgical can offer is to listen to your body. It knows what it can handle and what it can’t. One key tip is to prove to yourself, even before you douche, how clean you truly are by using a butt plug or dilator, preferably light-colored, to see whether or not any residual stool is even present. If not, you can avoid douching altogether. The important thing to remember is that accidents happen and everybody poops. So if you find yourself in a situation where things have gotten a little messy, DON’T PANIC! You’re not a freak… you’re perfectly normal.


  • Dr. Evan Goldstein, D.O.

    Dr. Evan Goldstein, D.O.

    Read Bio