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Contra-indications to Colonic Hydrotherapy

Contra-indications to Colonic Hydrotherapy

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Please take the time to examine this list before booking your treatment.
There are some instances in which it is not safe to receive colonic hydrotherapy – these situations are known as ‘contra-indications.’

Colonic Hydrotherapy must not be administered in the case of any absolute contra-indications:

  • Spinal injuries at or above T6 – because colonics stimulate the autonomic (parasympathetic, vagal, pelvic) nervous systems, and vaso-vagal stimulation on those with injury above T6 can lead to Fatal Autonomic Dysreflexia.
  • Carcinoma of colon or rectum – risk of bleeding or perforation
  • Children under 16 without a GP/medical specialist’s referral, a guardian present at all times, and the approval of their paediatrician. For ages 16-18 their guardian must be present for the treatment.
  • Congestive heart disease – Colonic hydrotherapy involves the introduction of a significant amount of fluid into the body. This is thought that it could lead to fluid overload, which can exacerbate congestive heart failure.
  • Diverticulitis – in the case of active inflammation, the patient must have been cleared for at least 6 months due to the risk of bowel perforation.
  • Fistula (unless fully healed) – an abnormal passageway between organs or between an organ and the outside of the body, can increase the risk of infection if exposed to water during colonic hydrotherapy.
  • Hernia – irreducible abdominal or femoral – as colonics can increase intra-abdominal pressure
  • Hirschprung’s disease (‘mega colon’) – absence of nerve cells in the colon means there is no peristalsis, so the colon will not respond to the colonic.
  • Hypertension (blood pressure over 170/100) – due to the risk of stroke or heart attack. This is because there is a risk of blood volume increasing as a result of colonics (this theory is not proven). This theory suggests that colonics could stress the cardiovascular system, blood pressure & kidney, and that during colonic the portal vein and liver may have an increased load.
  • Ileus (paralytic) – a condition where the intestines stop moving. In this situation, colonic hydrotherapy can’t be effective due to nerve dysfunction.
  • Active Inflammatory Bowel Disorders including Ulcerative Colitis, Chron’s, Colitis and Diverticulitis – in inflammatory bowel diseases, the integrity of the colon may be unreliable. The condition may be worsened by colonics, and increase the risk of perforation.
  • Inflamed haemorrhoids – bleeding, thrombosed, and painful during the digital rectal examination. Those at stage 4 which are thrombosed and could burst need to be kept clean and free of irritation to promote healing – and they are at risk of haemorrhaging
  • Pregnancy – filling the colon with water may put unwelcome pressure on the growing foetus.
  • Rectal bleeding – this could be due to inflamed haemorrhoids or indicative of IBD and requires investigation by a medical professional.
  • Radiotherapy of abdominal area and not discharged from medical care – inflammation and burning of adjacent tissues is a risk of radiotherapy, therefore carry the same risk as any other inflammatory condition that is contraindicated.
  • Severe anaemia (red blood count less than 2.5 million cells/mcL) – due to the risk of fainting, as vaso-vagal stimulation can lead to hypotension (low blood pressure)
  • Renal insufficiency – dialysis – requires reduced fluid intake.
  • Severe persistent diarrhoea – in this situation a colonic is not indicated, and the sufferer may be experiencing a loss of electrolytes. In this case a colonic is not helpful, and diarrhoea is a symptom of other contraindicated conditions and should be investigated by a medical professional.
Recent surgery (exact weeks are relative to the healing process, and could be less with the written support of your GP):
  • Recent colon or rectum surgery (less than 26 weeks)
  • Recent bowel biopsy (less than 12 weeks)
  • Recent prostate biopsy made through bowel (less than 12 weeks)
  • Recent abdominal surgery (less than 26 weeks)
  • Recent abdominal keyhole surgery e.g. liposuction (less than 12 weeks)
  • Recent laparoscopy (less than 6 weeks)
There are also relative contra-indications, to which the client’s age and general health are relevant factors. In these instances, please contact us before making the booking to check you can receive treatment:
  • Anal tear and haemorrhoids(s) if the Digital Rectal Examination reveals potential intolerance to speculum
  • Chemotherapy and cancer treatments known to cause inflammation, infections, anaemia and general weakness
  • Controlled hypertension and a prescription for diuretics
  • Debilitating heart, liver, pancreas and kidney diseases manifesting pain and weakness
  • Diabetes – Risk of Hypoglycaemia
  • Diverticulosis within 3 months of an episode of diverticulitis
  • Gall stones – depending on the severity
  • Hernia: Inguinal, or Reducible Abdominal
  • Highly anxious, stressed or emotional
  • Hypotension (less than 90/60) – due to the risk of fainting or extreme dizziness
  • Fissure
  • Inflammatory Bowel Disorders in remission for a minimum of 6 months
  • Inguinal Hernia
  • Long term Oral or Rectal Steroid (risk of reduced bowel integrity)
  • Recent (within 6 months) hip/knee joint surgery
  • Recent colonoscopy (less than 6 weeks) especially if surgical intervention (e.g. biopsy, polypectomy) occurred – see biopsy timeline above
  • Severely underweight or an eating disorder
  • Tight anal sphincter

Please note:

Colon Hydrotherapy is not a medical treatment; and is not an alternative for working with your primary healthcare provider.

If in doubt about your suitability to receive this treatment, please contact us before booking an appointment.