Coffee Enema

Coffee enemas have been used for years as a critical component for those working hard to stay well. For many, it makes the difference between enjoying life and struggling to function.

The very last part of the colon, before reaching the rectum, is in an “S” shape and called the sigmoid colon. By the time stool gets to this part of the colon, most nutrients have been absorbed back into the bloodstream. Because the stool contains products of putrefaction at this point, there exists a special circulatory system between the sigmoid colon and the liver. There is a direct communication of veins called the enterohepatic circulation.

Have you ever felt sick just before having a bowel movement, when stool material has just moved into the rectum for elimination? Then, as soon as the material is evacuated, you no longer feel sick? If so, this is due to the toxic quality of the material and the enterohepatic circulation coming into play. Because of this, it is important to evacuate when you have the urge. The rectum should usually be empty.

This circulatory system enables toxin to be sent directly to the liver for detoxification, rather than circulating them through the rest of the body and all of its vital organs including the brain. This system of veins carries rectal / sigmoid toxins directly to the liver for detoxification.

When a coffee enema is used, the caffeine from the coffee is preferentially absorbed into this system and goes directly to the liver where it becomes a very strong detoxicant. The coffee does not go into the systemic circulation, unless the enema procedure is done improperly.

It is the liver and small bowel that neutralize the most common tissue toxins: polyamines, ammonia and electrophiles. These detoxification systems are enhanced by the coffee enema. Physiological Chemistry and Physics has stated that “caffeine enemas cause dilation of bile ducts, which facilitates excretion of toxic cancer breakdown products by the liver and dialysis of toxic products across the colonic wall.” Many people have noted the paradoxical calming effect of coffee enemas.

In addition to increased detoxification, other compounds in the coffee enema (theophylline and theobromine) dilate blood vessels and counter inflammation of the gut. Finally, the fluid of the enema stimulates peristalsis and the removal of diluted toxic bile from the duodenum and out through the rectum.

You will need the following materials:

  1. An enema bag or bucket, preferably one of clear plastic that you can see through.
  2. A large stainless steel cooking pot.
  3. Organic coffee or Folgers (red can) fully caffeinated, drip grind coffee.
  4. A source of uncontaminated water. Chlorinated water should be boiled for 10 minutes.

The “see through” enema bag/bucket is preferable, but an old-fashioned type that doubles as a hot water bottle can be used although it is hard to tell how much of the enema is used at each pass. Do not use any bag with a strong odor to it.


Put a little over 1 quart of clean water in a pan and bring it to a boil. Add 2 flat tablespoons of coffee (or the coffee amount that has been prescribed for you). Let it continue to boil for five minutes, then turn the stove off, leaving the pan on the hot burner.

Allow it to cool down to a very comfortable, tepid temperature. Test with your finger. It is safer to have it too cold than too warm. CAUTION: never use it any hotter than what your immersed finger can easily tolerate.

Next, carry your pan or pot and lay an old towel on the floor (or your bed if you are careful and know you won’t spill. For safety, a piece of plastic can be placed under the towel). If you don’t use an old towel, you will soon have one since coffee stains permanently! Use another bunch of towels, if you want, as a pillow and bring along some appropriately relaxing literature. Pour the coffee from the pan into the enema bucket without getting the coffee grounds in the cup. You may prefer to use an intermediate container with a pour spout when going from the pan to the enema bucket. Do not use a paper filter to strain the grounds. Put your enema bag in the sink with the catheter clamped closed.

Pour the coffee into the enema bag. Loosen the clamp to allow the coffee to run out to the end of the catheter tip and reclamp the bag when all the air has been removed from the enema tubing. Use a coat hanger to hang the enema bag at least two feet above the floor; on a door knob or towel rack. The bucket can rest on a chair, shelf or be held. Do not hang it high, as on a shower head, because it will be too forceful and the hose won’t reach. It should flow very gently into the rectum and distal sigmoid colon only; this is not a high enema or colonic. Allowing it to go well up into the colon may introduce caffeine into the general circulation as though you had taken it by mouth.

Lie down on the floor on your back or right side and gently insert the catheter. If you need lubrication, food grade vegetable oil such as olive oil, a vitamin E capsule, or KY jelly should be fine, unless you are chemically sensitive. It is generally a good idea to avoid petroleum products. Gently insert the tube into the rectum a few inches and then release the clamp and let the first 1/2 of the quart (1/2 liter; 2 cups) of coffee flow in. Clamp the tubing off as soon as there is the slightest amount of discomfort or fullness. Do not change position or use an incline board to cause the enema to enter further into the colon; this defeats the purpose of this type of enema.

Try to retain the enema for a minimum of 12 or more minutes. Sometimes there will be an immediate urgency to get rid of it and that is fine. It helps to clean the stool out of the colon so that next time around you can hold more of the enema longer. Never force yourself to retain it if you feel that you can’t. When you have clamped the tubing, remove the catheter tip and void when you have to. It is best to hold it for at least 12 minutes each time. After you have emptied the bowel, proceed with the remaining 1/2 quart and likewise hold that for at least 12 minutes, if able, then void.

The goal is to have two enemas, not exceeding 1/2 a quart (1/2 liter, 2 cups) each, that you are able to hold for 12 to 15 minutes each. Usually 2 or 3 times will use up all of the enema, but that is not your goal; being able to hold it in for 12 to 15 minutes is. When you have finished your session, rinse out the bag and hang it up to dry. Periodically run boiling water, peroxide, or other comparable antimicrobial agent through the empty bag to discourage mold growth when not in use.

If you feel wired or hyper, or have palpitations or irregular heartbeats after a coffee enema, you should reduce the amount of coffee, usually by half for a few days or weeks, or consider that you really need organic coffee. Be sure that the water used is clean and free of chemicals.

Sometimes you will hear or feel a squirting out and emptying of the gallbladder. This occurs under the right rib cage, or sometimes more closely to the mid line. If after a week of daily enemas you have never felt or heard the gall bladder release, you should consider making the coffee stronger, going up in 1/2 tablespoon increments per quart, not exceeding 2 tablespoons per cup. Alternatively, you may need a slightly larger volume, such as 3 cups at a time. Sometimes, 3 enemas (2 cups or less each) rather than two at a session are more beneficial for some.

Always discontinue the enemas if there is any adverse reaction whatsoever, and discuss it with the doctor at your next appointment. If you find the enema helpful, do not use it more than once per day for any extended period without medical supervision. Use it as necessary, perhaps several days in a row, but more commonly a few times per week.


Coffee Enema can help with the following





If you find that an enema is useful for stimulating a needed bowel movement, this may be an opportunity to try the coffee enema. If no added benefit is noticed beyond that of the water enema, the CE (coffee enema) can be discontinued.

Environment / Toxicity  


Headaches, Migraine/Tension

A coffee enema will sometimes stop and often prevent headaches associated with toxicity.

Organ Health  

Liver Detoxification / Support Requirement

The coffee enema causes the liver to produce more bile (which contains processed toxins) and moves bile out towards the small intestine for elimination. This frees up the liver to process more incoming toxic materials that have accumulated in the organs, tissues and bloodstream. Coffee contains some alkaloids that also stimulate the production of glutathione-S-transferase, an enzyme used by the liver to make the detox pathways run. It is pivotal in the formation of more glutathione, one of the main conjugation chemicals, enabling toxins to be eliminated via bile into the small intestine. So in other words, a coffee enema speeds up the detoxification process and minimizes the backlog of yet-to-be-detoxified substances.


Cancer / Risk - General Measures

Dr. Max Gerson pioneered the use of the coffee enema starting in the 1930s as part of a general detoxification regimen for cancer. Dr. Gerson noted some remarkable effects of this procedure including patients no longer needing pain-killers once on the enemas. The frequency of coffee enemas needed to achieve this effect may be many during a single day, and should not be undertaken without supervision.

Dr. Lee Wattenberg, MD was able to show that substances found in coffee – kahweol and cafestol palmitate – promote the activity of a key enzyme system, glutathione S-transferase. This enzyme is responsible for neutralizing free radicals, harmful chemicals now commonly implicated in the initiation of cancer and needed for detoxification. Consuming coffee orally does not produce the benefits experienced when it is taken as an enema.

When cells are challenged by poisons, oxygen deprivation, malnutrition or a physical trauma they lose potassium, take on sodium and chloride, and swell up with excess water. This “tissue damage syndrome” makes it easier for cancerous cells to survive. Cells normally have a preference for potassium over sodium but when a cell is damaged it begins to prefer sodium.

This craving results in a damaged ability of cells to repair themselves and to utilize energy. Furthermore, damaged cells produce toxins. Around tumors are zones of “wounded” but still non-malignant tissue, swollen with salt and water. Dr. Gerson believed that cancer could not exist in normal metabolism. He directed his efforts toward creating normal metabolism in the tissue surrounding a tumor.


May do some good
Likely to help
Highly recommended
Reasonably likely to cause problems



The part of the large intestine that extends to the rectum. The colon takes the contents of the small intestine, moving them to the rectum by contracting.


A bitter, yellow-green secretion of the liver. Bile is stored in the gallbladder and is released when fat enters the first part of the small intestine (duodenum) in order to aid digestion.


Refers to the various types of malignant neoplasms that contain cells growing out of control and invading adjacent tissues, which may metastasize to distant tissues.


The artificial process of cleaning wastes from the blood when kidneys fail.


Movement characterized by alternate circular contraction and relaxation of the intestine or other tubular structure which propels the contents onward.


First portion of the small intestine between the pylorus and jejunum.


(Tbsp) Equivalent to 15cc (15ml).


Anatomically located further away from a point of reference, such as an origin or a point of attachment.

Vitamin E

An essential fat-soluble vitamin. As an antioxidant, helps protect cell membranes, lipoproteins, fats and vitamin A from destructive oxidation. It helps protect red blood cells and is important for the proper function of nerves and muscles. For Vitamin E only, 1mg translates to 1 IU.


Free radicals that are by-products formed in our bodies when molecules of fat react with oxygen.


Tending to destroy microbes, hinder their multiplication or growth.


A small, digestive organ positioned under the liver, which concentrates and stores bile. Problems with the gallbladder often lead to "gallbladder attacks", which usually occur after a fatty meal and at night. The following are the most common symptoms: steady, severe pain in the middle-upper abdomen or below the ribs on the right; pain in the back between the shoulder blades; pain under the right shoulder; nausea; vomiting; fever; chills; jaundice; abdominal bloating; intolerance of fatty foods; belching or gas; indigestion.

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