Helpful Hints: What to Do When You Can’t Hold a Coffee Enema

It happens to everyone at some point or another, especially when you’re just starting to do coffee enemas. On occasion, one may experience difficulty holding the coffee enema for the full recommended 12-15 minutes. You might experience some cramping, intestinal distress, gas, or spasms that send you running to the toilet before you’ve even managed to take in the full solution (don’t worry; we won’t go into graphic detail!)

So what do you do if you find yourself in this situation?

Fear not, we’ve come up with a list of tips and tricks for you, in case you find yourself unable to hold an enema.

Tips for Holding Coffee Enemas – The Basics
    • Re-read the proper coffee enema recipe & procedure carefully to ensure that you are doing it right (see references below). If you have prepared the coffee solution incorrectly or are not following the proper instructions, you may find this is the cause of your troubles.
    • Relax, breathe deeply.
    • While instilling the coffee, stop the flow with the clamp as needed, and don’t forget to breathe.

  • Check the height of the bucket. Make sure it is less than 18” above your body, or else the coffee will flow too fast.
  • Check the temperature of the enema solution. If it is too hot or too cold, it may be more difficult for the patient to hold. The solution should always be at body temperature.
  • Pull your knees closer to your stomach, in the fetal position.
  • Place the tip of your thumb on the first knuckle of your ring finger and apply pressure to the knuckle (see picture below). This is a pressure point that can help alleviate cramping in the lower intestine.

If You’re Still Having Trouble, Try These “Advanced” Techniques
  • Water enema. If you are experiencing blockage due to feces or gas, try doing an enema first with 16 ounces of distilled water at body temperature. Rub your stomach so the water flows into your colon, hold it for about 5 minutes and release. After the water enema, you may try a coffee enema. If you are taking multiple coffee enemas per day (as on the full therapy), you should not take a water enema before every coffee enema–only before your morning enema.
  • Chamomile enema. The first enema of the day can be the most difficult. Try a chamomile tea enema first and hold for only 5 minutes (see references for the recipe), and then follow it up with the coffee enema.
  • Lower the enema bucket to release gas, and then raise it back up.
  • Introduce half of the enema solution, release, and then go back to do the remaining coffee.
  • Add potassium compound to coffee solution to relieve cramping and spasms. Add 2tsbp per enema to the solution, and discontinue after 1-2 days.

We hope these tips are helpful! You can download these directions as a PDF below. Print it out and keep it with your enema kit, so these instructions are easily accessible to you if the situation arises.





Top photo credit: jarodmccormick


18 Responses to “Helpful Hints: What to Do When You Can’t Hold a Coffee Enema”
  1. Maria Aguilar says:

    Thank you very much for your help.

  2. Freewomyn says:

    Thanks for these tips. The point about keeping the bucket less that 18″ makes so much sense. I’ll be sure to adjust this when I do my enemas tomorrow. I also appreciate the tip about the breathing.

  3. Joni says:

    I do not suggest if one has colon cancer you do this is your blockage is more advanced. Gas is a problem already and the pain is horrific. you girls suggested not to do this for colon cancers and we agreed but all else is fine. Love and appreciate the produce Jesus and God made together before all humans were made.  Praise be to the one true God who saved your father Max Gerson so he would have such a legacy as this.   Thanks for answering many of my questions on the.

  4. Eva connellan says:

    Dear Sir/Madam,

    In all the past years, I have used organic coffee just like the drinking coffee for my enema, which has very strong pure coffee smell after boiling for 10 mins. this time I bought a product from Canada, called HI-therapy coffee, origanic , it looks pale grey in power, and does not smell coffee smell at all after boiling for 10 mins. Can you advise how I should use this coffee please? 
    with gratitude,

    Eva Connellan
    from Singapore

  5. GersonInstitute says:

    Hi Eva! Do you mean the SA Wilson’s “green coffee”? We don’t recommend using that kind, an organic light-to-medium roast blend is best.

  6. Abaca80 says:

    I am just getting started with the coffee enemas by giving myself two a day in preparation for beginning the full therapy June 1st. I’ve been making the coffe concentrate and then diluting the 8oz of concentrate in 24oz of distilled water. Because I’m only doing two a day I have some left over (3 more 8oz jars of concentrate). Does the coffee need to be fresh everyday? If not, does it need to be stored in the fridge, and then of course brought back up to room temp before installing? Thanks so much.

  7. GersonInstitute says:

    Hi Sara! Charlotte and the doctors at the licensed clinics did try out the “green coffee” years ago but they did not feel it was as effective as a regular organic light/medium roast coffee.

  8. Mollydoogan says:

    Here are a couple additional tips:  I find if I get some movement in my feet (wiggle my toes or wobbling my ankels) when I first feel the pressure, I can much more easily breath through the “waves” and they eventually subsides.  Also, if I try to do anything mindy (checking email on my phone, texting, concentraing on a problem, etc), I’m more apt to trigger the need for early evacuation.

  9. NaturalN says:

    Hi Gerson Institute! I have a hard time getting the last bit of the coffee mixture out of the tube… there is no more coffee in the bucket just the tube and it doesnt wanna go in… I try moving the bucket around and the tube but does not really help…any tips? Thanks 🙂 

  10. Can’t the patient just use a butt plug if they can’t hold the enema on their own? I’m not trying to be facetious or anything but in a case like this where treatment is life or death I would try anything at my disposal. And a plug with a little bit of flax seed oil on it so it would slide in better might not be such a bad idea to help the detox regimen along.

  11. Galina says:

    My Husband and I are using the Gerson Diet/Therapy as a means to be healthy and for prevention. We just started and are still learning 🙂 we do not have any severe medical conditions. Are the coffee enema’s something we need to do alomg with following the diet/therapy? If so, how often?

  12. GersonInstitute says:

    Hi Galina! As the Gerson Therapy is a treatment specifically designed for treating chronic degenerative diseases, we don’t have a full protocol for preventative health. However, we’ve written up some general nutritional guidelines, that also have tips about coffee enemas, juicing and other aspects of the Gerson Therapy that you can apply to everyday life. Check it out here:

  13. Pimpin says:

    I just did my first one, and I flew to the toilet after a minute. Then I reconnected and finished the bucket. I was able to hold that for about 7 mins. I had the bucket too high and the coffee may have been too warm.

  14. Tyjeanine says:

    I am having trouble “holding it” for the entire 12-15 once the enema is finished. I get to about 8 minutes a it feels like a huge gas pocket develops in my stomach. It sends me “running” to evacuate.

  15. April says:

    Can I do more than one enema in an hour if my first one did not work correctly? I was unable to hold the coffee in no more than a few minutes and only evacuated coffee no stool like I have before. I

  16. Nicole Mendyk says:

    I read that digestive enzymes are part of the Gerson protocol. Are they absolutely necessary, because I am highly allergic to all digestive enzymes, plant and animal based. They case inflammation in my sinuses, ears and larynx.

  17. Timéa DancingDewdrops Szalay says:

    Can you explain why? SA Wilson Coffee was recommended to me for liver detox.

  18. jane hand says:

    I cant get all the enema in and it keeps going back up the tube no matter how much I raise or lower it or what i do nearly everytime…this goes for both coffee and ohter enemas

    .what am I doing wrong..can anyone help explain why I had problems with both bucket and bag

    also do you lie on your right or left side


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