Industry Agreed Contra-indications and Relative Contra-indications

The following contraindications are subject to an on-ongoing review

Absolute Contra-indications

  • Abdominal Hernia
  • Autonomic dysreflexia (occurs in spinal injuries at or above T6)
  • Carcinoma of the colon or rectum
  • Children under 16 years without a GP’s/medical specialist written referral and a guardian present at all times
  • Colitis
  • Congestive heart disease
  • Diverticulitis
  • Fistula
  • Hirschsprung’s disease
  • Hypertension above 170/100
  • Ileus (paralytic)
  • Active Inflammatory Bowel Disorders – Ulcerative Colitis, Crohn’s, Colitis and Diverticulitis
  • Inflamed haemorrhoids
  • Pregnancy
  • Rectal bleeding
  • Radiotherapy of abdominal area not discharged from medical care
  • Severe Anaemia (RBC less than 2.5 million cells/mcL) – Risk of fainting
  • Renal insufficiency
  • Severe persistent diarrhoea

The following timelines given post-surgery are deliberately conservative and could be less with the written support of a Medical Specialist.

  • Recent surgery of colon or rectum (less than 26 weeks)
  • Recent abdominal surgery e.g., hysterectomy (less than 26 weeks)
  • Recent abdominal liposuction (less than 12 weeks)
  • Recent bowel biopsy (less than 12 weeks)
  • Recent prostrate biopsy made through the bowel (less than 12 weeks)
  • Recent laparoscopy (less than 6 weeks)

Relative Contra-indications

Industry Agreed Relative Contraindications – the suitability of the treatment remains specific to the individual and must be assessed by a professional Colonic Hydrotherapist.

  • Anal tear and haemorrhoids(s) if DRE reveals potential intolerance to speculum
  • Chemotherapy and cancer treatments known to cause inflammation, infections, anaemia and general weakness – CHT’s should work with the medical team.
  • Debilitating heart, liver and kidney diseases manifesting pain and weakness
  • Diabetes – Risk of Hypoglycaemia; client advise should be given in preparation for treatment
  • Diverticulosis within 3 months of an episode of diverticulitis
  • Highly anxious, stressed or emotional
  • Hypotension (less than 90/60)
  • 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; will need to establish mobility and if client can lie on their left side
  • Sever underweight or Eating Disorders
  • Tight Sphincter