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A coffee enema is a procedure that involves the injection of brewed coffee into the rectum and colon through the anus for purported health benefits. There is no scientific evidence to support any positive health claim for this practice, and medical authorities advise that the procedure may be dangerous. [1] [2] Coffee enemas are an important part of Gerson therapy, a discredited alternative cancer treatment that was promoted by the Gerson Institute in the 1970s. [3]
There is no medical or scientific evidence to support any detoxification or anti-cancer effect of coffee enemas. [2] [4]
Coffee enemas carry a risk of adverse effects, some of them serious, including infection, seizures, heart and lung problems, and death. [5]
The rationale for using enemas can be traced back the earliest medical texts, to the prescientific misconception that the accumulation of faeces in the intestines can lead to autointoxication and that the "cleansing" of intestines can prevent that. [6]
The practice of colon cleansing experienced a renaissance in the 1990s, and at this time, coffee enemas were used as alternative cancer treatments. [7] Their frequent use is a feature of Gerson therapy and Kelley therapy, ineffective alternative cancer therapies. [8] Their use is promoted with claims they can "detoxify" the body by boosting the function of the gallbladder and liver. Coffee enemas were also mentioned in early 20th-century medical literature as a remedy for constipation, though their use was limited and eventually fell out of favor due to a lack of supporting evidence. [9]
Advocates of coffee enemas often point to their inclusion in editions of the Merck Manual through 1972, where coffee is listed as an ingredient for a retention enema for treating constipation. The Merck Manual does not list any other uses for coffee enemas, and in editions after 1972 all mention of them was dropped. [8]
Gerson therapy is an alternative treatment developed by Dr. Max Gerson in the early 20th century, primarily aimed at treating cancer and other degenerative diseases. The therapy emphasizes a strict organic vegetarian diet, nutritional supplements, and coffee enemas, which are believed to detoxify the body and strengthen the immune system. Proponents claim that this regimen can restore metabolic balance and promote healing; however, there is no scientific evidence supporting its efficacy. Health organizations, including the National Cancer Institute, warn against using Gerson therapy as a substitute for conventional cancer treatments due to its unproven nature and potential risks. [10]
An enema, also known as a clyster, is an injection of fluid into the rectum or into lower bowel by way of the rectum. The word enema can also refer to the liquid injected, as well as to a device for administering such an injection.
Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. The stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. Complications from constipation may include hemorrhoids, anal fissure or fecal impaction. The normal frequency of bowel movements in adults is between three per day and three per week. Babies often have three to four bowel movements per day while young children typically have two to three per day.
Laxatives, purgatives, or aperients are substances that loosen stools and increase bowel movements. They are used to treat and prevent constipation.
Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman". The term quack is a clipped form of the archaic term quacksalver, derived from Dutch: kwakzalver a "hawker of salve" or rather somebody who boasted about their salves, more commonly known as ointments. In the Middle Ages the term quack meant "shouting". The quacksalvers sold their wares at markets by shouting to gain attention.
Detoxification or detoxication is the physiological or medicinal removal of toxic substances from a living organism, including the human body, which is mainly carried out by the liver. Additionally, it can refer to the period of drug withdrawal during which an organism returns to homeostasis after long-term use of an addictive substance. In medicine, detoxification can be achieved by decontamination of poison ingestion and the use of antidotes as well as techniques such as dialysis and chelation therapy.
Mucoid plaque is a pseudoscientific term used by some alternative medicine advocates to describe what is claimed to be a combination of harmful mucus-like material and food residue that they say coats the gastrointestinal tract of most people. The term was coined by Richard Anderson, a naturopath and entrepreneur, who sells a range of products that claim to "cleanse" the body of such purported plaques.
Max Gerson was a German-born American physician who developed the Gerson therapy, a dietary-based alternative cancer treatment that he claimed could cure cancer and most chronic, degenerative diseases. Gerson therapy involves a plant-based diet with coffee enemas, ozone enemas, dietary supplements and raw calf liver extract, the latter was discontinued in the 1980s after patients were hospitalized for bacterial infections.
A fecal impaction or an impacted bowel is a solid, immobile bulk of feces that can develop in the rectum as a result of chronic constipation. Fecal impaction is a common result of neurogenic bowel dysfunction and causes immense discomfort and pain. Its treatment includes laxatives, enemas, and pulsed irrigation evacuation (PIE) as well as digital removal. It is not a condition that resolves without direct treatment.
Proctitis or anusitis is an inflammation of the anus and the lining of the rectum, affecting only the last 6 inches of the rectum.
Detoxification is a type of alternative-medicine treatment which aims to rid the body of unspecified "toxins" – substances that proponents claim accumulate in the body over time and have undesirable short-term or long-term effects on individual health. It is not to be confused with detoxification carried out by the liver and kidneys, which filter the blood and remove harmful substances to be processed and eliminated from the body. Activities commonly associated with detoxification include dieting, fasting, consuming exclusively or avoiding specific foods, colon cleansing, chelation therapy, certain kinds of IV therapy and the removal of dental fillings containing amalgam.
William Donald Kelley was an American orthodontist who developed "non-specific metabolic therapy," an alternative cancer treatment, now known to be ineffective, which he based on his personal belief that "wrong foods [cause] malignancy to grow, while proper foods [allow] natural body defenses to work."
Sir William Arbuthnot Lane, 1st Baronet, CB, FRCS was a British surgeon and physician. He mastered orthopaedic, abdominal, and ear, nose and throat surgery, while designing new surgical instruments toward maximal asepsis. He thus introduced the "no-touch technique", and some of his designed instruments remain in use.
Alternative cancer treatment describes any cancer treatment or practice that is not part of the conventional standard of cancer care. These include special diets and exercises, chemicals, herbs, devices, and manual procedures. Most alternative cancer treatments do not have high-quality evidence supporting their use and many have been described as fundamentally pseudoscientific. Concerns have been raised about the safety of some purported treatments and some have been found unsafe in clinical trials. Despite this, many untested and disproven treatments are used around the world.
Nicholas James Gonzalez was a New York–based physician known for developing the Gonzalez regimen, an alternative cancer treatment. Gonzalez's treatments were based on his belief that pancreatic enzymes were the body's main defense against cancer and could be used as a cancer treatment. His methods have been generally rejected by the medical community, and he has been characterized as a quack and fraud by other doctors and health fraud watchdog groups. In 1994 Gonzalez was reprimanded and placed on two years' probation by the New York State Medical Board for "departing from accepted practice".
Colon cleansing, also known as colon therapy, colon hydrotherapy, a colonic, or colonic irrigation, encompasses a number of alternative medical therapies claimed to remove toxins from the colon and intestinal tract by removing accumulations of feces. Colon cleansing in this context should not be confused with an enema which introduces fluid into the colon, often under mainstream medical supervision, for a limited number of purposes including severe constipation and medical imaging.
Jessica Ainscough was an Australian teen magazine editor who became a writer and wellness entrepreneur following a rare cancer diagnosis at the age of 22. Ainscough went by the self-coined nickname "The Wellness Warrior" and used her popular blog by the same name to share her personal story of using alternative cancer treatments. Ainscough died of her untreated cancer at the age of 29.
Activated charcoal cleanses, also known as charcoal detoxes, are a pseudoscientific use of a proven medical intervention. Activated charcoal is available in powder, tablet and liquid form. Its proponents claim the use of activated charcoal on a regular basis will detoxify and cleanse the body as well as boost one's energy and brighten the skin. Such claims violate basic principles of chemistry and physiology. There is no medical evidence for any health benefits of cleanses or detoxes via activated charcoal or any other method. Charcoal, when ingested, will absorb vitamins and nutrients as well as prescription medications present in the gastrointestinal tract which can make it dangerous to use unless directed by a medical doctor.
James Ellis Barker was a British historian, journalist, homeopath and naturopath. Barker was also an alternative cancer treatment advocate who promoted the idea that cancer is caused by autointoxication from chronic poisoning and vitamin starvation.
The Chase Dietary Method is an alternative cancer treatment proposed by osteopathic physician Alice Chase (1898–1974). Medical experts have described the Chase Dietary Method as ineffective and potentially hazardous to health.