Enemas are not as bad as many people think they are or will be. Enemas are an excellent way of preventing puppies from dehydrating, especially if they are not keeping fluids down orally. If a puppy is not dehydrated, the enema fluids will come back out, but when they are dehydrating (do the gum and skin test above), their bodies maintain all the enema fluids given. IF a parvo puppy expels the enema fluids within seconds of giving an enema, its intestines may have tortioned (twisted). IF this occurs, you should get your puppy to a vet immediately.
You can give an enema with a fleet enema bag, an infant enema bag, a bulb syringe, or a standard clear syringe, like the one you may be using for oral doses. We prefer using clear syringes, as it’s easy to see how much fluid is in them and it’s easy to see how clean they are after washing. ALWAYS make sure to clearly mark an enema syringe with a good permanent marker and NEVER use an enema syringe even after it’s been thoroughly washed to give an oral dose, as you can reinfect a puppy with parvo.
Please note, there are 2 kinds of syringes. One is made to screw a needle into,
which does NOT make a good syringe for giving enema doses. If using a syringe for giving enemas, make sure the tip is nice and clean, without that flowery thing typical needle syringes have. Here’s a photo of a good syringe to use for enemas.
Lubricate the end of your enema applicator with KY jelly, vitamin E, or similar. Make sure the puppy’s spine is straight, as you cannot give an enema to a puppy that,s curled up. We’ve found some parvo pups have even lifted their legs while getting their enema (NOTE: MOST do not do this). Those who have, apparently realized the benefit the enema was giving them and they recovered the quickest.
Administer the enema fluids VERY slowly. We pet the puppy and tell them why we are giving them an enema…to help them get better so they can be happy, healthy, eat, and play. Giving 5 cc’s of enema fluids may take you 2 to 3 minutes to give. Again, do it slowly
IF your parvo puppy has a low grade fever, we recommend heating the fluids to body temperature, so their cute little furry bodies do not have to work hard at bringing the enema fluids to their body temperature. They need to be working on healing from parvo and should not be having to waste their energy bringing their body temp back up after getting a room temp – 70 degree cold enema. It may help make their recovery easier and quicker.
If giving an enema still sounds gross, please know that there have been one or two Paxaid customers the past 4 years who, despite our repeated informing of the importance of enemas, along with the written Paxaid instructions, did NOT give the enemas and both these puppies died. When it comes to life or death choices, if you aren’t giving IV fluids, or if your puppy isn’t keeping down the oral doses, give the enema(s) – PERIOD. They really aren’t gross (and even if they were, SO WHAT) and could make the difference of whether or not your puppy lives or dies.
Just note, it can take 10 to 15 minutes to give a 45 lb. parvo puppy 4 tbsps. (60 cc’s) of enema fluids. If you are giving the enema via syringe and the fluid starts to come back out, stop for a few seconds, pet your puppy so it can relax, and then slowly administer more of the enema fluid. So again, give very slowly.
Please also note, the purpose of an enema is to hydrate a puppy so that they will be better able to hold down oral fluids. We do not recommend giving enemas 24 hours straight or in lieu of oral dosing. Enemas are needed if a puppy is vomiting excessively, but the goal is to get them hydrated enough so that they can keep their oral fluids down.