I started using enemas about four years ago to relieve severe chronic constipation. Nothing else was working, except large doses of golytely, which was very debilitating to say the least. My gastoenterologist recommended them as a last resort alternative to removing my colon. I used warm tap water and did it twice a week. It was the only way I could "go". It is sort of a minor hassle to do them, but at least they work reliably and quickly. I guess I was totally dependent on them. My doctor also tried propulsid and cytotec with me, but those didn't work. I have gotten myself off of enemas for the most part now by using Miralax on a daily basis. My doctor prescribed it in early December and I continue to get good results from it for the most part. I now have a b.m. about 4 times a week, which is a lot better than 0 before. I still get totally plugged up about 2 or 3 times a month and need an enema to get things going again, but I don't need them on a regular, scheduled basis for the time being. You may want to ask your doctor about Miralax.