If it is enema, then yup, you probably need a doctors order. Vagus nerve stimulation and what have you and then there are different types of solutions for varying degrees of impaction and you will be need to be monitored. I am in nursing school and the one time I saw it done, the lady was impacted and her abdomen was dystended. So an order was placed and we did an enema on her, no big deal but it looked uncomfortable. It was about a liter bag of solution. Can't remember what type, there are many different kinds. You probably could do it at home, although it might be a little messy.
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