In this training video, a gastroenterology nurse at The Children’s Hospital of Philadelphia demonstrates how to give a high-volume cone enema to your child at home.

Start by gathering your supplies — an enema bag with tubing, a roller clamp and an attached cone, saline solution and lubricating jelly. Have your child lay on his left side and in the bathroom, if possible.

First, close the roller clamp. Then fill the enema bag with the amount of saline ordered by your child’s clinician. Next, apply lubricant to the cone and insert it into your child’s rectum where it will stay for about 10 minutes until all of the saline solution has flowed into your child.

The cone acts as a plug during the infusion. Once your child’s body has absorbed the solution, close the roller clamp, remove the cone from his rectum and have your child sit on the toilet for 30-45 minutes until the colon is cleaned out.

Enemas are not painful, but they can be uncomfortable and cause some abdominal cramping.