Coffee Enemas

My PubMed search on "coffee enema" returned 4 citations. Two were about rectal burns caused by a hot coffee enema and a third was about acute colitis caused by a coffee enema. The fourth was either an editorial or a review but the abstract was not available so I don't know whether or not that paper contained a rational and evidence-based use for coffee enemas or not. Patients often ask me about using coffee enemas for a "detoxification" regimen. I can't find any evidence to support that, it doesn't make sense to my conventionally trained (yet open) mind, and it is potentially dangerous (though I am amazed that anyone actually uses HOT coffee). The danger I would worry about is potential electrolyte imbalances. So no, I don't recommend them.