Intestinal dysbiosis and hydrocolon therapy: when colon cleansing can make a difference

“Intestinal dysbiosis is an alteration of the intestinal microbiota, which is composed of billions of microorganisms, including bacteria, viruses, and fungi. These microorganisms are partly genetically determined (the microbiome) and partly influenced by acquired factors related to diet and lifestyle,” explains the specialist.

When this balance is disrupted, intestinal dysbiosis occurs.

The main causes may include:

• an unbalanced diet rich in sugars and ultra-processed foods;
• stress;
• frequent use of antibiotics, which reduce “good” bacteria;
• concomitant diseases, such as inflammatory conditions.

The most common symptoms of dysbiosis are:

• abdominal bloating and excessive gas;
• intestinal pain;
• bowel habit alterations (constipation or diarrhea);
• slow and difficult digestion;
• systemic symptoms such as fatigue and skin disorders.

“An altered intestinal bacterial flora does not affect only normal intestinal function, but also a person’s overall well-being. We must consider the gut-brain connection, now confirmed by numerous international studies,” adds the specialist.

Treatment of intestinal dysbiosis is increasingly based on a personalized approach. The main therapeutic strategies include:

• targeted nutrition plans, such as the Mediterranean diet or low-FODMAP regimens, which involve temporary reduction of fermentable carbohydrates that may trigger intestinal symptoms;
• prebiotics and probiotics, to support restoration of balanced bacterial flora;
• lifestyle improvements, including attention to sleep quality and physical activity.

“Today, treatment is becoming increasingly tailored. The use of probiotics and substances that support the intestinal barrier must be evaluated on a case-by-case basis, considering age, comorbidities, and lifestyle,” emphasizes Dr. Epifanio.

One important factor that should not be underestimated is frequent antibiotic use, which may alter the intestinal flora and contribute to constipation, bloating, and other symptoms. In these cases, protecting the intestinal barrier and supporting restoration of the microbiota becomes essential.

In some patients, symptoms may persist despite diet, probiotics, and lifestyle modifications. In these situations, integrative strategies may be considered, always under medical supervision, to support a more complete restoration of intestinal balance and improve overall well-being. In the presence of microbiota imbalance, as occurs in dysbiosis, hydrocolon therapy may represent a useful supportive treatment to improve the intestinal environment.

“Hydrocolon therapy is a procedure involving the infusion of temperature-controlled water into the colon, producing a mechanical cleansing effect. This makes it possible to remove fecal residues, mucus, and stagnant material, often associated with altered bacterial flora,” explains the specialist.

One of the main benefits of colon cleansing is the reduction of substances that may contribute to maintaining a state of dysbiosis. Eliminating this material promotes a cleaner and more functional intestinal environment, helping restore eubiosis, the physiological balance of the microbiota.

In this context, hydrocolon therapy may help rebalance the intestinal flora, especially when included within a broader therapeutic pathway involving targeted nutrition and probiotics.

The benefits of this therapy are observed particularly in patients who continue to experience symptoms such as abdominal bloating, bowel habit alterations, and poor digestion despite targeted treatments (such as diet and pre/probiotics): symptoms that fall within the broad spectrum of IBS (irritable bowel syndrome).

“It is important to emphasize that hydrocolon therapy is not a standalone solution, but a supportive treatment to be integrated into a personalized clinical program under specialist supervision,” concludes Dr. Epifanio.

Hydrocolon therapy sessions are performed by specialized personnel in a controlled and safe environment.

The procedure generally lasts between 30 and 60 minutes. During the session, a disposable cannula is gently inserted into the rectum to allow the introduction of temperature-controlled water.

The liquid is introduced gradually and performs a mechanical cleansing action on the colon, promoting the removal of residues. The water is then eliminated together with waste material through a closed-circuit system, ensuring hygiene and comfort throughout the treatment.

The treatment is generally well tolerated and not painful. Patients may experience a feeling of fullness or mild cramping related to water passage, but these sensations are temporary.

“The amount of water used is adjusted according to the patient’s sensitivity. This makes it possible to avoid discomfort and ensure the session is as comfortable as possible,” clarifies Dr. Epifanio.

Hydrocolon therapy may be indicated in specific conditions, including:

• chronic or refractory constipation;
• intestinal dysbiosis;
• abdominal bloating and recurrent pain;
• functional disorders such as irritable bowel syndrome.

“However, it must be considered that this is not a risk-free procedure,” states Dr. Epifanio.

Hydrocolon therapy is contraindicated in the presence of:

• chronic inflammatory bowel diseases, such as Crohn's disease or ulcerative colitis;
• acute diverticulitis, meaning inflammation of diverticula in the colon;
• recent abdominal surgery (hydrocolon therapy is not recommended during the first 3–6 months);
• fragile conditions, such as elderly or immunocompromised patients;
• colorectal tumors, especially in the presence of stenosis.

For this reason, hydrocolon therapy should always be medically evaluated and prescribed.

“It is important to avoid inappropriate or cosmetic use. This is a therapy that requires accuracy and should not be overused,” adds the specialist.

At Villa Erbosa, hydrocolon therapy is part of a comprehensive and personalized diagnostic and therapeutic pathway.

The facility is equipped with dedicated technologies for both hydrocolon therapy and colon wash procedures, the latter also used as preparation for colonoscopy and in some cases allowing patients to avoid laxative intake in the days before the examination.

The treatment is primarily intended for patients with functional intestinal disorders, such as irritable bowel syndrome, and is always integrated with the support of gastroenterologists and nutrition specialists available within the facility, ensuring comprehensive patient care.

After the procedure, it is essential to continue with a targeted program that may include a personalized diet and probiotic supplementation, with the aim of maintaining long-term benefits and promoting restoration of balanced intestinal flora.