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These “Fecal Transplant At Home – DIY Instructions” are based on the experiences of one person, the anecdotal reports of others and questions most frequently asked by  e-Patients. They are not medical advice. Please read the  and discuss your options with your doctor before doing fecal microbiota transplant (FMT). It is critical that your doctor test your donor before FMT. An outwardly healthy person could carry an asymptomatic parasite or blood borne illness that could wreak havoc in your fragile system.

Introduction

These instructions are for fecal transplant at home using an enema bag or bucket hung on a wall, which will maximise flow up the colon from the force of gravity. If you are in a hurry, syringes and enema bottles can also be used but do try to use the enema bag method as often as possible, for maximum effect. These are solo DIY instructions and do not require assistance from another person.

Shopping List 

• Enema bag or bucket. You can buy ,  or  on Amazon. There are also specialist stores such as  or  . Sex shops also sell them (!)
• A cheap blender or zip lock bag
• Kitchen strainer
• Kitchen funnel
• Distilled water
• Sea salt (optional)
• Silicon gloves if you are squeamish
• Separate dishwashing utensils or a dishwasher
• Personal lubricant or coconut oil
• A big-brown towel or bath
• Tissues
• Paper towels
• Plastic bag
• A large cushion (from a sofa is ideal)
• A timer
•  (also known as Loperamide – optional)

Before the Big Day 

• Find and test your donor. Opinions differ about the minimum testing required. See  for testing options.
• Read the CDD Home Infusion Protocol for &
• Read every on this site. Don’t be lazy about this. You are putting someone’s poop up you.  To make an informed decision you must research the possible risks as well as the possible benefits.
• Familiarise yourself with the so you know what healthy poop looks like (2,3, 4 on this chart).
• Familiarise yourself with so that you understand the direction in which the FMT will flow.

  biofilm busters disrupt colonies of pathogenic microbiota, weakening their resistance

• Decide if you are going to use anti-biotics / /  etc to kill off bad bugs before FMT. This is not mandatory, opinions differ.
• Decide if you are going to do a bowel-washout (lavage) or not. This is not mandatory, opinions differ. The goal of a washout is to minimise the amount of old poop present at the time of infusion of the new poop. Fasting or low-fibre liquid diets help achieve this.
• If you have IBD take whatever medication you know will control the inflammation. Do not do FMT in a flare unless you have no choice.
• Decide where you will do your FMT – either in a bath or lying on a towel on the bathroom floor. Avoid doing it on a bed or sofa or in a carpeted area in case you have a spill.
• Purchase supplies.
• Hang a heavy duty adhesive hook on the wall at a height that will allow for the tube to reach your body without too much slack. Too high and the tube will not reach. Too low and you won’t get enough flow from gravity.
• Decide if you are going to use distilled water or saline. Opinions differ which is better so you may have to experiment. Some have reported that saline has a laxative effect. Others have reported that saline is easier to hold in.
• Do a practice run with your enema bag using just distilled water.
• Go on a low fibre diet for 2 weeks prior to FMT.
• If this is the first in a series of FMTs you can clear out the contents of your bowel 24 hours prior to FMT by fasting and using a laxative or water diet beforehand DO NOT DO THIS EVERY TIME AS IT WILL DISRUPT GROWTH OF THE NEW FLORA. This step is optional.
• Stop anti-biotics/anti-microbials etc 24 hours before FMT (48 hours if you have not done a bowel wash-out – longer if constipated).
• Take medications as usual.
• Leave plastic food containers or zip lock bags with your donor for collection of sample
• If weather is cold leave a microwavable heat pack with your donor so that it can gently keep the sample as close to body temperature as possible while waiting to be collected.

On the Big Day

• Prepare your FMT area. Put enema bag, lubricant, tissues, paper towels, plastic bag, diagram of colon & timer within easy reach together with anything you need to be comfortable eg rug and pillow. The cushion should go underneath the towel so that it raises your rear end. This will use gravity to keep the FMT in.  
• Assume you will have a spill and make sure paper towels and plastic bag are nearby to dispose of clean-up items. A bath is easier as you can wash the mess away.
• Take Imodium upon waking (unless you suffer constipation).
• Collect sample.
• Do not use sample if it does not look healthy. Sample should look like 2, 3 or 4 on the .
• Keep sample at room temperature and use within 2-3 hours unless freezing.
• If you are going to freeze some sample, separate it into portions and put it in the freezer.
• Heat distilled water in microwave so that it is tepid (the temperature of a baby’s bottle). Too hot will kill the FMT and too cold will be uncomfortable for you to hold in.
• To make saline add ¼ tsp. sea salt to 1 cup distilled water. Do not use table salt with additives.
• Put sample in blender or zip lock bag and lightly mush/blend with water. If blending don’t overdo it as too much air will reduce the potency of the sample. Zip-lock bags require less clean up than blender-method and expose the microbiota to less turbulence, but the process is somewhat more revolting as you are closer to the poop and have to mush it by hand through the bag. Your choice.
• Add as much water as necessary to make the FMT the consistency of paint. Too thick will block the nozzle and too runny will be harder to hold in and reduce the potency of the FMT.
• Take care not to expose the sample to any more air or water than absolutely necessary as this will reduce its quality.
• Make sure enema nozzle switch is shut. VERY important or it will spurt everywhere!
• Pour FMT slurry into enema bag using kitchen strainer & funnel
• Hang enema bag on hook.
• Lift tube high in the air (to prevent spill), release nozzle to let air o

  Q: Are Ramen Noodles Good Prepper Food?

  A: While ramen noodles may not be the healthiest decision, they do provide some nutritional value. Ramen noodles have several other benefits, including:

  • Ramen is easy to make (only requires boiling water)
  • Ramen is easy to store
  • Ramen typically has a long shelf life
  • Ramen Noodles are very inexpensive

  Because of these factors, we recommend purchasing several cases of ramen noodles to store in your prepper pantry!

  
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