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CTRI Number  CTRI/2025/04/084893 [Registered on: 16/04/2025] Trial Registered Prospectively
Last Modified On: 05/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Single Arm Study 
Public Title of Study   Testing the Quick Cooling Power of Cold Water Enemas for Fever in Adults 
Scientific Title of Study   IMMEDIATE EFFECT OF COLD WATER ENEMA ON FEVER AMONG ADULTS: A SINGLE ARM STUDY 
Trial Acronym  ENEMA-S 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrShradha M K 
Designation  PG SCHOLAR 
Affiliation  Alvas College of Naturopathy and Yogic Sciences 
Address  Room no- 04, Department of Clinical Naturaopathy ,Alvas College of Naturopathy and Yogic Sciences, Mijar, Moodbidri Dakshina Kannada KARNATAKA 574225 India

Dakshina Kannada
KARNATAKA
574225
India 
Phone  9591937218  
Fax    
Email  shradhamooleena@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr lakshmeesha D R 
Designation  Associate Professor 
Affiliation  Alvas College of Naturopathy and Yogic Sciences 
Address  Room no- 04, Department of Clinical Naturaopathy ,Alvas College of Naturopathy and Yogic Sciences, Mijar, Moodbidri Dakshina Kannada KARNATAKA 574225 India

Dakshina Kannada
KARNATAKA
574225
India 
Phone  9741735734  
Fax    
Email  dr.lakshmeesh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Saritha N K  
Designation  Assistant professor 
Affiliation  Alvas College of Naturopathy and Yogic Sciences 
Address  Room no- 04, Department of Clinical Naturaopathy ,Alvas College of Naturopathy and Yogic Sciences, Mijar, Moodbidri Dakshina Kannada KARNATAKA 574225 India

Dakshina Kannada
KARNATAKA
574225
India 
Phone  7088552712  
Fax    
Email  sarithahegde2@gmail.com  
 
Source of Monetary or Material Support  
Alvas College Of Naturopathy And Yogic Sciences, Mijar ,Moodbidri ,Dakshina Kannada, Karnataka, India 574225 
 
Primary Sponsor  
Name  Dr. Shradha M K 
Address  Alvas College Of Naturopathy And Yogic Sciences, Mijar ,Moodbidri ,Dakshina Kannada, Karnataka, India 574225 
Type of Sponsor  Other [Self Sponsor] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shradha M K  Alvas Education Foundation  Room no- 04, Department of Clinical Naturaopathy ,Alvas College of Naturopathy and Yogic Sciences, Mijar, Moodbidri Dakshina Kannada KARNATAKA 574225 India
Dakshina Kannada
KARNATAKA 
9591937218

shradhamooleena@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Commitee for Human Studies of Alvas College of Naturopathy and Yogic Sciences   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R509||Fever, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Hydrotherapy- cold water enema  Cold water enema at the temperature of 80 degree fahrenheit around 1 to 1.5 liters is given to the fever patients and retain the water for 5-10 minutes and then will allow to go to toilet where he/she instructed to expel the water slowly along with accumulated stools 
Comparator Agent  not applicable  not applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1. Patients with fever 3days or less than 3 days
2. Temperature of 38°C [100.4°F] or more
3. Age group of “18-30" yrs
4. Gender both males and females
5. Willingness to participate in the study 
 
ExclusionCriteria 
Details  1.Females with menstrual cycle
2. Fistula
3. Anal fissure
4. Hemorrhoids
5. Diarrhea
6. Pregnancy
7. Fever with chills
8. Any Medication if they are taking  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Temperature  Assessments done at two time points
1. Pre assessment- Before intervention
2. Post assessment - After intervention - 5mins, 15mins, 30mins, 45mins, 1st hour, 3rd hour, 6th hour. 
 
Secondary Outcome  
Outcome  TimePoints 
1. Pulse rate
2. Respiratory rate
3. Systolic BP
4. Diastolic BP 
Assessments done at two time points
1. Pre assessment- Before intervention
2. Post assessment - After intervention - 5mins, 15mins, 30mins, 45mins, 1st hour, 3rd hour, 6th hour. 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   27/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="1" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The term ’Fever’ implies to elevated core body temperature of 38-degree Celsius or more in disease or illness. Elevated temperature is a common symptom of many diseases; it can be caused by various factors including infections [ bacteria or virus] and no infectious causes [inflammatory conditions, heat stroke, or medicine side effects]. According to Naturopathy, Fever is considered as fermentation going in the body, foreign matter enters the body and gets settled in areas of favorable environment due to the state of lowered vitality. Fever produces a retrogressive metamorphosis and creates an environment to decomposes this foreign matter and expel it. Enema includes ’cleaning out’ the lower portion of the intestine using water which helps in detoxifying the fermented morbid matter. There are several antipyretics used to decrease fever, but it has its own side effects. There is no previous study on Immediate effect of cold-water enema for fever among adults therefore the present study aims to understand the Immediate effect of cold-water enema among adults, a single arm study. 
This study aims to assess the Immediate effect of cold enema on Fever among the adults on both genders of age group 18-30 years with the temperature of 38 degree Celsius or more. Total sample of 45 subjects will be given one session of cold enema. Assessment will be recorded before the treatment and post assessment will be recorded after the treatment, 5min, 15min, 30min, 45min, 1st hour, 3rd hour and 6th hour
 
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