By Vishal Kumar Singh
New Delhi: As gut health becomes India’s newest wellness obsession, a controversial detox trend is making waves—and splitting expert opinion.
From health-focused millennials to wellness-aware seniors, Indians are increasingly turning inward—literally.
A 2023 survey by HealthifyMe revealed that 68 per cent of urban Indians now consider gut health their top wellness priority. Riding this surge in internal well-being is colon hydrotherapy—an old practice making a flashy comeback in luxury spas and influencer circles.
According to a report by Redseer Strategy Consultants, India’s wellness market was valued at INR 490 billion (~$6 billion) in 2022 and is projected to grow at 15 per cent CAGR, with a strong tilt towards preventive health, internal detox, and aesthetic wellness services.
Marketed as the ultimate cleanse to beat bloating, boost immunity, and “reset” your system, colonic irrigation is enjoying a glamorous revival. But behind the glowing testimonials lies a growing controversy: Is colon hydrotherapy a legitimate wellness tool—or a risky wellness fad?
While wellness practitioners call it transformative, leading doctors warn it could do more harm than good.
In this deep dive, ETHealthworld on World Digestive Health Day explores the rise of colon hydrotherapy in India—what it claims to offer, what the science really says, and whether flushing your colon is a shortcut to better health or just another detox myth.
The Appeal of the Internal Cleanse
As health consciousness rises across generations—from Gen Z and millennials to older adults—so does the appeal of detox trends promising internal renewal.
From juice cleanses and gut resets to lymphatic massages, the pursuit of “cleaning from within” is gaining momentum in the post-pandemic wellness landscape.
Among these, colon hydrotherapy is emerging as a popular service in luxury spas and wellness clinics.
Social media interest has surged, with hashtags like #guthealth and #coloncleanse receiving over 500,000 mentions on Instagram from India alone, reflecting a cultural shift toward digestive wellness.
Marketed as a way to flush out toxins and reboot digestive health, colonic irrigation is undergoing a revival. But behind its growing popularity lies a sharp divide: while some users and practitioners swear by its immediate benefits, much of the medical community warns that such procedures lack scientific backing and may carry real risks.
What Is Colon Hydrotherapy?
Colon hydrotherapy involves gently flushing the large intestine with warm, filtered water through a small tube inserted into the rectum. The goal is to remove waste, gas, and supposed “toxins.”
Sessions typically last between 30 and 60 minutes and are often conducted in spas or alternative wellness centers, sometimes as part of broader detox programs.
The hydrotherapy practitioners claim it can relieve bloating, boost immunity, enhance mental clarity, and support everything from weight loss to cancer prevention. Critics, however, remain unconvinced.
Currently, more than 70 luxury spas and integrative wellness centres in India—including those in Goa, Delhi, Mumbai, and Bengaluru—offer colon hydrotherapy, with prices ranging from ₹3,000 to ₹6000 or more per session, and detox retreats costing up to ₹50,000 or more.
The Medical View: No Proven Benefit but Plenty of Risk?
“There is no evidence-based clinical indication for colon hydrotherapy,” says Dr. Vikas Singla, Senior Director and Head of Gastroenterology at Max Super Specialty Hospital, Saket. “It can cause trauma, ulceration, bleeding, and even bowel perforation.”
“Flushing your colon can disrupt the natural microbiota. It may lead to lowered immunity and long-term digestive issues,” Dr. Singla warns.
He explains that gut problems like constipation, bloating, or irritable bowel syndrome (IBS) are often linked to lifestyle factors such as sedentary habits, stress, and poor diet.
“People want quick fixes. Colon hydrotherapy is marketed as a one-stop solution, which lures chronically suffering patients. But the real solution isn’t invasive irrigation—it’s regular physical activity, fiber-rich foods, hydration, and adequate sleep,” he adds.
Dr. B.S. Ravindra, Director of Gastroenterology and Hepatology at Fortis Hospitals, concurs. “From a clinical standpoint, colon hydrotherapy offers no robust scientific benefit. The risks—ranging from infections to electrolyte imbalances—outweigh any perceived gain.”
A global review in the Journal of Family Practice found serious complications associated with colon hydrotherapy, including bowel perforation and severe infections, though these incidents are believed to be underreported in India due to limited regulation.
Both experts emphasize that the human body already has a built-in detox system: the liver, kidneys, and intestinal lining.
The Appeal: Why the Trend Persists
If the science is weak and the risks are real, why are people still lining up for colonic sessions?
Post-pandemic, there’s been a sharp rise in interest in internal health, immune resilience, and self-care. Google Trends data shows a 230 per cent spike in searches for “gut health” and related terms in India between 2020 and 2023, especially in metros like Bengaluru and Delhi.
“Many patients prefer a natural or ‘clean’ solution. But that preference is being exploited by unregulated wellness practices,” says Dr. Ravindra.
He warns of a growing “DIY detox culture” that often skips medical consultation, potentially delaying diagnoses or masking underlying issues. Worse, colonics are frequently performed in non-medical settings with minimal oversight.
The Practitioner’s Perspective: “We’ve Helped Thousands”
Not everyone in the field sees it that way. Dr. Poonam Bali, B.H.M.S, with a postgraduate degree in Homoeopathy from London and a colon hydrotherapist practicing for over two decades, says: “Colon hydrotherapy is safe, effective, and transformative when done correctly,” she asserts. “We use fully automated machines, disposable equipment, and trained staff. In 20 years, I haven’t seen a single adverse event.”
She believes scepticism from the medical community stems from either a lack of understanding or vested interests. “Our clients range from chemotherapy patients to children with severe constipation. Most report immediate relief—improved digestion, lighter moods, and more energy.”
Dr Bali agrees that lifestyle changes are essential, but views colon therapy as a complementary tool. “Most people are mildly constipated without realising it. Colonics help reset the system, especially when paired with good diet and exercise.”
Still, she concedes that one session isn’t a cure-all. “We recommend a three-session protocol, followed by quarterly or monthly maintenance—like servicing a machine. Your body needs internal upkeep.”
Myths and Misconceptions: A Medical Perspective
A central myth, according to both doctors, is the belief that colon cleansing is essential for detoxification.
“The colon doesn’t store toxins,” says Dr. Singla. “The idea that flushing it promotes health is unscientific. Overuse of colonics can damage the gut microbiome—an ecosystem crucial for digestion, immunity, and even mental well-being.”
They also caution against interpreting bloating or sluggish digestion as a call for cleansing. “In many cases, better hydration, increased fiber intake, and physical movement are all that’s needed,” says Dr. Ravindra.
Regulation and Responsibility
Experts call for stronger regulation of wellness therapies. “There’s a gap in oversight that allows colonics to be marketed without adequate scientific scrutiny,” says Dr. Ravindra. “We need standardized protocols, clear guidelines, and greater public education.”
The trend also points to a broader issue: low health literacy. A 2021 survey by the Public Health Foundation of India (PHFI) found that only 37% of Indian adults had adequate health literacy to evaluate health interventions or wellness claims.
“Consumers need better access to reliable information,” adds Dr. Singla. “The answer isn’t more treatments—it’s more awareness.”
Final Flush: What’s the Verdict?
Colon hydrotherapy occupies a complicated space. While practitioners and fans hail it as rejuvenating, medical experts largely dismiss it as unproven and potentially risky.
Somewhere between the promise of “cleansing” and the caution of science lies a simple truth: gut health can’t be outsourced. It isn’t achieved through quick fixes, but built over time with consistent, healthy lifestyle choices.
As wellness culture continues to grow, so does the responsibility to separate fact from fad. In the words of Dr. Singla, “Gut health doesn’t need a shortcut. It needs commitment.”
