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==Classification== The [[Diagnostic and Statistical Manual of Mental Disorders]] (DSM-IV-TR) classifies klismaphilia under the diagnosis of "Paraphilias, Not Otherwise Specified". The diagnostic code is 302.9.<ref name="DSM">Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.</ref> Proactive treatment for klismaphilics is not generally recommended, due to the lack of any significant desire to be "cured".<ref name="Denko"/> Health treatment for klismaphilia thus is typically only focused on ensuring the techniques employed and chemicals used are not harmful to the practitioner.<ref name="Denko"/> Caution should always be maintained on the part of the practitioners experimenting with new techniques and concoctions; in certain cases cramps produced by the chemicals used have led to hospitalizations,<ref name="Denko"/> in other circumstances the effects can even be life-threatening.<ref name="Case report">{{cite journal|title=Rectal Impaction With Epoxy Resin: A Case Report |date=2005-06-01 |doi=10.1016/j.gassur.2004.12.010 |pmid=15862274 |volume=9 |issue=5 |journal=Journal of Gastrointestinal Surgery |pages=747β749|last1=Hemandas |first1=A. |last2=Muller |first2=G. |last3=Ahmed |first3=I. |s2cid=564073 }}</ref><ref name=Self_Administered_Death>{{cite journal |title=Case Report – Self-Administered Ethanol Enema Causing Accidental Death |volume=2014 |pages=191237 |author=Thomas Peterson |author2=Landen Rentmeester |author3=Bryan S. Judge |author4=Stephen D. Cohle |author5=Jeffrey S. Jones |name-list-style=amp |date=11 November 2014 |journal=Case Reports in Emergency Medicine |publisher=[[Hindawi Publishing Corporation]] |doi=10.1155/2014/191237 |pmid=25436159 |pmc=4243473 |doi-access=free }}</ref>
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