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What is Butt-Chugging?

Alcohol enema, also butt-chugging, or buffing, introduces alcoholic drinks through the anus into the rectum. The bypass of the first pass metabolic effect of the rectal absorption of ethanol allows a higher Blood Alcohol Concentration (BAC) and, consequently, tremendous potential for central nervous system depression; there’s the lack of the body’s ability to throw away the toxin by vomiting. The recent increase of complications to alcohol enema overuse and abuse is due to the popularity of various erotic practices and sexual exploration.

Butt-chugging is exactly what it sounds like: Instead of drinking alcohol, a person ingests it through their rectum. Why do people do it — and how? Could it be an intelligent way to avoid a hangover? What’s the worst that could happen? Read on for a deep dive on the answers to these (and several other) questions about butt-chugging. These unconventional ways of alcohol assumption are common in social media and seem to be a new and hazardous trend.

Alcoholism Treatment, Symptoms, Causes, Facts, Risks & rehab detox therapies
Alcoholism Treatment, Symptoms, Causes, Facts, Risks & rehab detox therapies

Almost one-third of the US adults population consumes enough alcoholic beverages to cause or put them at risk of damaging consequences. According to the Centers for Disease Control and Prevention (CDC) [1], nearly 5% of the US population drinks heavily, and 15% engage in risky, binge drinking patterns that could lead to alcohol problems. 

Most binge drinkers are not alcohol dependent, and they often engage in this health risk behavior without realizing the problems associated with drinking excessively. Irresponsible behaviors such as mixing alcohol with prescription drugs or ingesting alcohol through the rectum increase the effects of alcohol and can pose even greater risks than binge drinking. 

Terms used to describe alcohol plugging include:

  • Butt-chugging
  • Alcohol enemas
  • Boofing
  • rectal alcohol use
  • rectal administration

How Butt-Chugging is Done 

It is unclear when alcohol enemas or butt-chugging first occurred or how often they are being used. However, this seems to be a dangerous new trend, particularly among college students. A tube is inserted into the rectum, and alcohol is poured directly into the colon, enhancing the amount and speed of the alcohol entering the bloodstream as it bypasses the initial filtering by the liver. Some participants may be under the impression that this practice prevents vomiting and hangovers; others are unable to ingest ethanol orally because of painful gastrointestinal ailments.

Boofing is a sign of Drug Abuse
Boofing is a sign of a much more severe abuse problem.

But how does it actually get it in there? The process usually entails lying down on your back with your knees in the air and a funnel inserted in your rear end. The alcohol is poured into the funnel, which gets it into your system. Some people require a bit of help with the mechanics, but others do it solo. As an alternative to the funnel, some people use medical enema bags, like the ones used to relieve constipation. Others report inserting a tampon soaked in alcohol into their rectum.

What is Boofing Drugs?

Boofing drugs, butt-chugging drugs, sometimes also referred to as plugging drugs, is the process of inserting alcohol or drugs into the anus in order to achieve a more instantaneous high. Because the anal cavity has a high number of blood vessels and a thinner surface layer, substances inserted into this area are absorbed in a quicker speed than with oral consumption. Individuals can boof a number of different drugs, including MDMA, cocaine, and alcohol, but there are several dangers of butt-chugging or boofing drugs – it could even be deadly.

Side Effects of Butt-Chugging

Butt-chugging may lead to near-immediate intoxication. This can cause a range of mental, physical, and psychological effects.

Butt-chugging alcohol may cause the following side effects:

  • Dizziness
  • Decreased coordination and balance
  • Nausea and vomiting
  • Slurred speech
  • Slowed reflexes
  • Confusion
  • Memory problems
  • Poor judgment
  • Mood changes
  • Feeling of warmth

The intensity of these side effects may differ according to factors such as weight, age, alcohol tolerance, and co-occurring health conditions.

Dangers of Butt-Chugging

Butt-chugging is no laughing matter, experts say. One of the Tennessee college students was taken to the hospital with a blood-alcohol level of 0.40, officials said. That’s five times the legal limit and in what doctors call the “death zone” for alcohol poisoning. Our stomachs and livers have an enzyme known as alcohol dehydrogenase that breaks down ethanol to make it less toxic for our bodies. The lower gastrointestinal tract doesn’t have that enzyme, so alcohol molecules are absorbed into the bloodstream through the lining of the colon. Eventually, the alcohol would still make its way to the liver, but the high alcohol content would overwhelm the organ, and it’s extremely dangerous.

Butt-chugging can feel uncomfortable, especially if you’re not used to having things inserted into your anus. You might feel a burning sensation in your anus or like you need to have a bowel movement (even if you don’t). It’s also worth noting that alcohol can sting. Imagine rubbing it onto a paper cut. This can not only cause pain in the delicate skin of your anus but also lead to inflammation of your intestines (a condition called colitis), which can cause cramping.

Greater Risk of Overdose & Alcohol Poisoning

Perhaps the greatest danger of butt-chugging comes with an increased risk of drug or alcohol overdosing because the effects hit you much faster and harder than normal. Some people may be taking the normal dosage that they would use for oral administration without realizing that it is too much. Because boofing is relatively newer and hasn’t been extensively studied either, there are no well-defined dosages of drugs to avoid overdosing.

With alcohol specifically, alcohol poisoning is a very real and scary possibility [2]. Drinking normally allows you to consume alcohol over the course of several hours and be able to monitor how you are feeling. Chances are if you are boofing alcohol or butt-chugging, you will do it in one go, and the effects will hit you all at once. By consuming alcohol through the rectum, you have also decreased your body’s ability to fight alcohol poisoning. Your anus does not have the enzymes to break down the alcohol, and you no longer have the ability to throw up the toxic substance to eliminate it from your body.


Signs of Alcohol Poisoning

Call for emergency medical help right away if you or someone else experiences any of the following symptoms after ingesting alcohol (anally or orally):

  • Sickness and vomiting
  • Clammy skin
  • Pale or bluish skin color
  • Slow heart rate
  • Slow and irregular breathing (fewer than eight breaths per minute or 10 or more seconds between breaths)
  • Mental confusion and dulled responses
  • Low body temperature
  • Seizures
  • Loss of consciousness

Risk of Organ Damage and Infections

Alcohol plugging can cause damage to the colon, rectal tissues, intestinal damage, and potentially cause brain damage. Stunted brain development from alcohol and brain damage from excessive drinking is a high risk for young adults under the age of 25.

Butt-chugging alcohol into the rectum may damage the tissue and membranes around the rectum, which can make the body more vulnerable to infections and diseases.

If you’re sharing plugging equipment, failing to lubricate the equipment properly, or inserting the alcohol improperly, this can increase the risk of developing infections and causing rectal or colon damage.

Treatment For Alcohol Butt- Chugging & Addiction

Alcohol butt-chugging can be a sign of alcohol use disorder, which may require professional treatment. When a person has uncontrolled and problematic drinking, he or she may have a health condition called alcohol use disorder (AUD), commonly known as alcoholism. 

According to NIAAA [3], the latest science shows that alcohol use disorder (AUD) can cause lasting changes in the brain. That’s why AUD is best treated by a health professional. The good news is that effective treatment can help the brain heal while giving people with alcohol problems the skills and support they need to recover.

If you’re struggling with alcohol or drug abuse: you’re not alone. Alcohol and drug abuse treatment programs integrate medical care with behavioral healthcare to address the root causes of substance use disorder and its effects on your health and wellbeing.

Treatment options for alcohol abuse include:

Two main components of professionally led treatment

Health care professionals provide two types of treatment for alcohol use disorder: 

  • Talk therapy. A licensed therapist can help people build coping strategies and skills to stop or reduce drinking. Treatment can include one-on-one, family, or group sessions.
  • Medication-assisted treatment (MAT). A primary care clinician or a board-certified addiction doctor can prescribe non-addicting medications. These can help people stop drinking and avoid relapses.  

Find the Help You Need at We Level Up NJ


Butt-chugging comes with some major risks that can be life-threatening. Aside from the more serious risks, it can also make you feel seriously uncomfortable down there. If you or someone else you know is abusing alcohol, it’s never too soon to seek help. Helping yourself or a loved one should be achieved without sacrificing comfort and safety. We level Up NJ provides access to safe and comfortable inpatient treatment through the help of licensed therapists and 24 hours health monitoring. Call us now. We have a 24/7 hotline that is ready to assist you. 


[1] CDC –

[2] NIAAA –

[3] NIAAA –

[4] We Level Up Comfortable Drug And Alcohol Detox