1. Remove the top cap of the bottle.
2. Extend nozzle firmly to full length. (Make sure you hear the click so you know it is extended correctly).
3. Unscrew the cap with extended nozzle.
4. Fill the bottle with lukewarm water. Screw the cap with extended nozzle on securely.
5. While on the toilet, hold the bottle upside down and place between legs aiming at the desired location of the perineum / hemorrhoid area.
6. Squeeze the bottle gently or apply pressure to bottle to adjust the flow rate.
7. Empty contents and collapse the nozzle for storage, placing top cap back on the bottle.