481ACZD-109 Anal Enema Clinic Yuzu Shinkawa

Patient Yuzu visited the clinic without having a bowel movement for a week. The nurse in charge of the examination cannot hide her interest in Yuzu's body and carefully palpates her nipples, female genitalia, and anus.

First, try an enema with lukewarm water using a 200cc cylinder enema. A simple toilet bowl is prepared so that the nurse can check the anus during excretion. Cloudy hot water and several small stool lumps were discharged from Yuzu's anus.

Next, in order to check the condition inside the rectum, the director inserts a finger into the anus and performs a pelvic examination. Continue to use the anal bougie to loosen the anal sphincter muscle. A 20 cm deep rectoscope was inserted into the anus to check for stool inside the rectum.

After that, use a 500cc irrigator to get the ● liquid in and out of your intestines. ●Since the liquid does not easily get dirty, it seems likely that the stool is hardened in the back. Leave the ● liquid in the intestines and wear paper diapers to excrete.

As a last resort, sit on the gynecological examination table and repeat high-pressure enema with a large amount of lukewarm water to soften the stool mass. When the enema excretion is repeated, the tepid water to be excreted begins to become brown and muddy. The clogged fecal mass erupts from the anus with furious force.