ACZD-034Adolescent medical record Mae Tamako

After not having a bowel movement for three days, Tamako felt bloated in her abdomen during class and went to the hospital. Dr. Kagami, a new female doctor, begins examining Mako under the guidance of Director Higashimoto. <br><br>After removing Mako's skirt, she lays her face down on the examination bed and begins massaging her lower abdomen. By applying strong pressure to the large intestine, it becomes active, and you can hear the sound of stool moving from Mako's stomach. <br>Dr. Kagami makes me sit on all fours on the examination bed and gives me an anal massage. Mako relaxes, and when he carefully strokes the creases of her anus with a finger coated with a large amount of Vaseline, a sweet sigh escapes from Mako's lips. Mako's breathing becomes rough as the finger inserted into her anus is slowly moved back and forth. Mako's bladder is stimulated by the pressure inside her rectum with Kagami's fingers, causing her to incontinence. <br><br>Now that we have confirmed rectal activity, let him breathe while on all fours. Mako's anus swells and rolls up every time she applies force. By putting pressure on her lower abdomen, Mako becomes incontinent again. Little by little, a brown object comes into view from the anus, which repeatedly expands and contracts. Small, hard lumps of feces fall in multiple portions onto the absorbent sheet spread on the examination bed. <br><br>Since Mako incontinence occurred during anal massage, we will use a urinary catheter to check for any abnormalities in Mako's bladder. The tip of the catheter reaches the bladder, and urine, dark in color and scent, drips into the glass container. The director, who is an expert in anal examinations, continues to palpate the rectum. When Mako was made to lie on her back and hold her knees in a lithotomy position, her small bud-like anus was exposed. <br><br>By receiving the man's thick fingers in her anus, Mako feels sexual pleasure and begins to let out sweet gasps. It also serves the purpose of anal expansion, so when I add two more fingers, Mako's panting becomes more intense and her anal sphincter tightens around the fingers. <br>Director Higashimoto's fingers move faster as Mako's erogenous response increases. As her panting reaches its climax, urine drips out like a fountain. What's more, the white mucus that overflowed from the vagina, mixed with the urine, pooled in the director's palm. <br><br>Next, I decided to use an anal expansion bougie to expand the anus and check the anal sensation. She gradually changes the bougie from thinner than her little finger to thicker bougie, and finally uses a bougie thicker than her thumb to stimulate Mako's anus. In order to confirm the amount of feces remaining in the intestines, an anoscope was inserted and the anus was widened, and it was confirmed that there was a fecal mass remaining deep inside Mako's rectum. <br><br>Mr. Kagami recommends intestinal cleansing with an enema to Mako, who complains that her stomach doesn't feel refreshed. A special enema device is used that has a thick nozzle hole that is inserted into the anus, and by adjusting the height of the irrigator, lukewarm water flows back and forth between the irrigator and the rectum. <br>The 500cc of lukewarm water that flowed into Mako's rectum returns to Irrigator by lowering its position. By repeating this process, the clear, lukewarm water gradually turns brown. <br>Make them wear disposable diapers to help them resist excretion. Mako tried to resist the embarrassment of defecating in her diaper, but soon she made a loud gurgling noise and excreted a brownish liquid. Brown liquid oozes into the white paper diaper. <br><br>As the final step of intestinal cleansing, administer an enema with 1000 cc of lukewarm water and cleanse the intestines by repeatedly defecating. It seems that the amount exceeded the limits of Mako's body, and a cloudy brown liquid flowed back into Irligator. <br>It seems that Mako's patience has exceeded its limit, and the moment he pulls out the anal nozzle, the anus bursts and turbid fluid gushes out.