481ACZD-034 Adolescent Medical Record Mako Maeda

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. She removes Mako's skirt, then makes her lie on her back on her examination bed and begins massaging her lower abdomen. By applying strong pressure to her large intestine, her intestines become active, and you can hear the sound of stool moving from her Mako's stomach. She was made to crawl on all fours on her examination bed, and Dr. Kagami gave her anal massage. A sweet sigh escapes from her pussy lips as I relax her pussy and carefully trace the crease of her anus with her heavily Vaseline-coated fingers. As I slowly move my finger back and forth in her anus, her breathing becomes rough. Mako's teacher Kagami's fingers press inside her rectum, stimulating her bladder and causing her to incontinence. I could see her rectal activity, so I let her breathe while on all fours. Her anus bulges and rolls up every time Mako applies her strength. By applying pressure to her lower abdomen, Mako becomes incontinent again. Little by little, a brown object comes into view from her anus, which repeatedly expands and contracts. Small, hard lumps of feces fall in multiple portions onto the absorbent sheet spread on the examination bed. Since Mako incontinence occurred during anal massage, a urinary catheter is used to check whether there is any abnormality 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 a veteran of anal examinations, continues to palpate the rectum. When I made her lie on her back and hold her knees in a lithotomy position, her small bud-like anus was exposed. By receiving the man's thick fingers in her anus, Mako feels sexual pleasure and begins to let out sweet gasps. Since it also serves the purpose of expanding the anus, Mako's panting becomes more intense when she adds two more fingers, and her anal sphincter tightens tightly around the fingers. 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. Next, I decided to use an anal dilation 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 check the fecal matter remaining in Mako's 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. When Mako complains that her stomach doesn't feel clean, Dr. Kagami recommends that she cleanse her intestines with an enema. 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. 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. Make them wear disposable diapers to help them hold back their bowel movements. 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. As the final stage of intestinal cleansing, administer an enema with 1,000 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. Mako's patience seemed to have exceeded its limit, and the moment he pulled out the nozzle in her anus, her anus burst open and murky fluid gushed out.