ACZD-034 Adolescent 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. - 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. - I was made to crawl on all fours on the examination bed, and Dr. Kagami gave me an anal massage. - As Mako relaxes and 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. - As the finger inserted into her anus is slowly moved back and forth, Mako's breathing becomes rough. - Mako's bladder is stimulated by the pressure inside her rectum with Kagami-sensei's fingers, causing her to incontinence. - I was able to confirm rectal activity, so I 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. - 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 an expert in anal examinations, continues to palpate the rectum. - When I made Mako 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 confirm 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 mass of fecal matter remaining in the back of 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 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 she immediately made a loud gurgling noise and excreted a brownish liquid. - A 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 limits, and the moment he pulled out the nozzle in her anus, her anus burst open and murky liquid gushed out.