Tamako felt a tightness in her abdomen during class because she had not had a bowel movement for about three days, and visited the hospital. Dr. Kagami, a rookie female doctor, begins to examine Mako under the guidance of Director Higashimoto. After taking off Mako's skirt, lay her on her back on the examination bed and start massaging her lower abdomen. By pressing the large intestine strongly, the intestines become active, and the sound of stool moving from the stomach of the mako can be heard. - Let her take a posture on all fours on the examination bed as it is, and anal massage by Dr. Kagami. When Mako relaxes and carefully strokes the wrinkles of her anus with her fingers smeared with a large amount of petroleum jelly, a sweet sigh escapes from Mako's lips. - When the finger inserted into the anus is slowly moved back and forth, Mako's breathing becomes rough. Dr. Kagami's fingers squeeze the inside of the rectum and the bladder is stimulated, resulting in urinary incontinence. Now that you have confirmed the activity of the rectum, let it breathe while on all fours. - An anus that swells and rolls up every time Mako puts a lot of force. By putting pressure on the lower abdomen, Mako becomes urinary incontinence again. From the anus, which repeats the movement of expanding and contracting, a brown object gradually becomes visible. Small, hard stool lumps fall into the absorbent sheet laid on the examination bed in multiple batches. Urinary incontinence during anal massage is used to check for abnormalities in Mako's bladder using a urinary catheter. The tip of the catheter reaches the bladder, and urine of a dark color and scent drips into the glass container. Palpation of the rectum by the director, who is a veteran of anal examination. When Mako lay on her back and held her knees, she was forced to take a stone-crushing position, exposing her anus like a small bud. By receiving the man's thick fingers in the anus, sexual pleasure occurs in Mako, and sweet pants begin to leak. It also serves the purpose of anal expansion, so if you increase the number of fingers to two, Mako's panting will intensify, and the anal sphincter will tighten your fingers strongly. As Mako's sexual reaction increases, the movement of Higashimoto's fingers becomes faster. As soon as the panting reaches its climax, it splashes urine like a fountain. Moreover, the white mucus that overflows from the vagina mixed with urine accumulates in the palm of the director's hand. Next, I decided to use an anal expansion bougie to expand the anus and check the anal sensation. From a bougie thinner than a little finger, to a thicker bougie step by step, and finally a bougie thicker than the thumb stimulates Makoto's anus. In order to check the stool remaining in the intestines, an anoscope was inserted and the anus was greatly expanded, and it was confirmed that a stool mass remained in the back of the rectum. Dr. Kagami recommends bowel cleansing with an enema to Mako, who complains that her stomach is not refreshed. The hole in the nozzle inserted into the anus is thick, and by adjusting the height of the ilrigator, a special enema is used in which slightly warm water moves back and forth between the ilrigator and the rectum. The 500cc of slightly warm water that has flowed into the rectum of the mako returns to the ilrigator by lowering the position of the ilrigator. By repeating the process, the slightly warm water, which was transparent, gradually turns brown. Have them wear disposable diapers to make them endure excretion. Mako tried to put up with the shame of diaper defecation, but soon made a loud squeaking noise and excreted the cloudy liquid. A brown liquid oozes into the white diaper. As the final stage of bowel cleansing, the intestines are cleansed by giving an enema of 1000 cc of slightly warm water and excreting it repeatedly several times. It seems that the amount exceeded the limits of Makoto's body, and the brown and cloudy liquid flows back into the Irrigator. Makoto's patience seemed to have exceeded the limit, and the moment she pulled out the nozzle of the anus, the anus broke down and the turbid liquid spewed out vigorously.