After carefully palpating the inside of the rectum with your fingers, when you examine the condition of the intestine using an anoscope, hard stools were confirmed, so the enema treatment was started. After the enema is given with a glass enema, the patient is put on disposable paper pants and given enough patience. If you massage the abdomen as it is, the bowel movement will exceed your patience, and the chemical solution will overflow from the anus and stain the paper pants. 1000 cc of colored special chemical solution, high-pressure enema using an irrigator. After an enema with slightly warm water with a small irrigator, the height of the instrument is adjusted to repeat the injection and excretion to clean the dirt in the intestines. When a strong chemical solution is injected with a cylinder enema and the abdomen is massaged with a disposable diaper, the stool remaining in the intestines stains the diaper with a loud excretion sound. The limbs of a patient seated with open legs are fixed on a gynecological examination table with shackles, and anal and rectal dilatation training is performed.