481ACZD-109 Anal Enema Clinic Shinkawa Yuzu

Yuzu, a patient who has not had the urge to defecate for a week, visits the clinic. The nurse examining her cannot hide her curiosity about Yuzu's body, carefully palpating her nipples, genitals, and anus. First, they attempt to administer an enema of lukewarm water using a 200cc cylinder enema syringe. A portable toilet is prepared so the nurse can check Yuzu's anus during urination. Cloudy water and several small fecal masses are expelled from her anus. Next, to check the condition of her rectum, the director inserts his finger into her anus for an internal examination. Next, he uses an anal bougie to loosen the anal sphincter. A 20cm deep proctoscope is inserted into her anus to check for the presence of stool inside the rectum. After that, a 500cc irrigator is used to move a medicinal solution in and out of her intestines. Since the medicinal solution does not stain easily, it is likely that stool has solidified deep inside. Leaving the medicinal solution in her intestines, they have her wear a disposable diaper and allow her to defecate. As a last resort, the patient is seated on a gynecological examination table and repeatedly given high-pressure enemas with large amounts of lukewarm water to soften the fecal mass. After repeated enema excretion, the lukewarm water begins to turn brown and cloudy. The blocked fecal mass then spurts out of the anus with great force.