A perverted anal esthetic performed for Yua who suffers from chronic constipation. - Take a large amount of vaseline on your finger and massage it over time while rubbing it into the anus. - Carefully insert your fingers when the muscles have loosened, and increase the number of fingers you insert while observing the patients condition. - After confirming the inside of the rectum with a finger, enema a 50% glycerin solution with a glass syringe. - While plugging the anus with your fingers to prevent leakage, apply pressure to the lower abdomen with the palm of your hand to encourage the urge to defecate. - Allow the patient to endure it for a sufficient amount of time before excreting in a simple toilet bowl. - Do not allow yourself to go to the toilet just to check the condition of your stool. - The patient is seated on the open-leg type internal examination table, and the anus is expanded again after defecation. - After confirming the condition with your fingers, insert the rod-shaped instruments in order from thin ones. - Embed the anus speculum in the anus that is loose enough to accept a thick foreign object. - Slowly open the mouth and illuminate the inside of the intestine with a light to observe the condition of the rectum. - Finally, a rectal endoscope with a length of about 30 cm is inserted through the anus to inspect the deepest part of the rectum.