ACZD-034 Adolescent medical record Mako Maeda

Mako visited the hospital because she felt abdominal tension during class because she had no bowel movements for about three days. - Dr. Kagami, a new female doctor, begins the examination of Mako under the guidance of Dr. Higashimoto. - She takes off her skirt, lays her on her back in her examination bed, and begins a massage of her lower abdomen. - Strong pressure on her large intestine activates her intestines, and you can hear the sound of stool moving from her belly. - She made her crawl on all fours in her examination bed and had an anal massage by Dr. Kagami. - Relaxing her mako and carefully stroking her anal wrinkles with her finger smeared with her large amount of petrolatum, a sweet sigh leaks from her lips. - Slowly moving her finger in her anus back and forth makes her breathing rough. - Mako who is squeezed in her rectum with her Kagami senseis finger and stimulates her bladder, resulting in urinary incontinence. - Having confirmed her rectal activity, she breathes on all fours. - Her anus that swells and rolls up every time Mako puts her power into it. - By exerting pressure on her lower abdomen, Mako becomes urinary incontinence again. - A brown object gradually appears from her anus, which repeatedly expands and contracts. - A hard and small stool mass falls on the water-absorbing sheet laid on the examination bed in multiple steps. - Use a urinary catheter to check for any abnormalities in the bladder of the urinary bladder due to urinary incontinence during anal massage. - The tip of the catheter reaches the bladder, and urine with a strong color and scent drips into the glass container. - Rectal palpation by the director, who is a veteran of anal examination. - Laying her on her back, holding her knees, and taking a lithotomy position revealed a small bud-like anus. - By catching a mans thick finger in the anus, sexual pleasure occurs in the mako and sweet pant begins to leak. - Since it also serves the purpose of anal dilation, if you increase the number of fingers to two, the pant of the chin will become more intense and the anal sphincter will tighten the fingers strongly. - As the sexual response of Mako increases, the movement of the finger of the director of Higashimoto becomes faster. - At the same time as the pant culminates, it squirts urine like a fountain. - Moreover, the white mucus that overflows from the vagina, mixed with urine, accumulates in the palm of the director. - Next, I decided to use an anus dilation bougie to expand the anus and check the anus sensation. - The bougie that is thinner than the little finger is gradually changed to a thicker bougie, and finally the bougie that is thicker than the thumb stimulates the anus. - In order to confirm the stool remaining in the intestine, an anoscopy was inserted and the anus was greatly expanded, and it was confirmed that a stool mass remained in the back of the rectum of the mako. - Dr. Kagami recommends intestinal cleansing with an enema for Mako who complains that her stomach is not refreshing. - The hole of the nozzle to be inserted into the anus is thick, and by adjusting the height of the Illigator, a special enema is used in which lukewarm water moves back and forth between the Illigator and the rectum. - The 500cc of lukewarm water that has flowed into the rectum of Mako returns to Illigator by lowering the position of Illigator. - By repeating this, the transparent lukewarm water gradually turns brown. - Have them wear disposable diapers to put up with excretion. - Mako tried to put up with the shame of diaper defecation, but immediately made a loud noise and excreted the cloudy liquid. - The brown liquid oozes on the white disposable diaper. - As the final stage of intestinal washing, enema 1000cc of lukewarm water and wash the intestines by repeatedly excreting it several times. - It seems that the amount exceeded the limit of Makos body, and a brown turbid liquid flows back into Illigator. - Makos patience seems to have exceeded the limit, and the moment the nozzle of the anus was pulled out, the anus broke and the turbid liquid spouted vigorously.