481ACZD-034 Medical Record of Adolescence Maeko Maeta

For three days, Mako had not defecated and felt abdominal distension during class. She went to the hospital for a check-up. New doctor Kagami, under the guidance of Director Tohon, examined Mako. She was made to remove her skirt and lie on the examination bed, where her lower abdomen was massaged. The large intestine was stimulated to become active, and sounds of bowel movements were heard from her stomach. Next, she was made to assume a quadruped position for an anal massage by Dr. Kagami. As Mako relaxed, the doctor carefully stroked her anal folds with fingers coated in plenty of Vaseline, eliciting sweet moans from her. When the doctor slowly moved her fingers in and out of Mako's anus, her breathing became rapid. Dr. Kagami stimulated the bladder by pressing on the rectum, causing Mako to urinate. After confirming rectal activity, she was made to maintain the quadruped position and strain. Each time Mako strained, her anus would bulge and roll outwards. Due to straining her lower abdomen, Mako urinated again. Next, a dilator was used to gradually expand her anus and check its sensation. Starting with a dilator thinner than a little finger, it was progressively replaced with thicker ones until one thicker than a thumb was used to stimulate Mako's anus. To confirm if there were any remaining fecal masses in the intestines, an anoscope was inserted to widen her anus, revealing fecal masses deep in her rectum. Due to feeling unwell, Mako accepted Dr. Kagami's recommendation for an enema intestinal washout. A special enema device was used to inject warm water into her rectum and repeatedly adjust the height of the enema bag to make it flow back. To hold back defecation, she was made to wear paper diapers, but she soon released a large amount of turbid liquid with a gurgling sound. In the final stage, 1000cc of warm water was used for an enema and repeatedly expelled to cleanse the intestines. The amount exceeded Mako's physical limit, causing the enema bag to backflow with turbid liquid. As her limit was reached, the moment the anal nozzle was removed, her anus burst and released a torrent of turbid liquid.