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Mako, a female patient who has been in the hospital for a long time, complained of sudden abdominal pain, so she decided to call her to the doctor's office for an examination. As a result of palpation, the stool was hard in the intestine, but constipation was 2 days, so I tried natural defecation by anal massage instead of enema. While opening the anus with an anoscopy and checking the condition inside the rectum, wash the inner wall of the rectum with a cotton ball and promote the urge to defecate. Resident Yagami, who can diagnose the health condition of stool by taste, puts the stool mass excreted in the simple toilet bowl in his mouth in front of his eyes. Mako who makes her eyes round to the astonishing sight. Yagami also encouraged her to chew her stool. Disinfect the genitals and anus while waiting for the excrement test results. When the female genitals are thoroughly washed with a cotton ball, highly viscous body fluids overflow from the vagina of the mako one after another. Insert the finger into the vagina as it is and examine the condition of the vagina. At the same time, Yagami inserts a finger into the anus and performs a rectal pelvic examination, and Mako cannot suppress the sexual reaction in the two-hole simultaneous pelvic examination. Expansion devices are inserted one after another, and the anus of Mako is surely expanded. The number of fingers of the nurse inserted into the anus increases, and eventually it is expanded so that the rectum is agitated with both hands. Mako, who was seated on the gynecological examination table with her legs open, decided to continue undergoing anal dilation. The hands of a nurse wearing long gloves expand the anus beyond the limits of the mako. When the nurse's wrist is sucked into the rectum, dilation is temporarily terminated and the intestine is washed. Fill 1000cc of Ilrigator with lukewarm water and inject it into the rectum using the pressure due to the height difference. The anus expanded with a fist cannot suppress the force to excrete, and even during the injection, it leaks from the anus with intense flatulence. By repeating this multiple times, a large amount of fecal impaction was excreted from the body of the mako.