481ACZD-109 Anal enema clinic Yuzu Shinkawa

Des：Yuzu, a patient who visited the clinic without having the urge to defecate for a week. The nurse in charge of the examination cant hide her interest in Yuzus body and carefully palpates her nipples, genitals, and anus. First, try an enema using lukewarm water using a 200cc cylinder enema device. A simple toilet bowl will be prepared because the nurse will check the anus when defecating. What was discharged from Yuzus anus was cloudy hot water and several small pieces of feces. Next, in order to check the condition inside the rectum, the director inserts his finger into the anus and performs an internal examination. Next, use the anal bougie to loosen the anal sphincter muscles. A 20 cm deep proctoscope was inserted into the anus to check if there was stool inside the rectum. After that, use 500 cc of Irrigator to move ● fluid into and out of the intestines. ●Since the liquid doesnt get dirty easily, it seems likely that stool has hardened in the back. Have the patient wear a paper diaper and excrete the fluid while leaving the fluid in the intestine. As a last resort, the patient is seated on a gynecological examination table and repeated high-pressure enemas with large amounts of lukewarm water are administered to soften the stool mass. If you repeat enema excretion, the lukewarm water you excrete will start to turn brown and cloudy. The clogged fecal mass gushes out from the anus with great force.