She had no bowel movements for about a week and visited a clinic with abdominal pain. - Rub the plump breasts of the G cup and check for lumps. - When you start washing the nipple with a wet cotton ball, it reacts sensitively. - When the cotton ball is continuously crawled from the female genitalia to the anus, the pant voice becomes louder and cloudy mucus overflows from the vagina. - The vagina and anus of a sexually aroused patient are expanded with a speculum and an anus to further stimulate the inside. - As a finishing touch for the initial examination, hand over a fig enema and have him inject himself. - The condition of the stool is visually checked after excretion in a simple toilet on the spot, and the condition is confirmed by palpating the anus after defecation. - After defecation with figs, move on to a full-scale rectal examination. - Insert a finger into the anus to see if there are any fecal clumps left in the intestine. - When the anus is stimulated with a finger, the patient Ruru begins to leak a sigh of pleasure. - Stick out the buttocks in a standing position and insert an expansion stick to inspect the condition of the anal sphincter muscle. - When I let myself pump the thickest stick, I began to feel like anal masturbation. - In order to check whether the excretory organs are functioning normally, put the ball konnyaku into the rectum and excrete it in the basin. - A large amount of air is sent into the intestine with a glass syringe to cause strong flatus and gas in the rectum. - Final examination and bowel cleansing with a high-pressure enema using an irrigator on an electric gynecological examination table. - By injecting 1 liter of lukewarm water into the Irrigator and excreting it, the fecal impaction accumulated in the intestines is excreted from the body. - Since the patient showed a sexual reaction during this treatment, I allowed him to touch his nipples and genitals with his fingers to endure the urge to defecate. - Since the self-abuse behavior intensified, we allowed the use of a vibrator and continued bowel cleansing with a large volume enema.