For Keia, who suffers from chronic constipation, a perverse anal esthetic procedure is performed. A large amount of petroleum jelly is applied to the fingers and rubbed into the anus while massaging for an extended period. Once the muscles relax, the fingers are carefully inserted one by one, observing the patient's condition and increasing the number of inserted fingers gradually. After confirming the state of the rectum, a 50% glycerin solution is administered via enema using a glass syringe. The anus is plugged with a finger to prevent leakage while pressure is applied to the lower abdomen with the palm to induce the urge to defecate. After waiting for sufficient time, the patient is made to excrete into a makeshift toilet. For the purpose of checking the condition of the feces, going to the restroom is not permitted. Next, the patient is seated on an open-leg examination table, and the anus is re-expanded after defecation. The state is confirmed with fingers before inserting rod-shaped instruments from thin to thick sequentially. Once the anus is relaxed enough to accommodate a thick foreign object, an anoscope is inserted, slowly opened, and light is shone into the intestines to observe the condition of the rectum. Finally, a 30cm-long sigmoidoscope is inserted through the anus to visually inspect the deepest part of the rectum. After confirming the relaxation of the anal sphincter, four fingers are inserted to check for sexual response. Explaining that it has an effect on adjusting the intestinal environment, pieces of konjac are inserted into the anus. The significantly relaxed anus swallows large chunks. With konjac left inside the rectum, the anoscope is used to expand the anus and yogurt is poured in abundantly. A special glass enema device with a conical tip is inserted entirely into the anus, and yogurt is administered beyond the limit before being excreted. Finally, the procedure is repeated on the gynecological examination table using 1 liter of irrigator to administer warm water enema and excrete. The high-pressure enema is repeated multiple times until the excreted liquid becomes clear.
