For over a week, patient Ruru has suffered from constipation and abdominal pain, prompting her to visit the clinic. While massaging her voluptuous G-cup breasts, the doctor checks for lumps. Cleaning her nipples with a damp cotton swab causes her to react sensitively, moaning softly. As the cotton ball moves from her vagina to her anus, her arousal intensifies, causing cloudy white fluid to seep from her pussy. With her sexually excited, the doctor uses vaginal and anal speculums to open both openings and stimulate the inner walls. At the end of the initial examination, she is given a fig enema and instructed to self-administer it. She defecates on a portable commode right there, allowing the doctor to visually inspect the stool and manually examine her anus afterward. Once the fig enema completes her bowel movement, a full rectal examination begins. A finger is inserted into her anus to check for any remaining fecal impaction. As her anus is stimulated, she begins to pant with pleasure. Bending over with her ass thrust out, her anal sphincter is tested using expanding sticks. When she inserts the thickest stick herself, she starts moaning intensely, as if engaging in anal masturbation. To assess her excretory function, konjac balls are inserted into her rectum and she is made to expel them into a basin. Large amounts of air are pumped into her intestines with a glass syringe, triggering violent flatulence and clearing out intestinal gas. For the final examination, she lies on an electric gynecological table where a high-pressure irrigator performs a thorough colonic cleanse. One liter of lukewarm water is infused and expelled, flushing out all accumulated feces. Throughout the procedure, she continues to show sexual arousal, so the doctor manually stimulates her nipples and genitals, allowing her to suppress the urge to defecate. As her self-stimulation grows more intense, vibrator use is permitted, and the high-volume enema treatment continues.