[ANKK-130]

Darkness Black Rika Who's the JAV actress in this video? Amateur? Name revealed!

[Medical Chart Information] ■Name: Rika ■Occupation: Part-time Worker ■Age: Late 20s ■Height: 158cm ■Bust: 87cm ■Waist: 58cm ■Hips: 85cm ■Symptoms: Abdominal Pain -------------------------------------------------------------------------------------------------- Hello. I'm a medical professional working in Tokyo. Recent signs suggest my previous activities are gradually being exposed. While I've enjoyed the thrill, I've learned that the videos distributed online have caught the attention of an investigation team. To avoid losing my medical license, this will be my final video. The patient today complained of abdominal pain but showed no symptoms such as fever. She felt something was different from usual, suggesting stress-induced autonomic nervous system imbalance, possibly leading to irritable bowel syndrome (IBS) or stress-related gastroenteritis. I previously discussed abdominal pain, and today I'll focus on irritable bowel syndrome in detail. Irritable bowel syndrome is characterized by recurring symptoms such as abdominal pain, diarrhea, and constipation, with no organic abnormalities found through tests like colonoscopy. Primary causes include stress, psychological factors, autonomic nervous system disruption, and the brain-gut interaction known as the "brain-gut axis." While not life-threatening, it significantly reduces quality of life (QOL), so treatment combines lifestyle improvements, medication, and psychotherapy. Diagnosis involves fecal occult blood tests, blood tests, and colonoscopy. It's one of the most common gastrointestinal conditions. In developed countries, an estimated 10–20% of Japanese people are affected, making it a rapidly increasing modern illness. It heavily impacts daily life—especially when severe diarrhea occurs or symptoms flare during commuting or school hours—greatly affecting patients' overall well-being. Main types include constipation-predominant, diarrhea-predominant, and mixed, where both alternate. The diarrhea type often affects young men under stress, while the constipation type is more common in women. The exact cause is unclear, but sex hormones may influence intestinal function. This patient was diagnosed with a high likelihood of irritable bowel syndrome. She appeared to neglect diet and lifestyle habits, making improvement difficult. However, such self-inflicted cases make perfect playmates for us. Highly sensitive and well-endowed, she's the perfect final partner. She'll remain quiet for a while, and once things settle, I plan to resume activities. Until then, please all prioritize your health. <Treatment Record> 00:00–Enters examination room. Reports symptoms. Interview begins. 01:26–Checks throat condition with penlight. 02:57–Listens to heart sounds with stethoscope. 05:21–Wears nitrile gloves, palpates upper body and breasts. 08:13–Checks for swollen tonsils. 09:51–Palpates vulva, performs internal finger examination. 15:06–Puts on underwear, lies patient on bed, applies oxygen mask, administers oxygen. 17:06–Transfers together to another room. 17:12–Treatment room. Doctor in protective gear palpates and examines patient lying on examination table. 18:45–Collects saliva with cotton swab. 19:58–Touches and teases breasts and nipples. 21:48–Checks pubic hair and undergarments, examines vulva. 23:04–Tests genital sensitivity with vibrator. 24:29–Collects bodily fluid from vulva with cotton swab. 25:25–Inserts vibrator, tests vaginal sensitivity. 28:22–Internal finger examination of vagina. 30:16–Restores clothing and underwear, transfers to another room. 32:02–Moves to separate room. Meets with another doctor. 32:12–Breast fondling and sucking. 36:34–Butt massage and anal licking. 40:00–Removes oxygen mask, kissing. 44:30–Cunnilingus. 46:13–Close-up of vulva, handjob and cunnilingus. 51:55–Blowjob and deep throat. Saliva exchange. 55:44–Double blowjob. Saliva exchange. 57:47–Missionary, cumshot around vulva. Convulsions. 60:25–Side position, piston thrusting. 63:25–Side anal. Cumshot around anus. 67:20–Doggy style. Mouth gagged. 69:31–Sits on sofa, missionary. 72:07–Double penetration cowgirl. Mouth gagged. Cowgirl. 75:31–Missionary, cumshot around vulva. Convulsions. 77:22–Legs-up missionary, creampie. Convulsions.