A female patient, Riku, comes to the clinic with abdominal pain due to constipation. - I decided to treat the problem by palpating the lower abdomen and administering an enema. - First, clean the anal area with a cotton ball picked with tweezers. - After that, massage the anus with your fingers and the preparation for the enema is completed. - Inject 50% glycerin solution using a 150cc disposable enema. - In case Riku loses his bowels, he puts a disposable diaper on him and makes him hold back until the medicine takes effect, but Riku defecates into the diaper before the nurse gives permission. - Even during diaper changes, the urine that remained in the intestines leaks out, and a large amount of urine also leaks out, forming a parabolic curve. - I asked the female patient, Riku, to change into an examination gown and paper pants, and continued the examination of her genitals and anus. - When Riku touches her genitals, a large amount of cloudy secretion overflows from her vagina.