The Digestive Health Center: Susan's Story

by Pepper North

  “I don’t know. It seems to be too much. Is there really not a lesser option? I don’t want to have enemas every day,” Susan hesitated.

  “Remember that Dr. Anderson said daily enemas in the beginning. If you respond normally to the treatment plan, you’ll have less enemas. Your narrowed intestines will not get better on their own but the symptoms will get worse with age,” Annie urged her to consent. “If you were my daughter, I’d tell you to start the treatment. You want to feel better, don’t you?”

  “Will you be my nurse when I’m back here at the treatment facility?” Susan asked Annie. She trusted this nurse that had cared for her this weekend.

  “Dr. Anderson will make sure that I am here to be your nurse. I will look forward to seeing your progress,” Annie promised as she unfastened the restraint on Susan’s right hand. Holding the clipboard where she could reach it, Annie handed her the pen. Susan signed the form unsure if she was doing the right thing. “You made the right decision, Susan. Now, we can help you feel better.” Annie carefully shifted the clipboard out of range and took the pen. She set everything down and immediately reattached Susan’s wrist to the side of the bed.

  Chapter Fourteen

  “Good girl, Susan. Let’s get started with your treatment,” Dr. Anderson began scissoring his fingers in her rectum again to stretch her tissues.

  Susan couldn’t believe that this whole conversation had taken place with his fingers planted in her. As she wiggled to get away from the stretching fingers, Susan worried if she had done the right thing. She saw Annie return from carefully storing her consent form. Annie picked up a syringe and brought it to the bedside.

  “It looks like you are worrying. Would you like to have something to relax you?” Annie asked with a gentle smile. “We want you to be comfortable.

  “Please,” Susan said with an eager nod. “Everything is whirling around in my brain.” Annie pressed the fine injector needle into Susan’s bottom. “Oooohhh,” Susan immediately could feel the medicine calm her nerves.

  Withdrawing his fingers from her rectum, Dr. Anderson stripped off his gloves. “In a few moments, the prosthesis designers will be here to make a mold of your rectum. They will use this mold to design your beginning prosthetic device. I’ve been stretching your anus to help you relax. Just allow yourself to release your muscles. This is process doesn’t hurt. I’m glad we’re going to be able to help you, Susan. I won’t see you again until you return to the treatment facility in a month. I’m counting on you to cooperate fully with the treatment plan I’ve devised for you so that I can see great improvement in you next month. Okay?”

  “I’ll do what you say, Dr. Anderson,” Susan nodded in agreement.

  “You’ll have my contact information if you have any questions. A nurse will be available to answer your questions 24/7. Call if you have any concerns,” he said kindly. When she nodded again, he patted her on the inner thigh and walked out of her room.

  “Can you let me loose, Annie? It’s really embarrassing to be in this position,” Susan asked the nurse.

  “I’m sorry, Susan. The prosthesis team will be here soon. They’ll need you to be in this position.” They both heard a knock on the door and two men in white coats entered to stand at her bed. They had brought a cart with them laden with supplies. Susan frantically looked at Annie to cover her up in this embarrassing position. Annie just patted her arm. “It’s okay, Susan. These are the doctors that will be treating you. They need you to be in this position.”

  “Hi, Susan. I’m Dr. Winston and this is Dr. Reynolds. We’re here to design your first prosthesis. We’ll be the doctors that meet with you on a regular basis to create the next level of prosthetic device that you need to widen your intestinal tract. Today, is going to be very easy for you. You just have to relax and let us do all the work. Sound good?” Dr. Winston explained as he and Dr. Reynolds began to pull on the exam gloves that Annie handed them. “Dr. Reynolds and I are going to access the extent of the problem area and then, we’ll create a prosthesis to help. Just relax.”

  He accepted a generous squeeze of lubricant from Annie and patting her inner thigh, Dr. Winston pressed his fingers deep into Susan’s rectum. “Yes, I can definitely feel the problem. Dr. Reynolds, I’m going to let you insert the scope so we can make sure just how long this narrowed section is. Susan, we need to make sure that our measurements match Dr. Anderson’s exactly so that we don’t create a prosthesis that only reaches partially through the narrowed section. We don’t want to make it too long that it becomes uncomfortable but it needs to be long enough so it solves the problem,” Dr. Winston explained as Dr. Reynolds lubricated a long metal scope to prepare it.

  Annie draped a warm blanket over Susan’s knees to block her view of the process. She stood next to Susan and rubbed her arm to comfort and distract her as Dr. Reynolds inserted the metal scope and twisted and wiggled it deep into her rectum. He leaned over to fit his eye to the scope. Susan could feel his warm breath on her inner thigh. He pressed the scope a little deeper and deeper as he looked at the narrowed section.

  Dr. Reynolds stood and walked up toward the head of the bed leaving the scope inserted in position. Dr. Winston immediately took his place advancing and retracting the scope so he also could measure the narrowed section that they would be treating.

  Dr. Reynolds talked to Susan as Dr. Winston examined her, “Susan, I’ve double checked your rectum and Dr. Winston is triple checking. The narrowed section is definitely treatable. It’s through the inner sphincter so we’ll have to make sure that our molding compound passes through that area as well. That’s just important information for us and nothing that you need to worry about. Here’s the process. I’m going to inject a slippery liquid to coat your passageway. That will make it easier for the molding compound to slid into place. It will also make it easier for us to withdraw the mold when it has solidified.” He picked up a large syringe about two inches into diameter with a rounded end that was smooth and needle free. “I’m going to insert this, Susan. Just relax and let it flow inside.” He pressed the wide barrel into her anus and pressed the injector to push the fluid into her rectum.

  “That isn’t too bad,” Susan commented.

  The doctors nodded at her in agreement. “It’s all fairly easy. The next step is the addition of the molding material. Because we’re concerned about getting past that inner sphincter, we’re going to insert a guide so that the mold will flow through the sphincter,” Dr. Winston continued pressing a half-inch diameter metal probe twisting it to slip through that inner sphincter.

  Dr. Reynolds approached with a large tube in a device that almost looked like a caulking gun. “This is the molding compound. It won’t hurt. I’m going to inject it into your bottom. It will fill all the nooks and crannies and pass through the inner sphincter to reveal the entire narrowed section. It takes a little longer than most patients expect so don’t worry. Everything is going okay.” He pressed the large nozzle into her rectum and began to slowly inject the thick compound. He moved the inserted guide around at varied intervals. Finally, five minutes later, he pulled the injector out of her bottom. “That’s it. Now, we just let it mature and solidify. One of us will be back in a couple of hours to check to see if it’s ready to be removed. You’ll have to stay in this position, Susan. We need to material to stay stationary so move the least amount possible. We usually recommend that patients sleep during this maturing process. Annie going to give you a shot to send you to sleep and we’ll see you when you wake up.” Dr. Reynolds promised.

  Susan felt a sharp prick and then everything went black around her.

  Chapter Fifteen

  A tugging at her rectum woke Susan up. She groggily blinked her eyes. When she could focus, she saw Dr. Winston by her bedside. She made a small noise of protest as he tugged the guide rod out of her bottom with the solidified mold secured to it.

  “Hi, Susan. I hope you had a good nap. Everything looks really good here. I don’t have the mold comple
tely out yet. I’ll try to make this easy on you but it will help you if you don’t tense your muscles. Just relax,” he suggested as he rubbed her inner thigh to comfort her. “There we go” he murmured as he continued to withdraw the mold. The jagged edges scraped at her anus. It was already sensitive due to the enemas that she had received.

  At her whimper, Annie appeared on her other side with a tube of salve. “Here Doctor, let me apply some of this to soothe her.” Annie rubbed a generous amount onto her anus.

  “Good idea, Anne.” The doctor paused momentarily and then began carefully withdrawing the mold as soon as she finished. It seemed to take forever but soon, Susan felt it slide out of her.

  Dr. Winston shielded the mold from her view and placed it in a bin labeled with her name on his cart. “Perfect! That’s all I need. Susan, I’ll be back after lunch to try out the prosthesis which will you’ll start your treatment.” He turned to Annie and added, “She’ll need two cleansing enemas to make sure all the molding material is out of her system followed by a good rinse.” He pushed his cart out the door.

  “No, Annie! I don’t want more enemas,” Susan pleaded. “I don’t really need them, do I?”

  Annie just nodded her head and began to assemble her tools. She brought a large filled bag hung on a stand to Susan’s hospital bed and added a cup full of the peppermint smelling soap. She was about to insert the nozzle when a male voice commented, “It looks like I got here at just the right time.”

  Susan again wiggled trying to loosen her restraints to cover herself. She remained in the same position with her legs spread widely. This new visitor would be able to see everything when he reached her bedside.

  “Mark!” Annie greeted the nurse warmly. “It’s been forever since I saw you. They have you too busy in-home health care!” She hugged the man happy to see him.

  “Hi, Annie, my favorite nurse! Introduce me to our new patient,” he requested as he stepped to Susan’s bedside.

  Susan could now see Mark. He was a large, muscular man in very good shape. He was dressed in bright blue scrubs. His black hair was peppered with gray and Susan guessed that he was in his early forties. He had a very kind face and he was smiling down at Susan. He didn’t focus on her nudity and exposed pelvic area. He concentrated on her face.

  “Susan, this is Mark. He’s the absolute best. You are going to love him,” Annie said warmly.

  “Hi, Susan. I’m glad to meet you.” Mark took one of her restrained hands and clasped it solidly. “I’ve talked to Dr. Anderson about your case and I’m excited to help you feel better. How are you now?”

  “I’m totally embarrassed,” Susan said honestly.

  “Why? Oh, because you’re in this position? It’s fine, Susan. This is the best way for the doctors to make the prosthesis. You don’t need to worry about me seeing you. We’ll be working together for a long time to come. Soon, you won’t think twice about me seeing all of you.” Mark paused and looked at her position. “I bet your legs are getting tired. Are you uncomfortable?” Mark asked.

  Susan nodded immediately. “My feet are going to sleep. Can you let me go?”

  “Hey, Annie. Let’s shift her onto her side. It will be more comfortable.” The two nurses released her legs and arms. Mark rubbed her legs from thigh to ankles returning the blood flow to her extremities. “Okay, Susan. Roll over on to your left side. Let’s move this top knee up a little more. Perfect. Can you keep your hands away from the enema equipment and stay in position for us, Susan?” Mark asked.

  Susan was so grateful to this kind man that she would have promised anything. “I’ll do what you say.”

  “Annie, hand me the nozzle. Let’s get these enemas completed so that we can all go to lunch. I’m starving,” Mark pressed the nozzle into Susan’s rectum gently and started the flow of the cleansing fluid. He reached around her bent leg and began to firmly rub her stomach in a counterclockwise circle. “I’m going to help the liquid flow easily through your system. At some point, however, this may start to feel uncomfortable as the enema fills your stomach. You let me know when to stop.” Mark continued to urge the liquid to flow deeper.

  The enema bag was almost empty when Susan asked urgently, “Stop. It’s too much. Can I go to the bathroom now?”

  Mark immediately stopped rubbing her abdomen. “You’re almost there, Susan. Just a little more. The best thing is this enema is not one that you need to retain for any length of time. Just relax and let the last of the cleanser in. Here let me help you.” Mark lifted her top buttock and stretched it away from the enema nozzle. Immediately, Susan felt the enema spurt into her.

  “Ooooh! Please stop, Mark,” Susan’s stomach was so full. She felt like she would explode. Then, they all heard the gurgle of the last of the fluid draining into her body.

  “You did it! Good job!” Mark celebrated her accomplishment. He did not hesitate in helping Susan roll over in bed and he supported her as she hurried to the toilet. “Lean over Susan. Let me pull out the nozzle.” It slid out easily and Susan collapsed on the toilet with gushes of fluid bursting out of her. “Those solid pieces are the remains of the prosthesis material that we’re cleaning out. Just let everything flow out, Susan. You’ve done so well, I’m betting that this second cleansing enema will take care of anything that remains.” He patted her shoulder and went to confer with Annie as she prepared the second enema.

  Chapter Sixteen

  Ten minutes later, Annie sat slumped on the toilet. Mark approached and asked gently, “Do you feel like your system is empty now?” When she nodded, Mark helped her stand and lean over the bench to be cleansed. “We’re going to make this second enema fast. Just stay on the bench and we’ll let you stand for a bit.” He wrapped the restraining strap across her back pinning her chest firmly to the surface. He pressed lots of lubricant into her rectum and slid the nozzle back in. This one was longer and stretched deeper into Susan. As she moved and groaned at the large intrusion, Mark rubbed her back and waited until she adjusted to the nozzle before clicking the clamp to release the enema.

  The cleanser gushed into Susan at a high rate. She immediately tried to stand up but was blocked by the restraining strap. “Please, Mark, Annie, it’s too fast. Can you slow it down?”

  Annie began to rub her shoulders to comfort her. “Susan, we need to flush out any remains of the prosthesis molding material. The first enema flushed out the loose remnants and loosened the bits cling to your intestinal walls. Now, we need a higher pressure enema to wash the last of the remnants out. I know that this is uncomfortable. You’re already half done. Try to relax. It will be over soon.”

  Susan felt other hands reach under the large enema nozzle and fingers entered her vagina. That had to be Mark’s hand. “What are you doing?” she cried out.

  “Susan, we want this enema to flow deep. I think you’ve already had several rounds of stimulation to help you orgasm. We need you to relax and let me help you. Don’t be embarrassed. Remember, you and I will be working together on your digestive problem for a long time. You’ll get used to my fingers. Just relax and feel.” Mark could feel her vaginal sides begin to quiver as she responded to the stimulation. Her vagina had already been soaked with arousal when he had first touched her. Susan responded erotically to the enemas alone. She was a perfect patient to help pull the enemas deeper by orgasming. He continued to move his fingers in and out of her vagina. He explored her looking for the most sensitive spots that resulted in a gush of moisture or a sharp inhale of breath. He began to tap her clitoris with his free hand. That was the last sensation Susan needed to launch into a strong orgasm. Mark continued his movements to prolong her orgasm. Finally, as the last of the shocks faded away, they all heard the gurgle to signal the end of the enema. Again, Mark move quickly to release the strap and move Susan to the toilet.

  Susan looked down at the floor as the enema again burst from her rectum. She turned bright red in embarrassment at her response to Mark’s stimulation. She’d just met him and his finger
s had been in her vagina. She’d orgasmed in front of him. She couldn’t look at him. Then, she saw him kneel on the floor in front of her. He raised her chin so that they were looking eye to eye.

  “Susan, I know you’re embarrassed. You don’t need to be. I’m going to be helping you with your digestive problem. I will see you naked on a daily basis. I will examine you fully. I will administer all the treatments that you need. That treatment will involve helping maximize any treatments that are administered. That will include helping you orgasm when you need to pull the enema deeper into your intestines. The only alternative is an enema with a larger volume of liquid. I don’t think you want that. Am I correct?” Mark stopped and waited for her response.

  “I can’t believe we’re having this discussion while I’m on the toilet,” Susan said trying to look away.

  “Susan, Dr. Anderson has already explained the treatment plan for helping you manage the narrowing of your intestines. This will be an on-going treatment for the rest of your life. It will start out very intensively and we’ll reduce it until we find the least intrusive treatment plan that will allow you to live your life happy and healthy. Enemas are the backbone of your treatment plan for the narrow section at your right colonic flexure. The prosthesis is the treatment plan for the narrowing just inside your inner sphincter. I will be putting my hands on and in your body. I will be there as you receive and void enemas. Can you be comfortable with me or would you rather have a different home health care nurse? It’s important that you be truthful. You won’t be able to change nurses once we start the home health services,” Mark explained totally ignoring the expulsion of the enema.