"Did you wet yourself again baby? Aww, don't be embarrassed, little one. One day you'll be able to make it to the potty on time. Now, let me change your wet diaper for you."

Taking the blushing little one to the changing table, Diana laid them down on their back, quickly getting to work in lowering their soft sweatpants and opening up their soaking wet diaper.

"Wow! You were full! I'm glad I checked you when I did, one more drop and your pants would have been wet too!"

The little one whined on the table as their genitals and private places were thoroughly wiped down, Diana grabbing their legs and folding them back, keeping the little ones bottom elevated off the table as she pulled the used diaper from under their butt before disposing of it. Again the little one whined as a cold wet wipe split their cheeks, cleansing their anus with a rough touch.

"You're very whiny today darling. Are you feeling okay?"

The little one just whined again and rubbed their eyes, clearly agitated.

"Are you sick little one? I know what, I'll take your temperature just in case."

As the squirming little continued to moan on the table, Diana reached for a pacifier and pressed it firmly between their lips, holding it there until they accepted it and began to suckle, their noises of discontent silenced.

Holding their legs up Diana took her free hand and using its thumb and index finger she spread the littles bottom, viewing their tight anus. She watched as it clenched before her eyes, disliking the exposure.

Carefully she let their legs down before rolling them over to their belly. Again she spread their butt with her thumb and index fingers, and with the other hand she dove two fingers into the tub of petroleum jelly on the table, coming back with a healthy glob of it. She took the cold slippery substance and then applied it on thick to the littles anus.

With two coated fingers she did an initial swipe, smearing the big glob on the littles tight sphincter. Then with one finger Diana rubbed it in, spreading it to the surrounding skin and getting it packed deep into the folds and small dimple of the anus. The little one wiggled as the finger pressed firmly to their bottom hole, any more pressure and the finger would surely slip inside of them.

The idea embarrassed them and they cried around their pacifier thinking of Diana's finger up their behind, again. Because of course this was not the first time, and was surely not going to be the last, but it had gotten no less embarrassing as it kept happening. Diana was not one to hold her tongue when speaking and she spared no words when describing to both the little one and others about having explored their little anus. And she laughed about their embarrassment regarding their private places, how they would blush being exposed and examined.

With everything lubed thoroughly Diana proceeded in preparing the extra large thermometer for insertion.

She took off its cap and lubed it with lots of petroleum jelly, as her little one wiggled on the table, uncomfortable with the feeling of their butt cheeks sliding against each other without friction. Their bottom was thoroughly prepped and now vulnerable to anything that came its way. No matter what it was or its size, if it wanted inside their bottom it could have it with minimal effort.

"Now, just relax honey. I'm going to take your temperature."

Lacing their fingers together and then placing them over their head, the little one braced for the sensation of Diana's big thermometer up their little butt.

They felt the woman poke the tip of it through their slippery cheeks with ease, quickly targeting their little sphincter and pushing through it in a single smooth motion. They moaned as the tip slid in, of course that part wasn't bad. But the next several inches of increasing diameter pushing up them without slowing down, was uncomfortable to say the least.

As it slid in and began to spread their anus as it had before, they could not help but start to kick and cry as it continued sliding deeper into their rectum without pause.

"Relax darling, only a few more inches." Diana told them, smiling as they hid their face and cried, enjoying the sight of the thermometer disappearing up their ass.

Diana did not stop until only an inch of the thermometer was left exposed from the littles one's bottom, spreading their cheeks and admiring how their sphincter stretched around the wide diameter of the thermometer.

"There we go!" She said cheerfully. "Now, just five minutes, then I can take it out."

The little one cried uncomfortably, curling their toes and wiggling as the big thing sat deep in their rectum measuring their temperature. The feeling making it hard for them to keep still and quiet. Diana softly ran her fingers all along the little one's body, up the back of their shirt, across their bare bottom, down the back of their thighs, and up their inner thighs, causing the little one to shiver uncontrollably at the tickling touches. They could not stop their involuntary wiggling, which only caused them to feel the thermometer even more as every little movement caused friction inside their rectum.

With only a minute left to go Diana applied a gentle pressure to the end of the thermometer poking out of the little one's butt, pushing it just a little deeper and causing the tip to move around in a swirling motion inside of the littles butt.

Having had enough, the little reached back reflexively, trying to get the thing out of their butt for good. They succeeded in twisting their hips causing Diana to lose her touch on the end of the thermometer. Pushing, the little felt the thermometer begin to slide out of their slippery anus, all that lube coming to their rescue.

But it did not last as Diana took hold of them, pinning their hips down and capturing their hands, preventing them from affecting the thermometer's position any farther. Diana then set the thermometer back in place with a firm press, making the little cry out from the feeling of it sliding back up their anus.

Whimpering the little had lost their pacifier in the commotion and continued to whine as the final minute ticked by, Diana shushing them softly throughout.

"Alright! Five minutes is up!" Diana announced and slowly retracted the thermometer from the little one's butt.

They moaned as it slid out and sighed heavily with relief as the tip finally slid free from their butt. Reaching back they protectively held onto their butt as Diana read the results.

Taking a wipe she cleaned the thermometer which had returned dirty. "No fever." She announced. "But you are a little high. Hum, what can I do to help?" Diana thought out loud.

The little one squirmed and wiggled as a wet wipe came to clean up all the slippery lube from between their cheeks. Again they moaned softly, this time as the wipe focused on their anus, cleaning it thoroughly. The pressure and rubbing actually worked to ease the pain from having their bottom stretched.

"Well for starters, I think your messy butt needs to be cleaned out. Some water up your little bottom will surely cool you off. And next, I think it's been quite a while since you've had a vitamin boost, huh? An enema and one of those should do the trick!"

The little one began to whimper again as Diana finished wiping their bottom, but after she was done the woman returned the pacifier to their mouth to quiet them down and gently rubbed their back with one hand as she used the other to open a drawer on the changing table. Inside was the equipment needed to give the little one a 'vitamin boost'.

It was some vials and needles, with alcohol swabs and such for cleaning the skin. It was nothing more than a vitamin injection but Diana loved to give them because it always made little ones squirm when the needle poked into their skin. She had a few different kinds but she mostly stuck to two variations. Diana would either use a thicker gauge needle, eighteen or lower, with a long length, one and a half to two inches long. Or she liked the short and small needles, usually five eighths inch long and twenty five gauge or higher.

She liked the big ones because they made more sense when injecting in the buttocks, and because they hurt more. The more they hurt the more the little wiggled. The more the little wiggled the more happy Diana was. And when the little wiggled with their hurt bottom, Diana could comfort them, pretending she wasn't the one who did it in the first place. Drying their tears and holding them even though she knew she was the one who caused them.

Diana liked to use both of them though for the surprise factor. Lying on their belly the little ones could not see what was approaching their bottom. Would it be a thick, deep, painful needle? Or a shorter, thinner, and less painful one? The little one didn't know, and Diana liked that. Either way both hurt, but watching the little tremble in fear, praying not to get the big needle today was a wonderful sight for Diana.

But usually, and Diana wouldn't tell, they would be getting both. The order, well that was to be determined.

She couldn't decide which way she liked better. Little needle first making them think they had gotten off easy, only to have a big one come next, taking them by surprise. Or big needle first, and when it was over, surprise surprise, they were getting another one on top of their big injection. Either way made them squeal and cry, and Diana liked that.

Diana first sanitized her hands, then taking one of each sized needle, Diana opened them in tandem, preventing the sound of two seperate packages being opened spoiling her plans. Next she prepared her vials, selecting two that made sense before using an alcohol swab to clean each of the healing rubber lids. Carefully and quietly she prepared each needle, shushing her anxious little who was drowning in anticipation as she took her time sucking up the medicine and getting the bubbles out.

"Alright." She said finally with a smooth tone. Just the way she had said it informed the little that she was smiling predatorily as she looked down onto their bare, vulnerable, bottom.

"Just relax honey…" she soothed with her voice as she wiped her injection site with an alcohol swab, sanitizing it. "It will be quick, all over before you can even know what happened…"

Grabbing the small needle first she uncapped it and held it prepared to push it in. But first she waited a bit, the needle held ready to go as soon as she decided it was time, but she waited and let the little one's nerves calm down. After the swab they were prepared and flinching, but she waited until they began to think, 'is she going to do it?' and relaxed, that is when she would strike.

The little one's bottom relaxed and that's when Diana plunged the needle in fast. Of course the little flinched and began to cry, feeling the medicine spread as Diana pushed the plunger quickly, then retracted the needle.

"See? Wasn't that fast darling?" She asked as she placed a bandaid over the spot. Gently she rubbed the area and the little whined of course as the residual stick bugged them. Little did they know what they were in for.

Quickly Diana swabbed the other cheek on its injection site without gaining the little one's attention, as they were certain and relieved it was over. Preparing and holding the large needle now for insertion Diana said one quick warning.

"Now, just one more." She said quickly, too fast to comprehend as the needle penetrated the skin the same time the last word came from her lips.

The little one grabbed the table and screamed as the big needle stuck in their bottom. This time Diana pushed the plunger slow, letting the little get a good feel of the needle in them and the medicine flowing.

The little kept squealing and screaming as the medicine was one that burned severely, and mixed with the thick deep needle, it was not a pleasant sensation.

With all the medicine in Diana pulled the needle out and applied a bandaid to the new spot before giving it some rubs as well.

"See, not so bad!" Diana said with a smile over the sound of the little ones muffled screaming into their sleeve.

"Now, let's get your enema done." She quickly moved on. Quietly the little one whined, reaching back to rub their two injection sites, a band aid stuck to each buttcheek. Diana enjoyed the sight of this, watching the little one shiver and rub their sore bottom, weeping quietly to themselves. She admired the sight as she put away the injection equipment before going into another drawer and retrieving a brand new fleet saline enema.

Carefully she peeled the protective plastic wrapping from the end before removing the plastic protector from the pre-lubricated tip. Fast and silent she spread the littles buttcheeks again and pushed the lubed tip through their sphincter until the nozzle was as deep as possible in the little one's rectum.

The little one squealed and gripped the table as Diana squeezed the bottle, the cold saline solution flowing into their bottom. Once it was empty Diana pulled the tip out smoothly and noticed the mess clinging to the nozzle. "Oo, your little butt must be full! I think you could use another one."

Quietly the little one whined "No!", but Diana ignored it, smiling as she opened another disposable saline enema. Again she spread their bottom and put it in, squeezing slow and listening to them whine as their ass was flooded with solution. They curled their toes and wiggling, but they calmed down as it progressed, ending with a low moan as Diana pulled the nozzle free.

"There…" she whispered, reaching now for a clean diaper.

Cautiously she lifted their hips and tucked the front of the diaper under their privates before letting them back down. She gave a few quick shakes of baby powder to their bottom, because she knew that soon they would be needing a change after their enema. Closing up the diaper and securing it firmly around the little ones bottom, she helped them from the table.

Standing on their feet now the little one groaned feeling pressure in their belly from the enema and groaned feeling their tummy grumble.

Holding them in close to her chest Diana softly rubbed their back and held a firm hand to the back of their diaper.

"Now you will hold that for five minutes-"

"I can't…" the little one interrupted with a groaned, already feeling their grip on their bowels slipping.

"No." Diana stated firmly. "You will hold it in for five minutes. You remember what happened last time you didn't hold it for me, don't you little one?"

There was silence for a long while before the little returned a soft "Yeah…" sounding very sad. A loud grumbling came soon after from their stomach and they felt pressure building fast.

"Good! Now just four more minutes…"