They went to work at once as a team to prepare the enema. Diana took the bag out of the room to go across the hall to the restroom to fill it and Dr Farnese put another item on the tray that looked like short yellow tube with a deflated little balloon on the end and a squeeze bulb like a blood pressure cuff would have. I had no idea what it was for and not knowing made me more uneasy.

Diana returned with a bulging clear plastic bag that looked like it held a gallon. She hung it on a hook over the couch that looked like it had been for a hanging plant and looped the long tube around it. She mentioned that she ran into the receptionist in the hall who was quite surprised to see the enema bag.

”Let’s go with some suppositories first so there is less work for the enema. I am going to go with the Duclolax. I like to use two — I insert one as deeply as possible and I try to leave the second one just inside the anus and I find that produces more powerful contractions if both areas get stimulated.“ She put on a new pair of gloves and come up behind me. “OK, relax.” I was all greased up and barely felt the initial touch, just sudden deep pressure as she quickly pushed her finger deeply into my rectum and just as quickly withdrew it with yet more oozing KY. The next one she delicately placed at the center of my anus and very slowly pushed it in until the tight ring of my sphincter pulled it in and it popped it up inside with an odd sensation. They let me lay down on my side on the couch and Diana moved the blue protective pad under my bottom.

”Tell us when you feel a strong urge to have a bowel movement, OK?”Diana said. I already did feel that way sort of. I had felt like I had to go since she had first had her finger in me. The constant probing of my rectum produced a uneasy full sensation that kept me off guard, but I kept quiet, understanding that they must have meant a stronger urge.

Now on my side, I was able to see both of them standing over me and was reminded how attractive they were and how professional they looked. The doctor had street clothes. A gray cashmere sweater on top with a black skirt halfway below her knees with black stockings visible below that. Her glasses and short dark hair gave her that bookish look. Diana was in bright blue scrubs and white sneakers. They both looked down at me with a look of concern.

After 20 minutes or so, the cramps began. They started slowly at first but quickly became intense and I brought my knees up to try to relieve the pressure. I had never had these types of suppositories and I was getting worried about the possibility of an accident. “I need to go real bad!” I blurted out. I had no gown on and was still naked from the waist down. Dr Farnese now realized the predicament I was in and hurried into her back office and came out with a folded pair of clean scrub bottoms and had me put them on. They ushered me out the door towards the restroom across the hall.

I got half way across the hall when an even more intense cramp hit and I had to stop and I hunched over squeezing my buttocks together until the wave passed. I looked up then and could see through the open door the same secretary at her desk facing me. She was talking on the phone and stared at me as our eyes met. I rushed into the bathroom and got the scrub bottoms down just in time, but did not have time to get the seat down and had to sit on the cold porcelain rim as an uncontrollable evacuation of my bowels started at once. Between the copious amount of lubricant coating the exit and the strong contractions, it all come out of me very quickly and with no effort or control on my part. I seemed to be empty very quickly, but I stayed a bit longer to try to get everything out thinking that this would please the two women waiting for me. Loud expulsions of gas followed, and I remembered the secretary on the other side of the wall. I could hear her faintly talking on the phone, so I was sure she could hear me. I wiped and then tried to clean myself further at the sink, knowing that in a minute, they would be looking at my rear end very closely. I walked back across the hall and heard the secretary talking away on the phone.

When I got back into the office, they were sitting waiting for me. Dr Farnese asked about my bowel movement and I sheepishly conveyed that it was quite large. She seemed satisfied with that and told me to get back up on the couch. I understood enough to untie my scrub bottoms and after they fell to the floor around my ankles, Diana and I both looked down and noticed the substantial wet stain in the back of the crotch from a big smudge of KY jelly from when I had hurriedly first put them on. She picked them up and reassured me, “Don’t worry, we’ll get you a clean pair for the next trip.”

I climbed up onto the couch and got on my knees. Diana was very attentive at helping me get into position, but then stopped and asked the doctor if she wanted me in the knee chest position for the enema.

“Yes, I think that will help him to accept a larger volume., Dr Farnese said.

With that, Diana eased me forward. Her bare hands were soothing as she gently guided me, and then she put one hand on my back, pushing down, and the other one she put on my lower buttock and pushed my bottom up. “That’s it, bottom way up for us.“ This was the first feel of her bare hand on a more private part of me, and I felt myself surrendering to her and once again eager to do as I was told. She was close enough now that I could smell her. It was not perfume, just a subtle clean pleasant smell that seemed to be a combination of freshly laundered clothes and shampoo.

Dr Farnese had fresh exam gloves back on and had picked up the mysterious balloon tipped tube from the tray.

Diana grabbed the tube of KY and I heard the familiar fart sound as she squeezed some onto the doctor’s index finger.

Dr. Farnese ready to start, “Bear down Karl, just my finger to lubricate you.“ It was a quick cold in and out and I again was feeling that wet drippy sensation. “Now, I am going to insert the enema nozzle. It will feel like my finger, but once its inside you, I am going to inflate a balloon on the tip of it so that you can hold in the enema more easily. When I inflate it, you will feel some pressure and like you need to have a bowel movement. Remember, relax and take deep breaths.”

I now understood what I had been looking at earlier and had not recognized was this nozzle she was about to use on me. I had only had one enema before years ago and nothing like this. The nozzle went in easily. I heard the puff-puff sound of her squeezing the inflator and felt the pressure build in my rectum. This caused my anus to tighten around the nozzle. I was startled by the new sensation and flinched and gasped a bit. Diana was there and moved closer, putting one knee on the couch next to me to get lower and she started to lightly caress my back with her finger tips and with her other hand on my buttock, she held me steady and calmed me, “Shhh, just relax. Slow deep breaths. The doctor is going to start the water now. You will feel a bit more pressure.“

I breathed in her calming scent and concentrated on my breathing and trying to relax. I heard a plastic clicking sound , and within seconds felt a warmth gradually start. First it was just inside my anus. The coldness of the KY in my anus was replaced by a pleasant warmth as the water flowed through the nozzle. The warmth progressed further up my rectum and then gradually expanded throughout my pelvis. Diana was so close to me that she lowered her voice to a near whisper, ”Good boy. Not so bad. Keep breathing slowly.“ The warmth was increasingly accompanied by more pressure. For the first time, I felt this new sensation seemed to be pushing from behind my penis and I thought I sensed my penis slowly plumping up a bit from its previously embarrassingly shriveled state. I was becoming more consciously aware of my increasing state of arousal. I fought a bit with my thoughts, not wanting to show more physical signs of arousal, but it was no use. My penis was semi erect now and had now moved up between my thighs (I was hunched forward and it had previously been hanging straight down more behind my thighs.) The contact and bit of rubbing against my thighs only accelerated the process, and I was fully erect in short order. As I was struggling to come to terms with my new source of embarrassment, the pressure was now building in my abdomen and the first cramp came. Diana could sense me tighten up and had Dr Farnese stop the flow for a minute. She reached under me with the hand that had been caressing my back and started to gently massage my abdomen. This helped the cramp pass and she nodded to Dr Farnese to resume the flow. There was the click again. Dr Farnese admitted that as a physician, she had minimal experience administering enemas and thanked Diana form being there to share her expertise, “You are a gem, Diana!”

The pressure was so intense now I was practically panting and moaning a bit. “I don’t think I can hold it. I need to go!”

Diana reassured me in he calm voice that I would be ok and that the balloon would keep me from having an accident, “You don’t have to clench your bottom, it will stay inside you. Go ahead, relax.”

I was reluctant to relax as she had instructed. I was convinced that if I did, the enema would come spilling out of me, but she continue to reassure me and I gradually unclenched my anus. As I did so, I could feel the balloon work down against the inside of my anus and seal itself against the inner ring of muscle, making me more aware of its presence, but also more secure in that I was sealed up. “Okay, I think I can take some more.“ I was determined to please them.

Diana continued to stroke my belly and encourage me, “A little bit more and then you will be able to push it all out and you’ll feel so much better.” Her words relaxed me a bit until her hand move a bit lower and contacted the head of my penis. That was when I first became aware of the wetness I was leaking. Without a word, she took her hand and rubbed the back of it on the blue pad beneath me to wipe away my secretions and then resumed rubbing my belly, but staying higher up. She obviously knew now that I was becoming aroused, but professionally she pretended nothing was out of the ordinary. Even with the security of the balloon, I was getting quite uncomfortable and told them I could not take any more and urged them to stop the flow. Dr Farnese took her time stopping the flow and then congratulated me on taking the whole bag. Diana instructed her on how close off the nozzle with a metal clamp so that the tube could be disconnected.

Once that was done, Diana helped up off the couch. My stomach felt heavy and full and when I looked down, there was a bulge. She noticed too, “You. Are. Full!“ but said no more as my erection was also apparent and she caught herself before she commented on that. “Now … I am going to take you across the hall to expel. Slip on these clean scrub bottoms.” She helped me into them so I would not have to bend and put more pressure on my swollen abdomen. When they were around my waist, they fit awkwardly as the nozzle that was still sticking out of my behind tented out the fabric of the seat. The front was no better with my erection like a tent pole underneath. I waddled out the door and across the hall with her arm around me to steady me.

When we got into the bathroom, she closed the door. ”Now, I am going to deflate the balloon and when you feel the pressure release, clench your bottom real tight to hold in the water until you get onto the toilet. I need to stay with you as you go because sometimes these enemas can make you feel lightheaded and I don’t want you to fall. Okay? Now, I know you have an erection. Don’t be embarrassed. That happens a lot. Having things done to your bottom can cause that. Slide the scrubs off and turn around facing away from me.”

I turned first and then took them down so she would not see my erection again. She put on fresh gloves. I felt a gentle tug on the nozzle as she took hold of it and I heard the squeak of the metal thumb valve and the whoosh of air as the balloon deflated and a slight reduction of the pressure in my rectum.

“Okay squeeze your bottom hole for me.“ I squeezed as tightly as I could and felt the warm nozzle slither out. The pressure and the need to expel surged and I couldn’t turn around to sit fast enough and lunged forward onto the seat backward with my butt still facing her. I barely got on the seat and a jet of warm water burst from my bottom. Diana was a bit taken aback by my position but without missing beat, she offered her words of encouragement, stood up and started to rub my shoulders. Having her there for this private messy act was at once both horribly embarrassing yet soothing and reassuring. My awkward predicament was compounded by the fact that the scrub bottoms were still around my ankles, so I was frog-legged, backwards and clutching the cold metal pipe coming up form the back of the seat stay balanced. There was a lull in the cramps and I carefully swiveled around to face her. My erection was waning and now less conspicuous, so I was more concerned with preventing her from actually seeing the enema come out of me.

Once I was facing forward, she knelt down in front of me and looked at me, asking if I was feeling better. Before I could answer, more pressure and the need to push. I had hoped that the earlier bowel movement I had had from the suppositories had emptied me out, but unfortunately, solid chunks shot out with loud splashes followed by some loud farting. I looked down embarrassed, but she softly reassured me, “It’s ok, let it all out. Doesn’t it feel good to let that pressure out? Don‘t be embarrassed.” When I was done, I sheepishly wiped my bottom after she respectfully turned to the sink and peeled off her gloves and washed her hands offering me a sliver of privacy. As I watched her vigorously washing her hands, I recalled the goo from my penis that had gotten on her bare hand a few minutes ago.

I went to try to quickly flush, but she stopped me, “Wait, I need to see what came out.”

Ugh! I obeyed and let go of the metal lever. She came over and we both looked down into the bowl. She was pleased, “I think someone has a pretty clean rectum!” We crossed the hall and the secretary was in the hall with her coat on getting ready to leave for the day. She said hi to Diana and asked how much longer we would be there. When Diana told her we were just getting started, the secretary looked at me with a sympathetic frown. At that moment, I felt some gurgling and cramping and rushed back into the bathroom to expel more. Diana knocked on the bathroom door and asked if I was ok. I said I was and she told me to come back across the hall when I was done.