I finished up expelling what I hoped was the last of the enema and tried to clean up as best I could with the hand soap at the sink. I went out into the hall, but stopped when I heard Diana and Dr Farnese conversing. Diana was talking in an excited voice about the events so far, “I was not surprised by the erection of course, but the semen leaking out is not something I have seen before!“

Dr Farnese said that she did not anticipate that either, “I usually do brief rectals and either don’t see it when the patient is on their side, or the exam does not last long enough to produce that. Poor guy, he was so embarrassed. He is so cute. I try not to embarrass him and I don’t want to hurt him, he seems very sensitive.“

”I know,“ Diana replied, “But I think we can proceed a bit more aggressively. I checked his enema expulsion, and from the size of the solid feces he expelled, I think we can safely and comfortably open up his anus more. Let’s try the speculum before we go to the proctoscope.“

I walked in and they told me to sit on the couch to discuss the next step.

Dr Farnese began, “Next, we are going to take a look up inside your rectum. I am going to insert a lubricated instrument that will hold open your anus so that we can see inside you. It is a bit larger, but we will go slow and you will be ok. To help I am going to give you a sedative to help you relax. Let’s get those bottoms off again and then lay on your side on the couch facing away from me.” She took new gloves and asked Diana, ”Can you peel open that Valium suppository?”

I protested meekly as I found the suppositories very unsettling, but they insisted and Diana explained, “It will help you relax and be more comfortable and help you relax your bottom hole so we can look inside without hurting you.“

I resigned myself to the inevitable and turned over onto my side with my bare butt at the edge of the couch. Diana offered to insert it. As she was putting on gloves, she struggled and said they did not fit well — too small. The significance or this did not register at first. She knelt on the floor behind me and as she lifted my upper butt cheek, told me to relax. At first I felt just the slippery end of the suppository, but then as her finger pushed it up in me, the feeling was more intense and I realized she had substantially larger fingers than the doctor and my anus felt somewhat stretched. She let go of my buttock and told me to lie still and give the medicine a chance to work.

Fifteen minutes passed and I started to feel a bit groggy as I listened to them quietly talking which added to the peaceful feeling coming over me.

They got up and roused me and helped me back up onto my knees and into the all too familiar position with my butt up and out. I was VERY woozy from the Valium now and had to be steadied to get into position.

I could her the sound of the gloves and some packages being torn open and some metallic clanging as they arranged the instruments on the tray.

“Diana, go ahead and lubricate him inside and out. Then let’s first repeat the digital exam now that we have his rectum cleaned out.“

Diana with the big fingers got behind me, “Okay honey, here comes my finger. Deep breath and push like you are pooping.” Diana fell into the language of her pediatric background again and though it was embarrassing, it was also calming and made me confident she would be gentle with me. She was slower to penetrate me than Dr Farnese, first smearing the KY in circles over my anus which produced a pleasant tickle. She started to push in and I again noticed the thickness of her finger as it stretched me a bit, but as I was becoming accustomed to it, it was no longer unpleasant. “Relax your bottom. Breath deep.” She repeated this multiple times, each time adding more KY. I became very wet back there and the excess lubricant start to ooze downward onto my scrotum.

She finished lubricating me up and started the exam itself and this was apparent as she was now sweeping her finger much more deeply inside me. As she pushed down, that feeling of a pleasant tickling behind my penis started again and this time with my inhibitions blunted by the Valium, I focused on it. I was too zonked to get a full erection, but I could sense some swelling and the head of my penis started to poke forward a bit between my thighs. She kept moving around and I moaned a bit which prompted her to again coach me, “I know it makes you feel like you have to go poop, but its just my finger, your bottom is all empty inside.”

Dr Farnese had a different perspective and glimpsing my semi erect penis and the strand of sticky precum that extended from my urethra to my thigh, she wryly noted, “I am not sure if that is what he is feeling”. I was too sedated to be notice this lapse from Dr Farnese’s otherwise impeccably professional demeanor.

As Diana continued, I became aware of my tight anus becoming more relaxed and opened and could hear faint wet sounds as her finger moved in and out. She then withdrew it and I felt very empty. I saw her step over to the table and wipe off her glistening finger. ”I just feel a small bump on the anterior wall. I am sure it is not stool, but let’s see if we can visualize it. OK if I go ahead wit the speculum Dr Farnese? These adult anal specula are larger than the ones we use, but otherwise the same.”

”Sure Diana, your skill and knowledge are obvious. Go ahead.” I was relieved to hear this as I felt that Diana would be more gentle with me. My butt was getting a bit sore at this point.

I heard her flip the top of the tube of KY and the wet fart of it squirting out. “Okay Karl, this is going to feel a bit cold and its a little bigger than my finger, so it is very important for you to relax your butt.“

The wet cold was a bit of a shock compared to her finger and the size was noticeably bigger producing more pressure and stretching sensations than I had had up until now. “I am going to start opening it now, so deep breaths and focus on relaxing your bottom.” The stretching sensation quickly became intense, but Diana was pleased, “Oh, his anus is opening up nicely. I think the Valium has really relaxed him. Move the light closer, I can already see well into his rectum. I see a small lesion anteriorly right where I felt something. I think that’s it. It may be small polyp. I don’t see anything else. Come take a look Dr Farnese.“

The doctor got behind me and I could hear her breathing as she silently peered inside me. ”Good job Diana, I think we are are on the right track. I am going to withdraw the speculum.“

I felt the stretching ease and then the emptiness as she slid out the speculum. With my butt up in the air and my anus open, some air had entered me, and as I shifted my position a little to stay comfortable, the air erupted out of my now somewhat more relaxed anus with a wet embarrassing sound along with quite a bit of warm KY that spilled down my scrotum and dripped onto the blue pad underneath me. It was clearish, but had a yellowish tan tint just enough to be one more source of embarrassment.