When Carol arrived home from school on Monday afternoon, Dorothy greeted her from the kitchen where she was preparing dinner. "How was school today?"

"Okay, I think I did well on my history exam."

"I'm glad to here that. Why don't you get started on your homework and I'll tell you what I did today."

Carol replied, "okay, but I'm going to change first, this stupid girdle is all bunched up."

"That's one of the things that I want to tell you about. I made an appointment at Kramer's Specialty Store for Thursday evening. We're going shopping for new underwear. The store is on Division Street, do you know where it is?"

"Yup, that's the place with all the corsets and stuff in the window, isn't it?"

"That’s the place."

"Why are we going there? We can buy undies at Woolworth's can't we?"

"We're not buying anything at Woolworth's. Bras and girdles have to fit properly, you don't just buy them off the counter. You try them on and have them fitted by a corsetiere."

After dinner Dorothy told Carol about the appointment that she had made with Dr. Barnes on Wednesday. "I'll write a note so that you can get out of school early. The appointment is at one o'clock. Dr. Barnes is going to give you a complete physical and she's going to do some tests to find out why you are always constipated."

"Okay, but the doctor my mom took me to couldn't find a problem. He told mom to keep giving me enemas."

"That's what we need to get fixed. You can't take enemas for the rest of your life."

Carol's First Appointment with Dr. Barnes

When Carol and Dorothy arrived at Dr. Barnes' office they were cordially greeted and shown into her office.

Dr. Barnes was a woman of about forty five. She wore a fitted, dark blue skirt and a white blouse, she stood very straight and had an air of properness about her that Carol found unsettling.

"How nice to meet you Carol. Dorothy has told me a lot about you. I have been talking with Dorothy and I understand that you have a problem with your bowels that requires frequent enemas. I'm sure that you realize that this is not normal and that we need to find the source of your problem. I will be doing some tests to determine what is causing the problem and I will also conduct a full physical examination to assure that nothing is overlooked.

After taking some additional personal history from Carol and introducing her nurse, Mrs. Ames, Dr. Barnes said, "Now that we have the preliminaries taken care of, Mrs. Ames will show you to the examination room. I will be with you shortly."

The nurse escorted Carol and Dorothy back into the hall and opened the door marked EXAMINATION ROOM. The room was similar to all other exam rooms that Carol had been in. Two of the walls were lined with counters with drawers below and cabinets above. All of the cabinets were white and the counter tops a contrasting black. A chrome autoclave was on one counter with trays of shiny medical equipment nearby. An examination table stood in the middle of the room. On the opposite side of the room was a white porcelain sink and next to it a metal framed fabric screen and two chairs.

"Have a seat and the doctor will be here in a moment."

As Carol was looking about the room, Dr. Barnes walked in. She was now wearing a white lab coat and had a stethoscope around her neck.

"Okay, you can start by standing up and taking off your blouse and skirt, said Dr. Barnes. Place them on the chair once you have them off."

Carol hesitated for a moment and then stood up and began to undress. First she unbuttoned her blouse and reluctantly removed it and then unzipped her skirt, lowered it to the floor and stepped out of it. As instructed she placed them on the chair. Before she had turned back around to face the doctor she heard the doctor say, "and please remove you slip."

As Carol was removing her slip Dr. Barnes walked toward her.

Carol was now clad only in her bra, girdle, and stockings and feeling very naked.

"Excellent", said Dr. Barnes in an almost jubilant tone, "I'm glad to see a young lady wearing a girdle. It's a very important garment for a woman. I am also glad to see that you are not wearing one of those panty girdles. They provide too much coverage in the crotch area and don't allow adequate air circulation. Panty girdles are okay under slacks or shorts, but never under a dress or a skirt."

"Now let me see how well the girdle fits and supports you."

Dr. Barnes placed her left hand in the small of Carol's back and the fingers of her right hand against Carol's abdomen and pushed inward. She moved her hand to different areas and pushed against Carol's tummy. All she said was "You need a lot more support in this area, too much tummy bulge. Okay, one last check, let's see if you are getting the support that you need for your derriere."

Carol couldn't believe what she was hearing and looked at Dorothy with a perplexed look.

To her dismay, her friend just nodded, indicating that she was to do as she was told.

"Please turn sideways and let me see your profile. Uh-huh, it looks like you have a little droop in that department." Dr. Barnes then walked behind Carol and placed her hands beneath Carol's bottom and lifted upwards and let the cheeks drop back to their original position. She finished her girdle review by pushing and poking the girls bottom cheeks.

"Mrs. Ames, please make a note that Carol will need a girdle with a lot more support." "Dorothy, can you help her with this?"

"As a matter of fact, I have an appointment at Kramer's Thursday evening. I realized that she needed new undergarments and wanted her fitted properly.

"Good. She needs a garment that provides more abdominal control and one that will better control her posterior. The full elastic back on this girdle is meant for younger girls and doesn't provide any control or lift of her bottom. We certainly don't want to have her jiggling all around town, do we? A girdle with good, firm support is in order. See what Ann Kramer or her fitters recommend."

Doctor Barnes added, "Your posture isn't very good either young lady, stand up straight. Don't be ashamed of your body. You have a nice figure, you just need a little help in a few places."

"Now let me see if you brassiere is doing an adequate job," said the doctor.

As she began to reach for Carol's breasts, Carol moved backwards and said, "Oh, do you really have to do this. I'm so embarrassed."

"Yes, I really have to do this. You can't be going around with ill fitting undergarments. The support that you get from a girdle in the abdominal area is important to you health and it just isn't proper for a young lady to have her behind wiggling around when she walks. As for a brassiere, support in this area is also important. If you don't provide proper support for your breasts now, you will damage breast tissue and they will be hanging at you waist by the time you are 50. I don't think you want that, do you?"

"No ma'am, I guess not", Carol replied meekly.

"Good, now let me check the fit of your brassiere."

Dr. Barnes proceeded with her examination of the fit of Carol's bra. She felt around the larger part of each breast and then began feeling around each nipple.

"This brassiere doesn't fit any better or support you any better than your girdle does. Overall, the brassiere is too tight but the cup is too large.. Doctor then placed her fingers under each breast, lifted, and let them fall. She pushed Carol's breasts until they shook like jelly. "Look at the excess material. A young lady of your proportions should be wearing a brassiere that firmly supports her breasts. My recommendation would be a wider back strap with three hooks and a more structured cup, but I'll leave that to the fitter a Kramer's."

"Now, please go behind the screen, remove all of your clothes and put on the robe that is back there."

"All of my clothes?" Carol said pleadingly.

"All of your clothes. Before I can begin to diagnose you problem I must do a complete physical including a full pelvic, rectal, and breast examination. You have had a pelvic exam before, haven't you?"

"No, I haven't had any of these before, do I have to have this done?

Before Dr. Barnes could say anything, Dorothy responded by saying that she had explained exactly what would be done more than once and that it was time to stop acting like a baby.

Doctor Barnes response was both firm and reassuring. "Its time that you had a complete physical and I don't want to hear any more questions about if you have to have something done. I will be as gentle as possible and I will explain everything as I go. I understand that this can be difficult the first time, but you must have these exams."

"That's better, now up on the examination table and lie on your back.

"First I am going to examine your breasts for any lumps or abnormalities." Dr. Barnes opened the robe exposing Carol's breasts and then began to kneed and feel each breast. "No abnormalities that I can see. Breast tissue somewhat soft, but not excessively so. As I mentioned earlier, a good structured brassiere is definitely necessary."

"Have you ever had any discharge from your nipples?"

"No, I don't think so", replied Carol.

"Well sometimes it happens and it can be a problem if it is not treated." Have you ever noticed any spots or stains on the inside of your brassiere that would indicate a discharge?"

"No ma'am."

The doctor then began to feel Carol's nipples. First gently pressing them between her thumb and forefinger and then pulling on them. She then stroked each breast and then went back to pulling on the nipples. She continued this until the nipples became stiff and Carol began to squirm and uttered a faint "please stop."

"Nipples feel normal and they exhibit the expected signs of arousal from manual stimulation." "No problems here." Mrs. Ames busily recorded the doctor's comments.

"Okay, you can button up and get your top half covered. The next part is the pelvic examination."

"Mrs. Ames will help you get you feet in the stirrups so I can have a good look inside of you." "I will be using a speculum so that I can examine your vagina. You will feel me insert the speculum and then I will expand it. It will be somewhat uncomfortable, but it will be over quickly."

"Please don't do this", pleaded Carol. "I have never had any problems down there, please don't touch me there!"

"I'm sorry but like the rest of the examination, this is absolutely necessary. Once a woman reaches your age she should have a pelvic exam every year. Now slide your bottom down the table until I tell you to stop. That's good, more…more…more, that's good, stop there."

Carol watched as the doctor put on a pair of rubber gloves. She felt the doctor's fingers touching her most private area and then felt the cool lubricant being applied to her vaginal lips. A finger was now being slowly inserted into her vagina and then a second finger. After the lubricant had been spread around, the fingers were withdrawn.

"Now I'm going to insert the speculum, Carol," said Dr. Barnes. Mrs. Ames handed the doctor the shiny chrome device and she slowly inserted it into the waiting vagina. Carol gasped as it entered.

"The speculum is in, now I am going to open it so that I can do the internal examination."

Carol heard the click-click-click and then felt her nether region being spread apart. More clicks and more spreading. "Oh please stop, it feels so big. It hurts. Please stop."

"Just a little more to go and you will be ready," said Dr. Barnes. With that, she pressed the handles of the speculum until she had her patient fully opened for her examination.

"Now I'm going to feel around inside of you with my fingers." Carol could feel the doctor's touches. "Now I'm going to insert my hand, I'll be done in a moment."

"Oh God, please stop, I hate this."

Doctor Barnes withdrew her hand and quickly released the speculum. She then took some tissues and wiped the excess lubrication from Carol's nether lips.

"One last thing and then we're done here," said the doctor cheerily. Doctor Barnes reinserted first one then two fingers between Carol's lips and then into her well lubricated vagina. "This is to check if you have a normal response to digital stimulation, just relax."

The doctor moved her fingers in and out in a slow, rhythmic motion. When she was satisfied that her patient was becoming aroused, she quickened the pace. After about a minute of the doctors experienced hands Carol was becoming quite aroused and began to mutter faint oohhhs and ahhhhs. "OH PLEASE, WHAT ARE YOU DOING TO ME? aaaaah, ohhhhh. Her hips began move in rhythm with the doctor's hands.

Dr. Barnes quickly moved her fingers to the girl's clitoris and began the same rhythmic manipulations, but before Carol could climax, the doctor abruptly stopped her touching.

"All done here," she said. "Ames, please note that there are no abnormalities of the vaginal area and that digital probing of the vagina prompted normal arousal and that clitoral stimulation increased the level of arousal as would be expected."

"Mrs. Ames will help you out of the stirrups and you can sit up and cover yourself up for a while."

"Are you okay my dear?" asked the doctor. "I'm sorry not to have warned you about checking for sexual arousal, but I thought that the pelvic exam was traumatic enough. Mrs. Ames can get you some water or juice if you would like some."

"Just water please," said a shaken and still trembling Carol.

"While you are regaining your composure I will get things set up for the next part of the examination. This will be an examination of your anal-rectal area. Hopefully, we can find out why you are having so much trouble with constipation and moving your bowels."

"Dorothy, did she have an enema this morning?"

'The reply from the young nurse was "no, I understood that she would be given one here."

"You're right, I did say that we would prep her here. Mrs. Ames please set up the prep room for an enema. Two quarts of plain water should be sufficient since she is receiving almost daily enemas already."

"Follow Mrs. Ames to the prep room and I'll be right with you."

The Prep Room was smaller than the Examination Room. It contained a padded table with a metal pole attached to one of the legs. Attached to the pole about three feet above the table there was a cross bar. Along one wall was a single counter with a set of drawers and a cabinet above. Next to the counter was a large sink. Above the sink was a tubular metal framework attached to the wall. Hanging upside down from one of the framework rods were three enema bags and several lengths of gum rubber tubing. The next thing that caught Carol's eye was a metal rack on the counter holding what appeared to be enema nozzles standing side by side. There were over a two dozen and they were of every length and shape imaginable.

Carol was no stranger to enemas and her mother had used quite a few nozzles over the years, but she had never seen such a selection.

Before Mrs. Ames even began her preparations Carol began pleading that she not be given an enema. "Please, I don't need another enema. I have one almost all the time now."

Carol's continued complaining finally prompted a harsh response from the doctor.

"Your condition leaves you with two choices. Either you can continue to take enemas for the rest of you life with increasing frequency or you can undergo this examination and get the necessary treatment. Without treatment and with time, you will need more frequent and larger volume enemas. Eventually, you will be taking at least two large volume, medicated retention enemas every week. Have you ever had a retention enema?"

"Yes" replied Carol, "Dorothy makes me retain all of my enemas for at least 5 minutes"

"That's not exactly what I had in mind", said the doctor. "Mrs. Ames, please get set up for a retention enema. I think our patient needs to know what the future holds for her if she does not have her condition treated promptly. Make it 2-3 quarts of clear water."

"While Mrs. Ames busied herself with the preparations, Dr. Barnes was talking with Dorothy out of earshot of Carol. "I'm going to make her understand that I will not stand for anymore whining and pleading. I'm tired of it."

"I understand," said Dorothy, I didn't expect anything like this. Do whatever you think is necessary."

By now, Mrs. Ames had finished her preparations and was placing a large rubber sheet over the low table in the center of the room.

"Carol, get up on the table and lie on your left side and I don't want to hear any complaints." For the first time Carol heard some anger in the doctors voice that she had not heard before. She quickly got on the table and rolled over on her left side.

"Mrs. Ames will give you the enema. It will be administered with a retention catheter. The catheter will enable you to hold a large enema for as long as necessary. You are to do as Mrs. Ames says. If you don't, I can and will make things very unpleasant for you. I still have to make preparations for the rectal examination and I have to make a phone call. Don't disappoint me!"

Carol got the message that the doctor meant business and only uttered a quiet "yes ma'am."

Carol felt Mrs. Ames parting her cheeks and then felt the rubber gloved finger with the cold lubricant. Nurse Ames inserted her finger into Carol's anus, moved it around and in and out, and then removed it.

"I can see why Dorothy is concerned about your condition. You are certainly very tight back there. But don't worry, the doctor has treated a lot of cases like yours."

"I'm going to insert the catheter now. It may feel a little big at first, but I'm using plenty of lubricant and I will insert it quickly." With that, Carol could feel the catheter being inserted and then she felt it begin to stretch her anal opening. She started to say something but thought the better of it.

With a twisting push the experienced nurse had the catheter in place quickly. While it felt a little big, Carol didn't think that it was too bad. Little did she know how big it could get.

"Carol, there are two retention balloons on this catheter. One is inside of you in your rectum and the second balloon is between your legs. First I will inflate the inner balloon, then I will inflate the outside balloon. Inflating the outer balloon will pull the inner balloon against your anus. Once both balloons are inflated, no matter how full you may feel, you will not be able to expel any of the solution."

The first thing Carol felt was something growing inside of her bottom and then she felt the balloon inflating between her legs. Just like Mrs. Ames had predicted, the outer balloon was pulling the inner balloon tighter. She already felt like she was full and had to expel.

Before Carol could say anything, Mrs. Ames released the clamp on the hose connected to the enema bag and Carol felt the warm solution begin to fill her bowels.

At first it wasn't too bad. Carol had received a lot of enemas and except for the slight fullness she felt from the inflated balloon, this was no different from all of the previous enemas that she had received from her mother over the years.

When she began to feel quite full, Mrs. Ames said that she had taken 2 quarts and that she would let Carol rest a little before starting the third quart.

After a few minutes, Mrs. Ames added another quart of water to the red bag and resumed the flow. Carol began to feel very full now and started to say something, but just then Dr. Barnes entered the room.

"How far along are you Mrs. Ames?"

"Just about half way through the third quart."

Without thinking, Carol said that she didn't like this kind of enema and couldn't hold any more and could they please stop.

"I was about to tell Mrs. Ames to stop, but since you insist on complaining I will let her administer the remainder of the third quart. And while she is doing that, I will get another quart ready in case you have any further complaints."

By the time Dr. Barnes got back with the pitcher of water the last of the third quart was flowing into Carol's bowels.

"Any more complaints?" asked the doctor. "No ma'am" replied the bulging patient.

"Very well. Mrs. Ames will dump the pitcher and now we just have to wait for the enema to do its job. This is what a large volume retention enema is all about. Most retention enemas use solutions that contain medication and are usually 3-4 quarts. The retention time is from half and hour to 2 hours depending on the medication being administered."

"I'm going to have you hold this one for about 15 minutes just so you can get a good feeling for what it is like to be blown up like this. If I hear any complaints during that time, I will have Mrs. Ames add one more pint for each complaint. Understood?"

Carol was completely defeated and could only manage a trembling "yes ma'am."

When the 15 minutes was up Dr. Barnes said, "Mrs. Ames will go with you to the toilet and remove the tube. When you have expelled everything, she will help you get cleaned up."

"When you're done here Mrs. Ames, bring her back to the treatment room and start fitting her with a retainer belt."

"Yes doctor," replied the nurse.

When they entered the treatment room Carol saw the examination table in the center of the room. Along the walls were cabinets with glass doors. The cabinets were full of neatly aligned, unrecognizable, medical equipment.

At the side of the examination table was a white enamel cart. The top shelf of the cart was covered with a white towel. The irregularities of the towel indicated that there were items concealed beneath it.

As she got closer to the table, Carol saw Dr. Barnes picking up a belt-like device from the table. Carol thought that it looked somewhat like her mother's garter belt. The doctor handed the belt to Mrs. Ames and said, "see if this fits and I'll finish up over here."

"Okay dear, open your robe and let's get this on you. Better yet, I'll get you a smock. The robe will only be in the way during the rest of the exam."

Mrs. Ames went to one of the cabinets and returned with a folded, light green garment. "Off with you robe and put this on. It has no buttons, it just slips on over you head." As she removed the robe, Carol saw the unfolded garment that the nurse was holding and realized that it was not very long. She momentarily stood naked while she exchanged robes with the nurse. She quickly put the garment on and found that it had no sleeves and that it only reached her waist.

"Are there any bottoms to go with this?" asked Carol.

"No bottoms or panties needed during the next part of the examination. The doctor needs full access to your bottom and I have to get you retainer belt fitted."

Mrs. Ames picked up the retainer belt and opened it up. The belt was about four inches wide and made out of a canvas material with elastic panels at each side. Hanging from the belt were laces and several narrow straps.

"Turn around with you back to me," instructed the nurse. Ames then wrapped the belt around the front of the girl's waist and brought the ends together at the back. Satisfied that the belt was the right size, she joined the two ends by engaging the hooks with the eyes. Next, she checked the fit of the belt and straightened it as necessary.

In the front, Carol could see the narrow straps hanging between her legs and in the back she could feel something cold near the top of each of her bottom cheeks.

"What is this for? Why do I have to wear this?" asked the worried teenager.

"Doctor is quite certain that you will require anal dilation and if you do this will keep the dilator in place."

"Wh…what's a dilator?

"Dr. Barnes will explain all of that in due time. Now let me finish what I have to do here. Turn around again, I need to lace you up."

The nurse busied herself with tying the laces at the back of the garment. When the lacing was done she instructed the girl to spread her legs a bit. She reached through the spread legs and grabbed the dangling strap, pulled it through Carol's crotch and loosely attached the ends of the straps to the buckles hanging down from either side of the belt.

In the front, the strap was attached with small buckles at two places near the hips. The straps came down into the girl's crotch on either side of her pubic mound where they became a single strap. The single strap continued through the crotch and became two again just above the tailbone.

With everything loosely in place, the nurse checked in Carol's crotch area to see where the single strap started in relation to her anus. "Spread nice and wide for me," ordered the nurse. Wider please, I can't see or feel anything if you stand like that. Now spread your legs!"

Reluctantly Carol spread her legs until Mrs. Ames told her to stop. First she felt the nurse's hand between her legs and then she was making adjustments at the front buckles. Again the nurses fingers were between her legs pushing and feeling the strap. With everything in the crotch area to her satisfaction, Mrs. Ames snugged up the straps at the back of the retainer belt. Carol let out an "Ouch," but the nurse didn't seem to hear her.

"Doctor, when you are ready, please take a look and see if you like the fit of the retainer," said the nurse.

Doctor Barnes placed a few more items on the cart by the examination table and came over to look a Mrs. Ames' handiwork. After tugging at the straps at the front and back of the garment she told Carol to spread her legs. Carol moved her legs apart slightly but not enough to satisfy the doctor. Without any warning, the doctor landed a sharp smack on the girl's exposed bottom.

"Owww, what did you do that for," cried the girl.

"I am tired of your complaining and not obeying instructions. Mrs. Ames told you how far you had to spread your legs. You knew what was necessary and you didn't to it. Now get your legs apart!"

Without a word, Carol moved her legs apart until the doctor gave a terse "thank you."

With Carol properly positioned, Dr. Barnes began to feel between her patients legs. "Everything seems to be where it should be." Looks like a proper fit." Walking around behind the patient, the doctor unfastened the straps at the back of the retainer and let the strap hang between Carol's legs.

"Now come over to the examination table. I want you to kneel down on this platform and rest you chest on the table."

Extending from the front of the table was a platform about 2 feet long. It was padded with the same light green leatherette as the top of the table. There were recesses in the padding for the knees and legs. For the first time Carol noticed that there were leather straps hanging down from the platform and the side of the table.

With an air of resignation, Carol knelt down on the platform and bent forward until her chest was on the table. In this position the short smock that she was wearing just came to the small of her back leaving her buttocks fully exposed.

In a pleading tone, Carol said, "Can I ask you a question?"

"Yes you may," replied the doctor.

"Are you going to strap me down with those straps?"

"No, we don't use them for examinations, only for special treatments. Now let me finish getting you set up."

Dr. Barnes stepped back to see if Carol was properly positioned. "Ames, raise the platform a bit. Carol couldn't see what the nurse was doing but she heard the whir of an electric motor and then felt the platform moving up. "Good right there," said the doctor.

"Now open the platform and get her spread out and opened up." Carol could feel her knees and legs being slowly spread apart as the two halves of the kneeling platform began moving. The platform continued to move apart spreading her legs and exposing her anus.

"What I am going to do now Carol is an extensive anal and rectal examination. I believe your bowel problems are due to a restrictive anal sphincter. Based on Dorothy's description of your condition and Mrs. Ames' finding you tight when she lubricated you, I am quite certain that a restrictive sphincter is the problem. But, in order to be sure I must do some tests."

Pulling on the amber colored rubber gloves Dr. Barnes turned toward her patient and said that she would be doing a digital rectal exam and that the purpose of it was twofold. First she would be checking for the presence of any growths or abnormalities in the rectum and secondly the digital exam would help loosen her up for the following examinations.

"What following examinations," thought Carol. How many ways could they examine her bottom she wondered.

In rapid succession Carol heard, "Lubricant please. Thank you Ames. Okay, here we go." Then she felt the cool touch of the lube covered, rubber gloved finger pushing at her anus. Carol gasped as the finger passed her sphincter and entered her rectum.

"You're going to feel my finger moving around, just relax, I will be done shortly." Dr. Barnes pressed her finger into the girl's rectum as far as she could and elicited a brief "Ohh," from Carol. After some brief deep prodding Carol then felt the finger being withdrawn and breathed a sigh of relief.

"You did very well Carol, thank you for you cooperation. Mrs. Ames, please make a note that the digital examination of the rectum shows no abnormalities. Also note that the anal sphincter is very tight."

"More lubricant please. Carol I'm going to insert my finger again, so just relax. I want to see if I can loosen you up and get you to relax a bit."

Carol felt the gloved finger slipping past her anal ring and then enter her rectum until it could go no farther. She then felt the finger being withdrawn, but not completely. After a short pause the finger moved back in. Now, Dr. Barnes began a slow, rhythmic in and out motion with her finger.

"How are you doing Carol?" asked the doctor. "Okay, I think," was the reply.

Dr. Barnes continued her incessant in and out motion with her finger. After about 3 minutes she heard a low Ohhh from Carol. "Am I hurting you?" asked the doctor. "No, it doesn't hurt." After another minute of the rhythmic motion Carol moved her bottom a little and uttered two more low "Ohhs."

"What are you feeling dear? Does it hurt?

"I'm so ashamed."

"Ashamed of what dear."

"I think it feels good."

"Do you mean it feels good like it is making you sexually excited or aroused?" questioned the doctor.

"Yes ma'am I think so," was the barely audible reply.

"That's nothing to be ashamed of, it's perfectly natural." It is not at all uncommon for people to find anal stimulation arousing. It's also a good sign that you are loosening up. Just relax."

Recognizing that Carol was finding her probing stimulating, Dr. Barnes slowly increased the speed of her thrusting finger and within a short time she could tell that her young patient was becoming very aroused. Again, the doctor increased the rate, now to a fairly rapid in and out sequence. When the moans became more frequent and when Carol began trying to thrust her bottom to meet her strokes, Dr. Barnes and Ames smiled at one another. It was beginning to look like they had an anal erotic on their hands.

Slowly, the doctor began to decrease the rate of her stroking until she stopped completely and removed her finger from Carol's quivering bottom.

"Oh, please don't…." cried the teenager.

"Please don't what?"

"Nothing," was the girls' response.

"You enjoyed that didn't you? And you didn’t want me to stop did you?"

"Yes ma'am…I mean no ma'am," replied the girl in-between heavy breaths.

While Carol was regaining her composure, the doctor dictated more information to her assistant. "Digital probing has loosened the patient's sphincter. Patient very susceptible to anal stimulation. Suggest additional testing at a future date to determine degree of arousal possible by digital and mechanical stimulation."

Dr. Barnes applied another gob of lubricant to her gloved finger and slowly reinserted her finger in the girl's rectum and then removed the finger.

"Now I'm going to examine your rectal area using a small speculum. You will feel me insert the speculum and then I'm going to slowly expand it so I can see into you rectum. You may feel some discomfort, but I won't take any longer than necessary. Here we go."

Carol instantly felt the cold of the steel speculum enter her. She then felt her sphincter being slowly being expanded. Initially it didn't feel too bad but as the speculum continued to expand Carol began to squirm on the table. "Almost there," said the doctor. Just when she thought that she couldn’t stand anymore the stretching stopped. Dr. Barnes aimed a small light into the now open hole and carefully examined the interior from all angles. After a mercifully short duration, Carol felt the speculum being retracted and then being removed from her rectum.

”Ames, please note that the visual examination of the rectal area was normal and all tissue appeared pink and healthy.

"Carol, next I'm going to make some measurements with an instrument called a sphincterometer. The purpose of the measurements is to determine how tight your sphincter is and if dilation treatment is required."

"What is dilation," asked the girl nervously.

"Dilation means to open up, or in this case stretch the anal tissue. I know this may sound scary, but it is done very gradually. I'll explain more if we find that dilation is necessary."

Ruth Barnes knew that dilation would be necessary, there was no question as far as she was concerned. The unknown gave here more control over her patients and she liked control.

Once again Carol felt the cool lubricant being applied to her anus by a gloved finger and the finger slowly penetrating her anal ring and entering her rectum. The doctor repeated this several times until she was satisfied that sufficient lubrication has been applied.

"I'm going to insert the sphincterometer now…just relax and I will have it in and I will start making the measurements. You are going to feel some discomfort from time to time. If it becomes too difficult for you, let me know and I will let you take a break."

Carol felt her cheeks being spread and again felt the coolness of a metal instrument being inserted in her rectum. It felt bigger than anything the doctor had inserted so far and already she was feeling some discomfort.

The sphincterometer was a cylindrical, chrome-plated device with a tapered end for ease of insertion. On one side there was an adjustment knob that was used to expand and retract the device with a scale and a small pointer indicating the dilation diameter. On the other side was a small gauge that showed the amount of resistance from the sphincter as the device was expanded.

”I'm going to make as series of measurements at increasing dilation diameters. This will take a little time, so just bear with me. The measurements will start at a diameter of 2 centimeters and will increase until we get to 4 centimeters. If possible, I would like to get to 5 centimeters, but I am not sure if that will be possible today."

"Ready Mrs.Ames?"

"Yes doctor."

Carol suddenly felt the device increase in size and then heard the doctors say, "2 cm, resistance 4.5." She then felt an increase in size and heard, "2.2 cm, 4.7 resistance. With each 0.2 centimeter increase in the diameter of the device the doctor read off 2 more measurements for Ames to record. When Dr. Barnes reached a dilation diameter of 3 centimeters, Carol began to feel some discomfort. By the time the doctor read off the measurements for 3.6 centimeters Carol was starting to hurt and she tried to move away from the device that the doctor was keeping in her rectum.

"Stop moving right now or I will have Mrs. Ames restrain you. The resistance readings that I am getting are not high enough to be causing you any real pain."

Carol felt the device expand again and heard the doctor say, "3.8 centimeters, resistance 12.8."

"Oh please stop, you're going to rip me apart."

Carol could not see that Dr. Barnes had nodded to Mrs. Ames, but she did feel the wide leather strap being pulled across her lower back and being cinched tight. Carol felt trapped and powerless.

"Please don't," pleaded the girl.

"Just a little more to go and I'll be done," replied the doctor.

Again the device expanded and the doctor intoned, "4.0 centimeters, resistance 13.5". Then there was more stretching and another reading, "4.2 centimeters, resistance 16.8."

"That's it Ames, time to stop."

Carol then felt the device being contracted, but not removed from her rectum.

"Rest for a moment," said the doctor in a comforting tone. "In a moment, I'm going to expand the sphincterometer again and retake readings at 3 diameters to see if anything has changed. Once I have done that you will be all done with this part of the examination."

Carol felt the device begin to expand her now sensitive rectal area. She heard the readings called out for 2.6 centimeters, 3.6 centimeters and the now excruciating 4.0 centimeters. Just as she was about to cry out, she felt the device contract almost a quickly as it had been expanded and then she felt it being withdrawn.

Dr. Barnes got up from the stool that she had been seated on between Carol's legs. She put the sphincterometer back on the cart and then loosened the restraining strap.

"There is no question that you are going to need dilation therapy Carol. The only questions are how much and for how long. The readings indicate that your sphincter is severely constricted, but I won't know the exact treatment plan until I have had time to analyze today's readings. I'll set up an appointment for Saturday. By then I'll have a plan all mapped out."

Carol's First Treatment

By now Carol was exhausted and she just closed her eyes. There was no point in trying to see what was coming next as the doctor and her nurse always had there backs to her when they were making their preparations. She heard their hushed voices and heard the clinks and clanks of metal and glass objects, but the sounds had no meaning to her. In a way she didn't want to know what she would have to endure next.

Before she had time for any more thoughts she felt the touch of gloved hands spreading her cheeks and inserting what felt like a small tube or enema nozzle in her rectum. Then she heard the voice of Nurse Ames saying, "I'm going to squeeze some lubricant into your rectum. Doctor needs lots of lubrication for the next treatments. Don't worry this won't hurt at all."

Coolness began to invade Carol's rectum as the lubricant was injected into her with a large plunger syringe. There was only a slight sense of fullness when she felt the tube being withdrawn.

While Ames was wiping the excess lubricant from Carols bottom, Dr. Barnes came to Carol's side and showed her a 5 inch long, stainless steel rod with a rounded tapered end. "This is one of the dilators that I am going to start treating you with. It has been soaking in hot water so it will feel nice and warm in your bottom. It will help relax your sphincter and make the dilation process a little easier. And don't worry, it's not too hot, it's just a little warmer than body temperature, about 110 degrees."

Opposite the tapered end, the dilator had a ring that prevented it from disappearing into a patient's rectum and it also was a convenient handle for the person providing the treatment.

"Please don't hurt me again," begged Carol.

"This isn't going to hurt at all, trust me. Just a little stretching."

Dr. Barnes parted the girl's cheeks with her left hand and slowly inserted the dilator until the ring came to rest against the girl's anus.

"How does that feel?"

"Not too bad, I guess. It doesn't hurt."

"I'm going to leave that in you for a few minutes until it starts to cool off. Then I will insert another warm one."

What the doctor didn't tell Carol was that each successive dilator that she inserted would be slightly larger than the previous one. As promised, within a few minutes the first dilator was removed and another was inserted. This time, instead of just inserting the dilator and leaving it, Dr. Barnes began moving the dilator with short in and out strokes. In less than a minute a soft moan escaped from Carol. And then a low "mmmmm," and a squirm of her backside. Knowing what was taking place, the doctor continued her rhythmic movements.

"Oh no, don't," cried Carol. "Please don't make me feel like this again."

In the most innocent voice that she could muster, the doctor asked, "feel like what dear?"

"I'm…I'm so embarrassed. This is making me hot again."

"Do you mean hot as in sexually aroused?"

"Y..Yes," whimpered the girl.

Knowing that she was beginning to arouse the girl, Dr. Barnes withdrew the dilator and quickly inserted another. There was enough difference in size of the third dilator that as it was inserted Carol felt some stretching and muttered a brief "unnhh."

Without any delay, the doctor began stroking the new dilator in and out of Carol's rectum. Again, the girl responded to the motion and began to moan softly and then to move her bottom and grind her pubic area into the examination table. Dr. Barnes nodded to Ames and to the loosened restraint strap. With a quick motion, Mrs. Ames grabbed the strap and pulled it tight across Carol's lower back. The strap abruptly stopped all movement of the girl's lower body.

"Please don't strap me down, I need to cum," Carol blurted out.

"You need to what!?" exclaimed the doctor.

"I'm sorry, you're making me so hot that I can't stand it."

"There are words other than street language like cum that you can use to let me know of your condition. The words climax or orgasm are perfectly acceptable, but I don't want to hear gutter language again. Understood?"

Carol's reply was meek, "yes ma'am."

"Very well then. Last dilator coming up."

Carol felt the dilator being removed. She then felt the next dilator being inserted and she knew immediately that it was bigger that the previous stretching instrument. When it was fully in she let out an "Owww."

Carol waited for the familiar pumping motion, but it never started. She was both relieved and disappointed.

"Mrs. Ames and I will be getting the dilation machine ready. Try to relax and we'll be with you shortly."

Carol could see Dr. Barnes and her nurse working on a large piece of equipment. It was a rectangular framework about 2 feet wide by 3 feet long and about 4 feet high. The frame was made from square steel tubing that had been painted stark, hospital white. Within the framework there were small motors, arms, levers, tubes, and cables. On one side of the frame there was a control panel with knobs, switches, and gauges. The device was ominous looking but it didn't make any sense to Carol.

Mrs. Ames removed various items from drawers and cabinets and handed them to Dr. Barnes who attached them to the machine or placed them on a tray that was part of the frame. When the preparations were complete Mrs. Ames rolled the machine from its place by wall toward the treatment table. Dr. Barnes led the way and stopped by Carol's side.

"This is the last treatment for today. It will take about an hour and then you will be done. I'm going to remove the dilator and the strap and then I want you to stand up and stretch your legs. You can put your robe back on until we're finished setting up."

When Carol stood up she was immediately reminded of the retainer belt that she had been fitted with earlier. The strap still hung between her legs.

After a few minutes Carol was told to assume the same kneeling position at the treatment table. As soon as she was in position she felt the wide restraining strap being tightened across her back again. She then felt restraining straps being pulled around her calf, just below the knee. These straps kept her knees in place in the padded supports. When she began to feel another strap being pulled across her upper thighs she became frightened and said, "Please, why are you doing this to me? I promise I won't try to get up."

"That's not my concern Carol," replied the doctor. "The next step in the dilation treatment will be done with this machine and I can't take a chance of you moving during the treatment and injuring yourself. This is for your protection."

After all of the restraints were in place, Carol had a wide strap across her back holding her body down on the table and a strap across her upper thighs just below her buttocks to keep her from moving backwards. The restraint straps across her upper calf and lower ankles eliminated any movement of the legs. She was a prisoner on the treatment table and was completely at the mercy of the doctor and her nurse.

With the patient securely held in place, Dr. Barnes and her nurse began the final preparations of the dilation machine. The machine was rolled forward until the locating pins in the frame engaged with the locating holes in the treatment table. Carol could hear the metallic click of the frame being locked in place with the table. The imposing device was now immediately behind her, ready to be put into action.

"We're going to start now Carol," said Dr. Barnes. "The first thing that you will feel will be the separators that will hold your cheeks open."

Shortly after the doctor said, "Okay Mrs. Ames," Carol felt something cold touch both sides of her bottom cleft. She then felt the device moving inward and then felt it stop. As soon as the inward motion stopped, Carol felt her cheeks being spread apart. About the time it was beginning to feel uncomfortable the doctor said, "good Ames, stop there." Carol felt the spreading stop and felt the cool air on her anus.

"Now we are going to insert the first dilator. These dilators are different from the ones that I used earlier. The dilators that we use with the machine are slightly tapered so that the dilation is gradual. The machine will move the dilator in and out of your anus slowly to minimize the discomfort." "Here we go," said the doctor.

Carol heard a low whirring sound. She felt the tip of the dilator touch and then enter her anus. Her reaction was to move, but the restraints made that impossible. The whirring stopped and so did the movement of the dilator.

Dr. Barnes spoke again. "To start with, Mrs. Ames will set the stroke length at 2 inches. Once you have become accustomed to the machine and the dilator the stroke will be increased to 4 inches. Don't worry, this will be very gradual."

Mrs. Ames made the final adjustments at the control panel and set the machine into motion. The whirring sound began and the machine began to slowly move the dilator into the girl's rectum. About the time she felt some stretching of her anus she could feel the dilator begin to diminish in size. Without being removed from the girl's rectum the dilator started another inward cycle and another cycle of withdrawal. And then the repetitious movement began, slowly in and slowly out, slowly in and slowly out……..

"How do you feel Carol," asked the doctor.

The girl's reply was a tentative, " Okay I guess. It doesn't hurt."

"That's the purpose of the machine. It is designed to be slow and gentle. As Mrs. Ames increases the length of the stroke the dilator will penetrate you more deeply." Can you feel any difference?"

"Not really."

"That's good. The stroke length is almost up to four inches. When we reach four inches, I'm going to let the machine run for five minutes.

Carol could feel her anus slowly expanding and contracting with each stroke of the machine.

"I have to go see to another patient. I'll leave you with Mrs. Ames and I'll be back shortly."

"Set the timer and if I'm not back in five minutes switch to the next dilator and continue the treatment," the doctor instructed her nurse.

"Yes doctor," replied the nurse.

As the machine continued to pump in and out of the girl's rectum, Mrs. Ames chatted with the girl trying to put her at ease.

Just as Carol was beginning to relax and accept the treatment, she was startled by the sound of a buzzer going off.

"Time's up," said the nurse. "Relax while I remove the dilator and get the next one set up."

Carol heard the whir of the machine and felt the dilator slowly inching out of her bottom until it was completely removed. She heard the metallic clicks as Ames changed the dilator and then heard the whir of the motor again.

At first the new dilator didn't feel much larger than the first one, but as the length of penetration increased Carol could feel additional stretching from the new dilator. Ames explained that as with the first dilator the initial stroke would be two inches and that it would be slowly increased to 4 inches. She also explained that once a four-inch stroke length was reached that this treatment would last for ten minutes.

As the minutes passed, Carol could feel her anus being stretched yet more and more as Mrs. Ames slowly increased the length of stroke to four inches. The first time the maximum four-inch stroke was reached and the tapered dilator was being pushed fully into her rectum, Carol uttered a slight, "uuhhh."

"Okay, ten minutes to go," said the nurse.

The machine continued its slow in and out motion. The only discomfort that Carol felt was when the end of the stroke was reached and the largest diameter of the dilator was imbedded in her bottom. After the first five minutes of treatment she closed her eyes and almost dozed off. But, before she knew it, the buzzer sounded that ten minutes were up and that it was time to stop the treatment. Only the treatment didn't stop.

Mrs. Ames allowed the machine to continue through its cycle until the dilator was fully in Carol's bottom and then she stopped the machine.

"I am going to see if doctor wants us to go to the next step. I'll be right back."

With the machine stopped so that the dilator was in her at its maximum girth, Carol could begin to feel how large it really was, but she was powerless to do anything about it.

Mrs. Ames reappeared and announced that the doctor would be detained a while longer and she had been instructed to proceed with the final two steps of the treatment.

Ames went back to the control panel and reactivated the machine. The small motor hummed and the dilator was retracted from the girl's rectum. Once removed, Mr. Ames wasted no time in exchanging dilators. With the next size tapered dilator in place, the machine came to life and Carol felt the new dilator pushing its way into her rectum. Barely one inch had passed her sphincter and already she knew this dilator meant business. By the time the dilator was in two inches Carol felt like it was in the full four inches.

"Please stop," cried Carol.

"I'll stop at two inches just like before," said the nurse. "We're almost there."

"Oh my God, it's so big."

"Okay, that's two inches, I'll let the machine cycle for a few minutes before we continue."

Carol felt some relief as the dilator began to withdraw but just as it became almost bearable she felt it move back into her rectum. Again it reached the end of its two-inch stroke and she let out a loud "aaarrrggghh, please stop."

"I'm sorry Carol, doctors orders," said the nurse in a cool tone. We will continue at the two inch stroke length for two minutes and then we will proceed on to the four inch stroke."

Each time the tapered dilator reached the end of the two-inch stroke Carol let out a groan and gritted her teeth. She couldn't imagine what full penetration by this probe would feel like.

The two minutes were up much too soon. Ames retracted the dilator and paused the machine so that just the tip of the dilator was still in the girl's anus. Carol was breathing heavily and sweat poured from her brow.

Just as the nurse started the machine again Dr. Barnes returned to the room. "Where are we Mrs. Ames?" she asked.

"I was just about to start the full cycle with the #3 dilator," said the nurse.

"How is she taking it," inquired the doctor.

"Not too well. She seems very uncomfortable only half way through the cycle."

"Okay, I'll take the controls and you see if you can make her more comfortable.

"Carol I know this is hard for you and I will try to make it as easy as possible. I'm going to start again…."

Carol flinched when she heard the whirring of the motor and felt the probe begin to enter and stretch her anal opening. All too quickly the dilator was half way through its inward stroke and she was in agony. Ever so slowly the doctor turned up the dial marked "STROKE LENGTH" and inched the probe farther into her helpless patient, then she backed it out a little. Then in again and a little deeper. She continued to retreat and advance in small increments, but eventually the girl could take no more and cried out loudly, "PLEASE STOP."

"I'm sorry but I can't stop," said the doctor.

As the machine continued its unending in and out penetration of the girl, the doctor turned on the switch labeled "HEAT". Within a minute Carol could feel the dilator warming and the pain lessening, but this was only a brief respite. As soon as the dilator reached temperature, Dr. Barnes increased the stroke length and the tapered probe continued toward full penetration. Now there was yet another change. Dr. Barnes moved the knob marked "STROKE RATE" and the in- out rate of the probe began to increase slightly as it inched deeper and deeper.

Even with the soothing heat, the increased depth of penetration caused Carol let out another cry, "Oh please, I can't take anymore, please stop."

"Almost there," said the doctor.

Carol couldn't feel it, but every two minutes, Mrs. Ames, who was standing at the opposite side of the machine pressed the button marked "LUBRICATE" and a small pump forced lubricant out of holes along the length of the dilator to ease its penetration.

The doctor now turned on the switch labeled "VIBRATE" and turned the adjacent dial labeled "INTENSITY" to the "LOW" setting. It didn't feel good to Carol, but it did distract her long enough for the dilator to be fully buried in her rectum. As the machine began to retract the dilator, the doctor turned the vibrate switch off. When the end of the retraction cycle was reached and the probe began its inward travel again, the vibration switch was turned back on. As if playing a fine instrument, the doctor skillfully worked the controls. Her first goal was to keep discomfort from the treatment to a minimum and her second, if possible, was bring her patient to a state of high arousal. All indications thus far showed that her young patient was prone to arousal via anal stimulation. In the coming weeks she would try to find out just how sensitive Carol really was.

Once she had determined that her patient was somewhat relaxed after five minutes of a steady stroke rate and vibration level, Dr. Barnes slowly turned the dials and the stroke rate and the intensity of the vibration were increased. She watched Carol intently to see what her reaction to the mechanical probing would be. She knew from experience that the discomfort of the dilation procedure could diminish or negate arousal, but she also knew that prolonged, moderately paced probing aided by heat and vibration usually produced some level of arousal in all anal sensitive patients.

"Carol, I'm going to let the treatment run for fifteen minutes and then you are done for the day. I promise." said the doctor. "I'm going to turn up the temperature of the dilator a few degrees and leave the vibration on. I'll try to make you as comfortable as possible.

"I have to go see to another patient for a few minutes. Mrs. Ames will be right here. If you have any pain or problems don't be afraid to tell her."

As the minutes passed the machine hummed softly and kept up the continual in and out motion of the dilator. The warmth of the dilator felt good and after more time passed the vibrations began to have the desired affect. Carol could begin to feel the slight but unmistakable signs of arousal. After about ten minutes Mrs. Ames noticed that Carol had closed her eyes and that her breathing was becoming more rapid. She moved to the girl's side and asked if she was okay.

"I'm okay, I just feel kind of funny."

"I'll get a cool cloth for you head," said Ames soothingly. The nurse came back from the sink with a damp wash cloth and wiped the girl's forehead. "Does that feel better?"

"Yes, thank you," replied Carol.

"We're almost done here. Only five minutes to go," said the nurse in a cheery tone.

"I'm glad because I think this is making me feel hot, er," Carol corrected herself remembering the doctors earlier warning. "I mean excited again."

"You can use the word hot when Dr. Barnes isn't around, I don't mind it, but don't forget to use the proper terms when she's in the room."

"For your information, the anus can be an area that is sexually sensitive for many people. Dr. Barnes and I will explain more about this later."

Dr. Barnes entered the room and walked to Carol's side. Innocently she asked, "are you all right, you seem distressed?"

I'm okay, I just feel all funny again. I mean I think I'm, getting aroused again."

The doctor gave a knowing look to her nurse. She then told Carol that she would explain more about this during the next appointment. "It's nothing to be concerned about," she added.

All the while, the machine continued its relentless assault on Carol's anus. The slow in-and-out penetration by the tapered dilator went on and on. Just when Carol thought it would never end she heard the buzzer sound and heard the click of switches as the machine was turned off.

"Okay, treatment time is over, you're done for today. Mrs. Ames will get you disconnected and cleaned up and we'll get you on your way as soon as possible.

Carol heard the hum of the motor again and felt the dilator being withdrawn from her tender bottom and then felt the cheek spreader being relaxed and removed. For the first time in what seemed like hours there was nothing in her rectum. She felt empty and very stretched.

After disconnecting the dilation machine from the end of the treatment table and returning it to its place by the wall Mrs. Ames set about getting Carol cleaned up. First she wiped her with tissue and then with a warm, moist washcloth.

"Doctor, a lot of the excess lubricant has run down into her pubic area. I have her all cleaned up, but I think we need to take steps next time to prevent the possibility of a vaginal infection."

"Make a note Ames. She will need to be shaved and taped next time. I had hoped that we had that problem solved, but evidently not."

Dr. Barnes then directed her comments to Carol. "The next time you come in for a treatment, Mrs. Ames will have to remove your pubic hair. Some of the lubricant is running down into your pubic area and I don't want to risk your getting a vaginal infection."

Carol couldn't believe her ears. "Do you mean you're going to take off all of the hair down there?"

"I'm afraid it's necessary," replied the doctor. "But don't worry, it will grow back once we stop shaving you. Who knows, you may come to like it, some women keep themselves shaved all of the time. It's not as bad a you think it is."

"Mrs. Ames will release the restraints, but I want you to stay in position. I still have to fit your permanent dilator."

"What permanent dilator," asked the girl in a panicked voice.

"As I explained to you earlier, you will have to wear a dilator in-between the treatments you have here. If you aren't kept dilated the treatments would have no lasting affect."

The doctor proceeded to apply a lubricating ointment to Carol's anal area and then worked it into her rectum. She then inserted the short, black, hard rubber dilator plug into the girl's bottom. While she was inserting the dilator, she explained that the dilator was only slightly larger than the small end of the last machine dilator that was used. She also explained that there were tabs on the dilator that would prevent it from slipping into her rectum.

"Now Carol, I want you to slowly swing your legs to the side of the kneeling platform and then stand up. I'm going to hold the dilator in place with my fingers while you're doing that."

Once Carol was standing the doctor instructed her to spread her legs. Standing behind the girl, she reached through her legs and grasped the end of the strap hanging from the front of the retainer belt. She pulled it through the girl's crotch and fastened the strap ends to the buckles on the back of the retainer belt. With the straps snugly fastened to the waist belt the dilator was held firmly in place. Dr. Barnes then had Carol turn around so she could inspect the fit of the retainer strap from the front. After some brief tugging and adjusting she was satisfied with the fit of the retainer.

"Everything looks fine. Walk over to the other side of the room and then walk back to me. Carol did as she was told and slowly walked as far as she could, turned around and walked back to the doctor.

"It feels funny when I walk," said Carol.

"I know it does," replied the doctor. "Give it a few days and you will get used to it."

Dr. Barnes made one last check of the straps in the back and the front and the strap that went through the girl's crotch and ran to either side of her pubic area.

Satisfied that everything was in order she told Carol, "We're all done for today. You can get dressed and Dorothy will take you home.

While Carol was dressing the doctor offered one more reminder. "Remember, the dilator is to stay in place at all times. Only Dorothy is to remove it and the only time it can be removed is when you are bathing or if you should need an enema. I have written a note excusing you from gym class until the treatment is finished. I'll see you back her on Friday after school."