I seriously don't get this one, but here's the commentary.

こう、ぷすっとな

おや、挿す穴を間違えたかな？

Gaoo has gotten better at making me feel unease.

is that a metallic ball?

Oh god, that face. What the hell is going on?

Something like "Whoops, wrong hole," follows from the previous picture. Basically, he's squeezing the enema bulb up her nose. And I like yamame...

The text seems to be just Yamame screaming. Someone take down translation_request if they agree.

more tears
more blood
more terrified expression

I am okay with this.

Co250 said:
more tears
more blood
more terrified expression

I am okay with this.

Blood?
Still, this is ... interesting

Gaoo said:
Here, you squirt it like this. Oh, wait, I wonder if I put it in the wrong hole?

The fluid in most disposable enema syringes is glycerine. It is a thick, viscous sugar substitute and is a primary ingredient in soap bubble solution. In pure form it irritates mucous membranes, and thus is a laxative, a main component of s&m enemas, and would totally suck to get it in your nose. See:
http://en.wikipedia.org/wiki/glycerine

Gaoo is probably one of the artists that can give us really REALLY mixed feelings about him..
Part of us love him for his stories like the Nazrin-Shou and the Girl in the Rain..
Part of us hate him for stuff like this and the ufufu pool..
And part of us,,enjoys both of his work, whether it is heart-warming or cruel..

DominoHarvard said:
Gaoo is probably one of the artists that can give us really REALLY mixed feelings about him..
Part of us love him for his stories like the Nazrin-Shou and the Girl in the Rain..
Part of us hate him for stuff like this and the ufufu pool..
And part of us,,enjoys both of his work, whether it is heart-warming or cruel..

Personally, I just like his drawing style. Most of his "ufufu" pics and the Yamane series make me a little sick.

I did like "A mouse in Bar" through, Gaoo isn't a bad writer at all.

These "sadist" pictures are either attention whoring, or a new sick fetish in Japan.

People gives Gaoo too much credit... he's yet another shallow minded artist feeding off Touhou's fame.

And no, I'm not mad, but rather "sad" on how easy it is to abuse the Touhou and Vocaloid franchises. Want to do a random fanfic? Slap in Touhou characters. Game? Yeah, you know what to do.
It's related to music? You know who to use.

Don't be mad at me. I can' be jelly when I don't aspire to be an artist (also, I'm not fond of jelly butter).

It's not my fault you love the artist just because he draws Touhou characters, despite the work/plot itself having little to do with Touhou.

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What thed fuck.... How sadistic! It is disgusting!