How do they expect you to have a BM when you haven't eaten in days?

I have heard from many people that the hospitals do not let you leave until you've had a BM, and that hey give suppositries and enemas and other such delights to enduce one. Can someone clarify? I thought the reson was that they wanted to make sure your digestive system was "flowing" if you will. However enemas and suppositries don't go through your whole system, so how can they know? Also what do they do if you refuse these treatments, which I fully intend to do. I know it sounds silly, but I have issues with anyone near my bum, due to a history of sexual abuse, and I just can't bear it, and am so scared of this coming up in the hospital. Can anyone offer suggestions? Thanks!

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