Conversation: The conversation between human and AI assistant.
[|Human|] hi,doc.my mother in low is 70,she fall at our house last week.she has severe backache.we consult the doc.he did examine her &done x-ray spine.ostopenia is there.doc gave her painkiller,nasal spray &gave advice of total bed rest.but after a week the pain not subside totally.she has constipation also from 8 to 10 days.we gave her suppositeris &enema also,but she passed only small amount of stool &water,not clear the faecus from bowel.she is fat also.so please give some advice how we do for this problem?
[|AI|]  Hi, traumatic back pain in a 70-year-old lady having osteopenia is a matter of concern.  Back pain is also aggravated by associated constipation.  Constipation may be a sequela of spinal injury after back pain too. If your mother is not passing stool even after suppositories and enemas, she needs to be evaluated further for subacute intestinal obstruction. A straight X-ray abdomen may be helpful to find out that or suspected fecal impaction. If your mother has severe bloating and nausea and/or vomiting she should be hospitalized under care of a general surgeon, who would evaluate her for any intestinal obstruction. Secondly, no subsidence of pain even after a week or more of be Chat Doctor.  Traction may be considered if pain becomes intractable. A lumbar brace should be used if absolute bed rest is not possible.  While on be