Conversation: The conversation between human and AI assistant.
[|Human|] I am having trouble with bowel movements.  I will be wks before I have one and when it does happen it is  very little.  I do not have stomach aches or cramping.  I do whoever find myself pushing to helpout movement but I have little or no outcome.  I recently tried a Fleet enema.  Holding it as long as possible.  I was VERY dissappointed with the outcome.  hardly anything.  Whats going on w me?
[|AI|]  Hi. Thanks for your query. Noted your history constipation that is not having bowel movements for days together and whenever you have, it is little. There is no aching or cramping. Fleet enema did not help. I would advise you the following:Get an X-ray of the abdomen to see if the large bowel is loaded with xenoliths. If loaded you need to have saline-soap enema as the fleet enema is not helpful in your case. Rule out diabetes as this can cause Gastroparesis, slow bowel movements thus causing the problem you are in. Take regular Laxatives to ease the bowel movements. Change the diet to more fibers and green leafy vegetables. Avoid all the foods and beverages that cause constipation in your case. This is person specific hence you have to find the things that cause constipation in your case. I hope this answers your query and helps you to assist in finding the cause and also in proper management of your problem.