Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor,I am subramanian. I am 61 yr old post op+c6 corpectomk and c4-5 discetomy with iliac bone graft and fixation  C of seisure disorder - surgery done on 14-08-2013 - Now I am facing disturbed sleep-severe constipation/abdominal discomfort/difficulty in walking problem., even after taking tabs and syrops.I was advised to take MRI full screening of spine which shows:thick bony bar from post margin of c7 vertibral body extending cranially upto c5 compromising the spinal causing compressive myelopathy-severe stenosis at c6-7 level on rt. side compressing c7 root. focal cord edema at c5 level. as per doctors advise, I took three dosages of 1 gm. inj. Solumedrol in 100 ml over 2 hours infusion for 3 days(3 days ago I took)-now had good sleep after Injection. and constipation problem is slowly solving with lubowel-24 tabs one at night.I want to solve my constipation problem without taking medicines. The doctors here suggest for a posterior laminectomy. Kindly send your valuable advise please........
[|AI|]  Hi Mr Subramaniam, I would like to suggest you do more physical activity, in bed or out. Due to lack of physical mobility your internal movements also are affected. Try to add little fiber to your diet and lots of water which can flush it down your gut. Your complaints are only limited to lack of sleep and bowel disturbance, so surgery won't help in resolving any of those issues. Get help to assist you and learn gait training. Thank you