Conversation: The conversation between human and AI assistant.
[|Human|] It seems I hurt my back yesterday. It didnt start hurting until later in the night with spasm like occurrences in my lower back. But my real concern are 2 things..... when I have a bowel movement the pain is unbearable and I getting shooting pains in my back and lower abdomen. No pain when urinating although I can still feel the back pain slightly. Also, my left leg has been going numb for about 3 weeks now. It just started out of nowhere. It usually happens when I am on my feet in the standing position for more than 15 minutes. The numbing does not usually occur when walking. Also, the back pain is more prominent when lying down. It goes almost unnoticed when walking as well. I dont have insurance so I havent been to the doctor. Any thoughts?
[|AI|]  HI Not having insurance can not be an excuse not to get investigated and treated. Who else other than you should be responsible for your problems-only you. Well, coming TTO the problem you have-this looks to be a case of inter-vertebral disc problem that is causing increased problem on BM, as the muscles go into action and then spasm at every BM as a normal phenomenon, but in your case due to spasm you get pain. I would advise you to go for MRI of the spine to find out where the disc is as you have problem with the lower limb as well and then decide what is the best treatment