Conversation: The conversation between human and AI assistant.
[|Human|] HI i had my appendix out over 3 weeks ago. But since having the operation i can not open my bowels. I have ate different fruits and veg, drank different drink. My doctor has also gave me many different laxatives and stool softeners along with pain killers. I have also had an enema - small amount of water leaked only once. I am now feeling faint most of the day along with the other stuff i am having - extreme cramps/ abdominal pain - headaches - hot flushes - back pain - nausea - acid in throat - struggle to eat after a few mouthfuls - struggle to keep drinking. I am to see my doctor again on Monday afternoon but the pain is increasing and i don t like the faint feeling that has started. Do you have any advice?
[|AI|]  Hello! Thank you for the query. If you haven't had a stool since surgery, it may be more serious than just simple constipation. Sometimes after appendix surgery, bowels obstruction due to volumes (twisted intestine) or due other reason. Cramps and pains, lack of stool, nausea strongly indicate bowels obstruction. If there is no gas getting out as well, you may be almost sure, this is the obstruction. Headaches and weakness can appear due to deny Chat Doctor.  Back pain seems to be due to kidneys failure and kidneys infection. It seems that this is an urgent condition, and you should not wait any longer. Please go to ER as soon as possible. Abdominal X-ray should tell if there is any obstruction. Blood work, ions levels, CRP should be also done. Hope this will help. Regards.