Conversation: The conversation between human and AI assistant.
[|Human|] My fiance was in car accident and went to the emergency.... which we at back at now, she was admitted once due to the accident April 18, she got admitted Sun 21 2013 she was told her ammonia level was high in her liver. They gave her lactulose and she has not had a bowel movement yet it is now Sat April 27. What should I ask the doctors to do?
[|AI|]  Hi, High ammonia levels may suggest she has a liver problem.  Is she is still constipated worthwhile getting a per rectal finger examination done to look for impacted stools, if they are, there need to be manually evacuated aided with enemas and other stool softness like liquid paraffin and other purgatives as per the doctors' advice?  Also ensure she is not on medications causing constipation (some painkillers) and gets adequate HY Chat Doctor.  Hope this answers your query. Wish her a speedy recovery.