Conversation: The conversation between human and AI assistant.
[|Human|] My dad is 70. He has been wheelchair bound for 14 years. Partial parallisis from multiple back surgeries and has some signs of MS with loss of manual dexterity, speech slurring, and breathing problems, (although he has never been diagnosed). With all the issues he deals with, his mind and thought processes have remained strong and stable. My main concern as of late has been discharge with his stool and after Boswell movements along with swollen testicles. Any advice on what that could be. He is very reluctant to go to the doctor office.
[|AI|]  Hi, I had gone through your question and understand your concerns. I think the actual problem of your father is a bacterial infection of both gastroenteritis and genitourinary tracts predisposed by paralysis and MS that affects not only limbs, but bowels and urinary bladder. I suggest that your father needs urine and stool cultures to identify the cause (probably bacterial) and sensibility to antibiotics. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.