Conversation: The conversation between human and AI assistant.
[|Human|] Hi, About 8 months I fell and have been have severe muscle pains in lower and middle back and shoulders. In October I began to notice a change in my elimination and often time could not go to the bathroom. The frequency (almost none) and form have changed. I am in therapy and severe muscle spasms but have not dealt with the bowel issue. I am very concerned. What should I be concerned about here?
[|AI|]  Hello, I want to ask you that whether have you underwent any investigations at that time? As your symptoms were aggravated over the time, I will suggest you to consult with neurosurgeon and orthopedic. I will suggest you to do MRI back and review here with detailed history and reports or consult with neurosurgeon. Now, you can take tablet Myosins D, tablet Gomez, and apply Diclofenac gel or Voting spray locally after consultation. If still not relieved, you can take injection Tramadol after consultation. Hope I have answered your query. Let me know if I can assist you further.