Conversation: The conversation between human and AI assistant.
[|Human|] My father 88 yrs is saying unless he puts fingre in anus he cant pass stool. Can it be a surgical problem or is psychological?Pl. help. He is very weak now but insists in using Indian/ Orissa wc pan as in english toilet he is unable to put his hands down and unable to use fingre.
[|AI|]  Well, let me explain you simply how defecation or passing stool works. One aspect is the tube that transmits the fecal matter and other aspect is the gate that opens to release the fecal matter. Now the gate opening mechanism or medically known as fecal outlets is a very complex mechanism and involves many organs. (for e.g. sensing the matter is just air or solid and act differently in both occasions) well generally with old age this mechanism falls apart. So I have few questions1. Is there any change in his posture?2. Is he complaining of backache?3. Did he have any other complaints?4. Does he have any neurological complaints or past history?5. Does he have any other medical diseases?