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You have not urinated for 4 days? That alone would be reason That You would need to go to ER right away !
Diarrhea / shaky / bad falls --- sounds that you are probably SEVERELY dehydrated ...again you need to be seen at ER
Your stool has turned ...what ? Bloody ? Other ??
You have history that strongly indicates that you need immediate care
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Thank you and Best Regards,
Anthony Bray MD