Ahahaha
2. Note that instead of following his doctor's advice to do anything for himself ever, Lou says he's going to not-shit himself and do nothing, and then he'll message his doctor tomorrow and ask if he should go to the ED.
This is what happens to a man who grows up with no ED copay and an external locus of control. There are lots of people like this. He'll go to the ED and say he hasn't pooped in a week, and his doctor told him to take laxatives. OK, what happened after you took the laxatives? Oh, he didn't take them. So now he's here.
Since Lou's the one troon who doesn't appear to have a potty fetish, dealing with his own shit isn't fun. Still, taking matters into his own hands would be a lot less unpleasant than waiting a few hours in the hard chairs at the ED, until all the people with emergencies are seen and a stranger can rescue Lou's butthole behind a privacy curtain.
If Lou has constipation, the decision to move and walk as little as possible is a poor one. You really want to fix constipation problems from the top down if you can help it. There's no way his ESRD fake-stepdad doesn't have bowel care meds Lou can borrow.