How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D.J. Your Own Question

Dr. D.J.
Dr. D.J., Board Certified Physician
Category: Medical
Satisfied Customers: 19844
Experience:  MD
Type Your Medical Question Here...
Dr. D.J. is online now
A new question is answered every 9 seconds

My father is ninety years of age. He had ankylosing spondylitis

Resolved Question:

My father is ninety years of age. He had ankylosing spondylitis in his thirties and at that time was given deep xray treatment. Although in discomfort over the years, he has generally been well. He had a knee replacement and two operations to reduce an enlarged benign prostrate in his early eighties. Both operations were successful. Recently, over the past two months he has had a lot of pain at the base of his spine. He then became constipated possibly due to the painkillers he was taking. Lately he has had some incontinence of the bowel and the bladder. He is due to have an xray tomorrow and some further blood tests for liver, bones, prostrate and general inflammation on Monday. He did have a series of blood tests in April before all this occurred which showed no problems. Do you have any suggestions for further treatment? He is getting very despondent as until now he was independent and able to care for himself.
Submitted: 6 months ago.
Category: Medical
Expert:  Dr. D.J. replied 6 months ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

Mysticdoc :

Bowel and bladder incontinence is little concerning.

Mysticdoc :

Worsening pain at the base of spine also is concerning.

Mysticdoc :

These symptoms suggest the possibility of the severe herniated disc or compression fracture or spinal stenosis of the spine.

Mysticdoc :

All these conditions can put pressure on the spinal cord.

Mysticdoc :

This may become surgical emergency if his symptoms worsen further rapidly.

Mysticdoc :

Xrays may be fine but more importantly, a MRI scan of the spine is essential.

Mysticdoc :

If there is no significant damage to the spine and spine surgery is not imminent, then epidural steroid injection is a good option to control the symptoms.

Mysticdoc :

Physical therapy of the spine also can be combined along with.

Mysticdoc :

These options are better than the oral pain killers which should be used only for supporting therapy not the mainstay.

Mysticdoc :

It is better to consult with a spine specialist like a spine surgeon or a physiatrist.

Mysticdoc :

Please reply here if you have any further question.


Please do not rate till you have all your questions answered to your full satisfaction.

Customer:

Thank you. You have answered my questions. Can I print this answer?

Mysticdoc :

yes ofcourse.

Mysticdoc :

Once you complete the rating process by clicking on the smiley faces, you will be emailed a copy and also can print out.

Mysticdoc :

It was my pleasure to help you today.
Best wishes,
Please rate the chat Good or Excellent ( smiley faces), if you are satisfied with our conversation and do not have any further question, so that I get rewarded for my time & effort. Thank you!
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Dr. D.J., Board Certified Physician
Category: Medical
Satisfied Customers: 19844
Experience: MD
Dr. D.J. and 5 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • Armed with your answer I was able to talk with my son and daughter-in-law about their child who wasn't growing and who wasn't speaking. Since then she has grown about 1/4 of an inch and picked up 4 lbs. Her appetite and awareness have both improved. Sydney Galveston, Texas
  • You are absolutely the best team of health professionals on the WEB! MB Rosedale, NY
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    44473
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    44473
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    13579
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2522
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11042
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    8749
    American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing