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I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
Bowel and bladder incontinence is little concerning.
Worsening pain at the base of spine also is concerning.
These symptoms suggest the possibility of the severe herniated disc or compression fracture or spinal stenosis of the spine.
All these conditions can put pressure on the spinal cord.
This may become surgical emergency if his symptoms worsen further rapidly.
Xrays may be fine but more importantly, a MRI scan of the spine is essential.
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.
Physical therapy of the spine also can be combined along with.
These options are better than the oral pain killers which should be used only for supporting therapy not the mainstay.
It is better to consult with a spine specialist like a spine surgeon or a physiatrist.
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