Conversation: The conversation between human and AI assistant.
[|Human|] I have been having lower back pain for two years now. Last year I was diagnosed with degeneration of the spine, arthritis of the spine & herniated disc. Due to having to unload a delivery truck at work I have been miserable for the last two weeks. Exreme pain in lower back down to buttocks and legs. I have very sharp shooting pains down my legs. I have recently started being unable to hold my bladder sometimes. I even had an accident at work and had to change. I read tonight on the net that at that point it is a medical emergency. Am I correct to be scared and worried? Should I immediately go to the er or call my doc first thing in the am?
[|AI|]  Hi a dthank you so such for this query. From the information you have provided, you need to see your doctor as soon as possible or go to the ER. Lower back pain with neurological symptoms like inability to control bladder warrants and immediate evaluation and management as this can lead to sever long term consequences if not well managed promptly. Please, call you doctor first thing in the morning and if you are unable to him today, go to the ER and get care. I hope that you find this helpful. I wish you well and feel free to request for more information if need be. Thank you.