### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have had kidney stones before but out of no where today i feel like im about to bust to pee,then nothing or a little dribble, when i wipe theres a small amount of pink blood, as soon as i get up i feel like i have to pee again. Could this be another stone or uti? It also gives me like a tingiling pain that causes cold chills

### output:

Hello there! Rigors and chill, urgency and frequency mild blood makes the odds for UTI greater. Now the history of renal calculi is also something not to be ignored. Remember painful hematuria(blood in urine) is always a stone. That pain usually radiates from lower back and shifts to same side of the groin. It is usually sudden in onset and very severe only opioids and antispasmodics can relieve. Any ways one step to diagnose which is it being an ultrasound abdomen and pelvis and simple urine routine exam. First do the latter, if UTI is ruled out its definitely a stone,meanwhile treat the symptoms, get some anti-spasmodic like season get oral tramadol and Chat Doctor. Rest I wish you good luck if UTI comes out then use ciprofloxacin 500 mg for 5 days above treatment and hygiene care by biomousse gel rinsing it like a shampoo for 5 mins at least. During washing the groin are after pee and defecation, use the movement of your hand in forward to back ward direction (that is from urethra to anal direction)and then lift hand don't come back rubbing and then the same., so this one way rubbing will help avoid chances of UTI to. This tip is for women, and it works like charm as their urethra is very short. Too bad this qua status doesn't show the gender of inquirer unless you answer it, good luck any ways. Hope I was help regards