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

### input:
painful urination GOOD MORNING DR. SIR/MADAM, I WAS IN SO MUCH PAIN THIS MORNING I CONSISTENLY VISITED THE RESTROOM EVERY 5-10 MINS TO DISCOVER THAT I WAS URINATING BLOOD AND I JUST GOT TREATED FOR A BLADDER INFECTION 3 WEEKS AGO IT SEEMS THAT AFTER MY MENSTRUAL GOES AWAY THE INFECTION COMES OR AFTER HAVING SEXUAL INTERCOURSE IVE TAKEN DOXYCYCLINE 100 MG, AND IM HAVING A FULL BLADDER BUT STILL W/ BLOOD WHAT ELSE CAN I DO IT HURTS VERY MUCH

### output:

Hi, thanks for posting your concern in the Chat Doctor. I think you may have got recurrent UTI, in a more complicated status. Renal or ureteric stone should also be ruled out, because they also produce similar symptoms. In case you have a complicated UTI or renal/ ureteric stone or pyelonephritis, you may need injectable antibiotics. If there is a stone, surgical treatments may be needed depending upon the stone size and renal condition. I think you should consult your local urologist at the earliest or should visit the ER of the nearest hospital as soon as possible. You may need in patient treatment. The following investigations may also be needed-Blood- complete blood count, urea, creatinine, CRP, electrolytesUrine- Routine examination and culture/sensitivityXray and/ or USG of the PUB region. You should not start any other antibiotic until your doctor tells you to do so, before sending the urine sample for culture/sensitivity testing. Regarding the pain, you may have Chat Doctor. Take 3 lit. Of oral fluid until your doctor tells otherwise. For any further query you may write back to me directly.