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

### input:
I had a salpingo total abdominal hysterectomy in jan 2012complained from day 1 I had trouble emptying bladder Was taking zanex for anexiety from all the pain I was in.  After surgery I had lost a total of 45 lbs between july of 2011 to september of 2012. no one could figue it out why?blood test after blood test, nerve test for weekenss and pain on left side. complained of feeling of beinig kicked on left side, frequent urnating, in night, vertigo, nausea early am when using restroom.pelvic pain, cant lift heavy things still, dark uring.fatigue, urine comes out when sneeze or caugh, sharp pain in side or abdomen signals me to urinate urgenty. pain after sex. lowerbelly swollen always?fast and slight streems of urnie..what is going on.  I have been persistant. with docs till I got tired of complaining. and just deal with it now.   now i am worried ??

### output:

Hi ! Your symptoms are pointing towards a chronic urinary tract infection which could be due to a persisting systole. Loss of weight could be due to chronic urinary tract infection if you do not have diabetes and your HIV status is non-reactive. Coming out of urine while sneezing is possibly due to the weakness of your pelvic muscles. You can try Keg gel exercises to improve on it. You should avoid lifting heavy weights to avoid developing a vault prolapse. Furthermore, you should go for a urine routine test, and also a culture sensitivity of the urine sample. In my opinion you should see your gynecologist or surgeon again and discuss the problem with them. Wish you an early recovery.