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

### input:
Tingling, sometimes sharp sensation in penis that corresponds w/ an itching in my rectum. Intensified duirng urination & bowel movement. Comes in waves....have urinated much impurity off and on, about every two weeks for 5-7 days at a time, coffee color, rose color and beet juice alternately, over last 6 months. The sensations will not always be in evidence whilst impurities will be present. Have been urinating clear for past two weeks, until today, a little mud and a little blood. Sensations started in again two days ago...it varies, sometimes a mere discomfort and at others an absolute impediment. Have pushed out some calcium deposit & debris....got a couple specks today.......everything feels like it s on my right side. I know i ve pushed some stones over last 6 mos....i m wondering if there could be something else going on in concert with kidney s. Have no blood in stool, nor ejaculate...sporadic in urine. However my last bout before now i peed cloudy and bloody urine alternately for near two weeks without any penile and anal irritations during that time. Doesn t look to me like STD....i ve been cellibate for 20 years. I think my immune system is working and purging as required....i don t like going to doctors....we manifest that which is before us..thx

### output:

Hi, We do manifest so but yours sounds like a Urinary infection which may or may not be due to kidney stones. You should see a Surgeon or a Urologist. You will need to get a Urine RE and a culture test done as also an Ultrasound of kidneys, ureters and bladder. These investigations will help clinch the problem and then accordingly treatment can be started. It should be done as the more you wait, the deeper the infection will be. As it is, urinary infections are difficult to treat, so I suggest you see a Doctor at the earliest. Take care, Chat Doctor. 