<s>[INST] hi, I am a male 55 yrs. partially paralyzed incomplete quad wheelchair bound 37 years spinal cord injury. I have had a foley catheteter 3 months I HAVE no fever or feelings of sickness but im getting a fair amount of blood coming out of my penus when I move around. Should I call 911 or wait call doctor tomorrow [/INST] Hello! I understand your concern. In my opinion the troubles you have may be caused by physical damage to your urinary ways. It is the trauma caused to these ways by the catheter during movement or traction. I think you should go to the doctor as soon as possible to have a physical examination, a routine blood test, a urinalysis and an abdominal ethnography. This situation may cause anemia or urinary infection. You may need change of the catheter or further examination by a urologist to find out the problem.In the meantime I would recommend you to avoid every movement of the catheter because it can cause further damage. Hope to have been helpful! Thank you for using Chat Doctor! Chat Doctor.  </s>