<s>[INST] I have had moderate to severe pain in my lower pelvic area for about 5 months. I m a 53 yr old female and have to get up to urinate multiple times at night. The pain has been intense and then can disappear for days. Lately, there is a lot of pain and pressure when in the bathroom. Like I need to push. Tonight I took some tissue and wiped higher up and it came out with blood on it. I have had kidney stones, this pain is more near my bladder. I no longer have a period. [/INST] Hi, welcome to Chat Doctor. Looking to your history, it seems that you have cystitis. Stone can precipitate urine infection. You need to do basic urine report with culture, CBC, S.creatinine and sonography. These report will tell us presence of stone, urine infection and kidney function. Maintain adequate HY Chat Doctor.  Then you can consult your nephrologist, or you can communicate with me also with above reports. I think this would be helpful to you. Best wishes. Tc.  </s>