instruction: hello doctor a few months now I have been experiencing discomfort and bleeding after being fingered it does not really happen during sexual intercourse though I have an urge to urinate even after urinating and it stings and the urine will sometimes come out at different random times I have had two unis which I have felt the urine sensation before but the bleeding is what I am most concerned about also we always use protection why am I experiencing bleeding and discomfort after being fingered I am currently taking lamotrigine and adderall
output: hello have you noticed the bleeding while you urinate also or else only after fingering in view of your past episodes of ti urinary tract infection it seems the same has recurred again as suggested by the pain after urinating on top of that since women urethral opening and the vagina are very near fingering might spread the infection there also and some injury during the fingering might have caused the bleeding please take the following medications and refrain from fingering and sexual activity until the pain bleeding and ti subsides meanwhile do the following test to confirm urinary infection also please attach the previous prescription where lamotrigine and adderall were prescribed do you have discharge per vagina and pain during intercourse as well urine for routine and microscopic examination and culture sensitivity test vaginal swab for culture sensitivity us ultrasound lower abdomen and pelvis with peru postvoid residual urine tablet nitrofurantoin modified release 100 my tablet twice daily after breakfast and dinner tranexamic acid 500 my tablet twice a day sos if there is bleeding syearup urinary alkalinizer disodium hydrogen citrate two teaspoons with one glass water twice a day avoid fingering and sexual intercourse until bleeding and pain subsides if at all sexual intercourse is done do it with a condom drink plenty of water and oral fluids avoid holding urine before urinating sanitize your toilet seats maintain hygiene at private parts with urine re me and is reports