Conversation: The conversation between human and AI assistant.
[|Human|] i am a 51 yr old male in very good health typically however as of today i am having sharp pains in my lower abdominal region especially when i urinate and when i urinate and think im done i get very bad pain then blood comes out it does this two or three times while standing there i keep feeling like im not finished then i get the pain again and out comes more blood
[|AI|]  Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a physical examination I would advise you for an ultrasound of abdomen to rule out enlargement of prostate/any other prostatic pathology, a urinary calculus blocking the ureter/urethra partially and traumatizing the mucosa resulting in bleeding through the urethra. I would also advise you for a urine routine/microscopic/culture sensitivity test to rule out a neglected urinary tract infection either alone or along with any of the above. Till the reports come, I would prescribe you with an antispasmodic, a urinary alkalizer, and enough liquids orally. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.