Hello. My boyfriend has pain in the back and groin area and has been bleeding for five days when he urinates and after orgasm. He also is light-headed and nauseated.  We went to the emergency room and they gave him a RX for Bactrim and told him to rest. The symptoms are not improving after five days of being on the antibiotic. Any ideas of what the problem could be or at least narrow it down. It is a lot of blood.
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Bleeding and pain in abdomen and groin while urinating has two possibilities. It may be either urinary tract infection or it may be urinary stone. As per your symptoms and sign it looks more like the stone. I advise you should undergo USG examination of the abdomen. This will guide us regarding possible location and inflammatory changes is any. Please take the opioid analgesics as they are strong analgesics and can counteract the pain of the stone. Please take plenty of water. This will help flush the bacteria from the system. It also helps maintain the pH of the urine. Please maintain good local hygiene as it can be help full in preventing the infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.