Is it a colon or urinary track infection?

Patient : Last night started about 10pm i experienced very painful pulling as if i had to make a bowel movement but all I could do was urinate and as the pain increased my urination was uncontrollably frequent and began bleeding vaginally. The pain was constant feeling of having to make a bowel movement but severe sharp pains in my lower abdomen would hit ever time i urinated. Not sure if its related but i kept burping and it had a fish like taste. I seriously considered going to the ER but after calling my OBG she suggested it may just be a colon or urinary track infection and could wait until morning. Could this be something more serious?
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