Urinating issues

Patient : One day I was setting on the couch and had a extreme sharp pain in my rectum eventually it went away but it hurt to move, well a couple of days ago I had a sharp singing pain urinating that went away now its difficult to urinate at all.i literally have to strain or push to get the utinn out no matter how bad I have to go.ic also had a brown discharge and have been bleeding vaginallyfor almost the entire month of february. And also when I pass gas it hurts my rectum too like a sharp pain.
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