<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have pain in the extreme lower abdominal area. When I urinate it feels like ive been punched in the stomach repeatedly. This is also the case when I pass stool. My urine is foamy. What might the problem be? I have begun to drink less soda and beer.jdu  <response>: Hi. Thanks for your query. The symptoms are suggestive of a severe for m of urinary tract infection with inflammation of the urinary bladder causing the problems you have. Please get the Blood tests urine-routine, microscopy, culture and sensitivity tests ultrasonography of abdomen. A proper antibiotic, plenty of oral water will settle infection soon. You have to continue antibiotic treatment for three weeks. 