<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been experiencing painful urination, diarrhea, sharp abdominal pain and vaginal itching. What might be the cause?  <response>: Based on your symptoms, it seems like you might have Ascending Cholangitis, a bacterial infection that affects the bile ducts, causes inflammation and can cause jaundice. I recommend that we run some tests to confirm the diagnosis and start treatment as soon as possible. 