The emergency room is not the place to get care.
You need an exam from an internal medicine doctor, board certified as I am.
You probably need a scan of the abdomen.
If you have had any surgeries for example, adhesions could be causing this.
Your UA is contaminated.
I suggest, specifically, seeing a urologist, possibly you need a scope into the bladder, as you might have interstitial cystitis given this history. It is not infection and it is treatable.
If the lymphnodes are large, a biopsy should be considered.
Certainly, pelvic inflammatory disease needs to be ruled out.
In short, you need a complete exam and a complete work up.
Board certified internists are trained in all adult specialties and must prove their compentancy in these with the American Board of Medical Examiners.
If you give me your city and state, I will help you find one.
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