Acute pyelonephritis

Many questions are associated with kidney diseases, most often it concerns such a pathology as acute pyelonephritis. Let’s deal with this problem together and try to understand what kind of disease this is, which many have heard about, but how it manifests itself, which doctor to contact, is not clear. And what is

Let’s start from the beginning, acute pyelonephritis is a microbial inflammation of the kidney tissue and the pelvicalyceal system (these are the parts of the kidney where urine initially enters). Pyelonephritis affects the kidney directly, not the ureters, bladder, or urethra. Diseases affecting the lower urinary tract manifest themselves differently, and the approach to treatment is different.

What leads to pyelonephritis? Infection, namely bacteria, most often the well-known Escherichia coli. She gets there in different ways. The main thing that is important to understand is that pyelonephritis is an infectious disease and is treated accordingly.

We also know who is at higher risk of developing this disease, these are girls, pregnant women and women after childbirth. This is due to the peculiarities of the structure of the female body, cyclic and non-cyclic changes in the hormonal background, as well as gynecological diseases. In addition, risk factors are urinary tract stones, kidney prolapse, urodynamic disorders, and developmental anomalies.

Hypothermia in the presence of chronic inflammatory foci in the body can also provoke the development of acute pyelonephritis. Inflammatory foci are carious teeth, chronic tonsillitis, prostatitis, inflammation of the appendages, and so on. Inflammation of the kidneys sometimes occurs after trauma to the back and abdomen, crushing of kidney stones, operations on the kidneys and urinary tract. Often seen in diabetic patients. In men after 40-50 years, it may appear on the background of prostatitis, adenoma or prostate cancer. People with risk factors need planned monitoring by a urologist and nephrologist.

Now let’s move on to the manifestations of the disease or, as doctors say, the clinical picture.

Acute pyelonephritis is characterized by a sudden onset with a sharp rise in temperature up to 38-40C, which is accompanied by chills, pouring sweat, headache, loss of appetite, dry mouth, nausea, vomiting, general weakness, muscle and joint pain. Against this background, there are pains in the lumbar region of varying intensity, as well as changes in the urine. Pain in the lumbar region increases with palpation, walking. Pain in the side of the abdomen is possible. Sometimes, more often in women, the disease begins with rapid, painful urination, discomfort and pain over the womb, an admixture of blood in the urine.

If you suspect acute pyelonephritis in yourself or your loved ones, you should immediately consult a doctor or call an ambulance. Particular attention should be paid to the appearance of these signs in children, elderly and senile people, pregnant women.

It is necessary to conduct a series of studies to clarify the diagnosis, the doctor will definitely prescribe urine, blood tests, ultrasound of the kidneys and bladder, sometimes x-rays and MRI.

The doctor also needs to exclude other acute diseases that may have a similar picture – cholecystitis, pancreatitis, appendicitis, inflammatory diseases of the appendages, inflammation of the prostate, as well as influenza, pneumonia, intestinal infections.

The treatment of pyelonephritis is complex and individual, aimed at combating not only the pathogen, but also the elimination of the inflammatory process and the correction of the factors that provoked it. After recovery, a dispensary observation of a urologist and a nephrologist is necessary to prevent the recurrence of the disease.

With timely diagnosis and proper treatment, the prognosis is positive, but often transferred acute pyelonephritis becomes chronic. With proper treatment and observation, the disease progresses slowly, proceeds favorably.

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