What is pyelonephritis and how is it treated?

11/07/2023

Pyelonephritis is a urinary tract infection that affects the kidneys. If left untreated, it can lead to serious complications, not only in the urinary system but also in the body as a whole.

The incidence of pyelonephritis varies depending on factors such as age, sex, and the presence of other diseases or conditions in the patient. It is estimated that the incidence of pyelonephritis in the general population is approximately 1 to 2 cases per 10.000 people per year. However, it can be much higher in certain groups of people, such as young, sexually active women, pregnant women, people with urinary tract abnormalities or other diseases, and patients with diabetes.

Symptoms of pyelonephritis

Although in some cases the symptoms of pyelonephritis can be mild or even absent (especially in the early stages of the disease), generally, the symptoms are quite pronounced. Some of these symptoms are:

  1. Lower back painIt is usually an intense, sharp pain that sometimes radiates to the side.
  2. Fever and shivering.
  3. Painful urination
  4. Increased frequency of urination or an urgent need to urinate.
  5. Cloudy urine or with blood.
  6. Discomfort general: weakness and fatigue.

Diagnosis of pyelonephritis

In addition to the medical history , the doctor will use other diagnostic methods such as:

  • Basic urinalysis: to detect bacteria and white blood cells in it.
  • Urine culture: to identify the type of germ that causes it.
  • Ultrasound: to determine if there is any alteration such as inflammation or abscesses in the affected kidney.
  • imaging testsIn specific cases, more specialized imaging tests such as CT (computed tomography) or MRI (magnetic resonance imaging) may be used.
  • Additional testsIn severe cases, additional tests may be necessary to determine if the infection has spread to other parts of the body.

Treatment of pyelonephritis

Treatment for pyelonephritis includes administering antibiotics to fight the infection , as well as measures to relieve symptoms (fever and pain).

In severe cases or when symptoms do not improve, hospitalization may be necessary to administer intravenous antibiotics to control the infection and prevent complications.

Recommendations for pyelonephritis

If you have been diagnosed with pyelonephritis, it is important to follow your urologist's instructions and complete the prescribed treatment. It is also important to take steps to prevent future urinary tract infections, such as maintaining good personal hygiene and staying well hydrated.

It is important that, even if the symptoms disappear, you continue to follow up with your urologist to make absolutely sure that the infection has been cured.

In summary, pyelonephritis is a urinary tract infection that can be serious if not treated properly. If you suspect you may be experiencing symptoms, seek immediate medical attention to receive appropriate treatment and prevent serious complications.

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