The pyelonephritis is a urinary tract infection that affects one or both kidneys that can cause serious complications, especially if diagnosis and initiation of treatment is delayed. People with recurrent cystitis, kidney stones or morphological changes of the urinary tract present a higher risk of suffering from this type of disease, says Nephrologist in Gurgaon.
According to Kidney Specialist in Gurgaon, it is more frequent in women than in men because of the special configuration of the genitourinary system. As age increases, prevalence increases in males, given the progressive increase in the incidence of benign prostatic hyperplasia, which is a risk factor for urinary infections.
Causes of pyelonephritis
The most common mechanism by which pyelonephritis occurs is the migration of bacteria, usually present in the faeces, that pass through the urethra, bladder and ureter, before reaching the kidney. In 80% of the cases of patients who do not have previous urological diseases, the bacteria involved is Escherichia coli. It must be borne in mind that the infection can also be acquired by carrying a bladder catheter or having undergone surgery that affects the urinary tract, says doctor for kidney in Delhi.
Symptoms of pyelonephritis
According to the best Nephrologist in Delhi, the main symptomatology of pyelonephritis is limited to fever, chills and lower back pain, although it may have other symptoms of cystitis, urethritis or prostatitis, since all of them may be the original focus of the infection. These symptoms include the presence of blood in the urine, increased need to urinate and often with urgency, pain with urination, etc.
Treatment of pyelonephritis
The basic treatment of pyelonephritis is carried out with antibiotics, having previously identified the causative agent by means of an analytical and a urine culture. The duration of this can be 14 or 21 days, depending on each case, as well as the route of administration (oral or intravenous), says Nephrologist in Noida.
The treatment consists of an antibio-therapy that allows to check the effectiveness of the antibiotics on the pathogen, says Kidney Specialist in Noida.
However, it should be noted that the choice of the antibiotic is usually made in an empirical way, without waiting to know the results of the analytical, since the complications of this urine infection can become very serious:
Heavy bleeding with urine.
Associated diseases (diabetes, cancer, cirrhosis, etc.).
Resistance to initial antibiotic treatment.
Sepsis, etc.
According to Kidney Specialist in Delhi, normally, if the fever is maintained after three days with treatment, it may mean that the organism has developed resistance to the antibiotic used or that one of the aforementioned complications has occurred. If this happens you will have to change the treatment and opt for more powerful antibiotics.
Regardless of the pharmacological treatment, Top Kidney Specialist in Delhi recommend resting at home, drinking plenty of fluids to promote urination and treat the right symptoms, especially pain and fever.
When there are complications in this regard, surgery that will consist of an emergency drainage to allow the normal flow of urine through the urinary tract is considered, says Nephrologist in Delhi.
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