Doctor insights on:
Can Acute Pyelonephritis Cause Hydronephrosis
No: acute pyelonephritis is a bacterial infection of the urinary tract. Alcohol may make people more susceptible to many infections by suppressing many parts of the immune system, and sexual activity related to excessive alcohol use is sometimes responsible for urinary tract infections, especially in women, which can ultimately result in pyelonephritis in some cases. ...Read more
Severity: Cystitis or UTI is an infection of the bladder. Pyelonephritis is a kidney infection and is potentially more dangerous especially in certain groups of people. These groups include the elderly, pregnant women and anyone who is immunosuppressed. In these groups it can lead to sepsis and even death without proper treatment. ...Read more
Pyelonephritis: Acute comes on suddenly. Chronic is basically multiple episodes of chronic. ...Read more
AllUrinaryTract/Uppe: UTI is the term used for infection in any part of Urinary Tract from Urethra to urinary bladder to kidneys and covers the whole tract Pyaponephritis is also infection in the upper urinary tract,that is the Kidneys abd the Ureters and is usually more severe infection than the lower UTIs like Cystitis and urethritis.So Pelonephritis is also a UTI ...Read more
Bacteria: Pyelonephritis describes a classic kidney parenchyma (meat) bacterial infection. This is more complicated and severe than a simple UTI (or cystitis). A viral pyelonephritis would be exceedingly rare. Long term (21 days) of antibiotics for bacteria are the mainstay of treatment. ...Read moreSee 1 more doctor answer
Still Antibiotics: Pyelonephritis is still just an infection of the kidney and upper tracts of the urinary system. The cure is still antibiotics. Real pyelonephritis is usually associated with significant pain, fever, and nausea. It is hard to clear quickly but antibiotics is still the gold standard for cure. ...Read more
Here are some...: Pyelonephritis denotes kidney infection usually extended from its hollow part called renal pelvis, but occasionally maybe a blood-borne infection to kidneys. Glomerulonephritis denotes inflammatory change specifically affecting microfilters (glomeruli) & their associated tubules, which usually result from streptococcal infection, autoimmune disorders, drugs, diseases like diabetes or hypertension. ...Read more
Drink fluids: Other than drinking fluids, flushing the kidneys would not be as helpful as getting you on the right antibiotic if you have a kidney infection. If you are on the right antibiotic, the pain should go away rather quickly- a day or two. If it still hurts, a doctor needs to re-evaluate you. ...Read more
How many days should I take cipro (ciprofloxacin) for acute pyelonephritis 7 or 14 1g? Is it okay taking so much because it's already 1g i'm afraid..
Take as directed: Until finished. If you are unclear about the directions or are concerned about the dosage call your doctor. ...Read more
What to do if I have acute pyelonephritis and still have fever after 48 hours of ER visit do I go back?
Not necessarily: Pyelonephritis is an infection involving the kidneys. Typical presentation is a high, spiking fever that often is accompanied by flank pain. It is not uncommon to have continued fevers even on antibiotic therapy. It is very important to have antibiotic therapy tailored to urine culture data to optimize treatment. Back to ER if uncontrolled nausea, lower blood pressure, worse pain ...Read more
If infection is detected in urine is it because kidney is infected? Can hydronephrosis cause kidney infection? Or is it due to procedure? Is it bad?
UTI: Differentiating between lower and upper UTI is not simple, and this is not the place to provide a medical course. Hydronephrosis can predispose to UTI or can be a result of uti, but highly unlikely to be due to ureteroscopy. Whether it is bad or not will depend upon what is causing it. If it was detected during a an episode of acute pyelonephritis it may resolve with cure of the infection. ...Read more
Can hydronephrosis and kidney infection caused by a kidney stone blockage of the ureter cause hypotension?
Is it possible to have acute pyelonephritis with a negative CT scan, urinalysis pos for infection, flank pain, nausea/vomiting, fever?
I believe so: I am not a radiologist, but as a pathologist i can assure you that i've seen cases of pyelonephritis that i'd think are are too subtle anatomically to show on x-rays. White cell casts in the urine establish the diagnosis, and if there's white cells in the urine and flank pain and fever, the presumptive diagnosis is kidney infection, imaging or no. ...Read more
Infected/obstructed: Pyelonephritis refers to a kidney infection, whereas hydronephrosis refers to obstruction of the kidney leading to dilation and swelling. You should see your doctor and possibly a urologist for both of these issues to get them evaluated to see if an anatomic abnormality or stone is contributing to infection or to see cause/severity of obstruction and if corrective surgery required. ...Read more
I'm 18 weeks pregnant and have had kidney stones, hydronephrosis (sp) and pyelonephritis (sp). I am currently on a suppression antibiotic. Now I have fever, chills, nausea, and back pain which started yesterday. What should I do?
See urologist ASAP: Need new pregnancy safe antibiotics possibly by IV route. Also hydronephrosis needs to decompressed by jj stent or percutaneous nephrostomy. Antibiotic suppressive therapy needs to be changed as bacteria responsible for uti/pyelonephritis is likely is likely resistant to antibiotic u r taking. Please do not wait until tomorrow. Good luck & please let us know you get on. ...Read moreSee 3 more doctor answers
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