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Doctor insights on: Chronic Pyelonephritis And Hydronephrosis

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What is the difference between chronic pyelonephritis and hydronephrosis?

What is the difference between chronic pyelonephritis and hydronephrosis?

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

Dr. Patricia Foster
143 doctors shared insights

Hydronephrosis (Definition)

A condition characterized by excess fluid in a kidney due to ...Read more


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Causes of chronic pyelonephritis and treatment?

Causes of chronic pyelonephritis and treatment?

See remark: Very broad question ? Pyelonephritis is basically infection of the kidney ,due to many causes such as presence of stone,infection in the blood stream,infection of bladder due to abnormality of the ureters allowing germs to travel from bladder to the kidneys (this is most common) It is a SERIOUS matter. You should see a specialist,since long standing infection leads to serious complication . ...Read more

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Are there different symptoms for acute and chronic pyelonephritis?

Are there different symptoms for acute and chronic pyelonephritis?

Here are some...: Pyelonephritis denotes inflammatory change from bacterial infection (usually extended from infection in bladder) in renal pelvis, calyces, & papillae extending to renal parenchyma. Clinically, in acute stage, patient is sick with fever & backache; in chronic, may be freeof Sx. But there is distinct difference in the image of kidneys between acute & chronic state. More? Ask doc as space is limited. ...Read more

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Is acute pyelonephritis more treatable than chronic pyelonephritis?

Is acute pyelonephritis more treatable than chronic pyelonephritis?

Yes: Pyelonephritis means infection of the kidney. Acute means severe. If it is of recent origin it must be treated immediately and fully. Chronic pyelonephritis means that condition is not acute but has been smouldring for a while. it damages the kidneys and it cannot be reversed ...Read more

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What is chronic pyelonephritis and what is focal area scarring in the lower pole of the left kidney?

What is chronic pyelonephritis and what is focal area scarring in the lower pole of the left kidney?

Chronic Pyelo: Chronic pyelonephritis is the result of any process in the kidney that causes prolonged inflammation and fibrosis (scarring). Common causes include: persistent or recurrent renal infections, vesicoureteral reflux (urine going backwards into the kidney), or urinary tract obstruction. A board certified urologist or nephrologist are the best doctors to review these types of findings. ...Read more

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I have chronic pyelonephritis and four kidney stones in my kidney. It has shrunk immensely in size and is now in early renal failure. Should i remove?

I have chronic pyelonephritis and four kidney stones in my kidney. It has shrunk immensely in size and is now in early renal failure. Should i remove?

YES,YES,YES: Urgent urologic consultation is warranted in patients with urosepsis, acute renal failure, anuria, and/or unyielding pain, nausea, or vomiting . Outpatient urology referral is indicated in patients with a stone >10 mm in diameter and in patients who fail to pass the stone after a trial of conservative management, including medical expulsive therapy, particularly if the stone is >4 mm in diameter ...Read more

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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?

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 more

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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?

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

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My dr told me that the hydronephrosis puts me at a high risk for developing kidney infections. How high is this risk and is there anything i can do do reduce tbe risk?

My dr told me that the hydronephrosis puts me at a high risk for developing kidney infections. How high is this risk and is there anything i can do do reduce tbe risk?

Depends upon cause: Risk of UTI with hyronephrosis(hn) is only significant if hn is associated with bladder reflux or u have past history of utis. Otherwise not. Risk of developing UTI low if cause is congenital blockage. Ur already 30 years-old & obstruction has been present a long time. U may need antibiotics if hn was found after uti.Shower & don't bathe, avoid constipation, cotton & no thong underwear, pee often. ...Read more

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Can hydronephrosis and kidney infection caused by a kidney stone blockage of the ureter cause hypotension?

Can hydronephrosis and kidney infection caused by a kidney stone blockage of the ureter cause hypotension?

IF there is: Obstruction this is a high risk situation for development of infection. A serious infection could cause low blood pressure. The other possibility is low blood pressure related to pain medication for the stone. ...Read more

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Can hydronephrosis cause pylonephritis?

Not cause/predispose: Hydronephosis does not cause pyelonephritis but it predisposes to it. ...Read more

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What to do, I have chronic kidney stones and hydronephrosis?

What to do, I have chronic kidney stones and hydronephrosis?

Need good urologist: May need a second independent urologic opinion if Ur problem is out of control. Have you had a metabolic work-up to diagnose cause of chronic stones. U may require surgery to correct hydronephrosis & facilitate urinary drainage to prevent urinary stagnation which predispose to stones. U may have infectious kidney stones or have never been completely cleared all of which predisposes to more stones. ...Read more

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My son was born with severe hydronephrosis.Nicu 4 days.Failure to thrive first 2 years.Age 4 now.Chronic constipaton.No bm for 4days.What could be?

My son was born with severe hydronephrosis.Nicu 4 days.Failure to thrive first 2 years.Age 4 now.Chronic constipaton.No bm for 4days.What could be?

Here are some ...: Sorry to hear your 4-y-o boy having not been growing the way he should. By brief limited Hx, he might have had inherent constitutional overall health issues, which should be systemically evaluated and managed, How to accomplish such endeavor would require a lot of work from you and doctors. To pursue such, please follow the instructions inhttp://formefirst.com/eNewsletter06.html. Best wish ... ...Read more

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Can i develop pyelonephritis & chronic UTI from postpolypectomy/peritonitis post-colonoscopy?

Can i develop pyelonephritis & chronic UTI from postpolypectomy/peritonitis post-colonoscopy?

Complicated: If the intra-abdominal infection involved the kidney in some fashion then pyelonephritis could conceivably occur, but this should be treatable. With this process the presence of a foley catheter during your management can predispose to uti, as can bacteremias which occur during the infectious process. None of these would necessarily create chronic uti, but anything is possible. ...Read more

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What could cause hydronephrosis of 1 kidney without stones or uti, rbcs 0-5 in urinalysis. Hx of GI issues, gastric ulcers, chronic gastritis?

What could cause hydronephrosis of 1 kidney without stones or uti, rbcs 0-5 in urinalysis. Hx of GI issues, gastric ulcers, chronic gastritis?

You: could very well have a "stricture" of the ureter leading from that kidney and emptying in your bladder. Peritoneal fibrosis is another condition which can cause obstructive uropathy..(Overuse of certain pain medications have been implicated) Hope this helps! Dr Z ...Read more