Top
20
Doctor insights on: Pyelonephritis Nos

Share
1

1
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

Nos (Definition)

Not otherwise specified, as in diagnoses where there's symptoms of more than one disorder, for ...Read more


3

3
Kidney nephritis- can high dose Valacyclovir/Valtrex (4g daily)cause it? Negative ANA but mild kidney nephritis consistent with ckd.

Kidney nephritis- can high dose Valacyclovir/Valtrex (4g daily)cause it? 

Negative ANA but mild kidney nephritis consistent with ckd.

?: Unlikely, this is complex, depends on several factors, underlying conditions, and other medications taken concomitantly, your treating doctors can answer you better, but why are you on this high dose of valacyclovir? ...Read more

4

4
5 yo girl, no history of UTI or kidney probs: in hosp for hi fever, dehydratn, urinalysis=+ for bact, urine culture=-! renal echo=dilated kidn. Opinions?

5 yo girl, no history of UTI or kidney probs: in hosp for hi fever, dehydratn, urinalysis=+ for bact, urine culture=-! renal echo=dilated kidn. Opinions?

Consult a urologist: This child may have a number of problems, the most likely being vesicoureteral reflux or upj obstruction. She may need further studies, including a test called VCUG or a nuclear renal scan. If possible, consult with a pediatric urology subspecialist. She may need to be on antibiotics indefinitely until the problem can be diagnosed definitively. ...Read more

5

5
UTI symptoms, urine culture negative, Blood test: WBC 13.4, absolute neutrophils 9.8. UTI or something else?

UTI symptoms, urine culture negative, Blood test: WBC 13.4, absolute neutrophils 9.8. UTI or something else?

Uretheritis: Inflammation or infection of urethra can cause symptoms that mimic UTI. Usually urine cs is negative. Topic an antibiotic cream helps with the symptoms. ...Read more

6

6
GFR - 117.35, Albumin-4.6, leukocyte esterase-positive, urine WBC-25. Cud this indicate kidney disease? No symptoms of UTI. ANY suggestions?

GFR - 117.35, Albumin-4.6, leukocyte esterase-positive, urine WBC-25. Cud this indicate kidney disease?  No symptoms of UTI. ANY suggestions?

WBC on UA: The serum albumin and GFR seem fine, but you have some WBC and leukocyte esterase in the urine. Could be a subtle infection. Could be an inflammatory condition of the bladder or kidney. Should be investigated. ...Read more

7

7
Large exophytic R renal cyst 12.9x9.8x10.7 kidney 11.5 vert. Span. Note says mild fullness R renal pelvis, no true hydronephrosis? Meaning??

Large exophytic R renal cyst 12.9x9.8x10.7 kidney 11.5 vert. Span. Note says mild fullness R renal pelvis, no true hydronephrosis? Meaning??

See below: Simple cysts are of no consequence unless there is pain involved. Your cyst is larger than usual, but if you do not have pain I would not worry. Mild fulness of R renal pelvis is just a radiographic finding, I would not worry as it has no real significance as long as there is no hydronephrosis. ...Read more

8

8
How bad is a 60 000 ufc/ml e coli urinary tract infection?

Can't tell: The number of colonies seen in the culture does not have much significance. The important thing is whether symptoms have improved or not. ...Read more

See 2 more doctor answers
9

9
32 y/o female, symptoms of UTI including urgency, urethral discomfort, flank pain. Urine negative, no retention. Rx Bactrim (sulfamethoxazole and trimethoprim) DS. PMH pyelo x2. Ideas?

32 y/o female, symptoms of UTI including urgency, urethral discomfort, flank pain. Urine negative, no retention. Rx Bactrim (sulfamethoxazole and trimethoprim) DS. PMH pyelo x2. Ideas?

HC of pyelonephritis: When you are told that the urine test was - it just means it did not grow on the culture media that they chose to grow on. Try taking Ellura, a cranberry extract which prevents the bacteria from attaching to your bladder wall. It's not an antibiotic but it works quite well. ...Read more

10

10
Is urinary tract malformation curable?

Is urinary tract malformation curable?

Possibly: Depending on the type of malformation, it could be correctable with surgical reconstruction, stent placement or other methods. Discuss this with your doc, who will likely send you to a urologist for further evaluation. ...Read more

See 1 more doctor answer
12

12
Is bipolar II disorder serious?

Is bipolar II disorder serious?

Yes, but treatable.: Yes, it is a serious condition and evidence shows that it can be just as debilitating as bipolar i disorder. It is, however, treatable by a qualified psychiatrist. Patients can live productive happy lives with the correct course of treatment. ...Read more

See 6 more doctor answers
13

13
67 years Male Parkinson Patients suffers from urine infection. Admitted at ICU. CRP186, WBC22000, Urea 116, Creatinine 3.5. Sugar Normal. Should he survive?

Pyelonephritis: Often with acute sepsis the creatinine is elevated because of diminished circulating blood volume due either to decreased intake or third-spacing of liquids. This should respond to antibiotics and supportive care with fluid replacement, assuming nothing else is going on. If the creatinine remains high very long he may be a candidate for end-stage renal failure care. Discuss with his doctors. ...Read more

See 2 more doctor answers
Dr. Jay Park Dr. Park
2 doctors agreed:
14

14
How do chicken pox cause acute glomerolu nephritis?

Dr. Jay Park Dr. Park
2 doctors agreed:
How do chicken pox cause acute glomerolu nephritis?

Not clear: There are a number of viral infections identified as uncommon causes for glomerulonephritis. Hepatitis b and HIV are also well known culprits. ...Read more

See 1 more doctor answer
15

15
Kidney pain, chills, fever. Had urine culture. Result: bacterial infection. But, where is infection? Bladder? Kidney? Bacterial UTI?

Kidney pain, chills, fever. Had urine culture. Result: bacterial infection. But, where is infection? Bladder? Kidney? Bacterial UTI?

Kidney I bet: Probably ascended from the bladder. Ask your physician about whether there is anything you can do to prevent future infections, or whether there may be an underlying problem putting you at risk. ...Read more

16

16
Y bipolar diagnosis change w ea doctor? NOS 2002. BP1 mixed w psychosis inpaitent06. Eval CYCLO 2010. BP2/RO bipolar1 mixed inpaitent2014. Which am I?

Y bipolar diagnosis change w ea doctor? NOS 2002. BP1 mixed w psychosis inpaitent06. Eval CYCLO 2010. BP2/RO bipolar1 mixed inpaitent2014. Which am I?

Bipolar Spectrum Dx: I can't tell you your accurate diagnosis. The diagnoses are all bipolar spectrum. Usually when there is this spread in diagnoses it can mean 1 of 2 things. 1. The more serious diagnoses become evident with subsequent visits due to ^ in symptoms or 2. The different providers are not conversing & the patient is a poor historian. Take care. ...Read more

18

18
How does acute pyelonephritis attack and spread?

How does acute pyelonephritis attack and spread?

See below: Pyelonephritis is usually a bacterial infection in the kidney usually bacteria come from the bladder, and there are other causes the bacteria can spread to the blood stream and causes systemic blood infection. ...Read more

19

19
Went 2 ER for severe flank pain & fever. High WBC &high neutrophils. U.S shows right pyelonephritis of upper pole but urine negative for bacteria, how?

Went 2 ER for severe flank pain & fever. High WBC &high neutrophils. U.S shows right pyelonephritis of upper pole but urine negative for bacteria, how?

Obstructed?: Obstruction of the upper part of the ureter or within the kidney could do this. e.g. from a kidney stone or papillary necrosis. That is, the infected area is not draining, and so no bacteria or white blood cells in the urine. If so, it's quite serious. Or maybe infection with a bacteria not detected on routine urine culture, but that's very rare. Keep working closely with your doctors. ...Read more

20

20
Pathophysiology of pyelonephritis?

Pathophysiology of pyelonephritis?

Kidney Infection: Pyelonephritis is iinfection in a kidney. It can be caused either by bacteria moving from the skin up the urinary tract and invading the kidney or by bacteria floating around in your blood until they take up residence in your kidney. Either has been given as an explanation for kidney infections and I have not seen anything to say one is more likely than the other. ...Read more

See 1 more doctor answer