Doctor insights on:
Treatments For Chronic Pyelonephritis
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
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
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
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
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 moreSee 1 more doctor answer
My grandmother (age 70) has s.creatinine level 5.71, right sided pyelonephritis and ureteritis. Pls suggest treatment for the same. Is dialysis needed?
Cannot: Whether or not your grandmother requires dialysis depends in part upon whether the serum creatinine level you report was due to renal failure or dehydration during acute infection. If she has pyelonephritis a lengthy course of antibiotics against the causative organism is necessary. Need far more info. Why not discuss with her doctors? ...Read more
Varies long2not long: Untreated kidney infection/ pyelonephritis & abscesses can lead to overwhelming sepsis & rapid death pyelonephritis & small kidney abscesses can linger for months. Also depends upon overall health of subject when infection occurs. Babies & old folks tend to fare worse than ages inbetween. All kidney infectios need to treated asap. ...Read more
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