Pyelonephritis: symptoms, treatment in women and men


2018-03-28 00:57:31




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One of the most famous and common kidney disease called pyelonephritis. Pathogenic microflora in E. coli, chlamydia, Staphylococcus, or other causative agent, penetrating from the urethra to the kidneys and causes their inflammation. It can affect one or both kidneys at once. In females this disease is diagnosed more often than the opposite sex.

Classification of medicine

Conditions of occurrence are distinguished:

  • Primary. Occurs in the absence of other pathologies of the kidney.
  • Secondary. Develops as a consequence of existing diseases of the kidneys and urinary system.

The number of damaged organs:

  • One-sided. Affected only one kidney.
  • Two-way. In this case, the affected both kidneys.
the Structure of kidney


  • Acute;
  • Chronic.

As of the patency of the urinary tract:

  • Obstructive. Formed on the background of pathological conditions: stenosis of the ureter, urolithiasis, provately conflict.
  • Non-Obstructive. Its development is not connected with the violation of the outflow of urine from the kidney.

Acute pyelonephritis

The following types:

  • Serous – this is the initial stage of formation of an acute infectious process. Symptoms of pyelonephritis occur chills, high fever, weakness, nausea, vomiting. In the lumbar region there is a strong pain syndrome, which can be described as aching and dull. To treatment used anti-inflammatory, antibacterial agents, and also carry out detoxification. With proper therapy the prognosis is favorable, and in its absence develop complications.
  • Epistemology purulent – the next stage of development of the pathology after the previous one.
    Healthy and diseased kidney
    In this form of the disease, a large number of small purulent foci or they are called aposteme. The symptoms of pyelonephritis this species is similar to the clinic of acute inflammation of the kidney.
  • Carbuncle of the kidney – this is another form of purulent pyelonephritis. In this case, the authority observed extensive purulent lesion. The individual is present in severe intoxication, which is characterized by a significant increase in temperature, headaches, and they are present in the joints and muscles, General weakness, nausea or vomiting. Strong pain syndrome noted in the lumbar region and abdomen on the side of the affected kidney. Treatment is only surgical. Depending on the medical testimony are two possible outcomes: removal of the kidney or the opening of the abscess and removal of dead sites with further drainage.
  • Abscess of the kidney – severe form, in which the kidney tissues reveal purulent-destructive plots. The cause of this condition is the combination of the ulcers characteristic of aposematism pyelonephritis or limitation of the boil. The difference between this suppurative process is that purulent contents is so-called a capsule and does not spread to healthy tissue. Over time it is resorbed and the cavity is formed. The symptoms are similar to the previous form of the disease. The therapy is done only in - hospital, carry out detoxification, the treatment of antibacterial, anti-inflammatory drugs. If you are unable to defeat the infectious process, surgical treatment, i.e. removal of the kidney.
  • Hyper-inflated – it's pretty heavy, even life-threatening, fortunately, a rare form of pyelonephritis. The symptoms in women begins similar to the development of acute inflammation, however, they are not cropped after the start of treatment, the patient looks like a septic patient. Joins and related pathology in the form of hyperglycemia, diabetic ketoacidosis and others. In cases of medical practice of this disease affects women of middle or advanced age with a history of diabetes mellitus, chronic urinary tract infections or acute pyelonephritis. Causes of symptoms of pyelonephritis in women lie in Gaziosmanpasa microorganisms, high content of glucose and reduced perfusion in the tissues. Due to the severity of the disease shows the urgent measures that are to hold the infusion, antibiotic therapy, proper treatment of diabetes, the elimination of obstruction of the urinary tract, determination of function of the affected kidney. In practice, however, such treatment is ineffective. Required nephrectomy or surgical drainage in conjunction with medical treatment.

Chronic pyelonephritis in women: symptoms and treatment

The following types of chronic illness:


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  • Pioneros – it is melted under the action of pus kidney. While it consists entirely of a purulent content, urine, calculi, and parenchymatous tissue. This form is considered the final stage of purulent-inflammatory process. Clinical manifestations of expressed pain in the lumbar region. In intensity they are light or until renal colic. There are all signs of intoxication. The urine becomes cloudy, it appears the sediment. Treatment is only surgical, and urgent. Remove only one kidney or with the ureter when there arestone. Possible subcapsular removal of the organ and nephrostomy. The latter is performed when it is impossible to remove the kidney.
  • Xanthogranulomatous – this is a fairly rare form of chronic pyelonephritis in women. Treatment and symptoms of what? The disease appears mainly in women of middle age, with a history of kidney stones and long-term recurrent urinary tract infection. Clinically manifested prolonged fever, weight loss, anorexia and persistent pain in the lumbar region and side of the abdomen the patient's kidneys. Treatment involves surgery to remove the organ.
  • Malakoplakia – this is a very rare disease. It is characterized by granulomatous inflammation. In the mucosa of the urinary tract are formed nodes or plaques, composed of macrophages and plasma cells. The disease develops on the background of chronic pyelonephritis. Symptoms in women is directly dependent on the location of the nodules. If the affected kidney, the pain in my side and lower back that are colicky. Fever and anemia. If the process involved the bladder, there is painful and frequent urination, hematuria. With the defeat of kidney and ureter nephrectomy are doing and prescribe antibiotic therapy. Only if the affected kidney, the treatment with fluoroquinolones.

Pyelonephritis in children: symptoms and treatment

Basically, the disease appears in a child as a complication of acute respiratory illness. Among all children's age categories ranging from newborn babies. Delayed treatment contributes to the development of severe complications. Among them there are consequences of acute and chronic disease. Purulent abscess – complication of acute pyelonephritis. The chronic form of disease, difficult to diagnose, as it has erased the clinical picture. Long-term inflammatory process provokes necrosis, hardening of the tissues of the kidneys. In addition, pyelonephritis in chronic form that the child was exposed to, the future becomes the reason of development:

  • High blood pressure
  • Hydronephrosis in which the kidney undergoes changes and as a result, lose the capacity for normal performance of their functions;
  • Chronic renal failure leading to a subsequent regular hemodialysis or even to transplantation.
abdominal Pain

The Symptoms of pyelonephritis in children depend on the stage of the disease:

  • Sharp. In this case, there are all the signs of General intoxication: fever, chills, sweating. In infants there is a common concern, nausea, vomiting, loss of body weight. Pain in the lower back or side is most common in children of school age and adolescents. More small clear localization of pain is not observed. It is noted incontinence of urine, frequent urination accompanied by pain, appear in the urine blood inclusions, there is an unpleasant odor that indicates the inflammatory process. The disease develops rapidly, symptoms are growing within 48 hours. Need immediate adequate therapy.
  • Chronic. A distinctive feature is that the symptoms of pyelonephritis kidney this form of the disease erased, so diagnosis is difficult. To make a proper diagnosis, during remission the doctor can only according to the result of the analysis of urine.

Treatment of acute pyelonephritis in children in the outpatient setting includes:

  • Bed.
  • Drinking large quantities of liquid, including mineral water.
  • Diet. Early in the disease – dairy food. Further - protein plant food with a high content of fruits and vegetables that have a diuretic effect.
  • The administration of antibacterial, diuretic, antiseptic, anti-inflammatory drugs and drugs based on herbs.
  • When pain syndrome shows analgesics.
  • To restore the digestive tract – enzymes and probiotics.
  • To strengthen the immune system-immunomodulators and vitamin-mineral complexes.

During exacerbation of the symptoms of pyelonephritis in the chronic stage, it is recommended Spa treatment. Additionally, medically prescribed massage and physiotherapy.

Signs of pyelonephritis in women

The state of the immune system depends on the severity of the clinical picture of pyelonephritis. Due to the fact that the cause of its development is infection, then definitely there are signs of intoxication.

Common symptoms of pyelonephritis in women:

  • Renal colic;
  • Pain when the outflow of urine;
  • Severe pain in the lumbar region;
  • Polyuria;
  • Turbidity of urine.
urine test

The Severity of symptoms depends on the form of the disease: acute or chronic. The acute phase is expressed by symptoms. Chronic – hidden clinic and for a long time can not occur. Symptoms of acute pyelonephritis in women are characterized by the following clinical manifestations:

  • Fever;
  • Edema of lower extremities and face;
  • Increased sweating
  • Sharp pain in region of kidney;
  • Nausea;
  • Vomiting.

Women in position along withthe above signs are observed: increase of pressure and temperature in the evening, persistent swelling of the legs and face.

Clinical manifestations the main symptoms of pyelonephritis are:

  • Pain. In the acute form of disease, it is sharp and painful. In chronic-aching, long time passing. In addition, pain may be cross or asymmetrical. This means that the patient kidney on the right, and pain in the lumbar region on the left and Vice versa.
  • Diuresis. Frequent urge to an emission of urine – this is a temporary phenomenon and appears only in the period of exacerbation. The burning and pain accompany urination. The urine becomes turbid, dark, new blood and purulent switching on, and she gets an unpleasant odor.

Symptoms of chronic pyelonephritis in women:

  • Frequent urination;
  • Nausea;
  • Weakness;
  • Sensations aches in the lumbar region, which are amplified in bad weather.


The Disease occurs on the background of some pathologies, for example, otitis media, purulent mastitis, felon, or other reasons. The symptoms of pyelonephritis in women provoke the following situation:

  • Fatigue;
  • Intestinal infection
  • Uterine prolapse;
  • Stress;
  • Hypothermia;
  • Pregnancy;
  • Age-related changes;
  • Reduced immunity;
  • Hereditary diseases of the genitourinary system;
  • The presence of the catheter in the bladder and others.

Medicinal herbs in the treatment of pyelonephritis

Herbalists recommend to remove the symptoms of pyelonephritis folk remedies. For these purposes use as single herbs and their combinations. In addition to the antiseptic action, medicinal vegetative raw materials recommended for this type of pathology has the following useful properties:

  • Fights against oedema;
  • Reduces spasms of the urinary tract;
  • Reduces bleeding;
  • Reduces dyspepsia.
Sore kidneys

Here are some recipes:

  1. The presence of pus in urine. In 200 ml of water was dissolved 10 ml of Apple cider vinegar. The resulting solution was taken up to three times daily before meals.
  2. In the treatment of symptoms of chronic pyelonephritis and prevention of complications it is possible to use infusion, which includes walnut, rose, viola tricolor, verbena, burdock root. All the ingredients are mixed in a ratio of 10:30:10:10:20 (grams). Three tablespoons of the mixture pour boiling water in the amount of half a liter and prepare the infusion. In the finished product, you can add honey and take up to five times a day for half a glass.
  3. Anti-Inflammatory tea shown an exacerbation of symptoms of pyelonephritis. It includes burdock, celandine, meadowsweet, birch, cranberries, tsetrariya, dandelion, chamomile, raspberry, willow, elderberry, and cranberries. This collection of ready to can be purchased in the pharmacy institution. Brewed like ordinary tea, and drink several times a day.

Herbal medicine is indicated in the absence of allergic reactions, and it does not exclude conventional therapy, and is a useful addition to it.

Drug therapy

The Selection of antibacterial drugs in the treatment of symptoms of pyelonephritis and prevention of complications is dependent on sensitivity of the pathogen. “Levofloxacin”, “Present”, “Ofloxacin” prescribed for uncomplicated pyelonephritis. In severe form of disease, in addition to antibacterial spend infusion therapy.

Nitrofurans recommend “Furadonin”, “Furazolidone”, “Furagin”. Sulfa drugs – “Ursulan”, “Groseptol”, “Bactrim" is rarely used. Their main effect is bacteriostatic, they inhibit gram-positive and gram-negative cocci, chlamydia and Escherichia coli, have no effect on enterococci, anaerobes and Pseudomonas aeruginosa. Alkaline reaction of urine enhances the action of sulfonamides. Natural uroantiseptikov the most popular “Kanefron”, “Vitalizing”, “Zistan”.


Pregnant women are shown hospital treatment. In addition, it is recommended to interrupt the gestation of a baby for medical reasons. Drug therapy of acute forms of the disease and treatment of symptoms of chronic pyelonephritis refers to the use of preparations of group of penicillin or cephalosporin – “Augmentin”, “Amoxicillin”, “Cefazolin”, “Ceftriaxone”.

Children prescribed antibiotic and symptomatic therapy. Antibiotics are well established “Likacin”, “Cefamandol" of the Antibacterials – “Nevigramon”, “Blacks”, “Furadonin”, the diuretic drugs – “Furosemide”, “Verospiron”.

The Factors contributing to the development of pyelonephritis in men

In this population, the disease always develops as a result of entering into the system of renal tubules pathogenic bacteria. As a result of purulent-inflammatory process is the infection of the kidneys and the entire urogenital system, as a result, the disease develops and symptoms of pyelonephritis. The causes that increase the risk of pathology – it is a disorder of metabolic processes, weak immune system, age more than 50 years. In addition, precipitatingfactors is the presence of the following diseases:

  • Kidney stones;
  • Prostate;
  • Cancer of the urinary tract;
  • Chlamydia;
  • Gardnerellosis.

Pyelonephritis men

The disease in the strong half of humanity is confirmed quite rare, and this fact is associated with structural features of the genitourinary system. However, exposed to this disease in men of any age, and most of all after 50 years. The symptoms of pyelonephritis in men occur in the following pattern:

  • Ennui;
  • Weakness;
  • About urination;
  • Increased urine output at night;
  • Cloudy urine the presence of blood rings and unpleasant odors;
  • Burning during emission of urine, after – a sharp pain;
  • Fever;
  • Fever;
  • Shooting pain in the lumbar region.
  • With a deep breath or cough is increased pain.

Due To the rapid increase in pathogenic microorganisms entering the bloodstream of their waste products and spilled inflammation of the renal parenchyma apparent signs of intoxication:

  • Severe headaches, dizziness;
  • Nausea;
  • Vomiting
  • Weakness;
  • Diarrhea.

Lack of or improper treatment promotes the transition of acute forms to chronic. In this case, the symptoms of pyelonephritis in men are evident:

  • Less severe pain, acquiring a permanent character;
  • Low grade fever;
  • Maintaining the discomfort at the end of each act of urination;
  • The development of hypertension and edema, because excess fluid is not excreted completely from the body.

The Fight against the disease with conservative therapy and diet. Herbal medicine is used as adjuvant in the absence of contraindications or allergic reactions to treat symptoms of chronic pyelonephritis. Surgical method is recommended only in advanced stages and risk of renal failure.

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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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