Pyelonephritis — kidney disease, infectious-inflammatory, which affects tubulointerstitial tissue pyelocaliceal system with involvement in the inflammatory process of the parenchyma.
Symptoms of pyelonephritis:
- Back pain often not intensive, aching, usually asymmetric. It is noticed that the pain often do not appear on the affected side, and on the opposite side. May be a feeling of discomfort, heaviness in the lower back, especially when walking or prolonged standing. Patients complain that the lower back is cold, seek to dress warmly.
- Increasing the temperature not above 38 Â° C, usually in the evening, for no apparent reason.
- Frequent urination, especially at night.
- Increased blood pressure. During remission, it can be the only symptom.
- Deterioration of health, fatigue and weakness, more pronounced in the morning, depressed mood, headaches.
- A small swelling of the face, hands, more in the morning, feet and legs — by the end of the day.
Traditionally used in the treatment of pyelonephritis antibiotics which administered either empirically (based on current recommendations for the treatment of the disease), or guided on the selected sensitivity results with urine culture of the microorganism to antibiotics. In the first case the preferred antibiotic with a broad spectrum of action.
In most cases, uncomplicated pyelonephritis antibiotics appointed interior. Usually treatment of pyelonephritis lasts for at least two weeks, despite the fact that in most cases the disease uncomplicated reduction and even disappearance of symptoms is achieved during the first 3-4 days of treatment.
To antibiotics, which are traditionally used for the empirical treatment of bacterial infections of the urinary system include fluoroquinolones Generic Cipro (Ciprofloxacin), Generic Levaquin (Levofloxacin), Generic Avelox (Moxifloxacin), Generic Noroxin (Norfloxacin) and others (which you can buy online through the Internet that will cost you cheap or with good discounts). Of course, can be used and other antibacterial drugs, particularly in those cases where the bacteria isolated from the urine insensitive to the aforementioned drugs, or when there is an allergic to them.
After the end of the full course of treatment pyelonephritis with antibiotics is required control study of urine, to determine the effectiveness of therapy (disappearance of urine bacteria, protein and normalization of white blood cells). In cases where the patient has high fever, chills, and / or repeated vomiting — increases the threat of dehydration, but because in such cases the treatment of pyelonephritis need to be in the hospital. These patients not only fill fluid with intravenous infusion , but antibiotics administered intravenously.
In general, expressed fever, chills require close attention, because they can be a manifestation of generalization of infection (bacteria entering the bloodstream and spread throughout the body). If, upon examination revealed signs of blockage of one of the ureter concrement that is «blocked» the flow of urine from the kidney — you may need a small surgical procedure: removal of ureteral calculi with a special tool inserted through the urethra into the bladder, and then into the ureter. After the treatment of pyelonephritis doctor may further appoint additional studies to exclude / confirm kidney stones, structural abnormalities or signs of obstruction (blockage), that have not been diagnosed, but could be the cause of pyelonephritis.
These surveys include: Intravenous urography (contrast injection into the venous system with the release of his kidneys and, accordingly, the X-ray contrast their pyelocaliceal system). Ultrasound examination of the urinary system. Cystoscopy (examination of the bladder through a cystoscope — a special optical device, introduced into the lumen of the bladder through the urethra). Typically, uncomplicated pyelonephritis rarely causes severe kidney damage in patients without comorbidities. At the same time, the proportion of patients (children, diabetics, patients with structural abnormalities of the structure of the kidneys and urinary tract disorders of the nervous regulation of the functioning of the bladder) may chronic infection (chronic pyelonephritis), with the outcome in chronic renal failure (inability of the kidneys rid the body of «toxins»).
Diet is very important
Any diet with pyelonephritis aims by increasing the number of alkalizing foods to achieve the shift reaction toward the formation of urine alkaline. If we are talking about the acute stage of the disease, the food of person should be high-calorie, but fortified and easily digestible.
At the same time the diet in acute pyelonephritis implies a complete rejection of spices, hot spices, coffee, alcoholic and soft drinks. In order to minimize the symptoms of intoxication is recommended to drink plenty of liquids (tea, mineral water, juices, fruit drinks, broths).
It is necessary to replenish the diet with plenty of fruits and vegetables, preferring products having increased diuretic (water melon, melons, squash). After the liquidation of acute processes in the body should enter into the diet of fish, meat (lean beef) and dairy products. The exception is smoked, beans, spinach, radish, garlic, horseradish, cauliflower.
Light diet in chronic pyelonephritis, with severe anemic syndrome, involves the use of foods rich in cobalt and iron. These include apples, pomegranates, strawberries, blackberries.