Subscribe
Pyelonephritis
Where to apply moxibustion for pyelonephritis
Pyelonephritis is an upper urinary tract infection caused by bacteria invading parts such as the renal pelvis and calyces, leading to inflammation. Moxibustion has no therapeutic value for patients with this disease. Pyelonephritis often occurs when bacteria ascend from the urethral opening into the urinary system, causing inflammation. Therefore, treatment generally involves the use of antibiotics to kill the bacteria. It is important to choose antibiotics that are sensitive to the infecting bacteria and preferably those that can form a high concentration within the urinary system. Typically, taking medication for 10-14 days can control the condition for the vast majority of patients. Using moxibustion or massage as physical therapy has little value, but patients can benefit from drinking more water and urinating frequently to help control the condition.
How many days does the high fever last in pyelonephritis?
Pyelonephritis, also known as an upper urinary tract infection, indeed tends to cause fever in patients. Generally, this type of fever can rise sharply in a short period of time, potentially exceeding 39°C. The duration of the fever mainly depends on the patient's own resistance and the effectiveness of the medication. If sensitive antibiotics are used and the patient has strong immune capabilities, the bacteria can be killed or mostly eliminated in a short period of time. In such cases, the patient's high fever may gradually subside within three to five days. However, if the medication is ineffective, the fever may persist for an extended period, possibly lasting up to half a month or even a month. (The use of medications should be carried out under the guidance of a professional doctor.)
How to treat acute pyelonephritis?
During the acute phase, it is important to rest, drink plenty of water, urinate frequently, and provide a diet that is easy to digest, high in calories, and rich in vitamins for patients with fever. For patients with evident bladder irritation symptoms and significant hematuria, oral sodium bicarbonate can be taken to alkalize the urine and relieve symptoms. The primary treatment for acute pyelonephritis, of course, is anti-infection therapy. The pathogen in 80% of acute pyelonephritis cases is Escherichia coli. After collecting urine samples for bacterial examination, treatment should be initiated. For patients with milder conditions, outpatient oral medication can suffice, with a treatment duration of 10 to 14 days. Common medications include ofloxacin, amoxicillin, and cephalosporins, among others. Secondly, for severe infections accompanied by obvious systemic toxic symptoms, hospitalization for intravenous medication is required. Commonly chosen drugs include ampicillin, cefotaxime sodium, ceftriaxone sodium, and levofloxacin, etc. If the patient improves following the above treatments, they can switch to oral therapy after fever cessation and continue with a drip for three more days to complete a two-week course of treatment. (Please use medications under the guidance of a doctor; do not self-medicate.)
How is acute pyelonephritis treated?
Acute pyelonephritis is a problem caused by an infection, also known as an upper urinary tract infection. Therefore, the treatment plan for this disease should be based on the pathogen. The vast majority of acute pyelonephritis is caused by bacterial inflammation, so antibiotics are often required. It is generally recommended that patients should receive intravenous antibiotic treatment to kill the bacteria, choosing the antibiotics sensitive to the results of urine culture. After 10 to 14 days of treatment, the condition of acute pyelonephritis can usually be controlled in most cases. The patient's body temperature will gradually decrease, symptoms of back pain will ease, and the white blood cells in the urine will also disappear. Only a very few cases of acute pyelonephritis are difficult to treat because such patients may have predisposing factors to urinary tract infection such as diabetes and urinary system stones. (Specific medication use should be conducted under the guidance of a doctor.)
What causes acute pyelonephritis?
Acute pyelonephritis, also known as an upper urinary tract infection, occurs when certain pathogens enter the urinary system and cause inflammation in areas such as the renal pelvis and calyces. Patients typically exhibit symptoms such as fever, back pain, and may also experience visible blood in the urine. The condition often has a severe onset. The common pathogens causing this type of infection primarily include bacteria, fungi, and viruses, among which the vast majority of cases are caused by bacterial infections. Furthermore, Gram-negative bacilli constitute the majority of these bacteria, with Escherichia coli being the most common.
Is pyelonephritis easy to treat?
Pyelonephritis is generally not difficult to treat. Because the condition often appears quite aggressive, it is caused by bacteria entering the urinary system through the urethra, leading to an inflammatory response. Therefore, the primary treatment involves using antibiotics to kill the bacteria. Most of the bacteria causing pyelonephritis are Gram-negative rods, so antibiotics sensitive to Gram-negative rods are often chosen. After a treatment course of 10-14 days, the patient's condition is generally controllable and curable. However, there are also a few cases of chronic pyelonephritis, involving complex factors related to urinary tract infections, such as urinary tract malformations, urinary system stones, prostate hyperplasia, diabetes, etc., which make treatment more difficult. (Medication should be used under the guidance of a doctor.)
Is pyelonephritis serious?
Pyelonephritis, also known as an upper urinary tract infection, occurs in the majority of cases when bacteria enter the renal pelvis and calices, causing an inflammatory response. This condition is indeed characterized by severe symptoms and an aggressive onset. Patients may suddenly develop a fever, with temperatures even exceeding 39°C, and experience back pain. Some patients may also exhibit clinical signs such as hematuria. The symptoms are indeed severe, and there is a pronounced systemic inflammatory response, leaving patients feeling listless, dizzy, headachy, and lacking appetite. However, the treatment for this disease generally yields good results. After antibiotic treatment, most patients can gradually see symptom relief within 3 to 5 days, and the condition is mostly curable after 10 to 14 days of medication.
How do you get pyelonephritis?
Pyelonephritis is a clinical type of urinary tract infection, which refers to the inflammatory disease caused by the growth and reproduction of various pathogens in the renal pelvis. Pyelonephritis is usually divided into acute pyelonephritis and chronic pyelonephritis. Acute pyelonephritis is primarily characterized by frequent urination, urgency, painful urination, chills, fever, back pain, overall muscle soreness, and tenderness or percussion pain in one or both kidney areas. Chronic pyelonephritis, on the other hand, shows varying degrees of bilateral renal damage, reduced kidney size, rough surfaces, renal papillary scars, renal tubular atrophy, and chronic inflammation signs such as lymphocyte infiltration in the renal interstitium. Chronic pyelonephritis typically presents with low-grade fever, weight loss, backache, and anemia. Therefore, sufficient attention should be given to pyelonephritis, as chronic pyelonephritis can lead to uremia in patients.
How is pyelonephritis treated?
Whether it is the treatment of acute pyelonephritis or chronic pyelonephritis, first of all, personal hygiene should be emphasized, physical fitness should be enhanced, water intake should be increased, and urination should be frequent. In addition, for patients with acute pyelonephritis, the main treatment is the use of sensitive antibiotics, which can be either semi-synthetic penicillin or cephalosporins, and fluoroquinolone antibiotics can also be used. For chronic pyelonephritis, if the patient has urinary anatomical or functional abnormalities, such as the presence of urinary stones or urinary obstruction, active surgical treatment can be considered to relieve the obstruction. Furthermore, patients with chronic pyelonephritis who also have hypertension and edema can appropriately use antihypertensive drugs and diuretics to control blood pressure and edema, which can play a role in protecting kidney function. (The use of medications should be conducted under the guidance of a doctor.)
The difference between pyelonephritis and nephritis
Pyelonephritis and nephritis are two completely different diseases. Pyelonephritis is an infectious disease caused by bacteria, viruses, mycoplasma, chlamydia, etc. Treatment generally requires the use of antibiotics. The vast majority of patients can fully recover within two weeks under the treatment of sensitive antibiotics, without any sequelae. On the other hand, nephritis is mostly an autoimmune disease, not an infectious disease caused by pathogens. Therefore, its treatment does not require the use of antibiotics. Treatment usually involves ACE inhibitors or ARB type RUSH blockers, glucocorticoids, immunosuppressants, cytotoxic drugs, etc., and the course of nephritis is relatively long, with some patients having relatively poor prognosis. (Please use medication under the guidance of a doctor.)