Pyelonephritis is inflammation of the kidney tissue. A person of any age can get sick with pyelonephritis, but more often they get sick:

  • children under 7 years old, in whom the disease is associated with anatomical features of development;
  • girls and women aged 18–30 years, in whom the appearance of pyelonephritis is associated with the onset of sexual activity, with pregnancy or childbirth;
  • elderly men suffering from prostate adenoma.

In addition to the above, one of the most common causes of pyelonephritis is urolithiasis and frequent bouts of renal colic.

With all these diseases and conditions, the outflow of urine from the kidney is disturbed, which makes it possible for microorganisms to multiply in it. Also contributing to the development of pyelonephritis are factors such as a decrease in the overall immunity of the body, diabetes mellitus, and chronic inflammatory diseases. In its course, pyelonephritis can be acute and chronic.

How does acute pyelonephritis manifest?

Pyelonephritis begins suddenly, the temperature rises sharply to 39–40 degrees C, weakness, headache, profuse sweating are found, nausea and vomiting are possible. Along with the temperature, pain in the lower back is detected, usually on one side. The pains are dull in nature, but their intensity can be different. Urination in uncomplicated form of pyelonephritis is not disturbed.

What does a urologist do when treating a patient with pyelonephritis

Blood tests, urine tests are carried out, as well as studies that show the general condition of the urinary tract (ultrasound, X-ray studies). The diagnosis of acute pyelonephritis is traditionally not difficult.

What happens if you don’t see a doctor

If untreated, the disease either becomes chronic, or suppurative processes develop – an apostematous form of pyelonephritis, an abscess or carbuncle of the kidney. Suppurative processes are manifested by a worsening of the patient’s condition, sharp jumps in temperature (from 35-36 in the morning to 40-41 degrees C in the evening).


Patients with acute pyelonephritis must be treated in a hospital. The uncomplicated form of pyelonephritis is treated conservatively, antibacterial, detoxification and immunostimulating therapy is carried out. Treatment is carried out until microbes completely disappear from the patient’s urine. Usually it is 2-3 weeks. With suppurative complications, surgery is indicated. Sometimes it is necessary to resort to surgical intervention also in case of urolithiasis, if the stone does not move away on its own and cannot be removed by instrumental methods.

How does chronic pyelonephritis manifest?

Chronic pyelonephritis, as a rule, is a consequence of undertreated acute pyelonephritis, when it was possible to remove acute inflammation, but it was not possible to completely destroy all pathogens in the kidney, nor to restore the normal outflow of urine from the kidney. Chronic pyelonephritis can constantly disturb the patient with dull aching pains in the lower back, especially in damp cold weather. In addition, chronic pyelonephritis worsens from time to time, and then the patient shows all the signs of an acute process. Treatment of chronic pyelonephritis is fundamentally the same as acute, but longer and more laborious.

Prevention of pyelonephritis

The main recommendation for the prevention of pyelonephritis is the treatment of the underlying disease, which can lead to its development, in the first place – urolithiasis and prostate adenoma, as well as all diseases accompanied by a violation of the outflow of urine from the kidney. Pregnant women, especially those with multiple pregnancy, polyhydramnios, with a large fetus and with a narrow pelvis, will need to conduct a bacteriological urine test and a study of urodynamics at least once a month.

Articles from the forum on the topic ” Pyelonephritis “

how to cure pyelonephritis (kidney disease)?

Answer #1

if acute – then antibiotics, if chronic – then not cured at all, you can achieve a stable remission.

Answer #2

This is a very serious disease that should be treated by specialists, preferably nephrologists.

Answer #3

And if they recommend medicines, it’s not what you need that you may not go (even if it is from pyelonephritis)
You need a consultation with a NEPHROLOGIST
+ it is advisable to pass OAM according to Nechiporenko.
Good luck!

Answer #4

First, figure out if there are stones or sand and what kind they are (chemically). And then you will be told how to treat. They are different and are treated differently. Good luck!

Answer #5

The cause of pain in the kidneys can be inflammatory processes, such as pyelonephritis and, as a result of inflammatory processes in the kidneys, nephrolithiasis, as well as autoimmune kidney damage – glomerulonephritis. If this is an inflammatory process (pyelonephritis, cystitis), then this requires stimulation of antimicrobial immunity, that is, rubbing the hands: the back of the hand and the outer part of the forearm up to the elbow inclusive, and legs: the instep of the foot and lower leg from all sides up to the knee inclusive. Rubbing is done every day, and preferably several times a day until the burning sensation and pain disappear when rubbing the skin. In the case of an autoimmune reaction of the body against the background of stimulation of antimicrobial and antiviral immunity, an additional massage of antiallergic zones is required, which correspond to the area of ​​​​junction of the zygomatic bones with the bone of the upper jaw or, in a simple way, massage of the cheeks. Kidney stone disease requires an integrated approach, for this you need to delve into the causes of stones, sand in the kidneys. The reason for the formation of stones is a change in the pH of urine as a result of a chronic inflammatory process in the kidneys. To eliminate inflammation, stimulation of antimicrobial immunity, rubbing the legs of the hands is required. As a result of strengthening the immune system, the inflammatory process in the kidneys is eliminated and, as a result, the pH is normalized and the stones dissolve. To relieve pain that occurs when stones pass through the ureter and relax the muscles of the ureter, it requires exposure to the point of the ureter and the kidney, which is located on the ear on the lower leg of the antihelix. The index finger is placed on the lower leg of the antihelix and the left and right ears are massaged with medium force with an up and down movement. Where there is more soreness, there and more often massage every day and every day several times until the soreness under the finger is completely eliminated. Locally, in the area of ​​soreness, standing, sitting or lying on the side with the thumb of the hand, press through the muscle group on the transverse processes of the vertebrae of the lumbar spine with an average effort, if soreness occurs, hold this soreness for about ten seconds, the position of the thumb changes, there is pain, this painful place is pressed down and again held for about ten seconds. And so for about 3 – 5 minutes every day and several times a day until complete relief from pain in the lumbar region, which is found when pushing. During the pushing of the thumb, the remaining fingers are directed forward, a clasping position of the palm is created, while the thumb presses on the transverse processes. To improve the kidneys, an additional impact on the points of the kidneys, which are located on the spine from the abdomen, is also required. But before the impact on the spine, we anticipate the impact on the skin of the abdomen, we pinch and grind the skin of the abdomen, especially its painful places several times a day and a day, it is possible through clothing, until the pain in the skin of the abdomen is completely eliminated. And now the technique of pushing the spine from the side of the abdomen: with the thumb we push the spine through the stomach. The hand that exercises pressure, we strengthen the other. On the left and right, at a distance of 3-4 centimeters from the midline of the abdomen, press the thumb on the stomach in the direction of the spine, reach soreness and hold this soreness for 30 seconds. We retreat down or up by 3-4 centimeters and again press and hold. So it is necessary to push the entire spine from all sides, including pressure from the bottom up on the protrusion of the fifth lumbar vertebra, (on the promontorium) every day and every day 1-2-3 times until the pain on the spine completely disappears when pushing. Pressure can also be exercised with improvised objects, the neck of a plastic bottle, a hammer handle, a rolling pin. Plots of pain to push especially often and carefully. (on the promontorium) every day and every day 1-2-3 times until the pain on the spine completely disappears when pressed. Pressure can also be exercised with improvised objects, the neck of a plastic bottle, a hammer handle, a rolling pin. Plots of pain to push especially often and carefully. (on the promontorium) every day and every day 1-2-3 times until the pain on the spine completely disappears when pressed. Pressure can also be exercised with improvised objects, the neck of a plastic bottle, a hammer handle, a rolling pin. Plots of pain to push especially often and carefully.

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