Negligence in kidney infection is fatal

In this, bacteria called E-coli infects the kidneys (one or both) from the anus to the urinary tract and then through the bladder. In medical science it is called pyelonephritis. Completely cured with treatment, but failure in treatment can lead to kidney failure and life-threatening infections like sepsis. It can happen at any age but 65 Those above the year easily fall prey to it.

Talking to Dr. Dinesh Kumar Yadav, Senior Consultant, Department of Nephrology (Kidney and Urology Institute), Medanta-The Medicity (Haryana) about kidney infection, it has come to know that it is a painful life-threatening disease that breaks the body, in which e- Coli infects the kidneys (one or both) from the anus to the urinary tract and then through the bladder, in medical science this is called pyelonephritis. Completely cured with treatment, but failure in treatment can lead to kidney failure and life-threatening infections like sepsis. It can occur at any age, but people above 65 years are easily affected by it.

Women are six times more at risk of kidney infection than men, this is due to the shorter urethra (urinary track) of women, which allows bacteria to reach the kidneys more easily. Young women are more prone to kidney infection due to more sexual activity. Young children are more prone to it especially those born with an abnormality of the urinary tract i.e. vesico-uretic reflux ie, in which there is a reverse flow of urine from the bladder to the kidney.

What symptoms emerge?

Symptoms usually appear within a few hours, such as pain in the lower back and around the genitals, pain on one side of the armpit, high fever, shivering, chills, feeling weak or tired, loss of appetite, nausea, vomiting and diarrhea. Severe pain or burning during urination, frequent or urgent urination, inability to urinate, blood or odor in the urine, and pain in the lower abdomen. In children, these manifest as lack of energy, irritability, loss of appetite, vomiting, slow growth, abdominal pain, jaundice, bloody-smelling urine, and bed-urination.

What is the cause of kidney infection?

The main reason for this is the entry of E-coli bacteria into the kidney. It usually resides in the large intestine and moves up through the urinary tract from the anus to the end of the urethra, infecting first the bladder and then the kidneys. This happens when dirty water or toilet paper comes in contact with the genitals while cleaning the buttocks after going to the toilet. This also happens during sex, people who have anal sex are more likely to do it. Kidney infection in people with weak immunity can be caused by fungus or skin infecting bacteria but this is rare. Indirect causes are kidney stones, prostate enlargement, prostatitis, constipation, urinary tract abnormalities, spinal cord injury that does not allow the bladder to empty completely, diabetes, urinary catheters, physical changes in pregnancy.

When to see a doctor?

See a doctor if fever is accompanied by persistent pain in the abdomen, lower back, or genitals, or a change in the normal order of urination. Most cases of kidney infection require prompt treatment with antibiotics to protect the kidneys from damage caused by the infection and to prevent the infection from spreading into the bloodstream.

If there is any pre-existing health problem or pregnancy, then get admitted to the hospital for treatment, because there antibiotics can be easily given through intravenous drip which is the most effective method of treatment and the patient feels completely healthy in two weeks. start doing. Delay in treatment leads to complications such as blood poisoning (sepsis) and abscess of pus in the kidney.

What complications can happen?

If the treatment of kidney infection is started early, then it gets cured without any complications. People above 65 years of age, children, pregnant women, diabetics and skill cell anemia sufferers, kidney transplant and those with weak immunity are at risk of complications. When such people are admitted to the hospital for the treatment of any disease, then take special care because the chances of kidney infection are highest in the hospital.

Abscess or (pus in kidney): This is a rare but serious complication. In this, pus is formed in the inner tissue of the kidney. Diabetic people have a higher risk of this, it is a serious condition in which the bacteria of kidney infection can spread to other parts of the body through the bloodstream, which is very fatal. Small abscesses are treated with antibiotics through a drip, but large abscesses require surgery, which involves inserting a needle into the kidney to drain the pus.

Sepsis (blood-Toxicity): The function of the kidney is to clean the blood, if in this process the bacteria of kidney infection go into the blood supply, then it will spread throughout the body and all the organs will be affected by it. In sepsis, there is a drop in blood pressure, dizziness on standing, shivering with sweating, high fever, breathlessness, pale skin with rapid heartbeat. Remember, sepsis is a medical emergency that requires an ICU and high-powered antibiotics. If the patient is diabetic and is taking drugs such as metformin or angiotensin-converting drugs, then these have to be stopped until recovery, otherwise there is a risk of kidney failure.

EPN Infection: Emphysema pyelonephritis (EPN) is life-threatening, in which kidney tissue is rapidly destroyed due to the release of toxic gas inside the kidney by bacteria caused by infection. The exact cause of EPN is still unclear, but most cases of diabetes are attributed to this infection. This is a medical emergency, in which the infected part of the kidney is removed by surgery and in more severe cases only the infected kidney has to be removed.

Kidney failure: In severe cases, kidney failure occurs due to permanent kidney damage caused by infection. In this situation, dialysis or kidney transplant is needed.

How is it confirmed?

Confirmation of this requires medical history, symptoms and physical examination followed by urine test, blood test, CT scan, ultrasound and isotope scan.

What is its treatment?

Most people with kidney infections can be treated at home with a 7 to 14 day course of antibiotics and analgesics. Most are given antibiotics such as ciprofloxacin or co-amoxiclav, except for pregnant women.

Pregnant women are given an antibiotic called Cephalexin for 14 days. Generally, they begin to feel better soon after the start of treatment, and after two weeks, the sufferer begins to feel well. Take adequate rest during treatment Because kidney infection is a physically exhausting disease, it may take up to two weeks to return to work or be fit enough. If you do not see any signs of improvement after 24 hours of starting treatment, contact your doctor.

When is a hospital needed?

Although kidney infections can be treated at home, some conditions require hospitalization such as severe dehydration, inability to take medications, high heart rate, drowsiness, pregnancy, high fever, even 24 hours after taking antibiotics. Not improving symptoms, weakened immunity, having a kidney stone or catheter in the urinary tract, diabetes, over 65 years of age, suffering from polycystic kidney disease or any other disease.

Prioritize hospital treatment in children with kidney infections rather than at home, providing fluids and antibiotics through a drip, and regular blood and urine tests to see if drugs are effective. Antibiotics are given through a light dose tablet after drip is stopped, most of them go away in three to seven days.

prevent kidney infection

Keeping the bladder and urethra free from bacteria can reduce the chances of kidney infection with very simple measures, such as drinking plenty of fluids and practicing good genital hygiene. The main reason for this is urinary track infection ie UTI, to prevent it, drink at least three liters of water daily. Drinking cranberry juice helps prevent urinary tract infections, but cranberry juice is prohibited for those taking blood thinners and anti-clotting medications.

Go to the bathroom immediately if you feel the urge to urinate, wipe from front to back after going to the toilet, make it a habit to wash the genitals thoroughly before intercourse, urinate after intercourse, if you are a woman, without using a toilet seat Avoid using it while sitting because it does not empty the bladder completely and urine remains in it.

Constipation increases the chances of urinary tract infection (UTI), so seek treatment for constipation immediately. For this, add 20-30 grams of fiber daily to the diet, drink plenty of water and use enema for a short time. If constipation doesn’t get better within 14 days, see a doctor.

Avoid using spermicidal condoms if you have a urinary tract infection (UTI), as spermicidal chemicals increase bacterial growth. Similarly, perfumed condoms cause irritation in the urinary tract which is more vulnerable to infection.

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