What are the common side effects of Azo Urinary Pain Relief. How does Azo interact with other medications. What are the symptoms of urinary tract infections and kidney infections. How can UTIs be treated effectively.

Understanding Azo Urinary Pain Relief and Its Side Effects

Azo Urinary Pain Relief, also known by its generic name phenazopyridine, is a medication commonly used to alleviate urinary tract discomfort. While it can provide much-needed relief, it’s crucial to be aware of potential side effects.

Common Side Effects of Azo

Some of the more frequently reported side effects of Azo include:

• Headache
• Dizziness
• Stomach upset
• Orange or reddish discoloration of urine
• Skin discoloration

Are these side effects a cause for concern? In most cases, these common side effects are mild and temporary. However, if they persist or worsen, it’s advisable to consult a healthcare professional.

Severe Side Effects to Watch For

While less common, some users may experience more severe side effects that require immediate medical attention:

• Allergic reactions (rash, itching, swelling)
• Difficulty breathing
• Severe dizziness
• Unusual bleeding or bruising
• Yellowing of skin or eyes (jaundice)

When should you seek medical help for Azo side effects? If you experience any of these severe symptoms, it’s crucial to contact your healthcare provider immediately or seek emergency medical care.

Azo Urinary Pain Relief Interactions: What You Need to Know

Understanding how Azo interacts with other medications is vital for ensuring safe and effective treatment. According to the information provided, Azo Urinary Pain Relief has known interactions with 46 drugs.

Breaking Down Azo’s Drug Interactions

These interactions are categorized as follows:

• 16 major interactions
• 30 moderate interactions
• 0 minor interactions

Why is it important to be aware of these interactions? Drug interactions can alter the effectiveness of medications and potentially lead to adverse effects. It’s crucial to inform your healthcare provider about all medications you’re taking before starting Azo.

Disease Interactions with Azo

In addition to drug interactions, Azo Urinary Pain Relief has 3 known disease interactions. This underscores the importance of discussing your complete medical history with your healthcare provider before using this medication.

How can you ensure safe use of Azo? Always consult your healthcare provider or pharmacist about potential interactions, especially if you have existing health conditions or are taking other medications.

Recognizing UTI Symptoms: More Than Just Discomfort

Urinary Tract Infections (UTIs) can manifest in various ways, and understanding these symptoms is crucial for timely treatment.

Common UTI Symptoms

The most prevalent symptoms of a UTI include:

• Pain or burning sensation during urination
• Frequent urge to urinate, even with little output
• Cloudy or strong-smelling urine
• Lower abdominal pain
• Blood in urine

Why does a UTI cause these symptoms? These symptoms occur as your body’s response to the bacterial infection in the urinary tract, signaling that something is amiss and needs attention.

Kidney Infections: When UTIs Escalate

Kidney infections, a more serious form of UTI, require prompt medical attention due to their potential for causing significant health complications.

Distinguishing Kidney Infection Symptoms

Symptoms specific to kidney infections include:

• Fever and chills
• Nausea and vomiting
• Lower back pain (where the kidneys are located)
• Fatigue and general malaise

Why are kidney infections more serious than typical UTIs? Kidney infections can lead to permanent kidney damage and potentially spread to the bloodstream, causing a life-threatening condition called sepsis if left untreated.

UTI Treatment Approaches: From Home Remedies to Medical Interventions

Effective treatment of UTIs often involves a combination of medical interventions and supportive home care measures.

Medical Treatments for UTIs

The primary medical treatment for UTIs includes:

1. Oral antibiotics prescribed by a healthcare professional
2. Pain relief medications like Azo Urinary Pain Relief
3. In severe cases, hospitalization for intravenous antibiotics

Why are antibiotics necessary for treating UTIs? Antibiotics target and eliminate the bacteria causing the infection, which is essential for resolving the UTI and preventing its spread to the kidneys.

Supportive Home Care Measures

In addition to medical treatments, several home care strategies can help manage UTI symptoms and support recovery:

• Increased fluid intake to flush out bacteria
• Urinating frequently to help eliminate bacteria
• Applying a warm compress to the lower abdomen to relieve pain
• Avoiding irritants like caffeine, alcohol, and spicy foods

How do these home remedies help with UTIs? These measures can help alleviate symptoms, support the body’s natural defenses, and complement medical treatments for faster recovery.

Preventing UTIs: Proactive Measures for Urinary Health

While not all UTIs are preventable, certain lifestyle changes and habits can significantly reduce your risk of developing these infections.

Hygiene and Lifestyle Practices

Key preventive measures include:

• Wiping from front to back after using the toilet
• Urinating after sexual intercourse
• Staying well-hydrated
• Avoiding holding urine for long periods
• Wearing breathable, cotton underwear

Why are these practices effective in preventing UTIs? These habits help minimize the introduction and spread of bacteria in the urinary tract, reducing the likelihood of infection.

Dietary Considerations

Certain dietary choices may also play a role in UTI prevention:

• Consuming cranberry products (juice or supplements)
• Increasing vitamin C intake
• Limiting caffeine and alcohol consumption

How do these dietary choices impact UTI risk? While research is ongoing, some studies suggest that these dietary modifications may help create an environment less favorable for bacterial growth in the urinary tract.

Special Considerations: UTIs in High-Risk Groups

Certain populations are at higher risk for developing UTIs and may require special attention and care.

High-Risk Groups for UTIs

Individuals at increased risk include:

• Pregnant women
• Elderly individuals
• People with diabetes
• Those with kidney problems
• Individuals with compromised immune systems
• People using catheters

Why are these groups more susceptible to UTIs? Factors such as hormonal changes, weakened immune systems, and altered urinary tract function can increase vulnerability to bacterial infections in these populations.

Special Care and Prevention for High-Risk Individuals

Additional preventive measures for high-risk groups may include:

• More frequent medical check-ups
• Prophylactic antibiotics in some cases
• Stricter adherence to hygiene practices
• Regular urinalysis screenings

How can high-risk individuals best protect themselves from UTIs? Close collaboration with healthcare providers, vigilant monitoring of symptoms, and strict adherence to preventive measures are crucial for managing UTI risk in these populations.

Understanding the Urinary Tract: Anatomy and Function

A clear understanding of urinary tract anatomy can provide valuable context for recognizing and managing UTIs.

Components of the Urinary Tract

The urinary tract consists of:

1. Urethra: The tube that carries urine out of the body
2. Bladder: The organ that stores urine
3. Ureters: Tubes connecting the bladder to the kidneys
4. Kidneys: Organs that filter waste from the blood to produce urine

Why is understanding urinary tract anatomy important for managing UTIs? Knowing the structure of the urinary system helps in identifying the location and potential severity of infections, guiding appropriate treatment approaches.

How UTIs Affect Different Parts of the Urinary Tract

UTIs can affect various parts of the urinary system:

• Urethritis: Infection of the urethra
• Cystitis: Infection of the bladder
• Pyelonephritis: Infection of the kidneys

How does the location of the infection impact symptoms and treatment? The specific symptoms and potential complications can vary depending on which part of the urinary tract is affected, influencing the urgency and approach to treatment.

In conclusion, understanding Azo Urinary Pain Relief, its side effects and interactions, as well as the intricacies of urinary tract infections, is crucial for effective management and prevention of UTIs. By staying informed and vigilant, individuals can take proactive steps to maintain urinary health and seek timely medical attention when needed. Remember, while over-the-counter medications like Azo can provide symptom relief, proper diagnosis and treatment by a healthcare professional are essential for addressing the underlying cause of urinary discomfort.

Azo Urinary Pain Relief Interactions

1. Drugs A to Z
2. Azo Urinary Pain Relief
3. Interactions

A total of 46 drugs are known to interact with
Azo Urinary Pain Relief (phenazopyridine)
categorized as 16 major, 30 moderate, and 0 minor interactions.

Does Azo Urinary Pain Relief interact with my other drugs?

Enter other medications to view a detailed report.

Most frequently checked interactions

View interaction reports for Azo Urinary Pain Relief (phenazopyridine) and the medicines listed below.

• Major
• Moderate
• Minor
• Unknown

Azo Urinary Pain Relief (phenazopyridine) disease interactions

There are 3 disease interactions with Azo Urinary Pain Relief (phenazopyridine) which include:

More about Azo Urinary Pain Relief (phenazopyridine)

Related treatment guides

Drug Interaction Classification

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

UTI Symptoms: Pain in the Lower Back

A Urinary Tract Infection (UTI) can be a pain. Several pains, in fact. You may feel UTI pain when you urinate, in your urethra and in your back. Pain has a very basic role–it’s your body’s way of telling you, “Hey! I need a little help here!” Unfortunately, that may be about all the pain can tell you. It’s your job to look at the rest of your symptoms to see just what help is actually needed.

General UTI Symptoms

One of the most obvious symptoms of a UTI is pain during urination. Other UTI symptoms may include pain in your lower abdomen, or the need for frequent urination, even when you don’t have to go, or only have a little urine to pass. Urine that is consistently cloudy or strong smelling is another common UTI symptom. Blood in the urine can be a symptom of a UTI as well. All of these are important in recognizing a problem in your urinary tract.¹

The urinary tract starts with the urethra. It continues to your bladder, and from there it passes along each ureter (the tube connecting your bladder to your kidney) all the way up to the kidneys themselves. A UTI can occur anywhere along this urinary tract. The symptoms of a UTI may vary, depending on where exactly the infection has begun, or to where it has spread. Most often a UTI begins as a bladder infection. Bladder infections are not generally considered medical emergencies; although, some people may be at higher risk for complications, including pregnant women, the elderly, and people with diabetes, kidney problems, or a compromised immune system. People who use catheters are especially at risk for urinary tract infections.²That is why it is important to seek the advice of a medical professional.

Kidney Infection Symptoms

A kidney infection is more serious than a urinary tract infection. Symptoms for kidney infections include fever, chills, nausea, vomiting, and pain in your lower back–where your kidneys actually are. The main danger of any UTI is that it may spread to the kidneys. From there, bacteria can cause damage to the kidneys, resulting in reduced kidney function. Also, because the kidneys are a primary part of the body—filtering out waste products from the bloodstream—infections can spread back through the bloodstream to other organs.

UTI Treatments

The first step to diagnose a UTI is a urinalysis. This is a test that is meant to detect bacteria and abnormal counts of white blood cells. At home urinalysis tests can be useful to aid in detection, but if you have reason to believe you have a UTI, it’s important to seek the advice of a medical professional. Oral antibiotics can be very effective in fighting a urinary tract infection and can only be prescribed by a doctor, physician’s assistant, or nurse practitioner.

There are also steps you can take on your own to help relieve UTI symptoms including, increased hydration (to encourage increased purging of bacteria). In the case of a kidney infection, one common home remedy is applying a hot water compress to the location of the pain. This will help lower pressure affecting the bladder, relieving pain. The heat helps to both decrease the inflammation while also aiding in reducing the bacteria growth causing the infection.³ However, remember these steps are methods of relieving the symptoms only–not a means of treating the infection itself.

UTIs are a pain. Literally. But pain can be a good thing, if it gets you to take notice. Even better, if it gets you to take action.

Ways To Relieve Kidney Pain at Home

Home Remedies for Kidney Pain 

Kidney pain can be the result of a multitude of things, from urinary tract infections to kidney stones. While we suggest that anyone who experiences kidney pain visits their urologist, there are ways to treat kidney pain from the comfort of your own home. 

If you or a loved one are experiencing mild to moderate pain in your kidney, this list of home remedies should offer relief. Below, you’ll learn the most common causes of kidney pain and how to treat this type of pain at home. 

It’s important to note that while kidney pain is a common symptom of urinary issues, it may be a warning sign of a more serious problem. If kidney pain is recurrent, severe, or accompanied by other symptoms, contact your urologist immediately. 

What Causes Kidney Pain?

The most common causes of kidney pain are:

• Urinary tract infection (UTI)
• Kidney infection
• Kidney stones
• Bladder infection

Urinary Tract Infection

A urinary tract infection is an infection that occurs in any part of your urinary tract — your kidneys, bladder, ureters and urethra. The most common symptoms of a UTI are frequent trips to the bathroom, burning sensations when urinating, dark colored urine, urine that appears to have blood in it, bladder discomfort and kidney pain.  

Kidney Infection

UTIs can occur in both the lower and upper urinary tract. Infections in the upper urinary tract are kidney infections. The symptoms of a kidney infection include pain in the upper abdomen, fever or chills, nausea and vomiting. 

Kidney infections can become serious very quickly, and are usually the result of an untreated UTI or bladder infection. Contact your urologist if you are experiencing the symptoms of kidney infection.

Kidney Stones

Kidney stones are also extremely common. In fact, one in 10 people will experience a kidney stone at some point in their life. Kidney stones are hard, mineral based masses that typically form in the kidneys or urinary tract and cause an immense amount of pain. About 90 percent of stones can be treated to pass through the system on their own, but some are too large and will require surgery to remove. 

Kidney stone symptoms are typically severe pain in the back and side, and pain that radiates and fluctuates between the lower abdomen and groin. In addition, urination will likely be painful, discolored and odorous. Kidney stones may also cause nausea and vomiting. 

Bladder Infection

A bladder infection is simply a bacterial infection in the bladder. Bladder infections can also be referred to as urinary tract infections since your bladder is a part of the urinary tract. The symptoms of a bladder infection are pain while urinating, cloudy or bloody urine, frequent urination, foul-smelling urine and cramping or pain in the lower back or abdomen. 

Pain in the kidneys could also be an indicator of kidney cancer, bleeding in your kidneys, polycystic kidney disease (PKD), or blood clots in your kidneys. It’s important to schedule an appointment with your urologist if pain is persistent or severe, or if you are experiencing the symptoms of a kidney infection. 

10 At-Home Solutions for Kidney Pain

Now that we’ve discussed what might be causing your kidney pain, let’s dive into the 10 ways you can alleviate this type of pain at home. 

For Urinary Tract Infections

Since three of the most common causes of kidney discomfort (UTI, bladder infection and kidney infection) occur in the urinary tract, here are some remedies to relieve pain in the kidneys related to the urinary tract:

1. Stay Hydrated

Hydration is key to relieving pain in the kidneys since water will help flush bacteria out of the body. Plus, staying hydrated will help clear out the urinary tract as a whole and work to eliminate any possible infections. 

Many specialists recommend the 8×8 rule, meaning you should drink eight 8 oz. glasses of water a day. However, water intake is highly dependant on you and your health, so take this article into consideration when determining your daily amount of water intake. 

2. Drink Cranberry Juice

While not scientifically proven, cranberry juice is known to be a remedy for urinary tract infections. If you choose to alternate between cranberry juice and water, be sure to choose a cranberry juice that isn’t packed full of additional sweeteners. A cranberry supplement or pure cranberry juice is always the best way to go! 

3. Take Probiotics

It’s no secret that probiotics are beneficial for you, especially when it comes to fighting bacteria and kidney pain. Studies show that probiotics can improve kidney function and assist in processing waste too. 

4. Drink Parsley Juice

While the thought of drinking parsley juice likely doesn’t sound appealing, it can increase urination and help flush out bacteria. Parsley juice is a nutrient-dense diuretic, which can aid in increasing the frequency of urination. 

You can also mix parsley into a smoothie to make drinking it more bearable. Check out these recipes for inspiration! 

5. Take a Warm Epsom Salt Bath

A warm bath filled with Epsom salts will help relax you while relieving intense kidney pain. While it won’t eliminate pain long-term, it can help ease the discomfort. 

6. Apply Heat

Heat therapy can be very useful for kidney pain reduction as well. Place a heating pad on the affected area for around 20 minutes at a time for successful pain reduction. 

7. Use Non-Aspirin Pain Killers

Non-aspirin pain killers such as Ibuprofen, Motrin and Advil can help reduce pain in the kidneys, too. If you are experiencing a fever with kidney discomfort, take Tylenol to relieve the pain and potentially break the fever. 

For Kidney Stones

While most of the remedies above will help ease kidney stone pain as well, there are more specific solutions for kidney stones, such as:

1. Monitor Your Alcohol Consumption

Interestingly enough, alcohol — specifically wine — can be useful for preventing kidney stones and providing pain relief. The antioxidants in wine are beneficial for kidney health and the extra fluid intake will help flush any stones out of your system as long as they’re passable. 

However, you don’t want to drink only alcohol. Limit your libation intake to 12 ounces of beer or five ounces of wine per day in addition to water. 

2. Add Citrus To Your Water

Lemon juice contains citrate, which is known to prevent calcium stones from forming and break apart existing stones. Adding freshly squeezed lemon juice to your water will help work against kidney stones and flush them out of your system. 

Plus, as we mentioned earlier, staying hydrated by drinking plenty of water will help relieve kidney discomfort.  

3. Choose Acidic Beverages

Basil, celery and pomegranate juices are known to fight kidney stones and relieve pain in the kidneys as well. Each contain antioxidants which will improve your kidney health and flush toxins out of your kidneys. 

However, these types of juices aren’t for everyone so we suggest asking your urologist before drinking basil, celery or pomegranate juice.  

Not All Kidney Pain is Treatable With At-Home Remedies

While these solutions may help relieve, or in some cases eliminate, mild kidney pain, they will not stop infections from spreading. When left untreated, even the occasional UTI can turn into something more severe, which is why it’s always in your best interest to contact your urologist when you are experiencing any type of pain in your kidneys. 

Based on your symptoms, an in-office visit may not be required. Talk to your urologist and ask questions about the type of pain you are experiencing. They will be able to tell you if at-home remedies are possible, or if you need to schedule an appointment.

As always, feel free to contact us with any questions you may have. And don’t forget to download our Nutrition & Lifestyle Guide before you go for more health and wellness tips from our urological experts!

Access The Guide

Kidney Infection – Kidney and Urinary Tract Disorders

Pyelonephritis is more common among women than men. Escherichia coli, a type of bacteria normally in the large intestine, causes about 90% of cases of pyelonephritis among people who are not hospitalized or living in a nursing home. Infections usually ascend from the genital area through the urethra to the bladder, up the ureters, into the kidneys. In a person with a healthy urinary tract, an infection is usually prevented from moving up the ureters into the kidneys by the flow of urine washing organisms out and by closure of the ureters at their entrance to the bladder. However, any physical blockage (obstruction) to the flow of urine, such as a structural abnormality, kidney stone, or an enlarged prostate gland, or the backflow (reflux) of urine from the bladder into the ureters increases the likelihood of pyelonephritis.

The risk of pyelonephritis is increased during pregnancy. During pregnancy, the enlarging uterus puts pressure on the ureters, which partially obstructs the normal downward flow of urine. Pregnancy also increases the risk of reflux of urine up the ureters by causing the ureters to dilate and reducing the muscle contractions that propel urine down the ureters into the bladder. Occasionally, a catheter that remains in the bladder can cause pyelonephritis by allowing bacteria to enter or remain in the bladder.

In about 5% of cases, infections are carried to the kidneys from another part of the body through the bloodstream. For instance, a staphylococcal skin infection can spread to the kidneys through the bloodstream.

The risk and severity of pyelonephritis are increased in people with diabetes or a weakened immune system (which reduces the body’s ability to fight infection). Pyelonephritis is usually caused by bacteria, but rarely it is caused by tuberculosis (a rare bacterial cause of pyelonephritis), fungal infections, and viruses.

Some people develop long-standing infection (chronic pyelonephritis). Almost all of them have significant underlying abnormalities, such as a urinary tract obstruction, large kidney stones that persist, or, more commonly, reflux of urine from the bladder into the ureters (which occurs mostly in young children). Chronic pyelonephritis can cause bacteria to be released into the bloodstream, sometimes resulting in infections in the opposite kidney or elsewhere in the body. Rarely, chronic pyelonephritis can eventually severely damage the kidneys.

How Do I Know If I Have A UTI Or A Kidney Infection?

If you have a UTI, it’s best to get it treated right away before any complications develop (and to alleviate the symptoms that go along with it). It’s possible for a UTI to get better on it’s own, but most of the time, it won’t. While home remedies can help ease some of the discomfort, a doctor can prescribe you an antibiotic that is a much quicker and more effective treatment. An antibiotic will start working immediately and, depending on how complicated your UTI is, may clear it up in a matter of days. Be sure to always take your medication how your doctor prescribes.

Learn more about Urinary Tract Infections here.

Ok, Got It. But then what is a kidney infection?

A kidney infection is, in essence, a UTI that has spread into the kidneys. While this type of infection is rare, it’s also very dangerous and if you’re experiencing any of the following signs of a kidney infection, you should see a doctor immediately:

• Upper back or side pain

• Fever, shaking or chills

• Feeling nauseous

• Vomiting

While most kidney infections can be treated simply with an antibiotic, if left untreated, a kidney infection can cause damage to your kidneys, leading to chronic kidney disease. The bacteria could even spread to your bloodstream creating a life-threatening situation.

What about kidney stones – are they involved here somehow?      

Sort of. A kidney stone isn’t an infection, but a collection of salt and minerals that hardens and turns into a “stone”.  While some stones may be small others can be much larger. They may stay in the kidney, or begin to move into the ureter, the tube that connects the kidney and the bladder. When this happens, kidney stones can become extremely painful. 

Kidney stones can be tricky, since they may have many of the same symptoms as a UTI or a kidney infection – pain when urinating, needing to urinate often, and cloudy or strong smelling urine, blood in the urine, fever, nausea or vomiting. And while stones often pass on their own, larger stones sometimes need to be broken up, or removed.

Sometimes, kidney stones can lead to a urinary tract infection or a kidney infection, so it’s important to get them checked out by your doctor. And, since the symptoms are so similar, getting a checkup is probably a good idea anyway just to rule out the possibility of an infection, and to make sure the stone is moving along as it should. 

Ok. So how do I make sure I never get a UTI OR A Kidney Infection?

As they say, prevention is the best cure! And there are many things you can do to ensure that you’re reducing your risk for an infection, and preventing build up from occurring in the kidneys. 

• Practice good hygiene. Always wipe from front to back, keep your genital area clean, wash before and after sex. Basically, do your best to keep bacteria from even having a chance of getting into the urinary system in the first place.

• Drink lots of water. If you’re dehydrated, you’re not only increasing your chance of a UTI, but you’re also decreasing your urine output, meaning that more minerals have a chance to build up and settle in the urinary tract or kidneys.

• Make sure to urinate whenever you feel you have to go. Don’t hold it in. This concentrates the urine allowing bacteria to build up and spread.

• Alter your diet if you find you’re prone to kidney stones. Cut down on certain meats and shellfish and opting instead for more vegetables, fruits and whole grains. Avoid consuming too much sugar. Cut back on sodium, and eat more oxalate-rich foods (things like fruits, veggies, nuts, seeds, and legumes).

And if you do start experiencing any of the symptoms above, be sure to see a doctor right away. UTIs, kidney infections, and kidney stones can usually be treated fairly easily, but it’s important to seek medical attention before any complications develop.

Can A UTI Cause Back Pain? Symptoms And Treatment Options

Burning Sensation? You May Have A UTI

A urinary tract infection or UTI happens in millions of Americans each year. A UTI can cause pain during urination and more commonly affects women. Several signs show the severity of the infection. These include intense back pain. Understanding what’s happening during a UTI can help people get the right treatment right away.

What is a urinary tract infection?

A UTI happens when foreign bacteria enter one or more parts of the urinary system. This includes the bladder, urethra, or kidneys. Because women have a shorter urethra than men, women are more likely to get infected. Some men get UTIs, and risk increases with age. Doctors classify the infections in two ways. A lower UTI affects the urinary tract and bladder. An upper UTI spreads to the kidneys and can be serious if left unchecked.

What causes the infection?

The E. coli bacteria cause UTIs in 85% of cases, with other bacteria making up the remaining 15%. There are several reasons bacteria enter the urinary system. These include pregnancy, menopause, and sexual intercourse. Urinary catheters invite bacteria into the urethra and bring a high risk of a UTI. Other reasons include bladder stones and urinary tract malformation.

Symptoms of a UTI

Pain during urination is the first and most common telltale sign. Frequent urination and even blood in the urine are other serious symptoms. A constant urge to pee, cloudy urine, and urine with an offputting smell are clear symptoms. These are signs of a lower infection. However, upper UTIs can cause more severe symptoms.

A back pain you can’t ignore

An upper UTI can cause intense back pain as the infection reaches the kidneys. People will get pain in the lower back and groin area. Back pain comes with two other symptoms: high fever and vomiting. Upper infections happen when a lower UTI goes unchecked or does not respond to antibiotics. These infections are serious and, in severe cases, need hospitalization. If not managed well, the infection can spread to the renal artery and blood, which is life-threatening.

Treatment options for UTIs

Drinking water and cranberry juice are two common recommendations for lower UTIs. However, research has shown the methods to be inconclusive. Extra liquids make urination easier but do not treat the root cause. Speaking with a doctor is the first step. Doctors will then prescribe antibiotics. As bacteria could stay in the cells of the bladder, removing the infection can be difficult. However, when caught early, antibiotics can be effective.

Fighting infections with antibiotics

For a lower UTI, a 3-7-day course of antibiotics helps treat the bacteria. Serious upper infections need hospitalization for IV antibiotics. This helps with the back pain, fever, and vomiting that happens. Once doctors get the fever under control, treatment will then move to oral antibiotics. The doctor will give a longer course of antibiotics for a secondary UTI. There are cases where antibiotics do not work or the UTI returns multiple times in a year. In these cases, consult a urologist to advise on next steps.

Take the signs seriously

UTIs can happen at almost any age in women and at an elderly age in men. Researchers are still searching for the root cause. Until then, take preventative measures to reduce the chances of the condition. For people suspecting a UTI, seek help from a doctor. If the symptoms evolve into back pain, the kidneys are infected. At that point, get medical treatment immediately.

Kidney Infection (Pyelonephritis) | Causes and Treatment

This leaflet only deals with sudden-onset (acute) kidney infection in adults. The medical term for this is acute pyelonephritis. There are separate leaflets on related topics, Cystitis in Women, Urine Infection in Pregnancy, Urine Infection in Men, Urine Infection in Children and Urine Infection in Older People. Also, this leaflet does not deal with chronic pyelonephritis, which is a condition where the kidney is scarred as a result of repeated infections.

Understanding the kidneys and urinary tract

There are two kidneys, one on each side of the tummy (abdomen), towards the back. They make urine which drains down the tubes between the bladder and kidney (ureters) into the bladder. Urine is stored in the bladder and is passed out through the tube from the bladder (the urethra) from time to time when we go to the toilet.

The urinary tract

What causes a kidney infection?

Most kidney infections develop from a bladder infection (cystitis). Bacteria travel up the tube between the bladder and kidney (ureter) to infect a kidney. These bacteria are usually those normally living in the bowel – eg, E. coli. Most people with cystitis don’t get a kidney infection.

Some kidney infections develop without a bladder infection. This is sometimes due to a problem in the kidney. For example, people are more prone to kidney infections if they have a kidney stone or an abnormality of the kidney.

It is usually only one kidney that develops an infection. A kidney infection can occur at any age. It is much more common in women. This is because women are more at risk of developing a bladder infection (which can spread to the kidneys). In women, the urethra is closer to the anus, which makes it easier for bacteria to get from the bowel to the urethra. The urethra is also shorter in women than in men, so bacteria can reach the bladder more easily.

Kidney infections are also more common in children, in older people and during pregnancy. They are uncommon in men.

What are the symptoms of a kidney infection?

Symptoms usually develop quickly, over a few hours or so, and may include:

• Pain in a loin or flank. (This is the area at the side of your back where the kidney is located).
• High temperature (fever) which may cause shivers.
• Feeling sick (nausea) and/or being sick (vomiting).
• Diarrhoea.
• Blood in the urine.
• There will also usually be symptoms of a bladder infection – for example, pain on passing urine, and going to the toilet often.

Not all of the symptoms may develop, and sometimes a kidney infection can just cause vague symptoms. For example, just feeling generally unwell but not being able to say why.

In older people a kidney infection may cause confusion. This is why a urine test is often done when an elderly person suddenly becomes confused or appears generally unwell.

Do I need any tests?

A simple test that your doctor can do is called a dipstick urine test. This involves testing a sample of your urine with a special testing strip to look for signs of infection. This test will show if a kidney infection is likely or not.

However, it is important to confirm the diagnosis and also to find out which germ (bacterium) is causing the infection. This will enable a doctor to prescribe the correct antibiotic. For this, your doctor will need to send your urine sample to the laboratory so that the bacterium can be identified and tests can be done to see which antibiotics will kill it. As this may take some days for the results, treatment is usually started straightaway.

A urine sample may be the only test that is needed if you are a woman who is otherwise healthy, but develop cystitis which progresses to a kidney infection. Further tests may be advised in some situations – for example, if you have a kidney stone or if a kidney abnormality is suspected. Tests are also usually advised if you are a man, or if you have recurring kidney infections. If further tests are needed, an ultrasound scan is often the first one which is done.

What is the treatment for a kidney infection?

• Antibiotics will usually clear the infection. An antibiotic is usually prescribed straightaway if a kidney infection is suspected, even before the result of the urine test is known. Some germs (bacteria) are resistant to some antibiotics. Therefore, sometimes a change of antibiotic may be needed if the urine test shows a germ (bacterium) which is resistant to the initial antibiotic. The course of antibiotics is for 7-14 days, depending on which one is used. Commonly used antibiotics for kidney infections include ciprofloxacin, cefalexin, co-amoxiclav or trimethoprim.
• Painkillers such as paracetamol can ease pain and reduce a high temperature (fever). Stronger painkillers may be needed if the pain is more severe. Non-steroidal anti-inflammatory painkillers such as ibuprofen are not usually recommended for a person with a kidney infection. This is because they may possibly cause problems with the working of the kidney during a kidney infection.
• Plenty of fluid should be taken to prevent lack of fluid in the body (dehydration).

In many cases, the infection is not too severe, treatment can be taken at home and the infection will clear with a course of antibiotic tablets. If treatment is to be home-based, a doctor should be called if the symptoms are not improving after 24 hours, or the person is feeling more unwell.

However, some people need to be admitted to hospital – for example if:

• The infection is severe and causing them to be very unwell.
• The person is unable to take any fluids or their medicines (due to being too unwell or due to vomiting).
• Symptoms do not settle quickly with antibiotics.
• The person is a pregnant woman.
• The person is otherwise ill or frail.
• The person has underlying kidney problems.
• The person has diabetes.

In hospital, antibiotics can be given straight into the vein (intravenously) for a more immediate effect. If the person is dehydrated, they may also need a drip (where fluid is put straight into a vein).

Are there any complications from a kidney infection?

Most people who develop a kidney infection make a full recovery if treatment is given promptly. Possible complications which occur in a small number of cases include:

• Sometimes germs (bacteria) from a kidney infection get into the bloodstream, particularly if treatment is delayed. This may cause blood poisoning (sepsis). This can be serious or even life-threatening.
• In pregnant women who develop pyelonephritis occasionally, it may result in the baby being born early or with a lower birth weight.
• A kidney abscess can (rarely) develop. This is a collection of pus that forms within the kidney.
• The infection can sometimes cause some permanent damage to kidney tissues.

These complications are uncommon but may be more likely if:

• You become severely ill with the kidney infection.
• You already have a problem with your kidneys, such as polycystic kidney disease or chronic kidney disease.
• You have a condition where instead of just flowing one way, your urine can backtrack from the bladder back up to the kidney (vesicoureteric reflux).
• You have kidney stones.
• Your immune system is suppressed – for example, if you have cancer, if you are taking medication such as steroids or chemotherapy, or if you have AIDS.
• You have poorly controlled diabetes.
• You are an older person (over the age of 65 years).
• You are pregnant.

Emphysematous pyelonephritis is also a rare complication. In this condition the kidney tissues are rapidly destroyed by the infection and the bacteria can release toxic gases which can build up in the kidneys. You become very unwell if you develop this complication. This complication seems mostly to affect people who have poorly controlled diabetes.

Can kidney infection be prevented?

Most kidney infections are caused by germs (bacteria) travelling up from a bladder infection. So the same things that can help to reduce your chances of bladder infection should reduce your chances of kidney infection. Traditionally, people who got recurring urine infections were advised about measures such as drinking plenty of fluid and taking cranberry juice, and on the way that they wiped themselves after going to the toilet. However, there is little evidence for any of these measures and they are now not usually advised. Anything which increases your risk of urine infections which can be treated, should be treated. For example, any constipation should be treated promptly, as constipation can increase your chances of a bladder or kidney infection. See the separate leaflet called Constipation for more details. Doctors will try to treat anything else which might be contributing, such as kidney stones or an abnormality in the structure of the urinary system.

Pregnant women are regularly tested for urine infections and for germs (bacteria) in their urine. Even if they don’t have symptoms, if urine tests positive for germs, pregnant women are usually treated with antibiotics to prevent any complications.

In some cases people who have recurring urine infections are treated with a low dose of antibiotic continually. This may help to prevent recurrences and to prevent spread to the kidney.

90,000 Kidney pain – main causes, classification of the nature of pain, diagnosis of kidney diseases

One of the most common complaints at a urologist’s appointment is pain in the kidneys. However, it is possible to accurately determine the disturbing organ only with the help of a thorough diagnosis.

One of the most common complaints at a urologist’s appointment is pain in the kidneys. However, it is possible to accurately determine the disturbing organ only with the help of a thorough diagnosis. Not only the kidneys themselves, but also their closest neighbors: spleen, liver, organs of the genitourinary system and abdominal cavity, as well as diseases of the musculoskeletal system can bring discomfort in the lumbar region and on the sides of the lower back.Not everyone knows that most often the kidneys “hurt” in the lower hypochondrium (they are located just above the lower back).

Kidney disease causing lumbar pain:

• pyelonephritis
  An inflammatory bacterial disease that most often occurs in children under 7 years old, girls from 18 to 30 years old, as well as in older men. It is accompanied by aching and pulling pains, high fever, headaches.It develops very rapidly: the first symptoms become noticeable after a couple of hours.
• glomerulonephritis
  The kidneys are affected from both sides at once. The filtration function is violated. It can be caused by abnormalities in the structure of the kidneys, infections and toxicity, as well as cancer. A person experiences severe and cutting pains, increased blood pressure, decreased urination, malaise, weakness, decreased appetite, decreased performance.
• renal failure
  Serious illness that results in partial or complete loss of the ability of the kidneys to produce urine.This can lead to damage to almost all organs and systems of the body. This pathology arises as a consequence of impaired renal hemodynamics, severe intoxication or infection, acute periods of renal disease, traumatic conditions. The main symptom: a sharp decrease in the amount of urine. If the disease was recorded at a late stage, hemodialysis and preparation for a kidney transplant are prescribed.
• nephroptosis (displacement of the kidney)
  The causes of the pathology are many: sudden weight loss, trauma in the abdomen, abnormal development of the organ, conditions after pregnancy.The pain symptom is very strong here, it cannot be eliminated with the help of analgesics. The pain in most cases increases with the adoption of an upright position, closer to the afternoon.
• malignant neoplasms in the kidney (organ cancer)
  It is difficult to detect the disease at an early stage, as it is asymptomatic. In development, cancer is manifested by bloody discharge in the urine, dull constant pain in different parts of the abdomen, temperature fluctuations, weight loss.In order to avoid the problem, it is necessary to regularly undergo preventive examinations.
• benign neoplasms in the kidneys (hamatromas, adenomas)
  The course is asymptomatic at an early stage. In development, there are pulling pains and discomfort in the lumbar region. Treatment is carried out with surgery.
• Urolithiasis
  When stones form, a person experiences very severe pain, as the object moves and damages tissues when moving.This type of pain is called renal colic. It begins paroxysm and can “shoot” in any area of ​​the lower back, as well as the lower abdomen and groin area.
• renal cysts
  Pathology occurs in adulthood, but its congenital or acquired form is also found. Large cysts can cause lumbar pain, blood in the urine, and high blood pressure.

It is impossible to determine the cause of pain in the kidney area without a thorough examination.It is equally dangerous to try to treat a symptom on your own.

Any, even minor, kidney pathology can develop into a global problem. Improper treatment or lack of it contributes to the transition of the disease into a chronic form.

Often, infections join, other organs and systems are affected.

Lack of proper therapy can lead to the development of severe pathologies. Among them, the most common are heart failure, encephalopathy, pulmonary and cerebral edema.In severe cases, the development of sepsis, uremic coma and death of the patient are possible.

It is quite easy to avoid complications and get rid of pain in the kidney area. Do not postpone your visit to the clinic. Choose a good doctor who can help you find out the cause of the discomfort and choose the right treatment. Come to an appointment with the specialists of the Kutuzov Medical and Diagnostic Center. We will help you cope with the problem and avoid the appearance of serious pathologies.

You should immediately consult a doctor if you notice:

• you feel pain in the lumbar region (both separately on each side and simultaneously on both sides)
• Discomfort in the upper lumbar region in the morning hours
• back pain accompanied by chills and fever
• that the number of urination, as well as the urine itself, has sharply decreased
• Frequent urination with small amounts of urine
• change in the consistency of urine (the appearance of turbidity, blood, small stones and sand)
• discomfort during urination (burning, pain)

A lot of research may be required to diagnose kidney disease.Most often, a sick person is uncomfortable visiting different medical centers in search of such an opportunity. The Kutuzov Medical and Diagnostic Center provides its patients with the opportunity to undergo a full examination in one place. You don’t have to waste time waiting or standing in long lines. All procedures are carried out by appointment at a specified time.

We have all the necessary equipment for research of any complexity. High-precision devices are used for diagnostics, which allows avoiding erroneous results and choosing the most effective treatment regimen.Your health and comfort are priority for us.

Come to the clinic to regain the joy of life without pain.

To make an accurate diagnosis, a urologist may prescribe the following diagnostic methods:

• laboratory tests (general analysis of blood and urine; biochemical research, bacteriological research)
• Kidney ultrasound
• CT of the kidneys with suspected ICD to exclude neoplasms

If you want to reduce the intensity of pain on your own before seeing a specialist, adherence to a diet can help you: exclude salty, spicy and smoked foods from the diet, drink decoctions of medicinal herbs.Keep your body, especially the lower back and legs, warm, and stay in bed.

Remember that any disease detected at an early stage is easier to treat and saves you time and money. When the first symptoms of kidney disease appear, as soon as possible, consult a urologist or undergo one of the comprehensive examination programs.

In our center you can make an appointment with good specialists:

The content of this article has been checked and confirmed for compliance with medical standards by a urologist Dmitry Gorov.

90,000 Renal colic: causes, first aid and treatment

Quiet winter evening (spring, summer or autumn – as it is convenient), you came home from work, had dinner, drank a glass of your favorite beer and settled comfortably on the sofa, concentrating on watching TV. Suddenly, you feel discomfort in the lumbar region, which gradually turns into aching, and then into a sharp pain. You are trying to find the position of the body in which the pain will be less pronounced – the effect is zero. The pain does not subside, you start rolling on the floor or bed.You are shaking, feeling weak, nausea, vomiting – there is no relief. The abdomen is swollen like a drum, gases do not leave. There are multiple painful urges to urinate. What it is?! Stale beer ?! Fermented cabbage ?! No, friends, it’s renal colic! What is it? Like this? For what? What to do? Let’s figure it out.

Renal colic (PK) is a collective term, it includes several symptoms that indicate a violation of the outflow of urine. The pain that occurs in this case belongs to the category of the most intense and violent.It is almost impossible to tolerate, the patient may even fall into a state of shock. It is necessary to understand that the appearance of an attack of pain is only a symptom, and a dangerous condition for the patient’s health and life. As a rule, the occurrence of PC indicates urolithiasis and is currently associated with the migration of stones from the calyx or renal pelvis into the ureter.

The mechanism of occurrence of PC : as a result of a violation of the outflow of urine, intrarenal (intralocal, to be more precise) pressure increases – figuratively speaking, the kidney swells like a ball of water.The pressure of urine on the kidney parenchyma leads to a violation of microcirculation in it, the development of edema. All this together affects the receptors of the sensory nerves of the hilum and the fibrous capsule of the kidney, which have a small potential for extensibility, which results in the occurrence of a characteristic attack of pain.

The incidence of PC in the population is 1-12%, with more than half of the cases occurring in the male half of the population. It should be noted that 13% of the total number of patients with renal colic is associated with other diseases of the kidneys and ureter (tumors, tuberculosis, hydronephrosis, uravazal conflict, retroperitoneal fibrosis) and is associated with the discharge of blood clots, pus, mucus that close the lumen of the urinary tract.

Colic caused by renal disease is one of the most severe types of pain that requires urgent diagnosis and treatment. PC, as a rule, occurs suddenly after driving, shaking, heavy intake of liquids, alcohol. The pains are so severe that patients rush about the room, constantly changing their location and posture, which usually does not bring relief to them. This characteristic behavior of the patient often allows the diagnosis to be made “at a distance.”

Pain can be given to the groin area, genitals (scrotum, penis, vagina and labia), increase with urination.Depending on the location of the obstruction, false urge to defecate and urinate may occur. The body temperature may rise to subfebrile numbers (37.1 – 37.5 ° C), the heart rate may decrease and blood pressure may slightly increase. Urine becomes pink or red when the stone is damaged by the wall of the ureter or the kidney cavity. The pains sometimes last for several hours or even days, periodically subsiding.

WHAT TO DO? WHEN THE PC STARTING, IT IS NECESSARY TO CALL THE “IMMEDIATE” IMMEDIATELY!

But usually it takes a long time before the brigade arrives on site.This is not the fault of the doctors: traffic congestion, weather conditions, congestion of the schedule and many other moments can prevent you from promptly arriving on call. Therefore, the patient himself and his loved ones need to be able to recognize the danger and know what can be taken at the peak of pain, and what can harm.

• First aid for renal colic – providing complete rest to the patient, providing free space. Patients usually rush about in a fit of pain, cannot find a place for themselves, therefore it is important to create comfortable conditions for them
• If pain can be tolerated before the arrival of doctors, then it is better to do without painkillers in order to make it easier to carry out a preliminary diagnosis
• If the patient is a stone separator, suffering from urolithiasis for a long time, and this is not the first attack of renal colic in his life, if there is no increase in body temperature, then you can try to place him in hot water.Moreover, pay attention to the fact that the water must be very hot, which only a person can withstand

A hot bath is contraindicated for those patients (especially the elderly) who have serious cardiovascular diseases and who have suffered a stroke or heart attack. For such people, to provide first aid for renal colic, you need to use a hot heating pad placed on the lower back, or mustard plasters placed on the kidney area.

The patient can take 2-3 tablets of No-shpa (Drotaverin), Ketanov’s tablet or something from antispasmodics (papaverine – 1 tablet).If possible, it is better to inject drugs intramuscularly (Ketorol, Baralgin), and not in the form of tablets – the effectiveness increases several times, the effect of the drug comes faster. In the absence of these drugs, nitroglycerin can be used (half a tablet under the tongue), which also relaxes the smooth muscle muscles and is able to relieve spasm of the ureter.

Nonsteroidal anti-inflammatory drugs, in particular Diclofenac, effectively relieve pain syndrome – I consider the best intramuscular administration of 75 mg or rectal administration of a suppository at a dosage of 100 mg.Before the arrival of the doctor, it is necessary to record the medications taken, and monitor urine for the discharge of calculi (it is best to collect urine in a vessel). If the attack subsides, it is impossible to cancel the call of the team of doctors, since there is a risk of a return of the attack (the stone, if the reason is in it, can advance and then the spasm passes).

It may not always be necessary and useful to use pain relievers for PC. The manifestations of urolithiasis (Urolithiasis) may mimic those of other abdominal and retroperitoneal diseases.It should be noted that the presence of urolithiasis does not exclude the possibility of developing another acute pathology (for example, appendicitis). Therefore, if the attack is atypical, it is better not to do anything until the doctor arrives.

Heat and antispasmodics can aggravate infectious and inflammatory processes in the case of acute appendicitis or other disease from the group of pathologies with the clinic “acute abdomen”. That is why it is better to wait for an ambulance doctor, who, first of all, will need to exclude such manifestations of an acute abdomen as acute appendicitis, ectopic pregnancy, cholelithiasis, peptic ulcer, etc., which sometimes needs to be done together with doctors of other specialties.

If you have an ovarian cyst, you should tell the ambulance team right away. Particular attention should be paid to a patient with renal colic, if it is a pregnant woman. Treatment of women with renal colic, and even in the “position”, should be carried out only in a hospital. Renal colic in pregnant women is very similar in clinic to contractions, so it is important not to hesitate and immediately call specialists. Do not forget to immediately say that the patient is pregnant and how long she is, then the team will arrive faster because of the possible threat to the life of the mother and baby.

So, you were examined by an ambulance doctor and diagnosed with renal colic. What to do next?

If the drugs administered by the ambulance doctor did not bring relief, actively insist on your admission to the urology emergency room! It is not a fact that you have renal colic, everyone can be wrong, especially since the first aid kit of an ambulance doctor does not include a portable ultrasound machine and a biochemical laboratory. As a rule, urological hospitals are structural units of large medical institutions, where there is a surgical department, a gynecological department, etc.e. In this medical institution, you can better examine with the involvement of related specialists, as well as provide specialized assistance.

If we managed to remove the pain syndrome, then do not relax, the problem has not been solved yet! We are waiting for the morning. We woke up (if we managed to doze off), washed, shaved and onward – to the urologist!

I recommend contacting medical centers, which, among other things, deal with the problems of treating urolithiasis.

What, first of all, you should pay attention to in the resume of the urologist to whom you applied for an appointment (you can get this information on the clinic’s website):

• Does he know modern diagnostic methods (ultrasound, X-ray) ICD
• Clinical experience of minimally invasive and endoscopic treatment ICD
• The equipment of the clinic – the availability of equipment that meets modern European standards for the quality of care for patients with ICD (remote lithotripter, contact lithotripter, laparoscopic stand)

In such a medical center, a urologist in a short time will determine the cause of the colic that has arisen, assess the degree of risk, and develop an algorithm for your further examination and treatment.You need to understand that renal colic is just a symptom and more often it is a sign of a “blockage” of the urinary tract.

Upper urinary tract obstruction is an extremely dangerous phenomenon, in which it is important to eliminate its cause as soon as possible with the help of competent treatment. Otherwise, the patient’s condition will progressively worsen due to the addition of a secondary infection, an increase in the level of intoxication of the body, not to mention the constant and unbearable pain syndrome.In some cases, it is with the unblocking of the upper urinary tract that treatment begins. Why do I focus on the timing of treatment initiation? In the first hours after the onset of an attack of renal colic, an infectious inflammatory process has not yet developed in the kidney – the situation is “uncomplicated”.

As usual an outpatient urologist does: using additional research methods, he determines the size of the calculus, the level of its localization, the degree of obstruction of the upper urinary tract, assesses the changes in urine and blood parameters and prescribes stone-expelling therapy … Is this correct?

It is generally accepted in the urological environment that stones up to 7 mm in size are capable of moving away independently (Glybochko P.V., 2012). Therefore, a standard scheme of stone-exorcising therapy is prescribed and everyone begins to wait for the patient to “give birth” to this nasty little stone. They wait a day, two, a week, a month, etc. And at this time, there may be repeated attacks of renal colic, which are accompanied by the above symptoms. Which urologist can tell the patient exactly when the stone will come out?

After all, the diameter of the ureter in the narrowest part (intramural section) is 2-3 mm, and we, as it were, want the stone to come out 5-7 mm.Yes, in most cases, such pebbles come out on their own. But, the question is – how can the patient know that he will be among this happy “majority”, how long should he wait and suffer at the same time ?! According to foreign authors (Preminger GM., 2007, Miller OF., 1999), the probability of spontaneous discharge of ureteral calculi with sizes <5 mm is 68%,> 5 ​​mm – 47%. The terms of independent passage of calculi <2 mm in size are on average 31 days, 2-4 mm - 40 days,> 4-6 mm – 39 days, respectively.Think about these numbers!

Modern minimally invasive and low-traumatic methods of treatment of urolithiasis have radically changed the mentality of a whole generation of urologists, a distinctive feature of the current essence of which is that regardless of the size and location of the stone, as well as of its “behavior”, the patient must and can be relieved of it! And this is correct, since even small, asymptomatic stones in the calyx must be eliminated, since there is always a risk of their growth and the development of chronic pyelonephritis.

One of the most effective and minimally traumatic methods of treating KSD is distance lithotripsy (extracorporeal shock wave lithotripsy – ESWL). The remote lithotripter cleaves kidney and ureteral stones with focused, high-intensity acoustic pulses.

Stone crushing occurs under the action of a shock wave consisting of ultra-high and ultra-low pressure pulses. This effect can be compared to the circles that form on water after a stone falls into it.When the stone touches the water, it creates a high pressure, while pushing the water in all directions, after the stone has sunk, a negative pressure zone forms behind it. It is the diverging waves that can be compared with the propagation of a shock wave, under the action of which the stone is destroyed.

The destruction of the stone occurs in several stages: first, the dense frame of the stone is destroyed, then cracks are formed, penetrating deeper and deeper with each impulse, leading to the destruction of the stone into small fragments.Ultimately, their size does not exceed 3 mm, which allows them to independently and freely leave the urinary system, while eliminating the patient from urinary tract stones.

An X-ray image is used for locating and focusing, amplified on many models of lithotripters by ultrasound guidance. Remote shock wave lithotripsy is so minimally invasive that it is used on an outpatient basis (Lopatkin N.A. et al., 1990, Beshchliev D.A., Dzeranov N.K., 1992, Trapeznikova M.F. et al., 1992). Currently, many authors have proven the advantages of the method not only over open surgery, but also over percutaneous puncture nephrolithotripsy (Ramadan Salaheddin, 1992, Stepanov V.L. et al., 1993).

The size of the stone is of leading importance when performing remote crushing of stones in the kidneys and ureter. This largely determines the number of sessions that must be carried out for the complete fragmentation of the stone. An increase in stone size leads to a decrease in the effectiveness of the initial session of remote stone crushing.

For example, with stone sizes up to 9 mm, 80% requires only one session, and with a size of up to 14 mm, the effectiveness of the primary session decreases to 64%. The most effective is remote crushing of kidney stones with their size up to 15 mm, and remote crushing of stones in the ureter – up to 10 mm. When remotely crushing stones in the kidney and ureter, it is also necessary to take into account the density of the calculus. The denser the stone, the harder it will be to crush it the first time.

Ureteral stones up to 10 mm in size should be crushed remotely (non-contact), the sooner the better and more efficiently !!! It will be much easier and painless for the patient to “give birth” to fragments of calculus and sand after crushing

More than once I observed a situation when a patient crawls into an office with a wild attack of pain.Within 15 minutes of visual, palpation and ultrasound examination, I make a diagnosis of ureteral calculus. I spend another 45 minutes with a remote crushing session. And after 1 hour the patient leaves the ward of the day hospital absolutely healthy, rested, without pain and without a stone. Total: 2 hours !!!

When can we talk about stone expelling therapy (this is my subjective opinion based on 17 years of clinical experience in the treatment of urolithiasis):

• There is a clear tendency to the discharge of calculus – already in the first hours of an attack of renal colic, the stone descends into the lower third of the ureter (the ideal variant is the mouth of the ureter), during sonography we see urine emissions from the orifice of the corresponding ureter (even if weakened) and the size of the calculus is not more than 7 mm …In a day, sonographic control, control of a general blood test, urine. With repeated attacks of colic, increased degree of obstruction, deterioration of laboratory parameters – remote crushing (DLT). If the patient feels satisfactory, we wait up to 7 days. If the stone does not come out – remote or contact crushing.
• Ureteral stone up to 7 mm in size, which is technically impossible to crush remotely (no sonographic and X-ray visualization of the calculus).At the same time, according to the data of excretory urography, the calculus should be streamlined. Once every 3 days, sonographic control, control of the general analysis of blood, urine. If the patient feels satisfactory, we wait for a maximum of 2 weeks. In the event of a complication of the situation, or if the calculus does not come out, an endoscopic intervention is performed, aimed at removing the calculus or a drainage aid in the upper urinary tract.

At the moment, extracorporeal shock wave lithotripsy (ESWL or ESWL) is the gold standard for treating small urinary tract stones.Urolithiasis, undoubtedly, requires treatment, since there is a possibility of developing complications of various severity, leading to a decrease and loss of kidney function and its death. With the availability of high-tech non-invasive methods of treatment, such as extracorporeal lithotripsy, trauma and postoperative complications are minimized, and the number of patients who have successfully completed the treatment of urolithiasis tends to 100% every year.

In our clinic, remote crushing of kidney and ureteral stones is actively and successfully performed on a modern highly efficient Modulith SLK device from Storz Medical (Switzerland).Remote stone crushing is carried out by a specialist with 17 years of experience in minimally invasive treatment of ICD. Remote lithotripsy is performed under intravenous anesthesia with the assistance of anesthesiologists . Thanks to the well-coordinated work of the “urologist-anesthesiologist” team, crushing is carried out on an outpatient basis – no hospitalization is required. Duration of stay in the clinic is 2-3 hours.

RPFEDORISHIN
CANDIDATE OF MEDICAL SCIENCES, DOCTOR-UROLOGIST OF HIGHER CATEGORY
INTERNATIONAL MEDICAL CLINIC “NEW LIFE”.KIEV.

Doctors told how to distinguish kidney disease from ordinary back pain

https://ria.ru/20210226/spina-1599127291.html

Doctors told how to distinguish kidney disease from ordinary back pain

Doctors told, how to distinguish kidney disease from ordinary back pain – RIA Novosti, 02/26/2021

Doctors told how to distinguish kidney disease from ordinary back pain

Doctors from the Galician Health Service told how to distinguish pain caused by kidney disease from lumbar pain.The newspaper 20 minutos writes about it. RIA Novosti, 26.02.2021

2021-02-26T16: 23

2021-02-26T16: 23

2021-02-26T16: 44

Society

Vladimir Gerasimenko

/ html / head / meta [@ name = ‘og: title’] / @ content

/ html / head / meta [@ name = ‘og: description’] / @ content

https://cdn25.img.ria.ru/images/98028/ 25 / 980282551_0: 171: 2500: 1578_1920x0_80_0_0_b785ff0c2b44ca660386176182193cf5.jpg

MOSCOW, February 26 – RIA Novosti. Doctors from the Galician Health Service told how to distinguish pain caused by kidney disease from lumbar pain.According to the newspaper 20 minutos, back pain, which could be caused by an overload in the lower back, improper posture, hours of sitting or stress, is usually continuous and lasts up to several days. According to doctors, it feels like it spreads in different directions. , while the pain in the kidneys is concentrated in one point. Depending on the kidney affected, pain may only appear on the left or right side, and doctors have noted that kidney disease is characterized by wave-like bouts of pain.Earlier, the head of the neurosurgical department of the Hospital for War Veterans No. 2, Vladimir Gerasimenko, called heavy lifting as the most common cause of back pain.

https://radiosputnik.ria.ru/20201224/spina-1590557341.html

https://radiosputnik.ria.ru/20210216/spina-1597566819.html

RIA Novosti

internet-group @ rian. ru

7 495 645-6601

FSUE MIA “Russia Today”

https: //xn--c1acbl2abdlkab1og.xn--p1ai/awards/

2021

RIA Novosti

internet-group @ rian.ru

7 495 645-6601

FSUE MIA “Russia Today”

https: //xn--c1acbl2abdlkab1og.xn--p1ai/awards/

News

ru-RU

https: // ria. ru / docs / about / copyright.html

https: //xn--c1acbl2abdlkab1og.xn--p1ai/

RIA Novosti

[email protected]

7 495 645-6601

FSUE MIA ” Russia Today ”

https: //xn--c1acbl2abdlkab1og.xn--p1ai/awards/

https: // cdn21.img.ria.ru/images/98028/25/980282551_0 0:2500:1875_1920x0_80_0_0_da2d53d8bbe41f5cbb305720ee069857.jpg

RIA Novosti

[email protected]

02 7 495 643 MIU

01 7 495 645 MIU https: //xn--c1acbl2abdlkab1og.xn--p1ai/awards/

RIA Novosti

[email protected]

7 495 645-6601

FSUE MIA “Russia Today”

https: // xn – c1acbl2abdlkab1og.xn – p1ai / awards /

society, vladimir gerasimenko

MOSCOW, February 26 – RIA Novosti. Physicians from the Galician Health Service explained how to distinguish pain caused by kidney disease from lumbar pain. The newspaper 20 minutos writes about it.

For example, back pain, which could be caused by an overload in the lower back, improper posture, hours of sitting or stress, is usually continuous and lasts up to several days.

24 December 2020, 09:00 How not to harm the spine while sitting in the office

According to doctors, it feels as if it spreads in different directions, while the pain in the kidneys is concentrated in one point.

Depending on the affected kidney, pain may appear only on the left or right side.

In addition, doctors noted that kidney disease is characterized by wave-like attacks of pain.

“Nausea, malaise, temperature above 38 degrees. These symptoms can also indicate an inflammatory process,” – experts emphasize.

Earlier, the head of the neurosurgical department of the Hospital for War Veterans No. 2, Vladimir Gerasimenko, said that the most common cause of back pain was lifting weights.

February 16, 04:00 Said on air

Table of Contents

The kidneys perform many vital functions in the body: removal of toxins and toxins, normalization of pressure, control of elements contained in the blood. It is this organ that pumps several hundred liters of blood a day, delivers it in pure form to all other organs and tissues.Experiencing powerful loads, the kidneys can “fail”. Diseases can occur for a variety of reasons.

Causes of illness:

• Severe hypothermia, sharp alternation of temperature conditions
• Tumor neoplasms
• Excessive consumption of alcoholic beverages of any strength
• Improperly formulated daily diet – formation of calcium stones
• Certain drug abuse
• Presence of infectious foci in the body
• Decrease in filtration function due to a sharp loss in weight
• Constant fatigue, lack of proper rest leads to a decrease in the work of the defense mechanism, there is a high probability of developing inflammation in the kidneys
• Concomitant oncological diseases
• Bladder too full
• Disorders in the gastrointestinal tract – constipation
• The presence in the body of infections with the release of pus

The list of the most common kidney diseases includes:

• Pyelonephritis
• Acute and chronic renal failure
• Glomerulonephritis
• Urolithiasis (similar name – nephrolithiasis)

The first is the presence of inflammation due to the occurrence of infection in the body.Occurs due to Escherichia coli. The disease, in most cases, manifests itself simultaneously with other dangerous deviations – forms of diabetes mellitus, kidney stones. The patient’s temperature rises, the lower back hurts, the urine becomes cloudy. A disease such as insufficiency is dangerous not only for the health of the organ, but also for the life of the patient. The excretory function is impaired, which causes slag poisoning. Bilateral renal failure is a particular threat.

Most of all known renal diseases have in the name the word “nephritis”, which is understood as the occurrence of an inflammatory process in the kidney tissue.Glomerulonephritis is characterized by damage to the filtration glomeruli that cleanse urine in the body.

When inflammation develops, antibodies are produced that attack the vessels of these glomeruli.

It is a consequence of the appearance of streptococcus (after a sore throat or advanced acute respiratory infections, food allergies, alcohol poisoning). Urine changes color dramatically, edema appears, and blood pressure increases.

The main disease of the kidneys and urinary tract is urolithiasis.This is the result of a sharp disruption in the exchange of vital substances. According to statistics, it is diagnosed in people who have reached the age mark of 20-25 years. It is dangerous by an imperceptible course, it is detected only during diagnostics.

With the small size of the stone and its high mobility, pain in the lower back appears, and there are frequent cases of blood entering the urine.

First signs

Confusion begins at the very beginning of the development of the disease. Signs boil down to the fact that the person is slightly shivering and he feels some discomfort.Agree, this is somewhat reminiscent of a cold. Usually, we can even just ignore this, although it is during this period that the malaise is easiest to cope with.

Due to the interconnection of the legs and kidneys, it is recommended to draw well warm water and warm them up. It will be ideal if you wrap yourself up and stock up on hot tea at the same time so you can relax. Finally, you can warm yourself with mustard plasters for your feet, and then sleep in a warm bed.

In the absence of this kind of first aid, the general condition will only worsen, and the kidney disease will progress.

Kidney disease symptoms and treatment

In many diseases of the kidneys and urinary tract, the manifestations are similar. Therefore, it is very important to seek advice and diagnosis from a specialist in a timely manner. Only a professional can correctly diagnose on the basis of what indications are characteristic for a particular patient.

The general clinical picture of deviations is as follows:

• Difficulty urinating or, conversely, involuntary
• Uncomfortable emptying
• Swelling of the face, legs
• The onset of cystitis
• Frequent urge to urinate, especially at night
• Unexplained loss of appetite
• Appearance of blood secretions in urine
• Temperature and pressure rise

With the question of how to determine the disease, if apart from pain there are no manifestations, it is possible, knowing that with deviations in the work of the organ, 2 types of pain are possible.