Pyelonephritis: etiology of the disease, clinical picture, treatment and prognosis

Pyelonephritis is an infectious-inflammatory process that develops in the kidneys as a secondary pathology after a viral infection. If you do not pay attention to the symptoms of the disease, the pathology will take a chronic form over time. And this, in turn, will lead to a chronic course of the disease. As a result, over time, the kidneys stop functioning normally, which leads to kidney failure, and then to shrinkage of the kidneys. You can get pyelonephritis due to simple hypothermia. That is why the pathology is the most common of all renal pathologies, and patients who have it are interested in how long pyelonephritis can be treated with a competent approach to therapy. In the material below we will analyze in detail the options and timing of treatment for the disease.

How long does it take to treat pyelonephritis?

Pyelonephritis is a kidney disease that is an inflammatory process that occurs in the kidney tubules, often of bacterial origin. The disease can be acute or chronic. If you self-medicate or let pyelonephritis take its course, disability and even death cannot be ruled out due to the possible development of renal failure. The disease can overtake every person, therefore it is very important to know how many days it takes to treat pyelonephritis, and how to prevent it from developing into chronic.

So what is he like?

At first it was black, then, as it dried, it became gray. 9 mm long and 5 wide, shaped like a seed. Uneven, with sharp spike-like protrusions. It looks as disgusting as the disgusting experience it brought me. I plan to take it for analysis to find out its composition and in the future create a diet for myself against such stones. I really don't want to go through that kind of horror again. And, perhaps, I would not wish this even on my enemy.

So what is there about giving birth? I have not yet had experience of childbirth, but I have experience of very painful periods. Periods are more painful. But this is still a natural process, and subconsciously it is easier to bear - you know that it will end. And you even know how to ease your pain. But renal colic is a pathological pain that, among other things, drives you into panic. This makes it doubly worse.

This is my story. Have you ever had renal colic, how did you survive it? And I wish everyone not to get sick!

Treatment options

The main medications prescribed to treat the disease are antibiotics. Doctors recommend taking the following medications: Ciprofloxacin, Sulfadimezin, Urosulfan and Furagin. In addition to these antibiotics, acute pyelonephritis also requires the use of symptomatic therapy, which includes medications to reduce body temperature. Additionally, it is recommended to drink diuretics or infusions of diuretic herbs. Despite the fact that medications used to treat the disease are widespread and known to many, you should not treat yourself. It is important to remember that only a specialist can prescribe the correct course of treatment and dosage of the necessary drugs.

Recovery from acute pyelonephritis will take at least one month.

Acute pyelonephritis requires the patient to remain in the hospital for a long time. You should be aware that the symptoms of the disease may stop after a week of therapy. However, this does not mean that the person is completely cured, therefore ending treatment is prohibited. If you finish the course as soon as the patient’s temperature subsides, pathogenic microorganisms will still remain in the kidney, and under conditions that turn out to be favorable for inflammation, they will be activated with renewed vigor. It is difficult to accurately answer the question of how long acute pyelonephritis is treated, since it is directly related to the stage of the disease, symptoms and the full clinical picture. We can only say with confidence that the treatment will not proceed quickly and will last from 1 to 2-3 months. After recovery occurs, the patient undergoes a rehabilitation phase.

How long does treatment for chronic pyelonephritis last?

Therapy for a chronic disease is very long and takes at least 1 year. The initial course of antibiotics lasts about 7 weeks, since during this period it is important to eradicate the infection in the kidney and get rid of purulent inflammation. As soon as the patient experiences remission, therapy for chronic pyelonephritis is stopped and then continued in systematic courses, taking breaks. The duration of breaks is determined by a specialist, guided by the degree of kidney damage and the symptoms that accompany the disease.

What happens after the procedure

Whether it is extracorporeal or laser lithotripsy, the sensations after the procedure may persist for some time. These are symptoms of the subsequent effect of the manipulations performed, associated both directly with the intervention itself and with the process of removing stones under the influence of medications:

  • Urination becomes more frequent and occurs with some pain and stinging;
  • A small amount of blood may be present in the urine for several days after the procedure;
  • Stones are excreted along with urine, which can be visually distinguished;
  • Symptoms of renal colic appear, but they are quickly relieved with antispasmodics;
  • The temperature rises slightly to 37-37.5 degrees.

These are typical symptoms that appear after a procedure of any of the above types and methods. Before discharge from the hospital, doctors warn about such manifestations and also talk about how to behave during the rehabilitation period.

Chronic or acute pyelonephritis during pregnancy

Women during an “interesting situation” may encounter a disease such as pyelonephritis. This medical term refers to the inflammatory process that occurs in the kidneys with damage to the pyelocaliceal system. The disease most often occurs in the fair sex. 6–12% of women experience pyelonephritis during pregnancy. It is dangerous for mother and baby. If left untreated, the disease can cause spontaneous abortion.

Content:

Causes of the inflammatory process in the kidneys

Pyelonephritis is an infectious disease. It can be caused by microbes that live in the human body. Also, inflammation in the kidneys can be caused by microorganisms that penetrate the internal organs from the external environment.

The most common pathogens are:

  • staphylococci;
  • Pseudomonas aeruginosa;
  • enterococci;
  • Proteus;
  • coli.
  • In most cases, pathogens enter the kidney hematogenously from foci of infection in the body. Very rarely, gestational pyelonephritis during pregnancy occurs due to microorganisms that enter the kidney through the urinary tract (bladder, urethra).

    The development of pyelonephritis is promoted by local and general factors. The first group includes a violation of the outflow of urine from organs due to the presence of obstacles. This condition can occur with kidney tumors, urolithiasis, and narrowing of the ureters.

    Common factors include: chronic stress, weakness, chronic fatigue, lack of vitamins, the presence of diseases that reduce the defenses of the human body, decreased immunity.

    Sick leave for renal colic

    Kidney stones, or as it is more often called, urolithiasis, is the most common pathology among kidney ailments. Kidney stones, or as it is more often called, urolithiasis, is the most common pathology among kidney diseases. The point is that hard formations appear in the kidneys, which resemble the most real stones of different sizes are calculi. Kidney stones take years to form, and it’s good if the problem is discovered completely by accident on an X-ray or during a urine test. The process of stone formation is accelerated by poor nutrition, poor-quality water and an unhealthy lifestyle. Often the causes of stone formation lie in a congenital metabolic disorder, as well as in an untreated infection, which leads to the formation of insoluble salts in the body. Salts first accumulate in the kidneys or bladder in the form sand, and then turn into stones. Urolithiasis is unpredictable.

    Types of pyelonephritis

    There are many different classifications of this disease. According to the conditions of occurrence, primary and secondary pyelonephritis are distinguished.

    The primary type of disease is considered to be inflammation, in which there are no urodynamic disturbances and no other kidney diseases. Many urologists believe that primary pyelonephritis in early pregnancy does not exist at all. Based on their medical practice, they note that the disease is always preceded by urodynamic disturbances and pathological changes in the urinary tract and kidneys.

    Secondary to an inflammatory process that occurs against the background of any diseases of the urinary system.

    According to the nature of the course, acute and chronic forms of the disease are distinguished. Acute pyelonephritis appears suddenly. Usually its symptoms become apparent within a few hours or days. With adequate treatment, the disease continues for 10–20 days and ends with recovery.

    Chronic pyelonephritis during pregnancy is a sluggish and periodically exacerbating bacterial inflammatory process. This type of disease can occur as a result of the transition of the acute stage to the chronic stage. Due to the disease, kidney tissue is replaced with non-functional connective tissue. Quite often, chronic pyelonephritis is complicated by renal failure and arterial hypertension.

    Symptoms of the disease

    In the acute form of the disease, a pregnant woman will experience the following symptoms of pyelonephritis:

  • pain in the lower back. They can be sharp or blunt. The pain may intensify when bending forward;
  • change in urine color. The liquid may be cloudy with a reddish tint;
  • pungent and unpleasant odor;
  • high body temperature (38–40 degrees);
  • nausea, in some cases vomiting;
  • decreased appetite;
  • chills;
  • general weakness.
  • The chronic form can occur over a long period of time without signs of pyelonephritis during pregnancy. In the latent form, a prolonged but at the same time slight increase in temperature is observed. The recurrent form of chronic pyelonephritis is manifested by general symptoms (weakness, fever, change in urine color).

    The influence of pyelonephritis on the course of pregnancy

    Women who are faced with an inflammatory process in the kidneys are interested in the question of why pyelonephritis is dangerous for pregnancy. Many people who let this disease take its course and do not see a doctor can face serious problems. The disease will primarily have a negative impact on the fetus. The baby may suffer from an intrauterine infection. In most cases, inflammation in the kidneys causes spontaneous abortion and premature onset of labor.

    In newborn children, the consequences of intrauterine infection manifest themselves in different ways. Some children may experience conjunctivitis, which does not pose a threat to life, while others experience severe infections of vital organs.

    During pregnancy with pyelonephritis, there is a possibility of developing intrauterine hypoxia. The fetus will receive less oxygen than it needs. This situation threatens the child’s insufficient development and lower weight.

    Diagnosis of pyelonephritis

    To identify the inflammatory process in the kidneys and the effect of pyelonephritis on pregnancy, doctors prescribe a general urine and blood test . Based on the results, we can conclude about the absence or presence of infection and inflammation in the kidneys. A Gram stain of the urine may also be performed . This research method allows you to obtain information about the causative agent of the disease. To more accurately determine the microorganisms that cause pyelonephritis and their sensitivity to antibiotics, a bacteriological examination of urine .

    All of the above diagnostic methods are laboratory. There are also instrumental methods. Among them are ultrasound (ultrasound examination). This method allows you to see the heterogeneity of tissue in the kidneys, the presence of areas with compactions, and the expansion of the renal pelvis.

    Treatment of pyelonephritis

    If an inflammatory process is detected in the kidneys, the attending physician may prescribe antibiotics . During pregnancy, the use of medications is undesirable, but in case of pyelonephritis, their use is justified. The doctor will select antibiotics that will not cause serious harm to the baby and will help cope with exacerbation of pyelonephritis during pregnancy. The expectant mother should not refuse medications, because pyelonephritis can lead to serious consequences.

    Patients, regardless of the degree and type of disease, are prescribed painkillers and antispasmodics . Also, during treatment, doctors prescribe uroantiseptics, vitamins, sedatives, conduct physical therapy, detoxification therapy, ureteral catheterization, and positional therapy.

    Women in hospital during treatment should be under the supervision of an obstetrician-gynecologist and nephrologist. Doctors primarily perform “positional therapy . Thanks to it, in most cases it is possible to restore the impaired outflow of urine.

    The essence of “positional therapy” is that a representative of the fair sex in position is placed on the side in which the healthy kidney is located. The woman should lie on the bed in a bent knee-elbow position. The end of the bed is raised so that the patient's legs are higher than her head. In this position, the uterus puts less pressure on the ureters. If the woman’s condition does not improve within 24 hours from this treatment of pyelonephritis, then catheterization of the ureter of the diseased kidney is carried out.

    The disease may be complicated by suppuration. In this case, the kidney is decapsulated . i.e., the fibrous capsule is removed. In advanced cases, complete removal of the organ may be required. Doctors often insist on artificial termination of pregnancy.

    Women who suffered from pyelonephritis during an “interesting situation” should be under the supervision of a local doctor after childbirth. After discharge from the maternity hospital, a representative of the fair sex must register with a dispensary. This is necessary, since the disease may not be completely cured.

    Features of lifestyle with pyelonephritis

    When diagnosing an inflammatory process in the kidneys, pregnant women are advised to adhere to a special diet. For example, with acute pyelonephritis during pregnancy, you need to drink more fluid (more than 2 liters). You should exclude spicy, fatty and fried foods from your diet. It is recommended to eat as many vegetables and fresh fruits as possible.

    In the chronic form of the disease, a diet with the following features is indicated:

  • limiting the consumption of meat, fish broths, seasonings;
  • increasing the volume of fluid consumed (at least 2 liters per day);
  • limiting the consumption of table salt (up to 8 g per day);
  • A pregnant woman needs an increased intake of vitamins into her body.
  • During the acute stage of the disease, when severe pain appears, the temperature rises, signs of intoxication are observed, bed rest is required. This condition can occur in a pregnant woman for 4–8 days. After this period, it is recommended to lead an active lifestyle. It will ensure the outflow of urine.

    Breathing problems

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    With ARVI and influenza, patients, as a rule, are not hospitalized. However, in some severe cases, treatment is only possible in a hospital. In particular, one of the most dangerous signs is difficulty breathing, which may be evidence of pneumonia. And if it appears on the first or second day after the onset of the flu, then the patient is diagnosed with the most dangerous type - viral pneumonia. The disease requires immediate hospitalization, often in the intensive care unit.

    In case of chronic bronchitis or bronchial asthma, a doctor is urgently needed in the following cases:

    • Severe coughing attacks.
    • Suffocation. For patients with bronchial asthma, it is impossible to relieve an attack with an inhaler.
    • The sputum has changed color to greenish, yellow, acquired a pungent odor, and contains blood.

    Lung diseases can become chronic and affect the functioning of the cardiovascular system, so if doctors recommend hospital treatment for pneumonia or other similar diseases, you should not refuse.

    Prevention of pyelonephritis

    The main recommendation regarding the prevention of the development of the inflammatory process in the kidneys is the treatment of diseases that provoke a violation of the outflow of urine from the kidney.

    A healthy lifestyle plays a very important role in the prevention of pyelonephritis during pregnancy. It is necessary to observe the rules of personal hygiene, empty the bladder regularly and in a timely manner. It is also recommended to avoid hypothermia.

    In conclusion, it is worth noting that to prevent the occurrence of pyelonephritis during pregnancy and the development of various complications, you need to regularly visit an antenatal clinic. The earlier the disease is diagnosed, the easier it will be to fight it. It is imperative to listen to the advice of your attending physician, follow all prescriptions and take medications strictly according to the schedule that he determines.

    Video on the topic

    We recommend reading: Istomico-cervical insufficiency during pregnancy: what should a expectant mother with such a diagnosis expect?

    Source: https://mama66.ru/pregn/961

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    If inflammation in the kidneys starts, it can lead to disability, and treatment for an exacerbation lasts at least a week.

    Acute pyelonephritis can be cured, but you should be careful about your health and, when the first symptoms appear, contact a specialist who will advise you to stay in bed, avoid having sex, taking hot baths and drinking alcoholic beverages. Then the patient is admitted to a hospital, where he is prescribed complex therapy. At the beginning of treatment for pyelonephritis, the doctor prepares a special diet, which should include light food with a sufficient amount of vitamins. Foods such as meat broths, pickled and salty foods, strong tea and coffee should be removed from the diet. It is important to increase fluid intake and drink at least 2 liters of water per day so that the kidneys quickly get rid of inflammatory processes. In addition to water, it is recommended to drink a variety of compotes, natural juices and weak tea.

    How long does it take to treat acute pyelonephritis?

    At the initial stage of the disease, all patients are sent to a hospital, and then transferred to outpatient treatment and released from work. The period of incapacity for work of patients may differ in each individual case, which depends on the origin and course of the disease, symptoms, the presence of other diseases and the effectiveness of the prescribed therapy.

    First aid before visiting a doctor

    In acute cystitis, symptoms appear quickly and unexpectedly. The main signs of inflammation:

    • unbearable desire to urinate;
    • frequent urge to go to the toilet, which can reach up to 100-150 times per day;
    • pain and stinging at the end of urination.

    With such manifestations it is difficult to go to the clinic. If there are no concomitant diseases, and the infection appears for the first time, you can spend the first day at home without visiting a medical facility.

    What to do in the first 24 hours:

    • Maintain bed rest.
    • Drink a lot. You need to take liquid constantly. The more the bladder is filled, the faster the infectious agents will be washed out of the organ.

    If the symptoms persist, it means that the body was unable to fight the infection on its own and you need to consult a doctor. If acute cystitis is diagnosed, sick leave is initially issued for 3 days, then either closed or extended, or the patient is transferred to inpatient treatment.

    How long does it take to treat acute pyelonephritis in a hospital?

    Published by provizor on Sun, 11/05/2014 — 18:05

    The most common cause of chronic diseases is confidence in self-medication. Pyelonephritis is one of these diseases, and this article will help you understand how to treat pyelonephritis.

    This contains information about how long it will take in the hospital and what preventive measures exist. However, it is important to understand that in the absence of medical education you should not try to cure pyelonephritis on your own, even after learning important details from the article. After all, it is always easier to recover from an early stage of a disease than from a chronic one.

    If you are diagnosed with “acute pyelonephritis,” you will have to spend a certain amount of time in the hospital. In most cases, simple drug treatment is sufficient. However, there are also severe cases with suppuration - then surgical intervention is simply necessary.

    The traditional treatment option for pyelonephritis is to take broad-spectrum antibiotics. At a weak stage of development of the disease, antibiotics are prescribed for oral administration (the course of treatment is about two weeks). It is very important to understand that the symptoms of the disease may begin to disappear after 5 or 6 days of traditional treatment, but this does not indicate recovery, so stopping treatment is strictly not recommended.

    Particular attention should be paid to antibiotic drugs, which are selected taking into account the microflora and individual characteristics of the patient’s body. Antibiotic therapy usually lasts 4-6 weeks, depending on the normalization of the laboratory (as well as clinical) picture. After therapy, the patient is prescribed a course of medications aimed at restoring the body’s microflora.

    People who self-medicate don’t even ask themselves, “How long does it take to treat pyelonephritis? ", thus putting your health at serious risk. The duration of treatment ranges from 5 to 15 days. For primary acute pyelonephritis, a strictly conservative treatment approach is used: - bed rest - drinking large volumes of liquids (juices, compotes, uzvar, fruit drinks, decoctions) approximately 3 liters per day

    - fermented milk products (kefir, fermented baked milk, cottage cheese, yogurt) - carbohydrate-rich foods (flour products, fruits) - parenteral administration of protein due to its increased breakdown

    In the case of acute pyelonephritis, treatment must begin with “strong” antibiotics and chemical antibacterial drugs, to which the patient’s urine microflora is sensitive. This is done to most quickly eliminate the inflammatory process in the kidney and prevent the formation of pus. Treatment of pyelonephritis in a hospital is the most rational and reasonable solution for any patient. A medical history is compiled on the patient, because it is a widely known fact that this disease can cause serious complications and greatly undermine a person’s health if treated incorrectly and inadequately.

    In addition to antibiotics and proteins, the patient is prescribed vitamins (usually vitamin complexes) or immunoregulating drugs. The duration of bed rest prescribed in a hospital is determined by the stage of the disease and how it progresses. It is also necessary to consider the following stages of treatment: - Etiological methods of treatment (normalization of the process of urine passing through the urethra and restoration of blood circulation in the kidneys). Use strictly in combination with anti-infective therapy!

    — Restoration of blood circulation in the kidneys with the help of special drugs (“Heparin”, “Trental”)

    — Herbal medicine (prescription of diuretics and anti-inflammatory drugs)

    — Functional kidney exercises (strictly as prescribed by the doctor)

    — Prescription of multivitamins and adaptogens

    — Symptomatic treatment

    — Spa treatment (Sairme, Essentuki, Zheleznovodsk)

    In order to avoid a terrible disease, it is necessary to take a number of simple preventive actions:

    — Increasing average daily fluid intake

    — Timely emptying of the bladder (of course, situations are different, but you also can’t tolerate it for long)

    - Consuming fruits and drinks rich in vitamin C, which, in turn, makes the environment in the bladder more acidic, and therefore less bacterial

    — Careful adherence to genital hygiene, mandatory showering before and after sexual intercourse, use of personal protective equipment

    — Avoid hypothermia, which easily causes inflammatory processes in the body

    — Elimination or reduction, to the extent of willpower and opportunity, of salt and spices from the daily diet. Spicy foods should be completely avoided

    — You should at least periodically take a urine test

    — Strengthening the immune system (active sports, eliminating fatty and unhealthy foods from the diet)

    Compliance with these measures significantly reduces the risk of pyelonephritis. The kidneys are a very important organ, because they remove all harmful substances from the body and maintain salt and water balance. One of the most important points of the article is that self-medication is by no means the wrong path to recovery. Complications can be unpredictable, the most common of them are: acute and chronic renal failure, necrotizing papillitis, pyonephrosis, paranephritis, urosepsis. The last four named diagnoses often lead to death. Therefore, if symptoms are detected (fever 38-40 degrees, headache, muscle aches, pain and tingling in the lumbar region), you should immediately contact a qualified specialist for help.

    There is no need to search search engines with queries like “acute pyelonephritis, how to treat it yourself.” In an era of widespread availability of information, anyone can do this, but the consequences for the body may be irreversible.

    Source: https://provizor.org/node/26822

    How do kidney diseases affect blood pressure?

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    Sick kidneys are the cause of various pathological processes in the body, including a sharp increase or decrease in pressure. Cleansing the blood of toxins is one of the important functions of the kidney organ.

    An excessive increase in the amount of fluid in the blood vessels causes additional stress on the kidneys, causing hypertension, and a sharp decrease, on the contrary, lowers blood pressure.

    Causes of pathology

    Inflammatory processes occurring in the human body can cause enormous harm to the kidney tissue, and some diseases of the cardiovascular system provoke a narrowing of the blood artery of the kidney.

    As a result, the work of the organ is accompanied by functional failures.

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    The volume of blood in the kidney increases significantly, the removal of fluid is delayed, resulting in a sharp increase in pressure.

    At the same time, the excretion of sodium from the body slows down, so laboratory tests of urine indicate an excess of this element in the body.

    In addition, each kidney has at its disposal many receptors that respond subtly to every change. When the blood circulation process is disrupted, they provoke the production of renin by the kidneys.

    This hormone produces a substance responsible for increasing the peripheral resistance of blood vessels, which further provokes their hardening.

    Such a change in the structure of blood vessels again causes irritation of the receptors, resulting in a vicious pathological circle.

    The kidney produces substances that directly affect the tone of blood vessels. They are divided into pressor, which increases blood pressure, and depressor, on the contrary, which lowers it.

    Healthy kidneys are able to independently regulate the production of such substances depending on the stressful situation.

    Any kidney disease causes a sharp production of pressor substances, due to which a sharp increase in pressure occurs.

    In addition, the death of renal tissue helps to stop the production of depressor substances, so physiologically the body cannot resist renal hypertension.

    Symptoms

    The main and most striking symptom of renal hypertension is, of course, high blood pressure. Along with it, there are a number of distinctive features that allow medical workers to differentiate such pathology.

    When determining blood pressure on the patient’s left and right arms, a fundamental discrepancy in indicators is noted. Systolic or diastolic murmurs are clearly audible in the area where the renal arteries are located.

    Patients complain of headaches, which are relieved only by taking potent medications. They are also characterized by a rapid heartbeat and goosebumps flickering before the eyes.

    There are external signs in the form of redness of the face in the absence of other visible causes. A person feels increased weakness, dizziness, shortness of breath, and a feeling of lack of air.

    The color of the urine may change. High blood pressure, caused by the kidneys, most often manifests itself after pain in the lumbar region.

    Considering that renal hypertension is similar to essential hypertension in many ways, patients are recommended to undergo a diagnostic study, including laboratory urine tests.

    When blood pressure increases due to kidney disease, protein is present in the urine (proteinuria). This situation is also characterized by hyposthenuria, when urine is excreted with a low specific gravity.

    In later stages of renal hypertension, a dysfunction of nitrogen excretion is noted.

    Complications and treatment

    The situation when a patient is diagnosed with high renal pressure must be under medical supervision.

    The doctor must immediately prescribe treatment, since such a pathology leads to serious complications, as a result of which, firstly, the blood circulation of the brain is disrupted, and secondly, the blood becomes thick and its composition changes dramatically, which affects the functioning of almost all internal organs.

    Blood vessels become less elastic as they corrode, and the load on the heart increases due to this, causing a number of cardiac pathologies.

    Under no circumstances should you self-medicate if you have increased renal pressure.

    Since taking medications designed to reduce essential hypertension is unlikely to help improve the patient’s condition, difficulties will definitely arise during a diagnostic examination.

    Drug treatment is divided into two main areas. The first is characterized by the need to lower high blood pressure in order to protect the patient from undesirable consequences.

    And the second is aimed at the maximum possible treatment of the kidney itself. By eliminating the pathology, the source of danger, the patient can normalize his health.

    In some cases, doctors are still forced to resort to surgery if kidney disease cannot be cured with medication.

    In order to prevent high blood pressure in the future, the patient must follow a number of preventive measures, including giving up bad habits, proper nutrition, exercise and blood pressure control.

    Only an integrated approach on the part of medical workers and the patient himself can bring positive changes.

    The child has pyelonephritis.

    Guest Registration 07/02/2012 Address south Messages 20

    We got sick when our daughter was 10 months old (she was admitted to the hospital in August). Naturally, there was no question of any swimming. Six months later we were in the hospital to be examined for reflux. Another six months later they did an ultrasound of the kidneys (they also did it in the hospital).

    1 year and 4 months after suffering from pyelonephritis, we started going to the pool, the nephrologist did not object, since our examination results and tests were normal. The water in the pool is warm (mother + child group), so there is no hypothermia.

    Now the child is 2 years and 10 months old, so we don’t remember about pyelonephritis. We are going for a routine ultrasound on Saturday and to the doctor on Monday. Our doctor is very good and competent. I want to know whether it is possible to swim in open waters and whether there are any restrictions or prohibitions after an illness.

    Source: https://forum.littleone.ru/showthread.php?t=5481389

    The rest of the way

    According to doctors, stones come out of the bladder the first time you urinate. The urethra in women is short, straight and quite wide, 10-15 mm. Haha, the hell with it! In order to catch the scoundrel who scared and tormented me so much, I regularly continued to go to the jar. And I had to do this for another 8 days. At first there was no sensation at all, and I thought I had missed it. Then there was a scratching sensation that slowly, very slowly went down. In the last 2 days, writing was downright uncomfortable, and only again after a long walk did I finally catch the freak. It came out quite painfully, it was great for me there, apparently scratching everything. But without blood. For a couple of days it was unpleasant to urinate, as if there were wounds or scratches.

    Why should a pregnant woman go into confinement?

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    Together with obstetrician-gynecologist Igor Polyakov, we analyzed the main situations when the expectant mother should under no circumstances refuse hospitalization

    When a doctor suggests going to the hospital, for many it comes as a shock: after all, you feel good, nothing hurts. But don’t rush to give up, you may not notice many of the problems that arise during pregnancy for the time being...

    What is “critical pregnancy”?

    If nothing bothers you, this does not mean that everything is fine. At all stages of pregnancy, the doctor will evaluate your health status and how the baby is feeling.

    Even when registering for pregnancy, having carefully asked about your state of health, medical history, presence of pregnancies, miscarriages, abortions in the past, the doctor will conclude whether you belong to a group at high risk of perinatal complications. Depending on this, a schedule of your observation will be built. You may need a personalized pregnancy management plan with regular reassessment of risk factors. This is especially important during critical periods:

  • at 8-10 weeks;
  • at 14-16 weeks;
  • at 20-22 weeks;
  • at 25-28 weeks;
  • at 34-36 weeks.
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