- Pyelonephritis,
- Hydronephrosis,
- Nephroptosis,
- Polycystic kidney disease.
- Urostasis,
- Kidney stone disease.
In inflammatory kidney diseases, pain can be felt against the background of a rise in temperature and a deterioration in general well-being. With hydronephrosis, pain in the affected kidney is most often constant, but with coughing it becomes more pronounced. In this case, such a serious symptom as hematuria (that is, the presence of blood in the urine) may appear.
With a problem such as nephroptosis (pathological mobility of the kidney), pain when coughing appears already at the first stage. And this is understandable, since any physical activity with nephroptosis immediately makes itself felt. At this stage, usually only the lower pole of the kidney is palpable, and only during inspiration. There may not yet be other symptoms of nephroptosis, so pain when coughing can play a positive role, because it allows the disease to be diagnosed earlier.
Other causes of kidney pain when coughing:
Urostasis, that is, urinary retention, can occur due to blockage of the ureter due to a stone formed in it or due to inflammation, spasm, or kinking due to nephroptosis. In this case, the pressure in the urinary system increases, the kidney is stretched, and during regular periods of urostasis, inflammation occurs, which causes pain. A stone located in the kidney, when the muscles tense during coughing, can make small movements, which are enough for the mucous membranes to be irritated and the kidney to react with pain.
Thus, pain in the kidney when coughing may be a signal of the very beginning of some kind of kidney disease. For this reason, you should not ignore such manifestations, even if there are no other symptoms of renal pathologies.
Source: https://tvoipochki.ru/pochemu-pri-kashle-bolyat-pochki.html
How and for what reason do your kidneys hurt when you cough?
When your kidneys hurt when you cough, you first need to answer the question of where the cough came from.
Then you can begin treatment, which should be prescribed exclusively by a doctor. With all this, you need to understand one important thing. Pain in the kidney area during coughing does not correlate with diseases of the respiratory system, which threaten life and health.
For example, with the development of tuberculosis, a cough is manifested, which is not accompanied by pain; with lung oncology, pain appears in the later stages after diagnosis, and the tumor affects the pleura. It turns out that you should not panic ahead of time and correlate cough and pain with dangerous damage to the respiratory system.
It is important to remember that cough may be a sign of one pathology, and pain in the kidney area may be a sign of another pathology. Initially, you need to find out and answer the question of where the cough comes from, and then you can begin the search for the right treatment.
Why does my back hurt when I cough?
Usually, without additional diagnostics, it is difficult to understand: when you cough, your kidneys or spine hurt, or maybe it is myositis (inflammation of the muscles). In any case, you need to see a doctor who will prescribe an examination.
Causes of back pain when coughing:
- Myositis or muscle inflammation. It occurs during physical overload, sudden movements, and infectious diseases. The same infection can cause cough and myositis.
- Osteochondrosis of the lumbar region. This disease plagues humanity. As a rule, pain when coughing (that is, when straining) results from osteochondrosis at a stage when protrusion of the intervertebral disc occurs, that is, a protrusion or hernia is formed. This is due to pressure on the nerve endings, which increases when muscles tense during coughing.
- Kidney diseases. This is a common cause of back pain when coughing. The kidney itself is usually painless, but when it is stretched, pain may appear. When a person coughs, it gets worse because tense muscles put pressure on the painful kidney.
Causes and types of pain in the kidney area when coughing
The most common cause of back pain is damage to the spine that develops against the background of increased physical activity and coughing.
Degenerative-dystrophic forms of spinal pathologies include: intervertebral hernia, osteochondrosis, spondylosis. Pain in the kidney area when coughing can also occur if any part of the spine is damaged.
It is important! Pain in the kidney area, the main cause of which is damage to the spine, is called vertebrogenic. The occurrence of such pain simultaneously with cough becomes the main syndrome that progresses in many different diseases. But one cannot ignore other types of reasons for the formation of these sensations in the kidney area, which include pleurisy, myositis, pneumonia, etc.
Pleurisy is one of the few pathologies of the respiratory system, which is characterized by the simultaneous manifestation of cough and pain - and the pain becomes dominant. As a rule, it complements even weak respiratory movements; when coughing, it becomes much more intense. Detection of pleurisy is not difficult, because x-ray examination allows an accurate diagnosis.
Pneumonia or pneumonia can also be accompanied by cough and pain in the kidneys. The localization of pain depends on the prevalence of inflammation processes - it can be concentrated in the kidney area or in the chest area. It becomes much stronger when coughing, but despite this, cough is the dominant symptom.
Myositis is a process of inflammation in the muscles, accompanied by pain in the kidney area. This pain can be caused by inflammation in the deep and superficial back muscles. It begins to intensify when coughing. A distinctive feature of myositis is the compaction of muscle bundles and their local soreness, which is easily diagnosed during palpation.
Other diseases with similar symptoms
Not only problems with the lungs and bronchi can cause cough and back pain. Sometimes these symptoms indicate disorders in other body systems.
Spinal diseases
If back pain when coughing is of a circular type, its intensity increases with breathing or movement, the presence of intercostal neuralgia can be suspected. It develops when the nerves running from the spine along the intercostal spaces are compressed and irritated. This occurs both as a result of inflammatory processes and as a result of injuries. The most common cause is advanced osteochondrosis with the appearance of an intervertebral hernia.
With osteochondrosis, pain can radiate to the lower back and thoracic region; it intensifies when coughing and inhaling; numbness in parts of the body and limbs and muscle spasms often occur. Tumors and various injuries of the spine can also cause pain symptoms during coughing.
Interesting fact: thoracic osteochondrosis itself can cause cough. When deformation of the spine occurs with a simultaneous violation of the structure of the chest, the diaphragm begins to compress the lungs, and the protective mechanism aimed at clearing the airways is precisely coughing.
In addition, cough can provoke irritation of the trachea due to disturbances in the structure of the vertebra, as well as deterioration in the functioning of the blood vessels supplying blood to the lungs, due to their compression by displaced ribs. Since the causes of cough are mechanical, it is almost always dry.
Kidney diseases
Most often, there is no direct connection between the occurrence of cough and kidney disease. They just sometimes appear at the same time. When coughing, a diseased kidney is disturbed by muscle tension, changes in pressure in the peritoneum, and pain radiates to the back. And only with polymyositis, which affects all muscle tissue, inflammation of the respiratory organs is combined with pathological phenomena in the muscles and kidneys.
Diseases of the circulatory system
Back pain when coughing is caused by pericarditis (inflammation of the sac around the heart). In such cases, painful sensations are concentrated in the interscapular region, worsen when the patient lies on his back, and become weaker if he is on his side. There is a strong deterioration in health and shortness of breath. In case of angina pectoris or heart attacks, neither inhalation nor changing posture usually has any effect on the pain radiating to the back.
In general, many pathologies of the spine or internal organs can provoke a cough, since due to the pain of inhalation, breathing becomes shallow. And low mobility of the chest and a small volume of inhaled air lead to the fact that the lung tissue is insufficiently ventilated. Congestion in the lungs just gives rise to a cough, forming a vicious circle, since after coughing the pain intensifies again.
To find out exactly why your back hurts when you cough, you first need to visit a therapist. After the examination and questioning, he will give directions for all the required tests and examinations, and will also tell you whether you need to contact a specialist - a neurologist, cardiologist, urologist, orthopedic traumatologist.
In addition to blood tests, urine tests, and, if necessary, sputum released during coughing, spinal x-rays, electrocardiograms, ultrasound examinations and magnetic resonance imaging may be prescribed to clarify the diagnosis.
A urine test will show the condition of the urinary system, and a blood test will reveal whether inflammation is present in the body. Based on the results of the examination, a course of treatment will be determined. Interim laboratory and other studies will be conducted to monitor its effectiveness and make adjustments as necessary.
What to do if pain develops?
Pain in the kidneys when coughing is characteristic of a large number of diseases. So, for example, these could be kidney stones on the right side, renal colic, gallstones, intercostal neuralgia, etc.
It is important! To get rid of pain, you need to take painkillers and antispasmodics. An ultrasound examination of the organs in the abdominal cavity is mandatory, the patient is examined by a therapist, and a general blood and urine test is taken. These are the minimum diagnostic requirements for making a correct diagnosis and prescribing suitable and effective treatment.
In order to collect all the information presented together, it is enough to point out that manifestations such as pain in the kidneys and cough have the same pathophysiological basis for such lesions as pleurisy and pneumonia. In other situations, for example, with myositis or osteochondrosis, the cause of cough lies in the work of the patient’s respiratory system itself, and the cause of pain is a disruption of the musculoskeletal system through degenerative-dystrophic or inflammatory processes.
You should not draw independent conclusions about the causes of pain and, as a result, independently select treatment. This can only harm your health, because even an experienced doctor needs to carry out special diagnostic measures to make a correct diagnosis and prescribe treatment.
source
Reasons for appearance
First of all, you need to perform a full diagnosis to confirm that it is the kidneys that are hurting, and not the spine or muscles. When the diagnosis of cough is made, then you can begin to diagnose the appearance of pain in the kidneys when coughing.
Diseases that cause kidney pain:
Also, do not forget about such a serious, even fatal disease as kidney cancer. After all, in many cases a tumor may not make itself felt, but we begin to heal completely different diseases.
Can there be a cough with kidney disease?
02/02/2010 Sabina asks:
Hello! I am 25 years old. I have this problem. At the end of November I caught a cold. A dry cough appeared and my right kidney began to hurt badly. Temperature 36.8-37. I went to a therapist and had an ultrasound of my kidneys. The diagnosis was chronic bilateral pyelonephritis. As for the cough, breathing is harsh, no wheezing. Metrogyl, nitroxoline, nolicin were prescribed. I was treated and it seemed to be getting better. In December, I again noticed that my kidney hurt, and the cough appeared again. It feels like I’m short of breath or not getting enough air, I don’t know how to explain. By the way, I forgot to write that as soon as I fell ill, I took an X-ray of my lungs at the end of November. Everything is okay. There is nothing on the x-ray at all. Again I went to another therapist, was injected with cefazolin, then took amoxiclav. But I don't feel any improvement. Plus, now my lower back is constantly hurting terribly and my lower abdomen has been aching for the past 3 weeks. What I don't understand most is this cough. I can’t say it’s strong, but it doesn’t go away either. Such an unobtrusive dry cough. I would chalk it up to residual pain, but I don’t like the feeling of shortness of breath. Not quite shortness of breath, but I can’t explain what it is. I recently took another x-ray in a different place, but there was nothing there. Could my cough have something to do with my kidneys? And what else can you test to rule out tuberculosis? I can’t take a sputum test because there is no sputum. But they took a throat culture and everything was normal there. The blood test is also normal.
The dry, obsessive cough you described most likely has nothing to do with either kidney disease or lung disease. Tuberculosis as a cause of cough is excluded in your case, since you were x-rayed twice. We assume that the obsessive cough you described may be a consequence of hyperventilation syndrome, which has worsened against the background of kidney disease and fear of getting tuberculosis. We recommend that you familiarize yourself with our recommendations for the diagnosis and treatment of psychogenic breathing disorders and take a urine test to check the condition of your kidneys and the activity of pyelonephritis.
Answers: MedCollegia Polismed
When your kidneys hurt when you cough, you first need to answer the question of where the cough came from. Then you can begin treatment, which should be prescribed exclusively by a doctor.
With all this, you need to understand one important thing. Pain in the kidney area during coughing does not correlate with diseases of the respiratory system, which threaten life and health.
For example, with the development of tuberculosis, a cough is manifested, which is not accompanied by pain; with lung oncology, pain appears in the later stages after diagnosis, and the tumor affects the pleura. It turns out that you should not panic ahead of time and correlate cough and pain with dangerous damage to the respiratory system.
It is important to remember that cough may be a sign of one pathology, and pain in the kidney area may be a sign of another pathology. Initially, you need to find out and answer the question of where the cough comes from, and then you can begin the search for the right treatment.
How to treat?
Of course, it is important to note that treatment will be started and prescribed only after diagnosis and the necessary tests.
It is worth noting that many pregnant women, especially those who have experienced this happiness more than once, try to relieve kidney pain (and the pain can bother you every day, especially during the 3rd trimester) on their own.
Remember! All types of pain associated with the abdominal area, genitals or lower back are treated only under the supervision of specialists.
Pain in the kidneys when coughing can indicate many diseases of the excretory system. This can be the formation of stones, renal colic and intercostal neuralgia. The doctor will prescribe certain tests (urine and blood tests are required) and an ultrasound scan of the entire abdominal cavity is required. In order to relieve pain, you will need to take painkillers and antispasmodics.
Take care of your health and do not try to draw a conclusion about the development of kidney pain on your own, because you can make everything worse, which will entail complex and lengthy treatment. After all, pay attention to the fact that even an experienced specialist in his field, in order to make a correct diagnosis, needs to carry out a lot of examinations of your body and only then prescribe treatment.
Causes and types of pain in the kidney area when coughing
The most common cause of back pain is damage to the spine that develops against the background of increased physical activity and coughing.
Degenerative-dystrophic forms of spinal pathologies include: intervertebral hernia, osteochondrosis, spondylosis. Pain in the kidney area when coughing can also occur if any part of the spine is damaged.
It is important! Pain in the kidney area, the main cause of which is damage to the spine, is called vertebrogenic. The occurrence of such pain simultaneously with cough becomes the main syndrome that progresses in many different diseases. But one cannot ignore other types of reasons for the formation of these sensations in the kidney area, which include pleurisy, myositis, pneumonia, etc.
Pleurisy is one of the few pathologies of the respiratory system, which is characterized by the simultaneous manifestation of cough and pain - and the pain becomes dominant. As a rule, it complements even weak respiratory movements; when coughing, it becomes much more intense. Detection of pleurisy is not difficult, because x-ray examination allows an accurate diagnosis.
Pneumonia or pneumonia can also be accompanied by cough and pain in the kidneys. The localization of pain depends on the prevalence of inflammation processes - it can be concentrated in the kidney area or in the chest area. It becomes much stronger when coughing, but despite this, cough is the dominant symptom.
Myositis is a process of inflammation in the muscles, accompanied by pain in the kidney area. This pain can be caused by inflammation in the deep and superficial back muscles. It begins to intensify when coughing. A distinctive feature of myositis is the compaction of muscle bundles and their local soreness, which is easily diagnosed during palpation.
Treatment methods
What to do if your back hurts when you cough? Of course, all procedures and medications should be prescribed only by a specialist, but for symptomatic treatment the following remedies are usually used:
Depending on the diagnosis, the doctor may prescribe an additional course of antibacterial drugs. Against the background of drug treatment, if indicated, various methods of physiotherapy are used.
Shocking statistics! It has been established that almost 50% (!) of problems with the respiratory tract, as well as chills, Fever and temperature are caused by infection with various types of parasites (Ascaris, Giardia, Toxocara). Worms cause enormous harm to the human body, and our immune system is the first to suffer, which, in turn, must protect the body from various diseases. People taught by bitter experience use this to get rid of all types of parasites.
Source: https://stoporvi.ru/kashel/vzroslyy/bol-v-spine-pri-kashle.html
What to do if pain develops?
Pain in the kidneys when coughing is characteristic of a large number of diseases. So, for example, these could be kidney stones on the right side, renal colic, gallstones, intercostal neuralgia, etc.
It is important! To get rid of pain, you need to take painkillers and antispasmodics. An ultrasound examination of the organs in the abdominal cavity is mandatory, the patient is examined by a therapist, and a general blood and urine test is taken. These are the minimum diagnostic requirements for making a correct diagnosis and prescribing suitable and effective treatment.
In order to collect all the information presented together, it is enough to point out that manifestations such as pain in the kidneys and cough have the same pathophysiological basis for such lesions as pleurisy and pneumonia. In other situations, for example, with myositis or osteochondrosis, the cause of cough lies in the work of the patient’s respiratory system itself, and the cause of pain is a disruption of the musculoskeletal system through degenerative-dystrophic or inflammatory processes.
You should not draw independent conclusions about the causes of pain and, as a result, independently select treatment. This can only harm your health, because even an experienced doctor needs to carry out special diagnostic measures to make a correct diagnosis and prescribe treatment.
Everyone knows that cough is a symptom of colds and flu. It is for this reason that many people make a big mistake - at the first signs of emerging bronchospasms, they begin to be treated with antiviral drugs. However, they do not take into account that there are other diseases in which cough is a typical symptom.
Such stupid and dangerous treatment very often leads to various complications and the transition of illnesses to a more severe stage. But all this can be avoided if you visit a doctor in time to perform a diagnosis.
Main symptoms and signs
As soon as you feel a tingling sensation in your lower back when coughing, this is a signal that you need to go to the hospital. After all, only a doctor can correctly determine the diagnosis and prescribe the correct treatment. You should not self-medicate and take painkillers.
It is important to understand that if your kidneys hurt when you cough, this does not mean that this pain is associated with diseases of the respiratory system, which can threaten our lives. Therefore, remember that cough and pain will relate to different pathologies.
The main symptom is a tingling sensation in the lower back. When coughing, a person may feel slight pain or colic. There is no need to delay treatment, because any disease of the excretory system can lead to complications. Next, you may feel a constant desire to empty the bladder, which may cause burning and stinging.
What diseases cause cough?
There are many options to explain the occurrence of bronchospasms. After all, sharp spasmodic exhalations are a reflex act of the body’s defense system and appear with the aim of cleansing it of various irritants.
Diseases accompanied by cough may occur:
- In the respiratory system.
- In heart.
- In the nasopharynx.
- In the gastrointestinal tract.
- In the nervous and endocrine systems.
A visit to a doctor is important because the specialist knows how and under what diseases the cough manifests itself. After all, an unpleasant symptom is not always the same. He can be:
- Dry.
- Wet.
- Strong.
- Painful.
- Hoarse.
- Barking.
- Growing.
- Convulsive.
- Rude.
- Jerky, etc.
Stomach cough: symptoms
Reflex spasms of the respiratory tract occur due to pathological processes occurring in the gastrointestinal tract. Cough with stomach diseases can be caused not only by infectious diseases (adeno- and enteroviruses). Very often an unpleasant symptom occurs due to:
- Presence of parasites.
- Entry of foreign bodies.
- Manifestations of gastroesophageal disease.
Cough in gastrointestinal diseases caused by viral infections is not typical. However, it can develop along with breathing problems. You will also experience symptoms such as:
Cough in stomach diseases is caused by malfunctions of the muscle ring, which regulates the passage of food from the esophagus. As a result of this anomaly, the mucous membrane begins to be irritated by gastric juice.
If the unpleasant symptom is caused by gastroesophageal reflux disease, the cough will be accompanied by:
- Heartburn.
- Breathing with whistles.
- Sore throat.
- Apnea may occur during sleep.
An unpleasant sign of this disease is also described as:
- Exhausting.
- Dry.
- Very strong.
- Worse after eating.
Cough with diseases of the stomach and intestines is not the main symptom if it is caused by worms or dysbacteriosis. An unpleasant symptom occurs against the background of general malfunctions of the immune system.
Kidney inflammation treated with antibiotics
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Pathogenic microorganisms, entering the bloodstream, in most cases provoke an infectious-inflammatory process. Not every body is able to cope with bacteria and microbes; synthesized medications - antibiotics - come to the aid of kidney inflammation.
Diseases of the urinary system often require antibiotic therapy. The nature of diseases is different, so drugs are selected taking into account the individual characteristics of the body and the clinical picture of the disease.
Important! The selection and prescription of antibiotics is carried out strictly according to a specific scheme, known only to the urologist, who takes into account all the nuances of the course of the disease and the general condition of the patient.
Principles of treatment
Kidney inflammation is a phrase implying diseases:
- Pyelonephritis is an infection of the kidneys with damage to the renal tubules, caused by pathogenic microflora.
- Glomerulonephritis is an inflammatory disease characterized by an aggressive reaction of the body to its own cells (glomeruli of the kidneys).
- Urolithiasis of the kidneys.
- Cystitis (urinary tract infection).
The acute form of pyelonephritis and glomerulonephritis is treated only during hospitalization. This is due to the fact that the patient needs rest and bed rest, in compliance with all the requirements of specialists. Treatment for kidney inflammation includes, in addition to bed rest, a specialized diet and antibacterial therapy.
After a complete diagnostic procedure is carried out to determine the cause of inflammation, antibiotic therapy is prescribed. If it is impossible to identify the pathogen, then doctors use broad-spectrum drugs.
The drugs are administered intravenously, intramuscularly and orally in the form of tablets. If one antibiotic does not help with kidney inflammation, it is changed to another.
In the first stages of the disease, treatment of kidney inflammation is carried out with protected penicillins and 3rd generation cephalosporins.
Most antibiotics have a nephrotoxic effect and can damage kidney tissue, which can lead to the development of kidney failure. A course of medications, usually lasting from 5 to 14 days, is prescribed by a specialist. It is not recommended to interrupt treatment of kidney inflammation with antibiotics, because in this case the therapeutic effect is not achieved.
Drugs for the treatment of inflammation
Treatment of inflammatory processes in the kidneys is mandatory, since the risk of developing renal failure is extremely high.
The following groups of antibiotics are used for treatment:
- Penicillin. The main representatives of the group of drugs are penicillin and amoxicillin. A significant drawback of drugs is their inability to overcome pyelonephritis. But this group can be taken by pregnant and lactating women due to low toxicity. Effective therapy is carried out in the fight against E. coli and various enterococci, staphylococci and streptococci. Medicines are not prescribed to patients with allergies to penicillin.
- Cephalosporin. The main representatives of the group of drugs are cephalexin, cephalothin, zinnate, claforan, ceftriaxone, ceftizoxime, ceftazidime, cefpirome. The 3rd and 4th generation of antibiotics are mainly used, since the previous ones were not highly effective. Drugs in this group have shown themselves to be effective in preventing the disease from developing into a more serious stage. They are often used when signs of renal failure develop, as they are excreted by the liver.
- Fluoroquinolone. This group includes the “heavy artillery” of antibiotics. Specialists prescribe such medications when the patient is in danger of death or in an extremely serious condition. The group has two generations of drugs. First: fleroxacin, ciprofloxacin, ofloxacin. The second generation is able to cope with all pneumococcal pathogens: sparfloxacin, levofloxacin.
Second generation drugs are used only during hospitalization and under the supervision of a specialist. They are used when other drugs have not had the desired therapeutic effect. Aminoglycosides are antibiotics used in severe clinical conditions. These include drugs such as amikacin, netilmicin, sisocymin. Medicines have quite extensive and serious contraindications and provoke complications. Such as:
- Development of renal failure.
- Hearing dysfunction.
- Disturbances during pregnancy (contraindicated for use).
The drugs have contraindications for use in elderly people.
These medications are taken in strict dosages and only as prescribed by a doctor.
Treatment of cystitis
Almost every woman has encountered a disease such as cystitis in her life. Cystitis is an inflammation of the bladder. Common symptoms include frequent and painful urination in small volumes. As women complain to doctors, there is a “pain” when urine flows out.
Cystitis is treated comprehensively with antibiotics, herbal remedies, antispasmodics and painkillers. For antibiotic therapy, the following drugs are prescribed: furagin, monural, levomycin, ciprolet, furadonin, ceforal. These medications have proven themselves and effectively treat inflammation of the kidneys and urinary tract.
Among the new pharmaceutical products is palin, a new generation of antibiotic quinolones. It has already been widely used in gynecology and urology due to the speed of elimination of infection and the minimum of contraindications. Prohibitions on use include old age (over 69 years), allergic reactions to the components of the drug and developing renal failure.
Penicillins
Penicillins are a modern group of drugs classified as the fifth generation. Capable of providing effective resistance to gram-positive and gram-negative bacteria.
The dosage of these medications is calculated depending on the age and individual characteristics of the patient’s body:
- from 40 to 60 mg/kg – for adults;
- from 20 to 45 mg/kg – for children.
Attention! The daily dose is divided into 2-3 parts. The drugs are administered intravenously or intramuscularly.
Due to its low toxicity, the drug is quite well tolerated by patients. The only exceptions are those cases when the patient has intolerance to any of the components of the drug.
Long-term use of this group of antibiotics for kidney disease can cause the development of an allergic reaction (rash, redness of the skin) and dyspeptic disorders.
If pyelonephritis was provoked by Pseudomonas aeruginosa, then it is recommended to use Pipracil and Securopen in combination with gentamicin and amikacin. In case of contraindications to the use of aminoglycosides, a drug of the penicillin group called ciprofloxacin is prescribed.
Therapy is carried out under strict control of biochemical blood parameters, since there is a high probability of developing hypernatremia and hypokalemia.
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Cephalosporins
Cephalosporins are a group of drugs derived from aminocephalosporic acid. They are most effective in the development of an inflammatory process in the kidneys caused by pyelonephritis and glomerulonephritis. Due to mainly hepatic metabolism (excretion from the body), medications are recognized as the safest in the presence of symptoms of renal failure.
The most powerful drugs in this group are the following:
- cefotaxime;
- cefoperazone;
- ceftazidime;
- ceftriaxone.
Dose: 50-100 mg/kg divided into 2 doses per day.
They can cause significant harm in the presence of an infectious process in the urinary tract. Therefore, this factor is the main contraindication for use. Also, these medications should not be taken during pregnancy and by newborn children. It is strictly forbidden to combine cephalosporins with alcoholic beverages.
After completing the course of taking the presented group of antibiotics for another 5 days, the formation of a disulfiram-like reaction is possible:
- sharp pain in the abdominal area;
- incessant vomiting;
- increased feeling of anxiety;
- increased heart rate;
- significant reduction in blood pressure.
Macrolides
Treatment of the kidneys with macrolide antibiotics is irrelevant in situations where the inflammatory process was caused by the action of staphylococci, enterococci, Klebsiella and Escherichia coli. In most cases, macrolides are prescribed for glomerulonephritis.
The most effective drugs are vilprafen and erythromycin. They are quite expensive, price from 680 rubles.
Carbapenems
Carbapenems are a group of antibiotics classified as beta-lactams. They are characterized by a wide spectrum of activity and a high level of effectiveness in the inflammatory process in the kidneys, provoked by the action of gram-positive and gram-negative flora. Administration is performed intravenously.
The most popular drugs in this group are the following:
- Imipenem – for inflammation of the kidneys or bladder, it is recommended to combine it with cilastatin. This helps ensure therapeutic concentrations of the drug in the urine;
- Meropenem is the most common drug, its effectiveness is confirmed by numerous reviews;
- Doriprex;
- Invazin.
This medicinal group is recommended for use in severe inflammatory processes. Especially if it was caused by E. coli or Klebsiella. The drugs are ineffective against Pseudomonas aeruginosa.
Long-term use of carbapenems can cause a number of side effects:
- manifestations of an allergic reaction in the form of a rash and redness of the skin;
- symptoms of nephro- and neurotoxicity;
- persistent dyspeptic disorders.
Aminoglycosides
The presented group of drugs has the following characteristics:
- In comparison with the groups of drugs presented above, aminoglycosides have more pronounced bactericidal properties and practically do not cause allergic reactions.
- They are able to have an effective effect in the event of the development of an inflammatory process in the kidneys due to staphylococci, Pseudomonas aeruginosa, Proteus, Klebsiella, Escherichia coli, and enterobacteria.
- Aminoglycosides are practically ineffective against inflammation caused by the activity of streptococci and enterococci.
- The maximum concentration of the drugs presented in the renal tissue can be achieved with intravenous and intramuscular administration.
- They have a high level of toxicity. Typical side effects include nephrotoxicity, deterioration of auditory function, damage to the vestibular apparatus, and the likelihood of developing neuromuscular blockade.
The course of taking aminoglycosides is no more than 10 days. During therapy, it is necessary to monitor biochemical blood parameters.
Among the most common drugs in this group are amikacin and gentamicin.
Use of uroseptics
Uroseptics are able to fight infections of the kidneys and urinary system.
They are divided into three groups:
- Nitrofurans. The most popular of them are furadonin and furagin. They practically do not accumulate in tissues and blood and are excreted from the body in the urine. They are characterized by a wide spectrum of activity and are highly effective against inflammatory processes in the kidneys caused by staphylococci, streptococci, enterococci, and trichomonas. Do not use while pregnant. They have a large number of side effects: bronchospasms, dyspeptic disorders, pulmonary edema, damage to the central nervous system. They have a toxic effect on liver and kidney cells.
- Hydroxyquinolines. Among this group, only nitroxoline is widely known. The drug is characterized by a wide range of fight against various microorganisms, which include fungi. Doesn't cause addiction.
Quinolones and fluoroquinolones. Among the quinolones, there are 4 generations of drugs, but only nolicin is classified as uroseptics. It is removed from the body within 4 hours, while other drugs with similar effects are removed after 14 hours.
Anti-relapse therapy
Inadequate antibacterial therapy is recognized as the most common cause of recurrent pyelonephritis. Selection of a drug that is not active against the pathogen, small dosages, addiction to the drug with prolonged use, insufficient treatment period.
To prevent the development of chronic pyelonephritis, uroseptics are prescribed every month for no more than 10 days. Treatment is carried out under the control of urine cultures for sterility. If there is no improvement, the medications used are changed every 5-7 days.
Quite often, during anti-relapse therapy, drugs are prescribed that have anti-inflammatory, antispasmodic (painkiller) and diuretic effects, for example, canephron, cystone, anatoxin, 5-Nok.
In parallel with this, herbal treatment can be carried out. But homeopathy alone will be useless, the use of antibiotics is mandatory
Quinolones and fluoroquinolones
The presented group of drugs includes 4 generations of drugs with a wide spectrum of action.
Quinolones and fluoroquinolones are effective against the inflammatory process in the kidneys caused by the action of gram-negative and gram-positive flora.
Available in the form of tablets and capsules. The dose is taken 2-6 hours after consuming antacids or other medications containing iron, zinc and bismuth.
The following side effects may occur:
- heartburn;
- pain in the epigastric zone;
- problems with appetite;
- feeling of nausea;
- gagging;
- allergic reactions;
- migraine;
- temperature increase.
Injections for kidney inflammation
In addition to medications in tablet form, doctors can prescribe injections to patients for kidney inflammation. But this is carried out only in severe cases of the disease.
Injections can be fast-acting; they are most often prescribed for inflammation of the kidneys and directly the urinary tract, ureter, and deterioration of urogenital health. These include Tsifran, used at 500 mg every 12 hours. In the presence of renal failure, the dosage is halved.
In addition, Tsiprobay injections are prescribed twice a day, 100 mg. Contraindications include intolerance to any of the components present in the composition, pregnancy and breastfeeding.
The main thing to remember is that if you experience any symptoms characteristic of kidney inflammation (pain in this area, changes in the color of urine or a burning sensation during urine discharge), you should immediately consult a doctor. With timely treatment, further relapses can be avoided.
Reflex spasms of the airways during pneumonia
Symptoms of pneumonia may vary. They depend on its form and stage. Viral pneumonia is characterized by the appearance of:
- Dry bronchospasms.
- Muscle pain and headache.
- Weaknesses.
- Shortness of breath.
- Severe fatigue.
The bacterial form has slightly different characteristics. It is characterized by the appearance of:
- Sweating.
- Wet reflex spasms of the respiratory tract.
- Heat.
- Shortness of breath.
Sometimes atypical pneumonia (without cough) is observed; in this case, symptoms may be completely absent. This greatly complicates diagnosis and timely initiation of treatment.
Cough due to liver disease
Bronchospasms can occur with cirrhosis. They are not a typical symptom of this disease. However, they often appear due to the weakening of the body’s protective functions and the easy penetration of respiratory infections, which cause reflex spasms of the respiratory tract.
Reflex spasms of the respiratory tract during tracheitis: symptoms
Bronchospasms are one of the main symptoms of this disease. They are dry in nature and manifest themselves:
- Morning and night.
- Inhale.
- When crying and laughing.
- When the ambient temperature changes.
During attacks, the patient may feel a stinging pain in the throat and chest.