Learn about Kidney Infections - Pyleonephritis - Sasha Wainstein MD FACS Urology
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Male 1: Someone calls up with a tremendous back pain that is kept at one side and jumped to the sky. There is pain when they urinate when they got a fever. That is not something that you fool around with this, is that true? Male 2: That is correct. Male 1: It could be an infection to your kidneys? Male 2: It could be a infection to the kidney. Now most of the kidneys usually are ascending. They start in the urethra and into the vagina, they go into the bladder and from there they may ascend. So ascending pyelonephritis usually happens in women. Men usually do not get those things but in women, they are very common in them. They got a fever, they get burning, and they got a lot of pus in the urine. The cultures are positive and they feel really lousy and they feel very sick. Male 1: If they are sick with fever and in a lot of pain they may come in and admitted to the hospital to, do not they? Male 2: Most of the time they get admitted to the hospital if you do not respond to initial meds. Male 1: So if you got flank pain with a potential of a pyelonephritis, you could take care of that as a serious infection, is that true? Male 2: Absolutely. That is a real serious infection. Male 1: Is that in the telephone? Male 2: Not on the telephone, if you are running a 102° or 103° temperature, you got burning, and you got flank pain; first of all you have to make sure that, that person does not have a stone there. Flank pain with fever, nausea and vomiting, and distention of the abdomen. You got to make sure you do not have a stone that is blocking your kidney. Male 1: So good medicine means not thinking it is, you find out where it really is. Male 2: Correct Male 1: And then make the correct diagnosis, correct treatment, and also treatment follows, is that true? Male 2: That is correct. Male1: Thank you.