Post Date December, 03 2023
There are acute and chronic pyelonephritis. Most of us know that acute pyelonephritis is a infectious diseases involving the renal parenchyma and pelvis, most of which are unilateral, and occasionally bilateral kidneys. Frequent urination accompanied by urgency, pain and vomiting, fever, nausea, abdominal pain, and back pain. But I don't know the specific symptoms. Here is the diagnosis of acute pyelonephritis symptoms:
1、 Systemic manifestations: Most cases have sudden onset, often accompanied by chills or chills, high fever, body temperature up to 39 degrees Celsius or above, general discomfort, headache, fatigue, decreased appetite, and sometimes nausea or vomiting.
2、 Urinary tract symptoms: The most prominent symptoms are bladder irritation, such as frequent urination, urgency, and pain, with low urination volume and even dripping urine. Most patients have low back pain or abdominal pain transmitted to the perineum.
3、 Mild patients may have no systemic symptoms, only bladder irritation symptoms such as frequent urination, urgency, and pain.
Based on overall symptoms and urinary tract symptoms, the number of white blood cells in urine increases, and urine cell tests are positive, making the diagnosis not difficult to determine. But it needs to be differentiated from acute lower urinary tract infection, especially cystitis. Due to the different treatment principles and prognosis between the two, the following can be used for differentiation:
① People who test positive for bacteria wrapped in antibodies in urine are mostly diagnosed with pyelonephritis. Negative cases are mostly cystitis;
② After bladder sterilization, urine samples with positive bacterial culture are classified as pyelonephritis, while those with negative culture are mostly classified as cystitis;
③ Referring to clinical symptoms, those with fever (>38 degrees Celsius) or low back pain, renal percussion pain, or white blood cell type in the urine are often diagnosed with pyelonephritis;
④ After the symptoms disappear after treatment, those who relapse within six weeks are mostly pyelonephritis, or those who are ineffective or relapse after single dose antibiotic treatment are mostly pyelonephritis.
The above is a brief introduction to the diagnosis of acute pyelonephritis. Now that everyone is familiar with acute pyelonephritis, it is important to seek timely treatment at a reputable hospital.
