Understanding Kidney Infections (Pyelonephritis)

A Comprehensive Guide for Patients

Internal Medicine

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Last updated: Mar 24, 2025

What Is a Kidney Infection?

A kidney infection, or pyelonephritis, is a serious type of urinary tract infection (UTI) that occurs when bacteria travel up from the bladder to one or both kidneys.

Common Symptoms

  • High fever (often over 101°F/38.3°C)
  • Back pain or flank pain
  • Severe abdominal pain
  • Frequent, painful urination
  • Nausea and vomiting
  • Cloudy or bloody urine
  • Strong-smelling urine
  • Fatigue and weakness

Risk Factors

  • Female anatomy
  • Urinary tract abnormalities
  • Weakened immune system
  • Diabetes
  • Pregnancy
  • Recent urinary procedures
  • History of UTIs

Diagnosis

Your healthcare provider may perform:

  1. Physical examination
  2. Urine tests
  3. Blood tests
  4. Imaging studies (if needed)

Treatment Options

Immediate Care

  • Antibiotics (usually for 7-14 days)
  • Pain relief medication
  • Increased fluid intake

Hospital Care (if needed)

  • Intravenous antibiotics
  • Fluid management
  • Close monitoring

Prevention

  • Stay well-hydrated
  • Urinate promptly when needed
  • Wipe from front to back
  • Empty bladder after sexual activity
  • Maintain good hygiene

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • High fever with shaking chills
  • Severe back or side pain
  • Persistent vomiting
  • Difficulty urinating
  • Mental changes

Complications if Untreated

  • Permanent kidney damage
  • Blood infection (sepsis)
  • Pregnancy complications
  • Chronic kidney disease

Recovery and Follow-up

  • Complete all prescribed antibiotics
  • Attend follow-up appointments
  • Monitor symptoms
  • Report any worsening conditions

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