Pyelonephritis



Pyelonephritis is an inflammation of the kidney tissue, calyces, and pelvis. It is a specific type of urinary tract infection (UTI) that generally begins in urethra or bladder and travels up into kidneys. It is a bacterial infection of one or both kidneys.

Causes

1)      Most cases are due to bowel organisms that enter the urinary tract
·         Escherichia coli causes about 90% of cases of pyelonephritis
·         Enterococcus faecalis.
·          Hospital-acquired infections maybe due to coliform bacteria and enterococci

2)      Mechanical causes- any structural abnormalities in the urinary tract, vesicoureteral reflux (urine from the bladder flowing back into the ureter)
3)      Kidney Stones
5)      Ureteral stents or drainage procedures (e.g., nephrostomy), pregnancy, neurogenic bladder (e.g., due to spinal cord damage, spina bifida or multiple sclerosis) and prostate disease (e.g., benign prostatic hyperplasia) in men
6)      Diabetes
7)      Family History

The risk of pyelonephritis is increased during pregnancy.

Symptoms

·         Back pain or flank pain
·         Fever or chills
·         Feeling sick (malaise)
·         Nausea and vomiting
·         Confusion 

Pyelonephritis may cause noticeable changes in the urine
  • Blood in the urine (hematuria)
  • Cloudy or foul-smelling urine
  • Pain/burning  when urinating
  • Increased frequency or urgency of urination
Diagnosis
Ultrasound can reveal blockages in urine flow, stones, cysts or suspicious masses in the kidneys.
  • Computed Tomography (CT scan)
  • Magnetic Resonance Imaging (MRI scan)
  • Urine and blood cultures
May identify the bacteria responsible
An endoscope (flexible tube with a camera on its end) is passed through the urethra into the bladder and ureters. Ureteroscopy generally cannot reach the kidneys themselves, but can help treat conditions that also affect the ureters. (Animation)
Using a needle inserted into the back, a small piece of kidney tissue is removed. Examining the kidney tissue under a microscope may help diagnose a kidney problem. (Animation)

Complications

·         may cause permanent kidney scars, which can lead to chronic kidney disease, high blood pressure and kidney failure
·         Infection in the kidneys may spread to the bloodstream—a serious condition called sepsis.

Treatment

Allopathic Treatment for kidney failure

Pyelonephritis is treated with antibiotics (10 to 14 days). Antibiotics can be given intravenously. Antibiotics do have a lot of side effects. Urinary tract obstructions are often treated with surgery. Pyelonephritis may progress to form a pocket of infection (abscess). Abscesses must be drained with a tube inserted through the skin on the back into the kidney abscess, a procedure called Nephrostomy.


Herbs to relieve painful/burning urination
  The anti-inflammatory and analgesic properties of Asparagus (Shatavari), Musta (Nut Grass) soothe the inflamed mucosa, and alleviate the burning sensation or pain that occurs during urination.
 Rubia cordifolia(Manjistha)
Ocimum basilicum
Equisetum arvense
 Tribulus terrestris
 Equisetum arvense

Herbs Normalizes pH balance
                  Musta (Nut Grass), Asparagus (Shatavari), Equisetum arvense 

 Herbs having Diuretic action
                 Tribulus Terrestris (Small Caltrops), Onosma bracteatum, Boerhavia Diffusa 

Herbs having Antioxidant Activity
           Rubia cordifolia
           Ocimum basilicum
           Equisetum arvense
           Tectona grandis

Indian Sarsaparilla (Sariva) has a the renoprotective effect, which protects against chemically-induced nephrotoxicity.

Ayurvedic medicine for kidney failure increases blood flow in the kidneys. This, in turn, increases the glomerular filtration rate (GFR). The GFR is responsible for increased urine output. Herbs combat pathological disorders like urethritis and cystitis.


Location: Chandigarh, Chandigarh, India

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