What should not be eaten with pyelonephritis?

Written by Pan Wu Shan
Nephrology
Updated on September 16, 2024
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Pyelonephritis is actually a type of urinary tract infection, which can be divided into pyelonephritis and cystitis. If the bacteria are confined to the bladder without other symptoms, it is called cystitis. At this time, anti-infection treatment is needed, and recovery can usually be achieved within about three to seven days. However, if cystitis is not treated in time, causing the bacteria to enter the kidney along the urinary tract, the patient may develop systemic fever, sometimes high fever from 38°C to 39°C, and may also experience kidney percussion pain, back pain, etc. This condition is called acute pyelonephritis, and its anti-infection treatment course requires two weeks. If the treatment course is insufficient, it is very easy to relapse. Currently, for the diet of pyelonephritis, it is important to maintain a low-salt, low-fat, light diet, avoid spicy, stimulating, cold food, drink more water, and urinate frequently.

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Written by Zhou Qi
Nephrology
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What foods to eat for pyelonephritis

Pyelonephritis is not nephritis, but a type of bacterial infection. Therefore, as a bacterial infection, there are no specific dietary restrictions for patients. Such patients should ensure adequate intake of fluids, with a recommended daily urine output of over 2000ml. This can help flush the urinary system and wash away some bacteria, reducing bacterial proliferation. Since it involves inflammation, it is advisable to follow a lighter diet, avoiding spicy, stimulating, and greasy foods, and focusing on easily digestible and warm foods.

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Nephrology
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Is pyelonephritis easy to treat?

Most cases of pyelonephritis start acutely, with patients abruptly experiencing bacterial infections in their urinary system, causing inflammation in areas such as the renal pelvis and calyces. This manifests clinically with symptoms such as fever and back pain. This acute onset type is called acute pyelonephritis, and it is relatively easy to treat because it involves a bacterial infection that requires antibacterial treatment. Hence, it is generally manageable. However, if a patient's condition becomes prolonged and turns into chronic pyelonephritis, treatment may be more challenging. The bacteria causing chronic pyelonephritis are often drug-resistant, and this condition might be associated with predisposing factors for urinary infections, such as urinary system stones, anatomical abnormalities of the urinary tract, or obstructions that can conceal bacteria or contribute to their resistance, making treatment more difficult.

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Nephrology
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The difference between pyelonephritis and nephritis

Pyelonephritis and nephritis are two completely different concepts. Pyelonephritis is actually a bacterial inflammation, usually caused by bacteria at the urethral opening ascending into the urinary system and causing inflammation in areas like the renal pelvis and calyces. Patients may experience symptoms such as fever, hematuria, and back pain. In severe cases, it can cause necrosis of the renal papillae, leading to acute renal failure. Some patients may also develop perinephric abscesses, which are caused by bacterial infections. Nephritis, on the other hand, refers to inflammation within the glomeruli. This type of inflammation does not involve bacteria and is related to disorders in the body’s immune function. The disordered immune response is aggressive, attacking the glomerular filtration barrier, leading to proteinuria and hematuria. Therefore, the mechanisms of disease and treatment methods for the two conditions are different.

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Can pyelonephritis be cured?

Whether pyelonephritis can be cured mainly depends on whether the patient has predisposing factors for urinary tract infections. These factors primarily include: Firstly, abnormalities in the anatomical structure of the urinary tract that may lead to obstruction of urine excretion, such as urological system stones, tumors, prolonged indwelling catheters, congenital abnormalities of the urinary system, and others. Additionally, there are some conditions that may lead to a decreased immune response, such as elderly individuals who are bedridden, those with diabetes, or patients using immunosuppressants. If the aforementioned factors are present, treatment of such cases of pyelonephritis might be challenging, with patients possibly experiencing recurrent episodes and potentially progressing to chronic pyelonephritis, eventually becoming difficult to cure completely. However, if none of these factors exist, the majority of cases with simple acute pyelonephritis can be cured and controlled by medication.

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Is pyelonephritis easy to treat?

Pyelonephritis is generally not difficult to treat. Because the condition often appears quite aggressive, it is caused by bacteria entering the urinary system through the urethra, leading to an inflammatory response. Therefore, the primary treatment involves using antibiotics to kill the bacteria. Most of the bacteria causing pyelonephritis are Gram-negative rods, so antibiotics sensitive to Gram-negative rods are often chosen. After a treatment course of 10-14 days, the patient's condition is generally controllable and curable. However, there are also a few cases of chronic pyelonephritis, involving complex factors related to urinary tract infections, such as urinary tract malformations, urinary system stones, prostate hyperplasia, diabetes, etc., which make treatment more difficult. (Medication should be used under the guidance of a doctor.)