Can pyelonephritis lead to pregnancy?

Written by Pan Wu Shan
Nephrology
Updated on September 23, 2024
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Pyelonephritis is actually a urinary tract infection. It is not the same as nephritis, so do not confuse the two. Thus, pregnancy is completely feasible for someone with pyelonephritis; as long as the infection is treated, the urine test shows negative results, and there are no white blood cells, pregnancy can occur without any impact. Currently, the treatment for pyelonephritis is anti-infection therapy. Since the bacteria have entered the kidney via the urethra, this treatment needs to last for two weeks. If the treatment duration is insufficient, there could be a recurrence of pyelonephritis. Additionally, it is important to drink plenty of water, urinate frequently, avoid holding urine, consume more than 2500 milliliters of water daily, and maintain a light diet avoiding spicy and irritating foods.

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Written by Zhou Qi
Nephrology
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Principles of treatment for pyelonephritis

Pyelonephritis, also known as an upper urinary tract infection, is a bacterial inflammation, with over 95% being caused by bacterial infections, among which 70% are caused by Escherichia coli. Therefore, as a bacterial infection-induced inflammation, antibiotic treatment is of course necessary. Clinically, third-generation cephalosporins or fluoroquinolone antibiotics are often chosen for bactericidal treatment. For acute pyelonephritis, it is generally recommended that medication be administered for 14 days, alongside measures such as increased water intake and frequent urination. In cases of chronic pyelonephritis, a low-dose, long-course antibacterial treatment, such as using nitrofurantoin, may also be employed, with continuous medication for two months. (Please consult a clinical doctor for specific medication use; do not self-medicate.)

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Written by Zhou Qi
Nephrology
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Where to apply moxibustion for pyelonephritis

Pyelonephritis is an upper urinary tract infection caused by bacteria invading parts such as the renal pelvis and calyces, leading to inflammation. Moxibustion has no therapeutic value for patients with this disease. Pyelonephritis often occurs when bacteria ascend from the urethral opening into the urinary system, causing inflammation. Therefore, treatment generally involves the use of antibiotics to kill the bacteria. It is important to choose antibiotics that are sensitive to the infecting bacteria and preferably those that can form a high concentration within the urinary system. Typically, taking medication for 10-14 days can control the condition for the vast majority of patients. Using moxibustion or massage as physical therapy has little value, but patients can benefit from drinking more water and urinating frequently to help control the condition.

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Written by Zhou Qi
Nephrology
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How is pyelonephritis diagnosed?

Pyelonephritis is an upper urinary tract infection, with over 95% caused by bacterial infections in areas such as the renal pelvis and calyces, leading to inflammation. As a type of bacterial infection, if a patient's urine routine shows leukocytes and there is percussion pain in the renal area, along with fever, these symptoms combined with the urine examination can essentially lead to a diagnosis. However, a definitive diagnosis requires a culture of clean-catch midstream urine. If the bacteria in two consecutive urine cultures exceed 100,000 per milliliter and are the same type, the patient can be clearly diagnosed with pyelonephritis.

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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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Written by Zhou Qi
Nephrology
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How many days does the high fever last in pyelonephritis?

Pyelonephritis, also known as an upper urinary tract infection, indeed tends to cause fever in patients. Generally, this type of fever can rise sharply in a short period of time, potentially exceeding 39°C. The duration of the fever mainly depends on the patient's own resistance and the effectiveness of the medication. If sensitive antibiotics are used and the patient has strong immune capabilities, the bacteria can be killed or mostly eliminated in a short period of time. In such cases, the patient's high fever may gradually subside within three to five days. However, if the medication is ineffective, the fever may persist for an extended period, possibly lasting up to half a month or even a month. (The use of medications should be carried out under the guidance of a professional doctor.)