Category Archives: Urinary Tract Infection/Pyelonephritis

My dad is 82 years old with bph, has a indwelling foley catheter. Over a few weeks his catheter has been leaking and had saturated his diaper. Nurses have changed out the catheter. Only for it to start leaking again. This has happened a lot. He has a history of UTI’s. He ended up in the ER with septic shock secondary to UTI and pneumonia. Renal failure and respiratory failure. He also had a clogged catheter. My question is at what point do you call for a urology consult? And how do you prevent septic shock?

Problems with the lower urinary tract are within the expertise of a urologist. I am a nephrologist and do not deal with Foley catheters and complications. If there are problems related to infection and a bladder catheter, then urologic consultation … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Greetings. My question concerns my wife and trauma she received just over a year ago. On December 17, 2017, she and my son was involved in an automobile accident. A lady talking on cell phone made a U-turn and pulled directly into their path. My son’s foot was injured severely and my wife had tremendous upper chest and abdomen injuries due to seat belt. Both were taken by ambulance and treated at nearby hospital and released. Couple of months later, latter part of February, 2018, my wife began to become ill and was diagnosed with a urinary tract infection and treated with antibiotics. After about a week and no improvement, I had to take her to emergency room as she was very sick. Ultra sound and X-rays revealed a kidney stone had blocked ureter and she had become septic. Emergency room doctor made decision to air lift her to a hospital in different state that was better equipped to handle her condition. She spent about 10 days in intensive care. Dismissed from hospital and had to return and was readmitted due to complications from sepsis. This was in early March, 2018. Now, one year later, she is beginning to get back to normal with just a few minor lingering complications, she lost her hair due to stress on her body, it is now growing back, she has a terrible cough due to intubation. Her health insurance has been wonderful with the exception of the air flight. Her insurance says the flight was an out of network provider and we are looking at a bill in the 10’s of thousands of dollars, they started with a $39,000.00 bill for a less than one hour flight. Her health insurance paid $4300.00 on the flight, we are responsible for balance. Now to my question, would and could it be possible for the damage to the kidney and subsequent kidney stone and sepsis be related to the injury from the accident just about two and one half months earlier? Our automobile insurance will pay for the air flight if her condition was or could be related to the automobile accident from December 17, 2017? Thank you so very much in taking time to review my question and concern. Sincerely.

I am unable to make a specific diagnosis without performing a complete history and physical examination. It would be best for her primary care physician (PCP) or a physician who cared for her during her illness to render an opinion. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

Hello. For the past two weeks I’ve been having moderate to severe pain in my back on the left side only below my ribs. The first time this pain appeared was on a Saturday and lasted for 4 to 5 hours. The pain was very intense to the point where I was in tears but I was unable to leave work to go to an ER and the pain had decreased to a moderate pain by the time I left work. The next day the pain intensified again lasting 3 hours before going to the ER. While in the ER the doctor had not taken any imagining only a urine sample, blood draws and provided Torodol via IV. After the UA was complete I was told it appears to be a UTI; was giving a prescription for antibiotics and sent home. I followed up two days later with a family care PCP [not my primary as she is not available right now] who did not do a physical exam and said he did not believe my issue to be a UTI. That doctor did x-ray imaging of my back to rule out any skeletal issues. The x-ray came back to show only minor degenerative disc disease. Another blood draw and UA was done at the appointment. A few days later the doctor called and informed me that my creatinine levels had risen and would like to follow up a week from the previous appointment. At that follow up he expressed concern about kidney function but brushed it off due to my age. My mother-in-law is a RN and has also expressed concern for my kidneys. To date no imaging of my kidneys have been done. Also, the day before my follow up the intense pain had returned but was not only in my back/flank but in my upper abdomen. It felt like a tearing pain under both ribs and there was a throbbing under my ribs in the center of my upper abdomen, you could both feel and see the physical throbbing. This pain again was sudden but was also episodic, coming in waves, lasting between 2 and 10 minutes at a time for 3 hours. I did not go to ER at that time due to having an appointment the next day. Though I admit now I should have gone as the pain was also in my chest and it was difficult to breath during the points of intense pain. I am 31 years old, transgender (FTM), with high blood pressure; I’ve been on BP medication for less than 1 year even though my blood pressure has been elevated for years, and overweight (5’1, 220lbs). In this time three blood draws have been done in order or draw my creatinine has been 1.36, 1.39 and 1.26; BUN has been 10, 10, 11 making BUN/Creatinine Ratio 7.4, 7.2, 8.7. My question is, if this is anything to have concern over and to seek out a nephrologist’s assistance. I have not been confident in the doctor’s actions the two times I have seen him but do not know what to do next. Thank you for any guidance you are able to provide.

I am not able to make a specific diagnosis based on the information that you present. I also think you need further testing that might include a helical computerized axial tomogram (CAT) scan and looking for kidney stones. An ultrasound … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello, what should I do to cure kidney infection permanently because ciprofloaxcin given three times in three years seems to help me? I currently have an infection and I have no abnormality. Is there an antibiotic that can cure the infection besides cipro, cefixime, cetrifix and amoxillin all this have failed? Stomach side pains are the most symptoms.

In the situation that you describe, you need to have a full culture and sensitivity of your urine in order to determine the exact organism that is causing the infection and the antibiotic to which that the organism is sensitive. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

Hi, i am 55 Years male. Suffering high fever 103-104 degree, vomiting, weakness, high diabetes, high blood pressure. Urine not clear completely. Creatinine 1.45. Acute kidney infection from UTI. My left kidney GFR value 52 and right kidney GFR only 18. Suffering recurrent UTI since last 10 years. After higher dose of antibiotic, condition improved little bit, but after 1 month UTI repeated continuously for last 5 years. Condition worse day by day. DTPA kidney test result as below for your ref. Right sided pyelonephritis with mild HDN Right kidney: Low height distorted curve. Right kidney split function: 26% Left kidney split function: 74%. % of uptake left kidney 5.90%. % of uptake right kidney 2.03%. Left kidney GFR 52.9 ml/min. Right kidney GFR 18.3 ml/min. Impression right kidney: marked parenchymal impairment. Impression Left kidney: Pelvicalyceal dilatation with no obstruction & normal function. Please advise what to do now? -Ureteroscopy -Dialysis -Others? Thanks!

I recommend that you consult with a urologist to find out why you are having recurrent infections and why your right kidney has been injured. A urologist would be the proper person to consult about your condition. For additional information … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hi. I have had an MRI. I have been getting re-occurring UTI infections. Pain in left side under ribs and back. It seems that I have 3 kidneys. I have two on left side are fused. I have duplex collecting systems but the fused kidney is partial. One ureter goes from one kidney to my bladder. I have a test on Monday to check the renal flow. What is the normal treatment for this type of kidney situation if one is not working properly or both are working properly. Thanks. They also found splenic cysts on my spleen in the MRI. No mention of what that means. I was given a copy of the MRI report. Thanks.

This will have to be evaluated by a urologist. A urologist is a surgeon and the only treatment may include surgical treatment. However, not all duplicated kidneys require surgery. Hence, this will have to be evaluated by a urologist, who … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Dear Sir, Take my cordial respect. I am from Bangladesh. My mother is suffering acute kidney problems. She is 54 years old. She is also a patient of diabetic for 24 years above and taking insulin two times daily. Urine infection was occurred past days and water comes in her body, especially in her belly now. She has also high blood pressure. Now she is taking drugs as doctor’s suggestion but improvement is not showing. If you want, I can send her drug list. In this situation, I need your suggestion. With best regards.

I am not able to recommend medical treatment without performing a complete history and physical examination. Treatment of the urine infection and monitoring of her kidney function should be performed by the physicians caring for your mother. Further treatment will … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues

Father is 92. Home bound. Has had a catheter for over 5 years. Limited kidney function but urine output is good and shows no sign of infection. But he is experiencing bladder spasms. He is on the correct diet; using cranberry juice, no caffeine, no salt, no sugar etc. Believe spasms from catheter irritation and maybe from a low dose of furosemide 10 mg/daily. Has constipation on and off and have tried and are using Miralax, Mylanta and gas and bloating pills over the counter as doctor suggested. Has slight reddish color to urine/blood, but not bad, it has been worst in the past. No smell or signs of urinary infection. Drinking plenty of cranberry juice and water. How can we reduce the spasms more? They are worst right after a catheter change (but doesn’t start till about 10 hours later) and are reduced over time. Yesterday, we almost had to go to the ER because he couldn’t deal with the pain. He had a surgical procedure while in the hospital 2 months ago due to blood clots/and full blockage after a change where they cleaned out the bladder. Had residual clots for about 3 weeks after that. He feels good about a week before the cath change is due and then has to go through all this again once the cath change is done. We’ve tried different nurses, different urinary doctors, ER and etc. Is there any other things that we can try? I read that maybe Detrol/Norpamin, or maybe Buscupan may help. What do you think?

Bladder spasms in men are very common with long term indwelling bladder catheters. There are no good medications for this. In some cases, bladder suppositories containing narcotics have been used, but narcotics in the elderly commonly induce confusion and sedation. … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues

I am contacting you on behalf of my daughter. She is 23 and has had chronic kidney infections since 6 Mos old. We have done vcug’s which initially showed reflux, but when the last one was done at 9 showed little to no reflux. She even tried prophalytic antibiotic treatment. That worked for a while. Finally at 17 she begged to stop looking for an answer. I relented but now she’s 23 and just let me know the problems are starting again. In November she was put on an antibiotic and it initially worked but as soon as she stopped taking them she had symptoms again. She was in the ER 2 weeks ago and was given an antibiotic infusion. She was then put on po antibiotics and finished those 7 days ago. Today she sent me this: “So about a week off of antibiotics and suddenly have some of the worst flank pain I’ve had. The adventure continues. I started hurting at like 2. When I’m laying down it’s minor pain, but when standing up it’s completely overwhelming.” Do you have any ideas? Anyone you can suggest she see? Any ideas would be greatly appreciated. Thank you for your time and consideration.

In most situations where bladder or kidney infections fail to clear, there is an anatomical problem with the urinary tracts. This comes under the expertise of a urologist. I am a nephrologist and I have no surgical expertise related to … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello Doctor. My brother was diagnosed with UTI and kidney stone. The urologist said this cause was as result of narrow part of ureter connecting kidney with bladder. First operation was performed to insert stent and my brother has some relief. Now the urologist said that the permanent solution is to cut off the narrow part of ureter and join the join the good part together. I want to know if this is the best solution?

I am a nephrologist and do not have any surgical expertise. A urologist is a surgeon and deals with questions of the urinary tract and surgery. I suggest that you seek any advice about this type of surgery from a … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis