Pyelonephritis symptoms in men over 60 are treated. Treatment of pyelonephritis in men drugs. Traditional treatment of a disease in a man

Pyelonephritis is a dangerous kidney pathology. An acute inflammatory process is activated against the background of the penetration of pathogenic microorganisms in an ascending or descending way. Untimely therapy causes complications, the patient's condition deteriorates sharply.

Why does pyelonephritis develop in men? Symptoms, treatment and prevention of the disease are described in the article.

The reasons for the development of pyelonephritis in men

Kidney inflammation in men develops under the influence of many factors:

prostatitis;
urolithiasis disease;
prostate adenoma;
surgical treatment, urological manipulations in the organs of the genitourinary system;
hypothermia;
weakened immunity;
long stay in the workplace in a sitting position;
natural aging processes (pyelonephritis often develops in elderly patients).

Pyelonephritis ICD code - 10 - N10 - N12.

Classification

Types of pathology:

acute pyelonephritis;
chronic pyelonephritis.

Find out how to do it and see the transcript of the results.

The page is written about the rules of nutrition and adherence to a diet for urolithiasis in women.

Infection routes:

ascending- from the external genital organs, a bacterial infection rises to the kidneys;
hematogenous (through the blood). An active or chronic inflammatory process in the body makes the kidneys vulnerable, infectious agents easily penetrate with the flow of lymph and blood into the natural filter.

Signs and symptoms

The main signs of kidney pyelonephritis:

aching pain in the lumbar region on one or both sides. A characteristic feature is that noticeable discomfort does not disappear when the position of the body changes;
violation of the color of urine, the appearance of foam, mucus, blood clots in the excreted fluid. Often the urine becomes dark, almost brick-colored;
signs of intoxication: general weakness, drowsiness, joint aches, chills;
subfertile temperature rises to 37, often 38 degrees. In the acute form, the active spread of the infection, the temperature rises to 40 degrees, immediate hospitalization is required;
discharge of urine becomes more frequent, pain syndrome appears, develops. With an increase in intoxication, negative signs intensify;
against the background of an increase in the volume of circulating blood, problems with fluid excretion, pressure rises (secondary hypertension);
after a few days, in the absence of adequate therapy, the symptoms become brighter, the patient's condition worsens, pus appears in the kidneys, sometimes nephrons die, the functions of important organs are disrupted.

Diagnostics

To confirm pyelonephritis in men, they are prescribed:

blood chemistry;
general urine analysis to identify pathogenic microflora;
a general blood test to control the level of ESR and leukocytes;
computer or magnetic resonance imaging,.

Effective treatments

How and how to treat pyelonephritis? With severe symptoms, the development of purulent complications, a rapid deterioration in the condition, therapy is carried out in a hospital setting. In some cases, an urgent operation is required. When vomiting occurs, high blood pressure, bed rest is important. With a moderate nature of negative manifestations, the patient is treated at home, at a certain time he visits a urologist.

Conservative therapy

Effective names and types of medicines for the treatment of pyelonephritis:

in men. Fluoroquinolones, a combination of clavulonic acid + Amoxiclav, cephalosporins of the third and fourth generation;
with prostatitis, antibacterial agents and NSAIDs are prescribed;
intravenous infusion with the use of physiological solution;
with sufficient patency of the urinary tract, antispasmodics are prescribed;
antipyretic at high temperatures;
in chronic pyelonephritis, natural (,);
fortifying compounds, vitamins;
analgesics are recommended to reduce pain.

On a note! A dairy-plant diet is mandatory for pyelonephritis, a sufficient amount of clean water, salt restriction, limitation of physical activity, bed or semi-bed rest. With a noticeable enlargement of the prostate, active squeezing of the urethra or blocking the ducts with large calculi, the operation is indicated.

Folk remedies and recipes

Herbal teas are a good addition to taking antibiotics. When used correctly, plant materials reduce inflammation, activate urine flow, and improve kidney function. It is important to agree on the list of formulations with the urologist.

It is forbidden to take herbal teas, medicinal teas as the main remedy for combating bacterial infection: the anti-inflammatory, antiseptic properties of natural compounds are several times lower than those of powerful synthetic preparations. In the chronic course of the disease, products based on fruits and herbs have a positive effect on the functionality of natural filters, prevent the multiplication of pathogenic microorganisms.

Effective folk remedies for pyelonephritis:

a decoction of hop cones;
Mint tea;
a decoction of rose hips;
infusion of corn stigmas;
lingonberry leaf tea;
decoction of chamomile;
infusion of bearberry or knotweed.

Possible complications

Lack of timely treatment, taking herbal decoctions instead of antibacterial agents, violation of doctor's recommendations are factors that provoke serious problems with the functioning of natural filters. Inattention to acute symptoms, taking inappropriate medications reduces the clinical manifestations of the disease, but pathogenic microorganisms remain in the kidneys and urinary tract, the pathology goes into a chronic stage.

A dangerous phenomenon is the spread of infection through tissues and organs. Systemic blood poisoning (sepsis) in advanced cases leads to acute intoxication, there is a high probability of death.

Other complications of pyelonephritis:

chronic;
purulent inflammation, difficult to treat;
persistent increase in blood pressure.

On a note:

taking antibacterial compounds on the initiative of the patient, before the antibiotic sensitivity test interferes with treatment, “smears” the pathology picture;
many formulations are not prescribed for renal diseases: you need to choose medicines that act throughout the urinary tract without changing the shape and state of the active substance;
for this reason, with pyelonephritis, antibacterial drugs of strictly defined groups are prescribed. Even the generation of medicines significantly affects the effectiveness of treatment, prevents bacteria resistance to antibiotics.

Learn about the causes and treatment of pathology with drugs.

The causes and treatment of pain in the lower abdomen when urinating in women is written on the page.

Go to the address and see the list and characteristics of tablets for inflammation of the bladder in women.

After eliminating the inflammatory process in the kidneys, it is important to adhere to the rules to prevent relapse. Nephrologists do not recommend violating the recommendations: exacerbations are a common problem after healing. It is difficult to deal with the chronic form of pyelonephritis. It is important to pay more attention to a healthy lifestyle.

Basic rules for the prevention of pyelonephritis:

quitting smoking, excess alcohol;
hypothermia prevention;
proper nutrition to reduce risk;
control of chronic pathologies developing with impaired metabolism;
timely treatment of prostatitis;
physical activity;
refusal of spices, spicy dishes, smoked meats;
strengthening the immune system;
clean drinking water in the volume of two liters per day to flush out salts, toxins, and decay products from the kidneys;
treatment of diseases of the genitourinary system, protection against sexually transmitted infections;
elimination of foci of inflammation in the body.

After 40 years, men should closely monitor the health of the genitourinary system. Against the background of prostatitis, problems with the kidneys, bladder often appear, the intoxication of the body increases with problems with urine outflow. The transition of the disease to the chronic stage dooms to relapse with painful symptoms. The rules for the prevention of pyelonephritis are quite simple. The main thing: to understand that sepsis, suppuration, abscesses against the background of renal pathologies are often life threatening.

Learn more about the symptoms and features of the treatment of pyelonephritis in men from the following video:

Pyelonephritis - inflammation of the renal calyx-pelvis system - is a common disease of the genitourinary system. Anatomical and physiological characteristics of the female body explain its greater distribution among the fair sex. Pyelonephritis is also found in men, although it is usually secondary in nature against the background of concomitant diseases of the kidneys and urinary system.

Causes

Pyelonephritis is always associated with infection. The disease can be caused by streptococci, staphylococci, Escherichia coli, Proteus, mycoplasma and other pathogenic and opportunistic (always present in the body, and activated when immunity is reduced) microorganisms. The pathogenesis of pyelonephritis is based on acute or chronic disturbance of urine outflow. Risk factors for developing kidney inflammation in men:

urolithiasis (violation of urine excretion due to the formation of calculi);
prostatitis and prostate adenoma (compression of the urethra by an enlarged prostate gland);
hypothermia;
elderly age;
metabolic disorders (diabetes mellitus, hypothyroidism);
constant sitting (for example, with truckers, drivers, etc.);
urological manipulations and surgical interventions on the pelvic organs;
immunodeficiency states;

Clinical symptoms

Pyelonephritis in men can be asymptomatic for a long time and be detected only with laboratory tests. The initial signs of the disease manifest themselves in different ways and depend on the type of pathogen, the activity of the immune defense, and the severity of inflammatory changes.

The main symptoms of pyelonephritis include:

pain in the lumbar region, as a rule, aching, pulling, one- or two-sided, does not depend on changes in body position;
symptoms of intoxication - weakness, lethargy, fever up to subfebrile levels (37–38 ° C), poor appetite, headache, joint aches;
nausea, rarely vomiting;
dysuric symptoms - increased frequency of urination, cramps, burning sensation during it, a change in the color of urine (it becomes dark, foamy, cloudy, sometimes with a brick tint);
increased blood pressure (secondary hypertension) caused by impaired urine flow and an increase in the volume of circulating blood, as well as a "breakdown" in the renin-angiotensin-aldosterone system.

Acute pyelonephritis is characterized by a rapid course: the symptoms of the disease reach a maximum within a few days, and the patient's condition deteriorates rapidly. If acute kidney inflammation is left untreated, complications such as:

apostematous nephritis - multiple pustular lesions of the kidneys;
kidney abscess - the appearance in the tissues of the kidney of a limited cavity filled with pus;
carbuncle of the kidney - a purulent-necrotic lesion of the renal tissue, leading in the terminal stage to the complete fusion of the organ;
acute renal failure is a reversible impairment of all renal functions.

Any of these complications is characterized by a sharp deterioration in the condition: signs of intoxication are increasing, body temperature reaches 40–41 ° C, pain and dysuric symptoms become the leading ones. With the development of acute pyelonephritis, immediate hospitalization and treatment in a hospital setting is indicated.

Chronic pyelonephritis has a long undulating course with exacerbations (pronounced clinical signs of kidney inflammation), which are replaced by periods of remission. Symptoms of intoxication are not very pronounced, mild aching pains in the lumbar region are possible. Despite the blurred clinical picture and unexpressed signs of the disease, such a course of pyelonephritis can also lead to renal failure. - chronic (CRF). Its symptoms (edema, chronic arterial hypertension, anemia, signs of heart failure, etc.) are associated with impaired excretory, concentration and homeopathic renal function. CRF is an irreversible condition, the treatment of which consists in regular hemodialysis using the "artificial kidney" apparatus.

Therapy

A urologist or nephrologist should treat pyelonephritis in men. Depending on the type of course of the disease and the leading symptoms, treatment tactics are selected individually. The basic principles of therapy for acute and chronic pyelonephritis in men:

Bed or half-bed rest.
Dairy-vegetable diet with restriction of heavy protein foods, fatty fried foods.
Therapy of the disease provoking pyelonephritis: with urolithiasis and prostate adenoma - surgical treatment, with prostatitis - the appointment of antibacterial, anti-inflammatory drugs.
Etiotropic treatment - drugs directed against the pathogen: fluoroquinolones (ofloxacin, levoloksacin), cephalosporins IlI, IV generation (ceftriaxone, cefotaxime), protected penicillins (amoxiclav + clavulonic acid).
If there are no anatomical obstacles to the outflow of urine, the appointment of muscle relaxants to relax the smooth muscles of the urinary tract (no-shpa, papaverine and other drugs), diuretics (lazinks, indapamide, veroshpiron).
Removal of intoxication - non-steroidal anti-inflammatory drugs (paracetamol, ibuprofen), if indicated - intravenous infusion with saline.
Symptomatic treatment.

Men suffer from pyelonephritis less often than women. However, the presence of untreated diseases of the urinary or reproductive system can become one of the factors in the development of inflammation, even in the stronger sex.

The nature of pyelonephritis

Pyelonephritis is an inflammatory disease caused by bacteria. Despite the fact that women are more likely to suffer from manifestations of pyelonephritis, pyelonephritis in men also occurs. Among men, people of retirement age are especially susceptible to it. This has the following explanation: the most common cause of pyelonephritis are advanced diseases of the urinary and reproductive system. In this case, we can say that pyelonephritis is of a secondary nature.

In addition to untreated diseases such as kidney stones, which significantly increase the likelihood of pyelonephritis, pyelonephritis in men is equally caused by the presence of purely urological diseases, such as prostatitis. Pyelonephritis itself in men can have both an acute course and a protracted nature. The degree of damage to the renal pelvis in this disease depends on the timely diagnosis of the disease, the treatment undertaken, the age of the patient, the presence of similar diseases, forms of pyelonephritis and many other factors. However, in any case, complex treatment is necessary to get rid of pyelonephritis. Ignoring this disease can cost the patient's health, and in some cases even life.

Causes of pyelonephritis in men

Since pyelonephritis is inflammatory in nature, hypothermia and the penetration of a bacterial infection remain its main causes. A weakened immune system can also contribute to the onset of this disease. In addition to the common cold, the occurrence of other diseases of the genitourinary system that interfere with the normal excretion of urine from the kidneys can contribute to the occurrence of pyelonephritis. Among them are the following:

the presence of kidney stones;
chronic prostatitis;
BPH.

Moreover, the occurrence and development of pyelonephritis is significantly affected by deviations in the endocrine system. Among them are diabetes mellitus and other hormonal disruptions. Also, the appearance of pyelonephritis can be caused by different strains of bacteria. They can enter the patient's body both through the urinary tract and wandering through the blood.

The ingress of bacteria into the renal pelvis is more often associated with a wandering infection inside the man's body, since the structure of the man's urinary system practically excludes the penetration of microorganisms through the ureter. It is for the same reason that men are less likely to get sick with chronic forms of this disease.

Despite the bacterial nature, pyelonephritis is not a disease that is transmitted by household or sexually. However, you should be careful when in close contact with a person who suffers from this disease, since pyelonephritis is often accompanied by other infectious diseases, including sexually transmitted diseases.

Symptoms of pyelonephritis in men

Manifestations of pyelonephritis in men, the disease itself and the nuances of its course depend on the stage of development of inflammation, the presence of concomitant diseases, as well as on the age and general health of the patient. A feature of pyelonephritis in men is its ability to proceed for a long time in a latent form and without obvious signs characteristic of this disease.

The most common symptoms of pyelonephritis are:

frequent and painful urge to urinate;
pain, burning, cramps in the urinary tract;
imaginary urge to use the toilet, sometimes incontinence;
pulling or aching pain in the lower back and lower back;
increased fatigue, a drop in activity;
hypertension;
in especially acute or neglected forms, poisoning of the body is not excluded, which is accompanied by pain, fever, nausea, vomiting, trembling.

When infected with bacteria, the course of pyelonephritis in men, as well as the symptoms of the disease, can also be influenced by the type of strain that is infected. In order to correctly determine the genus of microorganisms, the attending physician invites the patient to take urine and blood tests.

Some advanced forms of pyelonephritis can last for years, hiding their symptoms. The only evidence of the presence of an inflammatory process in the body is often only high blood pressure. But despite the latent nature, this form of pyelonephritis is able to significantly undermine the functionality of organs and the general health of the patient.

Diagnostics of the pyelonephritis

The presence of latent forms of pyelonephritis, as well as not always clear symptoms, make it difficult to detect and treat this disease.

From its temporary detection of pyelonephritis, not only the success of treatment depends, but also the ability to preserve the patient's health and the performance of the urinary and reproductive systems.

Diagnostic methods

Since very often several reasons at once give grounds for the development of pyelonephritis, pyelonephritis in men should be diagnosed in a comprehensive manner. To detect the symptoms of inflammatory kidney disease, the attending physician takes a specific sequence of actions.

Measuring blood pressure is an essential step when you are admitted to a hospital. The measurement is most often done in the doctor's office.
If it is necessary to confirm the presence of pyelonephritis, pyelonephritis in men should be diagnosed with urine tests. They usually show the presence of hypostenuria.
A blood test is essential in diagnosis. With pyelonephritis, a large number of leukocytes are present in the blood and a reduced number of erythrocytes.
After passing the tests, it is also advisable to conduct ultrasound diagnostics of the kidneys and other organs of the genitourinary system. This will help clarify the diagnosis.

The obtained test results make it possible to judge the form, stage and variety of the causative agent of pyelonephritis, if it was caused by infection with a bacterial infection, and also to choose the right treatment.

Treatment

After carrying out laboratory tests, depending on their results, the attending physician prescribes the appropriate treatment. Different stages of this ailment have their own methods of treating pyelonephritis, pyelonephritis in men is no exception. Treatment of any form of pyelonephritis, especially in conjunction with abscesses, should be carried out exclusively under the supervision of the attending physician.

Treatment of the acute form

For the acute form of pyelonephritis, antibiotic therapy is characteristic. It helps to cope with the focus of inflammation and eliminate the causes of infection. As a rule, antibiotics of the penicillin group or others similar to penicillin action are prescribed as treatment. The choice of a treating agent depends on the results of urine culture and determination of the resistance of the strains to different types of antibiotics.

Treatment of purulent forms

In acute purulent lesions in especially advanced cases, a sharp increasing poisoning of the body occurs, as a result of which the patient is subject to immediate resuscitation and subsequent surgical intervention. An abscess can also manifest itself in the form of a carbuncle and is also subject to urgent excision. In addition to surgical intervention, doctors carry out measures to cleanse the body from the presence of decay products of damaged kidney tissues in it. For this purpose, the patient is subject to intravenous infusion of saline solutions and drugs, and after the operation, an abundant drinking regimen. After recovering from anesthesia, the patient is given to drink table water, weak teas, decoctions and diluted natural juices.

Postoperative treatment

After the operation, the attending physician will prescribe the patient a sparing diet with a low protein content, which removes some of the burden of cleansing the blood from the kidneys and facilitates treatment. Such a diet should be adhered to in the future, since abrupt changes in the diet can provoke relapses. Especially nutritional requirements apply to the consumption of alcohol and other poisonous and irritating foods.

In contact with

classmates

Pyelonephritis is an inflammatory pathology in which the calyx-pelvic system of the kidneys suffers. The disease often develops in women due to the anatomical features of the structure of the urogenital organs. Pyelonephritis in men is rarely confirmed - the male urethra is long and curved, which makes it difficult for the pathogenic flora to enter the bladder and kidneys. However, it is not possible to completely exclude the development of pathology in men - there are many other negative factors that provoke inflammation of the PCS and the bladder. Pyelonephritis develops at any age, but in the group - persons over 50-60 years old.

Pyelonephritis in men is always of bacterial origin. When pathogenic microflora enters the renal tubule system, a purulent-inflammatory process is activated, during which the kidneys and the entire urogenital area are affected. Factors that increase the risk of developing the disease in men:

age over 50;
disorder of metabolic processes;
a weakened immune system.

The causative agents of pyelonephritis in men - Escherichia coli, enterobacteriaceae, Klebsiella, staphylococci - can enter the genitourinary tract if personal hygiene is not observed. But more often, inflammation in the kidneys develops as a complication of background diseases:

chronic urological pathology of the prostate gland (prostatitis);
urolithiasis disease;
vesicoureteral reflux;
neoplasms in the urinary tract.

Diseases transmitted through unprotected intercourse (chlamydia, gardnerellosis) can become a starting point for the development of pathology. With genital infections in men, the urethra is affected, urine stagnation occurs with the formation of pus. Through the urethral canal, the infection easily enters the renal parinchema, causing an acute catarrhal process.

Occasionally, the cause of pyelonephritis in men is secondary foci of infection localized in other organs - the throat, lungs. With purulent sore throat, carious teeth, inflamed tonsils, pathogenic microorganisms with blood flow are carried throughout the body. When entering the kidneys, microbes settle on the mucous membrane of the parinchema, forming a secondary infectious focus.

Forms of pathology

The classification of pyelonephritis in men is based on the peculiarities of the localization of inflammation, the underlying factor, the phase and intensity of the inflammation. Based on the methods of entry of pathogenic microbes into the body, pyelonephritis is divided into:

primary - an inflammatory process in the renal system without failures in urodynamics;
secondary - an inflammatory process caused by bacteria entering the genitourinary system, signs of a violation of urodynamics are pronounced; A common cause of secondary pyelonephritis in men is the presence of sand and kidney stones.

Another classification of pathology is based on the features of the clinical picture:

acute pyelonephritis - a type of inflammation with a severe course and purulent lesions of the renal pelvis and tubular system; the symptoms are clearly expressed and cause a lot of suffering to the patient; the kidney in acute inflammation swells and increases in volume;
chronic pyelonephritis is a type of pathology with blurred clinical manifestations, negative symptoms are weak or absent, but the catarrhal process in the kidneys remains; the danger of the chronic form is associated with the risk of progressive renal failure.

With inflammation of the calyx-pelvic system, men develop specific signs:

pain in the lumbar zone of a dull or shooting character, which is due to a significant tension of the renal capsule; with pyelonephritis, pain increases with coughing and deep breathing;
temperature rise to high readings (38.5–40 °), accompanied by chills; a slight decrease in temperature occurs after the act of urination;
discomfort during urination (burning), at the end of the act of urination, a sharp pain appears;
false urge to excrete urine;
nocturia - increased urine output at night;
a change in the appearance of urine - transparency disappears, a cloudy sediment and a specific smell appear; in the acute phase, blood clots are visible in the urine;
general malaise and a state of apathy;
positive Pasternatsky symptom on one or both sides.

Symptoms of intoxication are typical for pyelonephritis in men, which is associated with the rapid growth of pathogenic microorganisms and diffuse inflammation of the renal parinchema. Waste products of microbes and toxins enter the bloodstream, poisoning the body. Signs of intoxication with pyelonephritis:

weakened state;
headaches up to migraine and dizziness;
attacks of nausea and vomiting;
loss of appetite;
upset stool.

In the absence of proper treatment, an acute purulent-destructive process in the kidneys flows into a chronic stage. Symptoms of chronic pyelonephritis in men:

pains become less pronounced, but become permanent;
the temperature is kept within the subfebrile readings (37–37.3 °);
discomfort at the end of the act of urination persists with each emptying of urea.

With chronic pyelonephritis in men in adulthood, persistent arterial hypertension often develops - excess fluid from the body is not completely excreted by the kidneys, which leads to edema and increased pressure.

Survey tactics

If you suspect pyelonephritis, a man should consult a urologist. At the initial visit, the doctor conducts a conversation on complaints and examination of the patient, finds out information about the existing diseases of the genitourinary sphere and other somatic pathologies. Valuable information about the presence of acute and latent catarrhal processes in the kidneys is provided by the results of standard laboratory tests - urine and blood.

Analysis of urine for pyelonephritis reveals typical signs of inflammation of the renal system:

an increase in the number of leukocytes;
the appearance of fresh erythrocytes in excess of 2 in the field of view;
detection of total protein;
identification of squamous epithelial cells in large quantities;
the presence of Sterngheimer-Malbin cells (a reliable sign of pyelonephritis);
an increase in the acidity of urine.

In the results of a general blood test, an acceleration of ESR, leukocytosis, an increase in the number of stab neutrophils are noted. Blood biochemistry shows an increase in the concentration of creatinine and urea, which is associated with the loss of its functionality by the glomerular apparatus.

Be sure to carry out bacterial sowing of urine from morning urination to identify pathogenic flora. Bacterial culture is necessary to determine the sensitivity of bacteria to antibiotics. To clarify the diagnosis, a Zimnitsky test is carried out in order to determine the concentration function of the kidneys.

To confirm pyelonephritis in men, the results of laboratory diagnostics are sufficient, but in certain situations, the examination is supplemented with high-precision instrumental methods:

sonography of the kidneys and retroperitoneal region reveals the presence of renal edema and the degree of damage to the PCS;
X-ray with the introduction of contrast indicates thinning of the renal parinchema, deformation of the tubular system;
excretory urography is necessary to assess the degree of urodynamic disorder.

Treatment activities

When treating pyelonephritis in men, the form of the disease, the intensity of destructive changes in the kidneys, and the type of pathogen are taken into account. Treatment of the disease is organized in 3 directions:

conservative therapy;
surgical intervention (according to indications);
organization of dietary meals.

An acute form of pyelonephritis with signs of intoxication and severe pain syndrome is an indication for hospitalization. The main goals of treatment are to relieve negative symptoms, normalize urination, and fight infection. In stationary conditions, if necessary, bladder catheterization is performed. To eliminate pain, drugs with an antispasmodic effect are shown - Drotaverin, Baralgin, Spazmolgon.

Antibiotic therapy is necessary to suppress the focus of infection, the choice of the drug is based on the results of bacterial culture and the identification of the sensitivity of the pathogen to antimicrobial agents. But often antibiotic therapy is prescribed before the results of bacteriological research on culture media are obtained in order to avoid the development of complications.

For the treatment of pyelonephritis in men, antibiotics with an extended spectrum of action are used:

cephalosporins - Ceftriaxone, Cephalothin;
medicines based on clavulanic acid - Augmentin, Flemoklav;
macrolides - Clarithromycin, Azithromycin.

After the acute phase subsides to prevent relapse, the following are prescribed:

vitamin therapy - taking B vitamins, ascorbic acid;
a course of antioxidants - selenium, tocopherol preparations;
phytopreparations with uroseptic and diuretic effect - Kanefron, Monural.

Surgical methods of treating pathology are resorted to in exceptional situations - with an advanced course and a high probability of developing renal failure. Types of operations for pyelonephritis:

decapsulation of the kidney:
pyelostomy;
nephropyelostomy;
nephrectomy (with extensive purulent-destructive lesions).

To speed up recovery, along with conservative treatment, dietary meals are organized. The goal of the diet for pyelonephritis in men is to minimize the load on the urinary system and support the immune system. The optimal nutritional option is a specialized diet number 7. Basic principles:

fractional diet, up to 5 times a day;
exclusion of dishes rich in extractives;
refusal of fried and spicy foods;
limiting salt and protein;
preferred culinary options are cooking, baking, stewing.

ethnoscience

Traditional medicine suggests treating pyelonephritis with herbal medicine. Taking herbal infusions in combination with drug therapy helps to relieve unpleasant symptoms, normalize urination, and remove toxins from the body. Kidney herbal tea can be purchased at the pharmacy or prepared by yourself. Effective folk recipes for pyelonephritis in men:

cornflower broth - 20 g of meadow cornflower petals are poured with 250 ml of boiling water, heated over low heat for 15 minutes, after cooling, they filter and drink 100 ml twice a day;
infusion of yarrow - add a glass of boiling water to 10 g of raw materials, insist for 2 hours; the cooled drink is drunk in small portions per day;
oat broth - add a liter of boiling water to a glass of oats and cook for 30 minutes, filter the finished mixture; drink a slimy broth of 100 ml up to 4 times a day;
bearberry infusion - 20 g of raw materials are poured with 250 ml of boiling water, insisted in a thermos for 4 hours; take 50 ml three times a day before meals.

Forecast and prevention

With an early visit to a urologist and adequate therapy, pyelonephritis in men is successfully treated in 2-3 weeks. In the absence of treatment, the acute form of pathology is complicated by purulent fusion of the renal tissue with the appearance of abscesses. In severe cases, sepsis develops. A formidable complication is renal failure, the likelihood of which increases with bilateral pyelonephritis.

The leading goal of preventing pyelonephritis in men is to eliminate factors that increase the risk of an infectious lesion of the renal system. Preventive measures include:

early diagnosis and treatment of chronic diseases of the genitourinary sphere;
observance of personal hygiene;
leading an active lifestyle with the rejection of alcohol and nicotine;
refusal from one-time sexual intercourse;
hardening procedures.

When alarming symptoms from the renal system appear (pain in the lower back and lower abdomen, problems with emptying the bladder, cloudy urine), self-medication cannot be performed - only a urologist can confirm the diagnosis of pyelonephritis. Self-administration of antibiotics and other medications aggravates the course of the disease and leads to disastrous consequences.

Pyelonephritis is a disease characterized by an inflammatory process in the kidneys. It has always been considered a “female ailment,” but pyelonephritis is sometimes diagnosed in men. Symptoms and treatment depend on the form of the disease, as well as comorbidities. Therefore, in order to prevent complications, you need to know what are the signs of this disease in order to timely seek medical help.

Classification

Pyelonephritis is of two types:

Also, the disease is divided into forms:

Primary diagnosed in boys who have not reached the age of 7, as well as men with weakened immunity. This type of pyelonephritis can only be acute.

Secondary concerns older members of the stronger sex. It can be both acute and chronic.

Pyelonephritis that affects only one kidney is called unilateral. In the case when the inflammatory process develops in both kidneys at the same time, the disease is usually called bilateral pyelonephritis.

Primary pyelonephritis provokes hypothermia of the body (this often happens to children in the cold season). Also, the cause may be vitamin deficiency, which weakens the immune system, which, in turn, cannot fully “protect” the internal organs.

Other provoking factors are:

emotional instability, frequent stressful situations, anxiety;
excessive physical activity;
alcohol abuse;
smoking;
active reproduction of pathogenic bacteria due to reduced protective reactions of the body;
diabetes.

Why does secondary pyelonephritis occur? Symptoms in men, talking about kidney problems, do not appear immediately. After all, the infection initially affects the bladder (urine stagnates due to the impaired functioning of the urinary system), and then passes to the kidneys. And men do not always pay attention to suspicious symptoms from the urinary tract. This is how secondary pyelonephritis occurs.

Its main reasons are:

prostatitis;
adenoma of the prostate (the outflow of urine is impaired due to the pressure of the prostate on the urinary tract);
urolithiasis (small stones sometimes block the path for the normal outflow of urine, and this entails stagnation).

Signs of acute pyelonephritis

Symptoms of acute pyelonephritis in men develop very quickly. Such signs are typical for most ailments accompanied by an inflammatory process in the body:

significant increase in body temperature;
weakness;
chills;
aches;
general malaise;
thirst;
frequent urge to urinate.

After a while, pulling pain in the lumbar region is added to these symptoms. A man must definitely pay attention to the state of urine:

it becomes cloudy;
an unpleasant pungent odor appears, which had not been observed before.

Can you immediately understand that this is pyelonephritis? Symptoms in men, as in women, of this particular ailment are very similar to other kidney diseases. Therefore, it is important to immediately contact a doctor who will help in this situation.

Chronic pyelonephritis symptoms

People often self-medicate. They use advice from loved ones, information from other sources, but categorically refuse to visit a doctor. As a result, the acute form becomes chronic. How does chronic pyelonephritis manifest itself in men?

worried about aching lower back pain;
urge to use the toilet occurs more often than usual, especially at night;
body temperature rises unnecessarily in the evenings;
worried about frequent headaches;
swelling that occurs in the morning;
when walking, the lower back begins to hurt;
the patient always freezes in the lumbar region.

The chronic form is sometimes characterized by symptoms of acute pyelonephritis.

Survey

How does the diagnostic method require pyelonephritis? Symptoms in men, which he must tell the urologist in detail, become the reason for the examination. To make an accurate diagnosis, as well as to determine the site of inflammation localization, it is necessary to combine laboratory methods with instrumental ones. In the case of pyelonephritis in men, you will need to pay attention to diseases of the prostate gland.

general blood analysis;
urine examination (general and daily analysis, according to Nechiporenko, and other techniques that the doctor deems necessary).

Ultrasound of the bladder and kidneys, abdominal organs;
cystoscopy;
urography;
CT and MRI (if necessary).

How to help a patient?

Self-medication is strictly prohibited. This leads to dangerous consequences.

Treatment depends on the severity of the disease. The main task:

reduce pain;
restore the normal outflow of urine;
relieve inflammation;
eliminate the root cause.

How is pyelonephritis in men treated? Symptoms and treatment depend on the form of the disease - acute, chronic.

Treatment of the acute form

The acute form of the disease requires urgent hospitalization of the patient. He must comply with bed rest during the first days of being in the hospital. The patient is prescribed a salt-free diet, as well as adherence to the drinking regime - drink from 1 to 2.5 liters of liquid per day.

To improve blood circulation, it is necessary to apply a warm compress to the lower back. It is recommended to apply diathermy of the lumbar region.

Treatment of pyelonephritis in men with antibiotics requires a preliminary study of the sensitivity of the microorganism to one or another active substance. The course of antibiotic therapy is at least 4 weeks. If the symptoms of the disease no longer bother you, then you can not interrupt the drug intake.

Treatment of the chronic form

To cure this form of pyelonephritis, you need to be patient, because this will take a long time. In such cases, the patient is prescribed antibiotics, which are constantly changed (with the obligatory control of the sensitivity of microorganisms to the new drug). The chronic form of the disease requires an integrated approach to treatment. Not only drug therapy is used, but also traditional medicine. The patient must follow the diet.

ethnoscience

Treatment of pyelonephritis in men with folk remedies should be under the supervision of a doctor. Indeed, sometimes, having independently selected a seemingly harmless remedy for yourself, you can cause irreparable harm.

Take dried hop cones (2-3 tablespoons) and pour 0.5 liters of boiling water. The tool should be infused for about two hours, after which it must be filtered. Application: drink 0.5 cups every 2 hours. Hops help the kidneys clear out in a few days.
Take a few tablespoons of medicinal nasturtium (sold in pharmacies) daily. If you can find fresh, then you can add it to salads. The course of treatment is a month.
Cranberry tincture. For cooking, you need to mix 1 tablespoon of chopped berries with a glass of boiling water. Let it brew for 2 hours, and then strain. Drink half a glass 3 times a day. The course of treatment is 2 weeks.
Tincture of lingonberry leaves and honey. To prepare a remedy you will need:

3 tablespoons of lingonberry leaves;
2 tablespoons of honey;
0.5 l of water.

Mix honey with leaves and pour boiling water over. Let it brew for 3 hours, and then strain. Take 2 tablespoons of tincture 3 times a day, preheated.

Complications

What are the consequences of pyelonephritis? Symptoms in men are not always taken into account. Also, representatives of the stronger sex sometimes interrupt the course of treatment in the middle of the journey. If this happens, then pyelonephritis can give serious complications:

the transition of the acute form of the disease to the chronic;
pyonephrosis;
pedunculitis;
necrotizing papillitis (I often diagnose diabetics as well);
renal failure.

Preventive measures

A healthy lifestyle and adherence to some rules will help prevent the development of pyelonephritis:

Drink plenty of fluids daily. This will flush the accumulated bacteria out of the bladder.
Refuse alcoholic beverages.
Eat foods rich in vitamin C, which is also found in cranberry juice and in all juices. The acidic environment prevents microbes from multiplying.
Timely treat diseases of the prostate, bladder.
Do not delay going to the toilet for a long time.
Maintain personal hygiene.

Now we know what pyelonephritis in men is, symptoms and treatment, drugs that are used in the treatment of this disease. But the most important thing is to know how to prevent the development of the disease, because it threatens the development of dangerous consequences.

Why does pyelonephritis develop in men? Symptoms, treatment and prevention of the disease are described in the article.

The reasons for the development of pyelonephritis in men

Kidney inflammation in men develops under the influence of many factors:

prostatitis;
urolithiasis disease;
prostate adenoma;
surgical treatment, urological manipulations in the organs of the genitourinary system;
hypothermia;
weakened immunity;
long stay in the workplace in a sitting position;
natural aging processes (pyelonephritis often develops in elderly patients).

Pyelonephritis ICD code - 10 - N10 - N12.

Classification

Types of pathology:

acute pyelonephritis;
chronic pyelonephritis.

Learn how to do uroflowmetry and see a transcript of the results.

The rules of nutrition and diet for urolithiasis in women are written on this page.

Infection routes:

ascending- from the external genital organs, a bacterial infection rises to the kidneys;
hematogenous (through the blood). An active or chronic inflammatory process in the body makes the kidneys vulnerable, infectious agents easily penetrate with the flow of lymph and blood into the natural filter.

Signs and symptoms

The main signs of kidney pyelonephritis:

aching pain in the lumbar region on one or both sides. A characteristic feature is that noticeable discomfort does not disappear when the position of the body changes;
violation of the color of urine, clouding of urine, the appearance of foam, mucus, blood clots in the excreted fluid. Often the urine becomes dark, almost brick-colored;
signs of intoxication: general weakness, drowsiness, joint aches, chills;
subfertile temperature rises to 37, often 38 degrees. In the acute form, the active spread of the infection, the temperature rises to 40 degrees, immediate hospitalization is required;
discharge of urine becomes more frequent, cramps appear during urination, pain syndrome develops. With an increase in intoxication, negative signs intensify;
against the background of an increase in the volume of circulating blood, problems with fluid excretion, pressure rises (secondary hypertension);
after a few days, in the absence of adequate therapy, the symptoms become brighter, the patient's condition worsens, pus appears in the kidneys, sometimes nephrons die, the functions of important organs are disrupted.

Diagnostics

To confirm pyelonephritis in men, they are prescribed:

blood chemistry;
general urine analysis to identify pathogenic microflora;
a general blood test to control the level of ESR and leukocytes;
computed or magnetic resonance imaging, ultrasound of the kidneys.

Effective treatments

How and how to treat pyelonephritis? With severe symptoms, the development of purulent complications, a rapid deterioration in the condition, therapy is carried out in a hospital setting. In some cases, an urgent operation is required. When vomiting, high blood pressure, dysuria appear, bed rest is important. With a moderate nature of negative manifestations, the patient is treated at home, at a certain time he visits a urologist.

Conservative therapy

Effective names and types of medicines for the treatment of pyelonephritis:

antibiotics for pyelonephritis in men. Fluoroquinolones, a combination of clavulonic acid + Amoxiclav, cephalosporins of the third and fourth generation;
with prostatitis, antibacterial agents and NSAIDs are prescribed;
intravenous infusion with the use of physiological solution;
with sufficient patency of the urinary tract, diuretics, antispasmodics are prescribed;
antipyretic at high temperatures;
in chronic pyelonephritis, natural uroseptics (cranberries, lingonberries, Monurel tablets) give a positive result;
fortifying compounds, vitamins;
analgesics are recommended to reduce pain.

Folk remedies and recipes

Effective folk remedies for pyelonephritis:

a decoction of hop cones;
Mint tea;
a decoction of rose hips;
infusion of corn stigmas;
lingonberry leaf tea;
decoction of chamomile;
infusion of bearberry or knotweed.

Possible complications

Lack of timely treatment, taking herbal decoctions instead of antibacterial agents, violation of the doctor's recommendations are factors that provoke serious problems with the functioning of natural filters. Inattention to acute symptoms, taking inappropriate medications reduces the clinical manifestations of the disease, but pathogenic microorganisms remain in the kidneys and urinary tract, the pathology goes into a chronic stage.

A dangerous phenomenon is the spread of infection through tissues and organs. Systemic blood poisoning (sepsis) in advanced cases leads to acute intoxication, there is a high probability of death.

Other complications of pyelonephritis:

chronic renal failure;
purulent inflammation, difficult to treat;
persistent increase in blood pressure.

On a note:

taking antibacterial compounds on the initiative of the patient, before the antibiotic sensitivity test interferes with treatment, “smears” the pathology picture;
many formulations are not prescribed for renal diseases: you need to choose medicines that act throughout the urinary tract without changing the shape and state of the active substance;
for this reason, with pyelonephritis, antibacterial drugs of strictly defined groups are prescribed. Even the generation of medicines significantly affects the effectiveness of treatment, prevents bacteria resistance to antibiotics.

Learn about the causes of kidney inflammation and how to treat the pathology with drugs.

The causes and treatment of lower abdominal pain during urination in women is written on this page.

Go to http://vseopochkah.com/mochevoj/zabolevaniya/vospalenije-u-zhenshin.html and see the list and characteristics of tablets for inflammation of the bladder in women.

Basic rules for the prevention of pyelonephritis:

quitting smoking, excess alcohol;
hypothermia prevention;
proper nutrition to reduce the risk of urolithiasis;
control of chronic pathologies developing with impaired metabolism;
timely treatment of prostatitis;
physical activity;
refusal of spices, spicy dishes, smoked meats;
strengthening the immune system;
clean drinking water in the volume of two liters per day to flush out salts, toxins, and decay products from the kidneys;
treatment of diseases of the genitourinary system, protection against sexually transmitted infections;
elimination of foci of inflammation in the body.

Learn more about the symptoms and features of the treatment of pyelonephritis in men from the following video:

In contact with

Pyelonephritis is diagnosed in men of any age - very young boys and elderly people suffer from it. Unlike women, pathology occurs in the stronger sex as a result of an underlying disease, accompanied by the formation of one or more foci of infection. After a timely examination and the appointment of drug therapy, pyelonephritis is quickly and successfully cured.

Causes of pyelonephritis

Pyelonephritis is a kidney disease that is accompanied by an inflammatory process of the pelvis, calyces and parenchyma. Pathology is of bacterial origin, begins to develop in the tubular renal system. When conducting biochemical analyzes, the following is most often found:

Escherichia coli.
Enterococci.
Staphylococci.
Pseudomonas aeruginosa stick.
Proteus.

The disease occurs at first as a small focus, but as pathogenic microorganisms multiply and inflammation from their metabolic products develops, it becomes diffuse. The symptoms of pyelonephritis in men also get worse as the infection spreads in the body.

The infectious process develops rapidly, neighboring cells are involved in it. All tissues of the bean-shaped organ perform different functions, and a decrease in the activity of any of them will lead to disruption of the entire kidney. At the site of the inflammatory focus, a pathological degeneration of the interstitial tissue occurs. A lot of scars are formed, there is a decrease in the outflow of urine.

Frequent urination signals the presence of pyelonephritis in the body.

Lack of treatment leads to complete replacement of cells, and the kidney ceases to function altogether. How does an infection enter a man's body:

With diseases that are sexually transmitted, cystitis and urethritis often develop, accompanied by stagnation of urine, the formation of pus. Pathogenic bacteria enter the kidney parenchyma along the ascending pathway through the ureters. And if a man has anatomical features of the structure of the kidneys or a chronic disease, this process does not take much time.
Germs can spread throughout the body through the bloodstream. By settling on the tissues of the kidneys, they form an inflammatory secondary focus. The primary focus may be in an unhealed tooth, bronchioles, nasopharynx, lungs, or tonsils.
When treating malignant tumors, a man's immunity decreases as a result of radiation or the use of aggressive drugs. Against this background, pyelonephritis may occur, caused by the reproduction of yeast fungi.
Hyperplasia of the prostate gland occurs in an elderly man with impaired urine outflow. Its stagnation provokes the development of a focus of infection, contributes to the occurrence of urolithiasis.

Pyelonephritis has many classifications. It happens: acute, chronic, unilateral and bilateral, apostematous, serous, purulent.

Low back pain is the main symptom of pyelonephritis.

Symptoms of the disease in men

With inflammation of the renal parenchyma of any etiology, the onset of the disease is accompanied by aching pains in the lower back with exacerbations during physical exertion. In the acute course of the process, the following signs of pyelonephritis appear in men:

During the day, the body temperature can rise to 38-40 ° C. A drop in temperature occurs after each urination.
With hyperthermia, there are signs of general intoxication of the body: a disorder of the gastrointestinal tract, excessive sweating, chills, dehydration, severe headaches.
Small blood clots are found in the urine, it becomes cloudy, and an unpleasant odor appears.
When urinating, unpleasant sensations arise, which at the end of it turn into sharp pain.
When pressing on the lumbar region, the man experiences pain.
There is increased drowsiness, apathy, fatigue.

Diagnosing pyelonephritis begins with interviewing the patient

After the transition of the disease from the acute stage to the chronic course, some symptoms subside, but new, more dangerous ones appear:

Pain sensations in the lower back intensify and become more frequent.
Body temperature during the day may not rise or increase slightly up to 37-37.5 ° C.
When urinating, a man always experiences cutting pain.
There is an increased renal pressure and arterial hypertension, which is poorly responsive to treatment.
Lack of appetite leads to increased weakness and weight loss.
Nausea, heartburn, flatulence significantly reduce the quality of life.
Headaches can progress to migraines.

The set of signs of the appearance of pyelonephritis is similar to the symptoms of some diseases of the genitourinary system in men: hemorrhagic cystitis, prostate adenoma, urolithiasis, chronic renal failure. Therefore, the main task of diagnosing pyelonephritis is to differentiate it from other pathologies.

How is pyelonephritis diagnosed in men?

Diagnosis begins with interviewing the patient and his external examination. With complaints of a periodic increase and decrease in body temperature during the day, changes in the color and smell of urine, frequent urination, pyelonephritis can be suspected.

With pyelonephritis, urine changes color and smell

To confirm the diagnosis, laboratory tests of urine and blood are carried out:

An increased content of leukocytes is found in urine. The concentration of protein substances and their breakdown products is usually within the established norm. Sometimes, with a sluggish chronic disease, provocative tests are performed to remove white blood cells from the inflammatory focus. Also, Sternheimer-Malbin cells are present in the urine, which may directly indicate pyelonephritis.
The urine pH is shifted to the acidic side, and its relative density is reduced in acute pyelonephritis and is normal in chronic pyelonephritis.
The blood contains a large number of leukocytes and proteins, which indicates the presence of an infectious focus.
Sowing urine from morning urination into the nutrient medium allows you to identify the pathogenic pathogen. This study is a mandatory procedure with a frequent increase in the patient's temperature.

Urography allows you to diagnose a decrease in pressure in the renal cups and a decrease in their functional activity. Ultrasound is often used to detect pyelonephritis. The obtained images clearly show the deformation of the renal pelvis, as well as the degeneration of the parenchyma into connective tissue with the formation of numerous scars. With the help of X-ray diagnostics using contrast agents, thinned tissue of the parenchyma and deformation of the structural elements of the kidneys are visualized.

Drug treatment

To treat pyelonephritis in men, they begin with the normalization of urination and the elimination of painful symptoms. In a hospital setting, ureteral catheterization is used if necessary. For anesthesia, antispasmodics are used - Spazmalgon, Spazgan, Drotaverine hydrochloride.

What antibiotics to treat pyelonephritis can only be known by a doctor

Self-antibiotic therapy can only harm, because there are plenty of pathogens in the disease and each of them is sensitive only to a certain group of antimicrobial drugs. After the detection of a pathogenic microorganism, treatment is carried out using the following drugs:

Cephalosporin antibiotics (Ceftazidime, Ceftriaxone, Ceftriaxone). They are active against Escherichia coli, the most common causative agent of pyelonephritis.
Antibiotics with clavulanic acid (Amoxiclav).
Clarithromycin.

After taking broad-spectrum antibiotics, patients are usually diagnosed with dysbiosis. To restore the beneficial microflora of the gastrointestinal tract from the beginning of treatment, it is necessary to take probiotics (Lactobacterin, Bifidumbacterin). The course of treatment is from one week to 10 days.

To prevent recurrence of inflammation, the patient should use synthetic uroantiseptics (Nitroxoline, Nolitsin, Norbactin), as well as herbal preparations with antimicrobial action (Cyston, Monurel, Kanefron). Diuretics are rarely used - a violation of the outflow of urine is provoked by another pathology, so it is important to eliminate it first and urination is normalized.

When anesthetizing and eliminating symptoms of inflammation, doctors recommend treating pyelonephritis in men with non-steroidal anti-inflammatory drugs:

Nimesulide.
Acetylsalicylic acid.
Ibuprofen.
Diclofenac.

These drugs have a pronounced side effect: acting on the mucous wall of the stomach, they can cause its thinning and even ulceration. Therefore, they must be taken together with proton pump inhibitors (Omeprazole, Ultop, Omez).

You can treat diseased kidneys with medicinal herbs. Bear ears, lingonberry leaf, staminate orthosiphon, corn stigmas and viburnum berries have anti-inflammatory, diuretic, antiseptic effects. It is necessary to prepare and take infusions in accordance with the instructions.

If, after carrying out drug treatment, the symptoms of the disease do not disappear, and the patient's condition worsens, surgery is performed. The doctor assesses the degree of damage to the renal parenchyma, and, based on the results of the examination, chooses the method of performing the operation. In case of irreversible degeneration of tissue and loss of functional activity of the bean-shaped organ, nephrectomy is performed - removal of the kidney completely.

Often, the unpleasant symptoms of pyelonephritis help a person detect a more dangerous pathology in time and begin treatment on time. If painful urination occurs, do not hope that this is a temporary phenomenon - you should immediately contact the nearest medical institution for medical help.