Saturday 27 August 2011

Pyelonephritis and PID

Pyelonephritis and PID

Sir, I was suffering from stomach ache I now decided to go and see a doctor he now advised me to go for scanning the result states that my right kidney has parenchymal inflammatory changes, with echo sonic texture, loss of cortiomedullary differentiation, no calculi or hydronephrosis. My uterus is normal and anteverted, empty cavity, no gestational sac seen, my ovary is normal, no cysts. This is what was written at the end: “RT.PYELONEPHRITIS; PID”. Sir, help me explain all these. The doctor only said I have an infected kidney. Thank you
Jemila Langbassa,
Badagry

Dear Jemila,

You clearly understand the words "normal", 'no" and "empty". Pyelonephritis is just what the doctor called it -- it's infection of the kidney and needs to be tended to properly; so go see a very good doctor. If neglected, pyelonephritis can become a cause of Acute Renal Failure which if allowed to turn Chronic is usually irreversible and terminal, ending ultimately in death. PID is Pelvic Inflammatory Disease and means your tubes and maybe other pelvic organs are infected. PID can cause decreased fertility, so you also need to get it treated fast -- and by the professionals trained to do the job -- doctor/gynecologist, okay? Both these conditions are usually caused by ordinary, non-sexually transmitted bacterial germs found in the stool which arrive in the vagina and bladder from the backside often as a result of sex ( --? maybe from behind?) -- so prevention would mean greater cleanliness in the woman's cleaning up --after stool, sex, urination, menses or whatever --from behind back and not forward -- and then if from behind intimacy has happened, proper cleaning of the genitals before penetration."Honeymoon cystitis" (infection of the bladder) during honeymooning is a well known precursor to pyelonephritis. Esherichia coli, Coliform bacilli and Enterococci faecalis as well as Staphylococci, Klebsiella and Proteus are usual microbial culprits and must be flushed out with proper antibiotics to which they are suitably sensitive in the correct dosages for them correct period of time. Pain, discomfort, pain in the lowermost belly--or pelvis-- waist or back pain are all features of both these diseases and in the acute stage, of course, fever and chills. With PID there may be no frequency, pepperiness or other abnormality with urination which are normal in pyelonephritis but there may be abnormal vaginal discharge and pain with menstruation that was not present before or not as intense. Women get this kidney problem 3 or 4 more times often than men because of the relative shortness of their urethra or urine pipe. Summary? See a good doctor/gynecologist and do that fast.
Cheers

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