Kidney Inflammation - Therapy

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Kidney Inflammation - Therapy
Kidney Inflammation - Therapy
Video: Kidney Inflammation - Therapy
Video: Pyelonephritis (Kidney Infection) | Causes, Pathophysiology, Signs & Symptoms, Diagnosis, Treatment 2023, February

Renal pelvic inflammation: therapy

Treatment of acute, uncomplicated inflammation of the renal pelvis must be initiated quickly and is carried out using antibiotics. The doctor usually prescribes a so-called broad spectrum antibiotic before the result of the urine culture.

After the pathogen is known, it may be possible to switch to another antibiotic. If there is a urinary flow disorder, e.g. due to enlarged prostate or kidney stones, this may have to be corrected surgically.


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  • ">Antibiotic therapy


  • ">">In severe forms: hospitalization


  • ">">Complementary therapeutic measures


  • Whom can I ask?
  • How are the costs going to be covered?


Antibiotic therapy

For uncomplicated infections, an antibiotic to swallow is usually prescribed orally, usually ciprofloxacin or levofloxacin.

During pregnancy, other active ingredients are the means of choice to protect the unborn child. Hospitalization is usually indicated for pregnant women with inflammation of the kidney.

In the case of chronic renal pelvic inflammation, the focus is on antibiotic therapy, the treatment of causal factors, e.g. the elimination of a drainage disorder.

Note In order to rule out a recurrence of the infection, a urine culture check is carried out after antibiotic therapy.

In severe forms: hospitalization

If the kidney inflammation is severe, ie the patient has a high fever and suffers from nausea or nausea, the antibiotic can be administered as an infusion at the beginning. This usually requires hospitalization. If the symptoms improve, oral administration can be switched to. If an initially mild renal pelvic inflammation does not improve or worsens after a few days, it can also be switched to intravenous administration and hospitalization may be necessary.

Complementary therapeutic measures

In addition, pain reliever and anticonvulsant medication can be administered. We also recommend using warmth (e.g. hot water bottle / thermophore) and drinking enough water (at least two liters / day) so that the kidneys and bladder are thoroughly flushed.

Note If there is an inflammation of the kidney pelvis, little or no milk should be drunk as the pH value in the urine is adversely affected.

Whom can I ask?

If you suspect you are suffering from an infection of the urinary organs or an inflammation of the renal pelvis, you can contact the following offices for clarification and, if necessary, therapy:

  • General practitioner
  • Specialist in urology

How are the costs going to be covered?

All necessary and appropriate therapies are covered by the health insurance carriers. Your doctor or the outpatient clinic will generally settle accounts directly with your health insurance provider. However, you may have to pay a deductible with certain health insurance providers (BVAEB, SVS, SVS, BVAEB).

However, you can also use a doctor of your choice (ie doctor without a health insurance contract) or a private outpatient clinic. For more information, see Costs and Deductibles.

When hospitalization is required

If a hospital stay is required for severe kidney inflammation, the hospital costs will be charged. The patient has to pay a daily contribution to the costs. Further medication treatment at home takes place by prescription by the general practitioner or specialist.

For more information, see What does a hospital stay cost?

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