Kidney Health: Impact of Urinary Infections and When to Seek Help

Kidneys..?

Hello Doctor: I would like to ask, I have been experiencing frequent urinary tract infections or bladder infections recently and have visited a gynecologist, taking quite a few medications.
Will this have a significant impact on my kidneys? Lately, I have been feeling unexplained pain on both sides of my lower back and kidneys, although it is not severe.
Does this indicate that my kidneys may already be affected? Is it serious? Should I see a urologist or a nephrologist? Thank you, Doctor.

Ru, 20~29 year old female. Ask Date: 2006/02/11

Dr. Wu Jiyu reply Internal Medicine

1.
Recurrent urinary tract infections - a.
First, arrange for a renal ultrasound to check for any urinary tract structural abnormalities.
b.
Then perform a urine culture.
c.
Based on the bacterial species identified, complete a full course of antibiotics.
2.
Either a urology or nephrology consultation is appropriate.

Reply Date: 2006/02/11

More Info

Urinary infections, particularly recurrent ones, can have significant implications for kidney health. When a urinary tract infection (UTI) progresses to involve the kidneys, it can lead to a condition known as pyelonephritis, which is an infection of the kidney itself. This can occur if bacteria from the bladder ascend through the ureters to the kidneys. If left untreated, pyelonephritis can result in kidney damage, scarring, and potentially chronic kidney disease.

Given your history of frequent urinary infections and the recent onset of pain in your kidneys and lower back, it is important to take these symptoms seriously. While mild discomfort may not indicate severe damage, it is a sign that your urinary system may still be under stress. Pain in the kidney area, especially if accompanied by other symptoms such as fever, chills, or changes in urine (like blood or foul odor), could suggest that the infection has reached the kidneys or that there is some other underlying issue that needs to be addressed.

In terms of the medications you have been prescribed, antibiotics are typically effective in treating UTIs, but they do not always prevent recurrence. If you have been on multiple courses of antibiotics without resolution of your symptoms, it may be necessary to investigate further. This could include urine cultures to identify the specific bacteria causing the infection and to determine the most effective antibiotic treatment. Additionally, imaging studies such as an ultrasound or CT scan may be warranted to rule out any anatomical abnormalities, obstructions, or kidney stones that could be contributing to your symptoms.

As for which specialist to see, both urologists and nephrologists deal with kidney-related issues, but they focus on different aspects. A urologist specializes in the urinary tract and male reproductive system, which includes the bladder and ureters. They would be the appropriate choice if you are experiencing recurrent UTIs or bladder issues. A nephrologist, on the other hand, specializes in kidney function and diseases. If your kidney function tests (like creatinine levels) are abnormal or if there is concern about kidney damage, a nephrologist would be the right specialist to consult.

In summary, recurrent urinary infections can indeed impact kidney health, and the presence of pain in the kidney area warrants further evaluation. It is advisable to see a urologist for a thorough assessment of your urinary tract and to discuss your symptoms and treatment options. They may recommend further testing or a referral to a nephrologist if there are signs of kidney impairment. Taking proactive steps to address these issues can help safeguard your kidney health and prevent more serious complications in the future.

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