Pyelonephritis and blood pressure

Pyelonephritis is a kidney disease that can be caused by pathogens or opportunistic pathogens. It is the most common cause of renal hypertension. At the very first signs of pathology, you should consult a doctor. Otherwise, untimely treatment can lead to serious complications, after which the kidneys will not be fully restored.

Features of the disease

This disease is most common in women, especially those who have had cystitis.

In men, pyelonephritis appears as a result of urological problems: bladder stones or prostatitis. In the stronger sex, this disease, as a rule, manifests itself in the elderly, when the immune system is less protective of the body.

Pyelonephritis is often confused with glumerulonephritis. In fact, they differ significantly from each other. The course of pyelonephritis is rapid. Body temperature rises to 39-40 degrees. When the first symptoms appear, treatment should be started immediately. Otherwise, the disease may become chronic.

In a chronic disease, blood pressure indicators are not stable. A prolonged and pronounced increase in blood pressure is observed with a latent or latent form. The cause of hypertension in pyelonephritis is renal ischemia due to progressive vascular sclerosis. Only acute pyelonephritis is not accompanied by hypertension. Such a combination of diseases, in the predominant majority of cases, occurs in fairly young people. There are special research methods for patients with chronic type of pyelonephritis with hypertension.

In this case, apply:

• Kakovsky-Addis method;
• urine color;
• bacteriological examination of urine.

Also, to determine the chronic form of the disease, a puncture biopsy of the kidneys is performed.

With the help of such an analysis, specific changes in organs can be determined. In the absence of etiological therapy, treatment of pyelonephritis with hypertension is carried out with antihypertensive drugs.

Symptoms of the disease

Symptoms of hypertension in pyelonephritis are signs of both diseases. In some cases, only hypertension may appear.

Symptoms of pathology:

• temperature increase;
• tremor;
• swelling of the face appears;
• a person's condition deteriorates sharply;
• pain manifestations in the lumbar region;
• gag reflexes.

Pyelonephritis also makes itself felt with the help of the bladder.

In this case:

• frequent trips to the toilet are required;
• when urinating, unpleasant sensations appear in the form of burning and pain;
• urine changes color;
• sometimes there is blood in the urine, a pungent odor.

Complications of the disease:

• paranephritis;
• bacteriotoxic shock;
• arterial hypertension;
• failure.

Modern medicine is able to cure this disease in full. The main thing is that patients do not ignore the symptoms of the disease. Complications can arise due to many factors. The main one is neglect of health. Quite often, people think that these symptoms are due to the common cold. And wait for her to pass. In fact, pyelonephritis can go away on its own only if the patient has a very strong immune system.

But in most cases, the disease either becomes chronic, or is complicated by carbuncles.

Bacteriotoxic shock is one of the frequent complications of pyelonephritis, which mainly turns into a purulent form. A feature of this type of disease is the high rate of development. In most cases, the bacteriotoxic type of pathology occurs at a respectable age.

The reason for this is:

• deviations in the development of the urinary tract;
• stones;
• polycystic;
• prostatitis;
• injury.

Also, the occurrence of bacteriotoxic shock entails a narrowing of the ureters, which occurs due to inflammation, kinks, or due to pregnancy. Shock is a rather dangerous complication. In 65%, it ends in death without proper treatment. It is possible to avoid such consequences only with the rapid application of resuscitation measures in order to restore kidney function and avoid sepsis.

Acute insufficiency is quite common in the purulent type of pyelonephritis. The threat to health is not only pus in the organs, but also the composition of the substance.

It includes toxic elements that provoke tissue breakdown and negatively affect healthy areas. The acute form of the disease does not develop immediately, it will take from two to three days to manifest itself. The rate at which the disease develops depends mainly on how severely the kidney tissue is damaged.

The diagnosis of "acute insufficiency" in arterial hypertension is not terrible. The kidneys are reversible in their structure and functions. Therefore, with the use of the necessary funds, they may well recover.

Renal failure can affect both one kidney and both organs. In one of them, an abscess may begin to develop. In order to restore the functioning of the tubule, it is necessary to reduce the load on these organs. Treatment of the kidneys in this case consists in the elimination of inflammatory processes, hemodialysis or hemosorption.

With reduced filtration capabilities of the glomeruli, a person begins to show quite noticeable edema, severe pain, vomiting, and general poor health. In some cases, patients complain of a significant decrease in urine. Such pronounced symptoms allow the doctor, as a rule, to quickly and correctly diagnose and begin treatment.

The acute form of the disease is cured completely, but even after good tests, you should be careful about your health. It is necessary to completely abandon certain types of products that can affect the tissues of organs and alcohol. If you do not listen to the recommendations of the doctor and interrupt the treatment, this can lead to a complication and aggravation of the situation.

Secondary paranephritis is a consequence of chronic pyelonephritis.

Symptoms of the disease:

• heat;
• chills;
• malaise;
• severe pain in the lumbar region;
• anemia.

In addition to the above manifestations, sometimes the doctor states the presence of high blood pressure. Paranephritis is a very serious disease. As a result, purulent fusion of the perirenal tissue may occur. It is possible to cure this form only after eliminating the causes of the general disease.

Nephrogenic arterial hypertension

This hypertension can occur either with congenital renal pathologies, or as a result of an acquired disease. In some cases, such an ailment can cause regional circulatory disorders or an increase in the activity of renin angiotension. There are several diseases that can provoke such a pathology.

Acute diffuse glomerulonephritis is characterized by an inflammatory process that occurs in the glomeruli of organs.

This disease is accompanied by:

• secondary dystrophic changes in the tubules of organs;
• edema;
• plasma impregnation of blood vessels.

This type of disease is latent. For 10-20 days, the pathology does not make itself felt. The main symptom is a progressive increase in blood pressure. Also in the morning there are visible swelling on the face or hematuria. The last symptom can last from several hours to several days. Often, rarely anyone pays attention to such deviations, and this is a huge mistake of patients. In acute glomerulonephritis, protein, hyaline and granular casts are detected in urine. This diagnosis can only be established in the clinic with the help of a series of studies.

There are three main forms:

Nephrotic. The main indicators are swelling (mainly under the eyes) and proteinuria. At the same time, the pressure is moderately elevated. Protein in the urine exceeds the norm several times. High levels of nitrogen in the kidneys persist for a long time.

hypertensive form. Blood pressure in this case rises slowly and is unstable. Further, it begins to gradually grow to very high rates.

Critical pressure appears as a result of exacerbation of glomerulonephritis. In rare cases, blood pressure tends to decrease, but this happens infrequently. Due to the long course of hypertension, a person begins to develop hypertension of the left ventricle of the heart.

mixed form. It is manifested by nephrotic and hypertensive syndrome.

Chronic pyelonephritis. It is characterized by inflammation of the pelvis and the medulla of the kidneys. This type occurs due to the acute type of the disease. In rare cases, it also appears as primary pyelonephritis. In most cases, this disease affects women.

There are several forms of pathology:

• recurrent;
• latent;
• anemic;
• hypertensive;
• Azotemic.

Latent hypertension is characterized by such indicators: general weakness, frequent fatigue, a systematic increase in temperature. From time to time, bacteriuria, leukocyturia may occur. At the same time, arterial hypertension has a monotonous character.

The recurrent form proceeds with systematic exacerbations and remissions. With an exacerbation, a person has severe pain in the lumbar region, body temperature rises and urination is disturbed. Blood pressure in this case causes headaches and dizziness.

Signs of the hypertensive form are severe headaches, crises, shortness of breath, cardialgia and cardiac asthma. There are no problems with urine. Quite often, hypertensive patients are treated for normal hypertension, while the true cause of the disease is untouched.

In the anemic form, hypertensive and urinary syndromes are not expressed. At the same time, anemic syndrome is fully manifested. Azotemic type is manifested only in chronic kidney failure.

Nephropathy during pregnancy occurs when kidney damage is due to the toxic effect of the placenta on the body of the expectant mother, or the cause may be endocrine imbalance. The main signs are: swelling, high blood pressure and proteinuria. During pregnancy, consistently high tonometer readings can be a symptom of hypertensive disease.

If hypertension is a consequence of unilateral chronic pyelonephritis, treatment is reduced to nephrectomy. Bilateral damage requires a kidney transplant.