Lower back pain frequent urination fatigue nausea..It is an infection of any part of the urinary tract, which includes the organs that collect, store and eliminate urine from the body: the kidneys, ureters, bladder and urethra.
lower back pain frequent urination fatigue nausea
It is the most common of all bacterial infections. It covers a variety of clinical pictures whose manifestations depend on the defense mechanisms of the sufferer and the degree of aggressiveness and the amount of bacteria that causes the infection.
According to the magnitude and location of the infection will manifest as:
– Acute pyelonephritis: Inflammation of the renal pelvis (high urinary tract) and kidney caused by an infection. It is characterized by unilateral or bilateral lumbar pain (of one or both kidneys) that can extend to the lower abdomen (lower abdomen) associated with fever, chills, nausea and vomiting. It can be associated with cystitis.
– Cystitis: is the inflammatory process of the bladder known as low urinary infection, very common in women. When it is acute, it means sudden or severe. It is characterized by intense burning and increased frequency when urinating, sometimes incontinence of urine and less frequently by the appearance of blood in the urine (hematuria).
– Prostatitis: is the acute inflammation of the prostate usually caused by the entry of infected urine into the prostate tissue. The symptoms are fever, burning and difficulty urinating, perineal pain (pain and weight sensation between the testicles and the anus).
There is another more frequent form of presentation that is chronic prostatitis and manifests as recurrent episodes of urinary infection and less severe symptoms
– Asymptomatic bacteriuria: the presence of bacteria in the urine in the absence of signs and symptoms of urinary infection.
As in any infectious pathology, it is essential to try to know the causal germ, in order to achieve a more effective treatment. In the case of urinary tract infections, analysis of urine sediment and urine culture (UC) are the most useful studies. In acquired urinary tract infection, the most frequently isolated microorganism is called Escherichia Coli (80%).
The following tests may be done to help rule out problems in the urinary tract that could lead to infection or make it more difficult to treat a urinary tract infection:
– CT scan of the abdomen
– Intravenous pyelogram (IVP)
– Kidney scan
– Kidney ultrasound
– Cystourethrogram micturition
The following factors also increase the chances of developing a urinary infection:
– Any alteration in the anatomy of the urinary system that alters the flow of urine
– Old age (especially people in nursing homes)
– Problems to empty the bladder ( urinary retention) due to neurological or cerebral disorders
– Biological predisposition of women with normal anatomy of the urinary tract.
– A tube called a bladder catheter inserted into the urinary tract
– Incontinence of the intestines
– Kidney stones
– Staying still (immobile) for a long period of time
The symptoms of a bladder infection include:
– Cloudy or bloody urine that may have a strong or foul odor
– Low fever (not everyone will have a fever)
– Pain or burning when urinating
– Pressure or cramping in the lower abdomen (usually in the middle) or in the back
– Strong need to urinate frequently, even shortly after emptying the bladder
If the infection spreads to the kidneys, the symptoms may include:
– Chills and tremors or night sweats
– Fatigue and general discomfort
– Fever above 38 ° C
– Pain in the side, in the back or groin
– Red or hot skin
– Mental changes or confusion (in elderly people, these symptoms they are often the only signs of a urinary infection)
– Nausea and vomiting
– Severe abdominal pain (sometimes)
Prevention and Treatment
The best way to reduce the consequences of a urinary tract infection is prevention. The main defense mechanism of the urinary system is the periodic emptying, for this two basic measures are needed: drink liquids and urinate.
The patient will be advised to drink at least 2.5 liters of fluid per day and empty the bladder every three hours during the day. Since the bladder is a reeducable organ, it is very important to emphasize these concepts if the patient does not comply with them.
Other measures that are important in women are: urinating before and after having sex and cleaning the genital and anal area before and after sexual activity. Avoid excessive genital hygiene that sweeps away the normal flora and the use of spermicidal creams for the same reason. Also always clean from front to back after using the bathroom. Avoid tight pants and wear cotton cloth underwear.
You can drink cranberry juice or use cranberry tablets, but not if you have a personal or family history of kidney stones. Do not drink liquids that irritate the bladder, such as alcohol and caffeine.
Changes in lifestyle can help prevent some urinary tract infections.
Before starting treatment, the doctor will determine if the patient has a simple renal or bladder infection or if it is a more complex condition.
For mild bladder and kidney infections, antibiotics taken orally are generally recommended because there is a risk of the infection spreading to the kidneys. It is important to finish taking the antibiotic even if the patient feels much better; People who do not can have an infection that will be more difficult to treat.
In addition, the doctor may recommend medications to relieve pain and the urgent need to urinate. Everyone with a kidney or bladder infection should drink plenty of water.
If the patient is very ill, they can be hospitalized to administer intravenous fluids and antibiotics. You can also be admitted to the hospital if:
– You are elderly
– Have kidney stones or changes in the anatomy of your urinary tract
– Have recently had surgery on the urinary tract
– Have cancer, diabetes, multiple sclerosis, spinal cord injury or other medical problems
– Are pregnant and have a fever or other than This is sick
Some people have UTIs that keep coming back or that do not go away with treatment. They are called chronic urinary infections. In these cases, the patient may need antibiotics for a prolonged period of time (perhaps up to 6 months to 2 years), or stronger antibiotics may be prescribed.
If a structural (anatomical) problem is causing the infection, surgery may be recommended.
Sources: Urologic Clinics of North America, National Coordinating Center for Information on Kidney and Urological Diseases (USA), Chair of Urology of the University of Buenos Aires, National Library of Medicine of the United States.