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Urology (Expert Forum)
Severe back pain, nauseau
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Severe back pain, nauseau
by roseann, Oct 21, 1999 12:00AM
My 17 year old daughter was diagnosed with a kidney infection a month ago. She was treated by our family docotr with antibiotics and in about 10 days was feeling better. She was healthy and felt normal for one week.
The symptoms (right mid-back pain, stomach pain, nausea, vomitting and lethargy) then returned. She has been in pain now for 12 days and has not attended school or worked. We again saw our family doctor, who gave her a complete physical with a pelvic exam. A urinalysis and CVC showed nothing abnormal. Pregnancy test was negative. We were sent to an urologist and later a surgeon. Further urinalysis showed no signs of infection, but more bacteria than normal, although further cultures showed nothing abnormal. She has has an IVP, and ct scan of the lower abdomen, both showed no signs of stones in kidney or gall bladder. These reports also showed a healthy appendix and ovaries.
She is currently taking macrobid which was prescribed for any further infection that may not have been found. She does take birth control pills. She also has scolosis. Other than that she has been a very healthy, "normal" child. She is socially well adjusted and leads a normal teen life with an after school job.
We are extremely frustrated and don't know what else to do. School and work absences are becoming a problem and we feel lost.
Any advice?
The symptoms (right mid-back pain, stomach pain, nausea, vomitting and lethargy) then returned. She has been in pain now for 12 days and has not attended school or worked. We again saw our family doctor, who gave her a complete physical with a pelvic exam. A urinalysis and CVC showed nothing abnormal. Pregnancy test was negative. We were sent to an urologist and later a surgeon. Further urinalysis showed no signs of infection, but more bacteria than normal, although further cultures showed nothing abnormal. She has has an IVP, and ct scan of the lower abdomen, both showed no signs of stones in kidney or gall bladder. These reports also showed a healthy appendix and ovaries.
She is currently taking macrobid which was prescribed for any further infection that may not have been found. She does take birth control pills. She also has scolosis. Other than that she has been a very healthy, "normal" child. She is socially well adjusted and leads a normal teen life with an after school job.
We are extremely frustrated and don't know what else to do. School and work absences are becoming a problem and we feel lost.
Any advice?
Doctor's Answer
by HFHS M.D.-CK, Oct 25, 1999 12:00AM
Dear Roseann,
Kidney infections are different from bladder infections. In addition to bacteria in the urine, a kidney infection is characterized by fever, flank pain, and elevated white blood cell count. If such an infection occurs than a radiologic study of the upper urinary tract is indicated. You mentioned that your daughter had an IVP. This xray uses contrast dye to outline the urinary tract looking for scarring, stones, dilation or blockage. Fortunately no structural abnormalities were found.
To prevent urinary tract infections, increasing fluid intake, voiding frequently, voiding after intercourse, and wiping away from the urethra after urine or bowel movements should be tried. Sometimes a period of suppressive antibiotics for weeks or months is needed. Of course, other nonurologic sources of pain must be ruled out.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital and its suburban locations (I-800-653-6568).
Sincerely;
HFHS M.D.-CK
* Keyword: Pyleonephritis
Kidney infections are different from bladder infections. In addition to bacteria in the urine, a kidney infection is characterized by fever, flank pain, and elevated white blood cell count. If such an infection occurs than a radiologic study of the upper urinary tract is indicated. You mentioned that your daughter had an IVP. This xray uses contrast dye to outline the urinary tract looking for scarring, stones, dilation or blockage. Fortunately no structural abnormalities were found.
To prevent urinary tract infections, increasing fluid intake, voiding frequently, voiding after intercourse, and wiping away from the urethra after urine or bowel movements should be tried. Sometimes a period of suppressive antibiotics for weeks or months is needed. Of course, other nonurologic sources of pain must be ruled out.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital and its suburban locations (I-800-653-6568).
Sincerely;
HFHS M.D.-CK
* Keyword: Pyleonephritis
Member Comments
by don, Nov 03, 1999 12:00AM
To: Misc.
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