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Suggest Remedy For Back Pain And Constipation When Diagnosed With Pyelonephritis

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Posted on Mon, 10 Aug 2015
Question: I have had low right side back pain which was diagnosed as acute pyelonephritis. UA with protein and blood. Given Sulfa and Cipro 8 days ago. Now constipation issues. Pain better but still there. Should I be concerned that pain still there or could ot be the constipation side effects which is starting to resolve
doctor
Answered by Dr. Rakesh Madhyastha (14 hours later)
Brief Answer:
pain will be present

Detailed Answer:
Hello

Thanks for the query


Pyelonephritis usually causes lumbar pain whereas constipation is usually pain around the umbilicus or in the right lower left/ right abdomen.

Pain because of pyelonephritis tends to remain up to 6 weeks but in severe cases my patients have had it beyond that as well.
Red flags in pyelonephritis are the following

1. vomiting and high grade fever
2. loose motion
3. Fall in blood pressure
4. pain in the opposite side indicating spread to the other kidney

For relief from constipation I recommend that you eat food rich in fiber like vegetables and fruits and also take lactulose 20 ml at night after dinner

I hope I was of help, if you have any further queries please get back to me

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Rakesh Madhyastha (7 hours later)
So should i take additional round of Cipro and Sulfa drug as long as this has not resolved? Is there specific over the counter meds to help with pain. I feel so stiff, cant bend over. Is cranberry juice helpful? I take ibuprofen but im fearful that too much can cause other issues
doctor
Answered by Dr. Rakesh Madhyastha (7 hours later)
Brief Answer:
Do not take ibuprofen

Detailed Answer:
Hello

Thanks for the getting back

Please do not take ibuprofen it is toxic to the kidneys. I recommend acetaminophen or tab tramadol for the pain but tramadol will require a prescription.

Cranberry juice is only useful in cystitis and not pyelo

There is no need to restart antibiotics if you have received 14 days of antibiotics. You might want to repeat a urine routine to check if you are cured. Presence of pus cells means that it will require further treatment with antibiotics

Please feel free to clear your doubts.

Regards
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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Suggest Remedy For Back Pain And Constipation When Diagnosed With Pyelonephritis

Brief Answer: pain will be present Detailed Answer: Hello Thanks for the query Pyelonephritis usually causes lumbar pain whereas constipation is usually pain around the umbilicus or in the right lower left/ right abdomen. Pain because of pyelonephritis tends to remain up to 6 weeks but in severe cases my patients have had it beyond that as well. Red flags in pyelonephritis are the following 1. vomiting and high grade fever 2. loose motion 3. Fall in blood pressure 4. pain in the opposite side indicating spread to the other kidney For relief from constipation I recommend that you eat food rich in fiber like vegetables and fruits and also take lactulose 20 ml at night after dinner I hope I was of help, if you have any further queries please get back to me Regards