Pyelonephritis in children
The human body is a carrier of many different bacteria that live in bodies. Small children suffer the attack of such infections, and the bacteria can replace each other or even to unite. Pyelonephritis most often in children manifests itself in the form of disorders in the intestine. Children suffer severe dysbacteriosis, flatulence, severe pain. The complexity of the main pathogens are dangerous because it is extremely difficult to cure.
Pyelonephritis is an inflammatory disease may be congenital or appear as a consequence of another illness. Often the disease is manifested on the background of congenital abnormalities of the kidneys or hereditary metabolic disorders. Not all bacteria can gain a foothold in the kidneys of the infant. To do this, the infection must have a specific set of antigens, strong cilia, capable of firmly “stick” to the tissue of the organ itself. In the normal intestine and so full of bacteria, but they do not penetrate into the body, as it eliminates the protective functions of the organs.
However, if you experience special conditions the flow of urine the child is disturbed, it stagnates, leading to the development of inflammation. Often the causes of pyelonephritis in children is not the end of the above provocateurs. A major role for the emergence of the inflammatory process are already suffering a viral infection. As a result of viral attacks the kidneys are weak, each exacerbation of the infection makes the kidney is most vulnerable. Its tissues lose their natural resilience, which creates ideal conditions for the survival of bacteria.
In children often affects one kidney, but when the next attack of acute pyelonephritis may result in both kidneys. You need to understand that times of acute pyelonephritis appeared once, then the kidneys will have to treat the notoriously weak. So, it turns out, for the reason that medicine is extremely complex and insidious disease, like any virus. It may occur unnoticed, even after successful treatment. It is not always possible using research to identify the form of the residual bacteria. Sometimes the tests are satisfactory, the infection is not detected, and yet the microbe continues to live.
Having increased stability and durability, microorganisms are able to create entire colonies in the child’s body, can live for generations.
There are two types of pyelonephritis: acute and chronic. But by their nature they are also divided into types:
obstructive. If the cause of pyelonephritis was the presence of stone in the urinary tract.
non-obstructive. If violations of the outflow of urine is not caused by rocks and changes in metabolic processes;
primary. The easiest stage in nature, but complex in the diagnosis because of the stealth of the disease;
secondary pyelonephritis. The source of the disease is known, the type of infection;
chronic pyelonephritis. Stable symptoms of pyelonephritis long time: at least one year.
Signs of pyelonephritis in children
Most often the attack of acute pyelonephritis prone girls, but this division becomes apparent only after 5 years. Up to this point about pyelonephritis as the disease it is possible to speak only conditionally, because in infants the infection affects the entire urinary system.
The symptoms of pyelonephritis in children can manifest itself in many ways, a lot depends on the age of the baby. The only two common symptom of acute pyelonephritis: fever and type-causing bacterium. Almost 90% of patients children the cause of pyelonephritis is E. coli. Therefore, during the exacerbation, there is always the signs of flatulence, bloated tummy, diarrhea or constipation. When the baby grows up, there is a risk of other infections that affect the symptoms.
The child complains of pain in the back, while the mother needs to listen carefully to the complaint. The child cannot correctly explain the pain, especially very small. Mom can try to gently Pat on the kidneys of the baby. If the child will become painful, weeping will ensue. Although pain during exacerbation are not intense and are of a dull character, baby it still hurts to turn around and bend over.
There is a fever, decreases appetite, the child becomes weaker, changing the color of the skin becomes pale. Signs of pyelonephritis in breast toddler may be more pronounced: the shortage in weight, strange temperature changes, excessive burping, nausea, vomiting.
Older children may suffer from incontinence at night, frequent and painful urination.
But the exacerbation of pyelonephritis can occur without any symptoms, the latent form of the disease leads to chronic stage. However, to determine the presence of abnormalities in the kidney is possible if the parents are attentive. Have a sick child, even if there is no pain and complaints, urine has a pungent smell. Color is rich and cloudy, with precipitation. In a healthy child’s urine is clear, natural smell.
The child may be overly excited, often cry, especially the chest. Disturbed digestion, can be signs of dehydration and sepsis, the temperature reaches a critical value at 41 degrees. If the disease develops on the background of other viral infections, the symptoms of pyelonephritis in children can be compounded by other signs. For example, in inflammation of the urinary canal, the baby feels strong cramps at the bottom of the tummy, it becomes especially painful when trying to empty the bladder.
Treatment of pyelonephritis in children
The most important thing in the treatment is to provide bed rest and constant, excessive drinking. The child is in the acute phase should be undertaken only under the supervision of doctors in a hospital. The therapy is administered diuretics, but on the condition drinking plenty of water.
Standard treatment of pyelonephritis in children is not always possible. In particular, children under one year, it is undesirable to treat with antibiotics. because they make the body toxic baby. Sometimes prescribe antibiotics that have become traditional medicines.
Experts try to treat the condition in infants to use drugs only in the case when the risk of a baby’s life is much higher than possible harm from medicines.
Often children are encouraged to drink an infusion of the hips or fruit drinks from it, there are watermelons, melons and other berries. In the treatment it is important to boost your immune system, strengthen the child’s body, which stimulates the whole immune system.
Be sure to follow a diet that excluded during the acute phase of meat and foods rich in protein.
If in the process of examination is set obstructive pyelonephritis, then surgery is needed. The stone, which prevents the normal outflow of urine, remove by pushing or crushing. The restoration of the natural passage of urine is the main therapy.
Kids can intravenous drip, this therapy allows to achieve the effect much faster. In principle, the blood completely cleared in a day or two. But the drug should not be discontinued for up to 14 days, even if already disappeared outward signs and the child feels well.
At relapse of chronic pyelonephritis prescribe symptomatic treatment for prevention. Preparations are appointed from the group to which the pathogen has a high sensitivity. The treatment of the chronic form may be long, with periodic remissions and relapses.