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Symptoms of Pyelonephritis
List of symptoms of Pyelonephritis:
The list of signs and symptoms mentioned in various sources for Pyelonephritis includes the 19 symptoms listed below:
- Back pain
- Side pain
- Groin pain
- Loin pain
- Urinary urgency
- Urinary frequency
- Cystitis - see also symptoms of cystitis
- Urinary pain
- Urinary burning
- Fever
- Nausea
- Vomiting
- Chills
- Shivering
- Pus in urine
- Blood in urine
- Acidic urine
- Weight loss
- Malaise
Note that Pyelonephritis symptoms usually refers to various symptoms known to a patient, but the phrase Pyelonephritis signs may refer to those signs only noticable by a doctor.
More ways to research these symptoms: To research other symptoms use the symptom center, or to research causes of more than one symptom in combination, try our multi-symptom search.
Research More About Pyelonephritis
Do I have Pyelonephritis?
- Pyelonephritis: Introduction
- Pyelonephritis: Diagnostic Testing to confirm diagnosis
- Home Diagnostic Testing
- Alternative diagnoses and misdiagnosis for Pyelonephritis
- Hidden Causes of Pyelonephritis
- How serious is it?
- Treatments for Pyelonephritis
- More about Pyelonephritis
Home Diagnostic Testing
Home medical tests related to Pyelonephritis:
- Bladder & Urinary Health: Home Testing:
- Kidney Health: Home Testing:
Wrongly Diagnosed with Pyelonephritis?
The list of other diseases or medical conditions that may be on the differential diagnosis list of alternative diagnoses for Pyelonephritis includes:
See the full list of 17 alternative diagnoses for Pyelonephritis
More about symptoms of Pyelonephritis:
More information about symptoms of Pyelonephritis and related conditions:
- Other diseases with similar symptoms and common misdiagnoses
- Tests to determine if these are the symptoms of Pyelonephritis
- Symptoms that may be caused by complications of Pyelonephritis
- Underlying causes of Pyelonephritis
- Associated conditions for Pyelonephritis
- Risk factors for Pyelonephritis
Other Possible Causes of these Symptoms
Click on any of the symptoms below to see a full list of other causes including diseases, medical conditions, toxins, drug interactions, or drug side effect causes of that symptom.
- Back pain - see all causes of Back pain
- Blood in urine - see all causes of Blood in urine
- Chills - see all causes of Chills
- Fever - see all causes of Fever
- Groin pain - see all causes of Groin pain
- Loin pain - see all causes of Loin pain
- Malaise - see all causes of Malaise
- Nausea - see all causes of Nausea
- Pus in urine - see all causes of Pus in urine
- Shivering - see all causes of Shivering
- Side pain - see all causes of Side pain
- Urinary burning - see all causes of Urinary burning
- Urinary frequency - see all causes of Frequent urination
- Urinary pain - see all causes of Urinary pain
- Urinary urgency - see all causes of Urinary urgency
- Vomiting - see all causes of Vomiting
- Weight loss - see all causes of Weight loss
Medical Books Online about Pyelonephritis
16 MEDICAL BOOKS ONLINE! Full text. Free access without registration. The full text of published medical book chapters related to Pyelonephritis is available from published medical books for more detailed information about Pyelonephritis.
Full text. Free access (no registration).
- "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter"
- [ read ]
Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.
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Patient Surveys for Pyelonephritis
- Patient Profile Survey
Take Survey View Results - Survey about the symptoms of your Pyelonephritis
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Symptoms of Pyelonephritis: Online Medical Books
16 MEDICAL BOOKS ONLINE! Review the full text of medical books online, free, without registration, for more information about the symptoms of Pyelonephritis.
Acute pyelonephritis:
Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))
Typical clinical features include urgency, frequency, burning during urination, dysuria, nocturia, and hematuria (usually microscopic but may be gross). Urine may appear cloudy and have an ammonia-like or fishy odor. Other common symptoms include a temperature of 102° F (38.9° C) or higher, shaking chills, flank pain, anorexia, and general fatigue.
These symptoms characteristically develop rapidly over a few hours or a few days. Although these symptoms may disappear within days, even without treatment, residual bacterial infection is likely and may cause symptoms to recur later.
Kidney cancer produces a classic clinical triad (hematuria, pain, and a palpable mass), but any one may be the first sign of cancer. Microscopic or gross hematuria (which may be intermittent) suggests that the cancer has spread to the renal pelvis. Constant abdominal or flank pain may be dull or, if the cancer causes bleeding or blood clots, acute and colicky. The mass is generally smooth, firm, and nontender. All three signs coexist in only about 10% of patients.
Other signs include fever (perhaps from hemorrhage or necrosis), hypertension (from compression of the renal artery with renal parenchymal ischemia), rapidly progressing hypercalcemia (possibly from ectopic parathyroid hormone production by the tumor), and urine retention. Weight loss, edema in the legs, nausea, and vomiting signal advanced disease.
Symptoms usually appear only as a result of complications and are seldom present before adulthood. Complications include formation of calcium oxylate stones, which lodge in the dilated cystic collecting ducts or pass through a ureter, and infection secondary to dilation of the ducts. These complications, which occur in about 30% of patients, are likely to produce severe colic, hematuria, lower urinary tract infection ([UTI]; burning on urination, urgency, frequency), and pyelonephritis. Secondary impairment of renal function from obstruction and infection occurs in only about 10% of patients.
The neonate with infantile polycystic disease often has pronounced epicanthal folds, a pointed nose, a small chin, and floppy, low-set ears (Potter facies). At birth, he has huge bilateral masses on the flanks that are symmetrical, tense, and can’t be transilluminated. He characteristically shows signs of respiratory distress and heart failure. Eventually, he develops uremia and renal failure. Accompanying hepatic fibrosis may cause portal hypertension and bleeding varices to develop, requiring sclerotherapy or portacaval shunting.
Adult polycystic kidney disease is commonly asymptomatic through the patient’s 40s, but may induce nonspecific symptoms, such as hypertension, polyuria, and recurrent urinary tract infections (UTIs). Later, the patient develops overt symptoms related to the enlarging kidney mass, such as lumbar pain, widening girth, and swollen or tender abdomen. Abdominal pain is usually worsened by exertion and relieved by lying down. In advanced stages, this disease may cause recurrent hematuria, life-threatening retroperitoneal bleeding resulting from cyst rupture, proteinuria, and colicky abdominal pain from the ureteral passage of clots or calculi. Generally, about 10 years after symptoms appear, progressive compression of kidney structures by the enlarging mass produces renal failure and uremia. Hypertension is found in about 20% to 30% of children and up to 75% of adults due to intrarenal ischemia, which activates the renin-angiotensin system.
Typical clinical features include urgency, frequency, burning during urination, dysuria, nocturia, and hematuria (usually microscopic but may be gross). Urine may appear cloudy and have an ammoniacal or fishy odor. Other common symptoms include a temperature of 102° F (38.9° C) or higher, shaking chills, flank pain, anorexia, and general fatigue.
These signs and symptoms characteristically develop rapidly over a few hours or a few days. Although these symptoms may disappear within days, even without treatment, residual bacterial infection is likely and may cause later recurrence of symptoms.
Kidney cancer produces a classic triad of signs and symptoms — hematuria, pain, and a palpable mass — but any one may be the first indication of cancer. Microscopic or gross hematuria (which may be intermittent) suggests that the cancer has spread to the renal pelvis.
Constant abdominal or flank pain may be dull or, if the cancer causes bleeding or blood clots, acute and colicky. The mass is generally smooth, firm, and nontender. All three signs of kidney cancer coexist in only about 10% of patients.
Other signs and symptoms include fever (perhaps from hemorrhage or necrosis), hypertension (from compression of the renal artery with renal parenchymal ischemia), rapidly progressing hypercalcemia (possibly from ectopic parathyroid hormone production by the tumor), and urine retention. Weight loss, edema in the legs, nausea, and vomiting are signs and symptoms of advanced kidney cancer.
CLINICAL TIP: Bone pain or fracture from a metastatic lesion may also be a chief complaint.
Clinical features vary with the form of disease.
The neonate with infantile polycystic disease may have pronounced epicanthal folds, a pointed nose, a small chin, and floppy, low-set ears (Potter facies). Signs of respiratory distress and heart failure may be evident. Eventually, he develops uremia and renal failure. Accompanying hepatic fibrosis may cause the development of portal hypertension and bleeding varices.
Adult polycystic kidney disease is commonly asymptomatic while the patient is in his thirties and forties but may induce nonspecific signs and symptoms, such as hypertension, polyuria, and urinary tract infection. Later, the patient develops overt signs and symptoms related to the enlarging kidney mass, such as lumbar pain, widening girth, and a swollen or tender abdomen. Such abdominal pain is usually worsened by exertion and relieved by lying down.
In advanced stages, this disease may cause recurrent hematuria, life-threatening retroperitoneal bleeding resulting from a ruptured cyst, proteinuria, and colicky abdominal pain from the ureteral passage of clots or calculi. Generally, about 10 years after symptoms appear, progressive compression of kidney structures by the enlarging mass produces renal failure and uremia.
Symptoms and signs include back, side, and groin pain; urgent, frequent
urination; pain or burning during urination; fever; nausea and vomiting;
and pus and blood in the urine.
(Source: excerpt from Pyelonephritis (Kidney Infection) in Adults: NIDDK)
For a more detailed analysis of Pyelonephritis as a symptom, including causes, drug side effect causes, and drug interaction causes, please see our Symptom Center information for Pyelonephritis.
These general reference articles may be of interest
in relation to medical signs and symptoms of disease in general:
Full list of premium articles on symptoms and diagnosis
The symptom information on this page
attempts to provide a list of some possible signs and symptoms of Pyelonephritis.
This signs and symptoms information for Pyelonephritis has been gathered from various sources,
may not be fully accurate,
and may not be the full list of Pyelonephritis signs or Pyelonephritis symptoms.
Furthermore, signs and symptoms of Pyelonephritis may vary on an individual basis for each patient.
Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they
are indeed Pyelonephritis symptoms.
Next articles: Tools & Services:
Medical Articles:
Kidney cancer:
Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))
Medullary sponge kidney:
Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))
Polycystic kidney disease:
Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))
Pyelonephritis, acute:
Signs and symptoms
(Handbook of Diseases)
Kidney cancer:
Signs and symptoms
(Handbook of Diseases)
Polycystic kidney disease:
Signs and symptoms
(Handbook of Diseases)
Infantile form
Adult form
Article Excerpts About Symptoms of Pyelonephritis:
Pyelonephritis as a symptom:
Medical articles and books on symptoms:
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