When faced with a kidney infection, acting quickly is key to a full recovery. Effective treatment for pyelonephritis must combine a rigorous medical approach to eradicate the bacteria with a naturopathic approach to support the body and prevent recurrence.
What is the emergency medical treatment for pyelonephritis?
As soon as the diagnosis is suspected, conventional treatment relies on theuseof antibiotics. This aspect is essential for combating Escherichia coli bacteria and preventing serious complications such as septicaemia.
- Probabilistic antibiotic therapy: This is prescribed immediately after a urine sample (urinalysis) has been taken, without waiting for the laboratory results. The doctor can then adjust the antibiotic based on the sensitivity test results.
- Duration: Treatment generally lasts 7 to 10 days for a mild case, but may be extended if there is a risk of complications.
- Follow-up: A medical review is required after 48 to 72 hours. If symptoms disappear completely, a follow-up urine culture is not always required.
- Hospitalisation: Whilst the majority of cases can be treated at home, hospitalisation is necessary in the event of vomiting (preventing the taking of medication), pregnancy or signs of a serious condition.
What naturopathic treatment should be used during the infection?
In addition to antibiotics, certain naturopathic approaches help to relieve the urinary system and curb bacterial growth.
- Hyper-hydration: Drink plenty of fluids to ‘flush out’ the urinary tract. The golden rule is to drink 1 litre of water per 30 kg of body weight per day.
- Foods to avoid: To avoid further irritating the renal mucosa, temporarily avoid highly acidifying foods, coffee, tea and alcohol.
- Specific precautions: It is advisable to avoid taking vitamin C (which is acidifying) and aspirin without medical advice during the acute phase of the infection.
How can a recurrence of pyelonephritis be prevented?
Once the infection has cleared up, it is crucial to adopt preventive measures in your daily routine, especially during high-risk periods (hot weather, travel, dehydration on flights).
- Toilet hygiene: Always wipe from front to back to avoid carrying intestinal bacteria back towards the urethra. Urinate as soon as you feel the need, without ever holding it in.
- Intimate hygiene: Use a mild, pH-neutral soap, always urinate after sexual intercourse, and change your sanitary protection frequently.
- Clothing: Choose cotton underwear and avoid tight-fitting clothes, which can cause skin maceration.
- Diet: A high-fibre diet helps combat constipation, which is a factor that promotes the migration of bacteria into the urinary tract.
Read on for a comprehensive guide:
- Comprehensive guide to pyelonephritis: Symptoms, causes and solutions
- Phytotherapy and Gemmotherapy: Which plants can support your kidneys?
Sources
- https://www.has-sante.fr/jcms/p_3262788/fr/antibiogrammes-cibles-pour-les-infections-urinaires-a-enterobacteries-dans-la-population-feminine-adulte-a-partir-de-12-ans
- https://www.urofrance.org/espace-grand-public/
FAQ: Safety and effectiveness of treatment
Can treatment forpyelonephritisbe stopped as soon as the pain goes away?
Definitely not. It is vital to complete the full course of antibiotics prescribed, even if you feel better after 48 hours. This prevents resistant bacteria from surviving and causing a more serious recurrence.
Is water the only recommended fluid?
Pure water remains the mainstay. However, avoid sugary or acidic drinks, which can feed the bacteria or irritate the bladder. Herbal teas made from specific plants can be an excellent aid (see our article on herbal medicine).
