Answered by: Dr Ramzdhan
My Wife has back ache. She is born only one kidney naturally. She had bacteria infection before 8 years ago. During these years Nothing happened. Recently she had a fever for few days, so, I gave her Augmentine. Today she sudden mentioned backache after doing severe housework. Is it because of of the kidney problem? Her urine is yellowish clear. We just been to beach today and she had great appetite. But at 4pm today, she start sick with backache and vomited. Is it because of Kidney or food poison. What shall I do?
Hi there! Thank you for your question. Back pain could be due to many causes but judging by the clinical picture, she has fever, nausea, vomiting and back pain, this can very much indicate kidney issue. The possible diagnosis are urinary tract infection and stones. Urinary tract infection is one of the most common conditions seen in general practice.
There are two types of UTI, cystitis (infection of the urinary bladder) and pyelonephritis (infection of the kidney).Based on the symptoms you mentioned, pyelonephritis is most likely.
The symptoms of UTI/pyelonephritis includes loin pain (Back pain), fever, vomiting, weakness/tiredness, bleeding in the urine (might not be there) and urinary abnormalies like increase frequency, urine hesitancy, poor flow of urine, intermittent stream (flow that stops and starts during urination), dribbling after urinating, the sensation of not completely urinated eventhough there is no more urine, increase frequency of urination, unable to control your urination, peeing yourself without you realizing and increase urination at night.
It is typically due to a bacterial infection, most commonly Escherichia coli. Risk factors of UTI/ pyelonephritis includes prior urinary tract infections, diabetes, stones, structural problems of the urinary tract and sexual intercourse.
The investigations that will be done are urine dipstick test, mid-steam urine for culture, kidney function test (urea, electrolytes, creatine, and calcium level), full blood count, abdominal x-ray, kidney ultrasound and CT KUB (kidney, ureter and bladder).
The management of urinary tract infection are:
1. Increase fluid intake (more than 3L within 24 hours)
2. Potassium citrate solution (to alkalinize the urine to ease the symptoms)
3. NSAIDs (pain killers)
4. Antibiotics (usually 3 days but if it is complicated it will be given for 7 days)
Urinary stones also present in similar manner and are investigated the same and most of the time don’t required separate management. So, bring your wife to a doctor so necessary test can be done and appropriate management can be given.
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