Chronic pelvic inflammation

Chronic pelvic inflammation

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Pyelonephritis: Chronic course

The Inflammation of the kidney (Pyelonephritis) is an infection of the renal pelvis (pyelitis) and kidney tissue (nephristis). This is a bacterial inflammation that is favored by kidney stones due to urinary drainage disorders. With chronic renal pelvic inflammation, bacteria are only the trigger because it is maintained without bacteria. Their cause is often to be found in an uncured urinary tract infection. One or both kidneys can be affected. Due to anatomical features, women are affected much more often than men.

annotation: This article deals in particular with the chronic course of the disease. All information about the acute form can be found in the article: Kidney Inflammation - Symptoms, Causes and Therapy.

Chronic pelvic inflammation: cause

Chronic pelvic inflammation usually arises from a previous, unhealed, acute pelvic inflammation. It can be recognized by recurrent episodes of the acute condition. The development of chronic kidney inflammation is favored by

  • a weakened immune system,
  • Diabetes,
  • Obstruction of urine drainage,
  • Pregnancy,
  • Kidney stones,
  • Tumors in the urinary tract,
  • congenital malformations of the urinary tract,
  • vesicorenal reflux (urine flows back into the kidney basin).
  • Chronic pelvic inflammation: symptoms

    In the acute state, sufferers complain of severe flank pain, which can pull into the groin. As a rule, the pain increases when you tap the affected kidney with your fingers. Fever, chills, nausea and vomiting are typical side effects of acute kidney inflammation. The complaints can be very pronounced. In addition, sufferers have urinary problems, which are described as burning or pulling. There is often blood in the urine, which can be milky to reddish in color.

    In addition, diffuse symptoms, such as, for example, may appear in chronic kidney inflammation

    • Back pain,
    • A headache,
    • Exhaustion,
    • strong thirst,
    • Loss of appetite.


    School doctors report difficulties in making diagnoses because specific symptoms of chronic kidney inflammation are often missing. In addition to the detection of bacteria and white blood cells in the urine, high blood pressure, increased inflammation levels in the blood, anemia and the onset of kidney weakness indicate chronic kidney inflammation. In conservative diagnostics, X-rays, ultrasound and urography are usually used to rule out previous illnesses that can be the cause of chronic inflammation of the kidney. A urologist's kidney function test provides information about a possible restriction of kidney activity.

    Consequences of chronic inflammation of the kidney

    Chronic pelvic inflammation can have serious consequences, including weakness of the kidneys and even kidney failure in the end phase of the disease. It is therefore important to treat the disease early so that the chronic inflammation of the kidney can completely heal.


    In conventional medicine, antibiotics are used in the acute phase of the disease. Long-term antibiotic therapy is also prescribed to cure chronic, recurring infections. The victim is advised to drink plenty of fluids to rinse out the germs. In the acute stage, bed rest with plenty of warmth is urgent. Even if there is no symptoms, antibiotic therapy should be continued and physical exertion should be avoided.

    Kidney inflammation: home remedies and naturopathy

    Naturopathic treatments can be used to support this. In naturopathy, for example, the use of medicinal plants is recommended, which on the one hand have a disinfectant effect and on the other hand strengthen the immune system. The leaves of the berry grape, the somewhat milder cranberry leaves and preparations made from horseradish (horseradish) are considered to disinfect the urine or inhibit bacteria. Experts for natural medicine also recommend Echinacea (coneflower), which can be used to strengthen the immune system. (ag)

    Author and source information

    This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.

    Dipl. Geogr Astrid Goldmayer


    • German Society for Urology (DGU): S3 guideline epidemiology, diagnostics, therapy, prevention and management of uncomplicated, bacterial, community-acquired urinary tract infections in adult patients, as of April 2017, detailed view of guidelines
    • Heidelberg University Hospital: Inflammation of the kidney (pyelonephritis) (access: 04.09.2019), Klinikum.uni-heidelberg.de
    • Johannes Mann: Kidney Disease, Thieme Verlag 2008
    • Herold, Gerd: Internal Medicine 2019, self-published, 2018
    • Mayo Clinic: Kidney infection (accessed: 04.09.2019), mayoclinic.org

    ICD codes for this disease: N11ICD codes are internationally valid encodings for medical diagnoses. You can find yourself e.g. in doctor's letters or on disability certificates.

    Video: Pelvic Inflammatory Disease - CRASH! Medical Review Series (January 2023).