Pyelonephritis, Pyelitis, and Urosepsis refers to infection in the pelvis of the kidney. Sepsis is the natural inflammatory response to an infection. The symptoms of this very painful condition includes pain while urinating called dysuria , pain in the abdominal region and the bladder area along with the region around the affected kidney becomes tender. Systemic symptoms like fever, headache, violent shivering, vomiting and in extreme cases delirium may occur.
Diagnosis of this disease is fairly easy and can be confirmed on conducting a diagnostic test. Patients who show typical symptoms take a urine dip stick test. Presence of nitrite and white blood cells can definitely confirm pyelonephritis. This is sufficient enough for starting treatment. Diagnosis with the aid of urine culture can confirm the disease. If there is a lack of symptoms then one has to go in for blood culture test. If the signs include large amount of blood in urine and colicky pain it could be signs of kidney stone.
In such cases X-Rays of the kidney and the urinary bladder must be taken to assess the disease. X-ray can reveal kidney stones as it is radio-opaque. If the disease occurs again and again then it could be a case of flowing back of the urine from the bladder. It could be also a case of polycystic kidney disease. Such situations might require the need for taking ultrasound scan of the kidneys or cystourethrography. Infection of the area could also be a result of cancer and should not be taken lightly. Biopsy might be required to determine if it is due to cancer or not.