Have pyelonephritis and chronic IC. Abdominal pain. Taking antibiotics. How long can I expect the pain?
Patient: I have pylonephritis and was just discharged from hospital. I have chronic I C and this is what brought the pylonephritis on. I am still having terrible abdominal pain just like IC Should I still be having this pain and how long can I expect to have it. I am on antibiotics for 2 weeks. I noticed in this article that it said it is in the interstitial area of the pelvis so I assume it may continue until the pylonephritis is over.  Please explain. Doctor: Hi and thanks for the query,Normally, the treatment of pyelonephritis, depending on the drug after two weeks as you describe should be sufficient. However, with some resistant and atypical strains, this might take some longer.An important aspect in the management of pyelonephritis, especially in a patient with other risk factors, or in case its a recurrent phenomenon, is an active search to identify the causative organism. Urine cultures and antibiotic sensitivity tests to prescribe the appropriate anti biotic to tackle the particular germ in question could be very useful. This not only aids in diagnosis, but in measuring the efficacy of the treatment when completed. Ultrasound images of the kidney could also help, because in some patients, renal abscesses, especially when symptoms persist should be actively sought for.Suggest you consult a nephrologist. thanks and best regards,Bain LE, MD.