A kidney infection (pyelonephritis) is a serious urinary tract infection that spreads to the kidneys. Learn symptoms, causes, testing, and treatment in simple terms.Â
A kidney infection, also called pyelonephritis, is an infection that affects one or both kidneys.
Most kidney infections start as a bladder infection and then travel upward through the urinary tract into the kidneys.
This makes kidney infections more serious than regular urinary tract infections (UTIs).
The urinary tract includes:
Urethra
Bladder
Ureters
Kidneys
Bacteria can enter the urinary tract and move upward.
When bacteria reach the kidneys, they can cause:
Inflammation
Pain
Fever
Kidney damage if not treated quickly
Most kidney infections are caused by bacteria, especially:
E. coli (the most common cause)
Risk factors include:
Frequent bladder infections
Kidney stones
Blockages in the urinary tract
Pregnancy
Diabetes
Weak immune system
Problems with bladder emptying
Common symptoms include:
Fever and chills
Pain in the side or back
Burning with urination
Frequent urination
Urgent need to urinate
Nausea or vomiting
Blood in the urine
Cloudy or foul-smelling urine
Kidney infections often make people feel very sick.
Doctors usually diagnose kidney infections with:
Urinalysis
Urine culture
Checking for bacteria, white blood cells, and blood
Checking for signs of infection
Kidney function tests
Sometimes doctors use:
Kidney ultrasound
CT scan
These help look for:
Kidney stones
Blockages
Abscesses
Treatment usually includes:
Oral antibiotics for mild cases
IV antibiotics in the hospital for severe cases
Drinking plenty of water
IV fluids if needed
Medications for discomfort
Rest
Most people start feeling better within a few days once antibiotics begin.
If not treated promptly, a kidney infection can lead to:
Kidney damage
Sepsis (a life-threatening infection)
Scarring of the kidneys
Recurrent infections
That’s why early treatment is very important.
Seek care right away if you have:
High fever with back or side pain
Shaking chills
Vomiting with urinary symptoms
Blood in your urine
Symptoms of a UTI that are getting worse
Kidney infections are considered urgent medical problems.
You can reduce risk by:
Drinking plenty of water
Treating bladder infections early
Urinating when you feel the need
Practicing good hygiene
Following medical advice for kidney stones or urinary problems
A kidney infection is more serious than a simple bladder infection, but with quick treatment, most people recover fully.
Never ignore symptoms that suggest a kidney infection.