Erectile dysfunction: Healthy Man Article

ADS:

Medicines for prostate treatment:



Home  >  Erectile Dysfunction  >  Fever in prostate cancer

Fever in prostate cancer


Fever In Prostate Cancer

Temperature in prostate cancer


Every year, more than 250,000 men in Europe are diagnosed with prostate cancer, and in terms of mortality, this disease ranks second, behind lung cancer. And if a man under 40 can not worry, then each subsequent decade increases the risk of prostate cancer.


Unfortunately, like many oncological diseases of the internal organs, prostate cancer is detected at a late stage (about 70% of patients).



Causes


The prostate is the main male gland. It is located directly above the bladder around the ureter. The task of the gland is to activate androgens and produce the liquid component of sperm.


Moreover, the gland is responsible not only for sexual well-being, but also for the regulation of urination and the lumen of the urethra.


Unfortunately, why prostate cancer (carcinoma) appears today has not been scientifically identified, however, many tend to highlight such factors that still lead to this sad disease.



  • The age of the man. After 50 years, the disease is detected 5 times more often.
  • Work. A profession associated with welding processes or industries in which there is a risk of cadmium entering the body.
  • Heredity. Almost 10% of patients have close relatives who had prostate cancer. Most often, such a relationship is detected in twins.
  • Incorrect eating. The consumption of a large amount of modified foods, red meat, fats with a minimum amount of fiber in the diet leads to disastrous results.
  • Bad habits. These include smoking and alcohol abuse.
  • Adenoma. Often, benign prostatic hypertrophy can cause a dangerous disease.
  • Testosterone. Frequent intake of foods high in female hormones also adversely affects the condition of the prostate gland.
  • Sexual weakness.
  • The overconsumption of drugs. Antibiotics are especially harmful.

At an early stage, signs of the disease can be detected by a urologist during examination.


An interesting fact from statistics: most often prostate cancer occurs in black men.


A prostate tumor differs from other oncological diseases in that it does not manifest itself for a long time, slowly developing. Moreover, in some episodes, prostate cancer was diagnosed after the death of a man. Sometimes the disease manifests itself aggressively, spreading at lightning speed to neighboring organs and threatening the life of a man. Until now, doctors cannot say with certainty which tumor is a serious danger, and which does not need radical treatment.


At first, a quarter of patients do not notice any changes. Signs appear only with an increase in the tumor, and this may already mean that the disease is gaining momentum.


The main signs of prostate cancer associated with the work of the genitourinary system and metastasis:



  • Mimic delay;
  • frequent urination, especially at night;
  • jet is sluggish and intermittent;
  • pain in the perineum;
  • urges are sudden and hard to contain;
  • urinary incontinence during exertion or coughing;
  • feeling of discomfort, incomplete emptying, burning sensation;
  • The urges occur after a short period of time.

If the disease began to progress, then other symptoms appear:



  • constant dull pain in the back, lower back, in the small pelvis;
  • blood (pus) appears in the urine and semen;
  • stones form in the bladder;
  • the weight drops sharply (about 5-7 kg for no apparent reason);
  • the ureters and kidneys are enlarged;
  • the color and condition of the skin changes (jaundice, urticaria, sometimes hairiness appears);
  • rapid fatigue (at the beginning of the disease - intermittent, later - constant).

As a result of the further growth of cancer cells, other organs already affected by metastases make themselves felt:



  • Hamaturia appears when the bladder is damaged;
  • When metastasizing to the rectal area, blood appears in the feces;
  • if the tumor has climbed onto the ureters, then there are signs of pyelonephritis and kidney failure;
  • metastases in the bones are manifested by pain in the limbs;
  • if the tumor has reached the spinal cord - paralysis, paresthesia.

In addition, intoxication, weakness, loss of appetite and weight, pale skin, subfebrile temperature (37.1-38 C) may indicate the neglect of the process.


By the way, in 50% of men with prostate cancer, the temperature lasts for a long time already in the first stages and is an important wake-up call for going to the doctor.


In grade III-IV cancer, subfebrile temperature persists, becausethe pathological process has already spread throughout the body. It is worth noting that similar symptoms appear with adenoma. Therefore, it is necessary to diagnose the disease immediately so as not to be late with treatment.



Survey and forecasts


How to pass the examination correctly and where to start?


The most accessible, simple and moderately informative method of primary diagnosis is a digital examination (palpation) of the prostate and an analysis for the presence of a prostate specific antigen (PSA). Since the prostate tumor is localized in the area adjacent to the rectum, this makes it possible to detect a neoplasm even of a small size.


In prostate cancer, the PSA level rises before the formation can be determined instrumentally. Elevated PSA levels do not always indicate the presence of oncology. Although this is a reason for reflection and for further examination.


Even if a tumor is suspected, the specialist prescribes a transabdominal (through the anterior abdominal wall) or transrectal (through the rectum) ultrasound. The second method is more informative, since it allows you to get a closer look at the prostate.


Also, to confirm malignancy, a small piece of prostate tissue is taken for histological examination. A biopsy can be performed through the urethra using a cystoscope.


In order to determine (or refute) the spread of the tumor to other organs, MRI (magnetic resonance imaging), CT (computed tomography), radiography and scintigraphy are prescribed. Only after that it is possible to establish the size of the tumor and the stage of the disease.


The prognosis of recovery from a prostate tumor is difficult to determine.


Recovery depends on factors such as:



  • tumor size;
  • patient's age;
  • metastases;
  • comorbidities (digestive system, cardiovascular problems);
  • Timely start of treatment.

Treatment of carcinoma is carried out by the following methods:



  • hormone therapy;
  • drug therapy;
  • operation;
  • chemotherapy;
  • irradiation of the prostate.

Modern methods of surgery allow today to effectively fight prostate cancer. If the tumor has not metastasized, then recovery after surgery occurs in 90% of men. And according to statistics, 75% of them even restored sexual activity. An important role is also played by the correct therapy during the rehabilitation period.



Temperature phases in carcinoma


Temperature regimes for prostate cancer go through three stages:


Rise in temperature during treatment. Chemotherapy is the main treatment for cancer (including prostate cancer). With the help of special preparations, a certain effect is exerted on pathological cells in order to stop their growth. At the same time, the process of destruction concerns not only sick, but also healthy cells. In this regard, immunity suffers, and when an infection enters, any disease flares up at lightning speed.


For any changes in body temperature, the attending physician must be informed.


Especial attention should be paid to such indications:



  • Temperature dropped below 36 C;
  • subfebrile temperature dragged on;
  • The thermometer shows above 38C (febrile temperature or fever).

In no case do doctors advise taking antipyretic drugs themselves. A survey must be carried out in order to establish what led to such a change in temperature.


After all, fever may indicate that the body reacts normally to chemicals. And it may indicate that an allergic reaction has occurred or pathological flora has entered the body. The threat to life can be a sharp jump in temperature - from 39C. In this case, hospitalization is simply necessary.


The appearance of subfebrile temperature is ahead of the manifestation of other symptoms of prostate cancer. If you pay attention to it, you can diagnose carcinoma at an early stage.


Every year, several hundred thousand men learn that they have been diagnosed with prostate cancer. A malignant tumor in the prostate is most often formed in people over 40 years of age. Moreover, as you grow older, the likelihood of this neoplasm is constantly increasing.


Unfortunately, this pathology is diagnosed most often in the later stages of development, since most of the time it is asymptomatic. In some cases, fever indicates the presence of prostate disease. A similar symptom often occurs in the third and fourth stages of cancer or when the body is infected with pathogenic bacteria.


It is worth noting that the temperature is considered normal, which is kept within 37 degrees throughout the day.It may go down in the morning. The highest temperature is reached in the middle of the day.


Specialists are not yet able to accurately answer the question of why prostate cancer occurs.


However, they still identify a number of factors that provoke the development of a malignant tumor:



Temperature in prostate cancer


Contents: Why is there a high temperature in prostate cancer? Is it possible to bring down the temperature in case of prostate cancer and how? Subfebrile (within 37-37.5) temperature in prostate cancer accompanies the disease during the entire period of development and usually does not cause discomfort. Violation of the pituitary gland and the entry of cancer cells into the bloodstream leads to a deterioration in well-being and the appearance of chills and fever.



Why is there a high temperature in prostate cancer?


Body temperature in prostate cancer in most cases refers to subfebrile indicators, which are in the range of 37-37.5. But the state is not always stable. The patient, depending on the stage of development of the oncological disease, has fever, chills, and fever. The temperature can be high up to 40 or low, less than 36.


There are several reasons for changing indicators:



  • Fever is a response of the human body to the appearance of foreign cells. The gradual increase in white blood cells in the circulatory system causes the hypothalamus to become overactive. A temperature that does not drop for a long time is taken into account as an indirect sign of prostate cancer.
  • After removal of prostate cancer. The presence of temperature is a common phenomenon - a normal reaction of the body to stress obtained by removing part of the tissue. All internal reserves are mobilized to quickly restore the structure of the damaged organ. Even with a sterile operation, microbes still enter the surgical cavity, which is considered a secondary factor influencing the appearance of fever.
  • In slow-growing prostate cancer, the patient's condition stabilizes. Subfebrile temperature is observed. The symptom does not cause concern to the patient and often goes unnoticed.
  • Drugs - during chemotherapy, healthy tissues die along with cancer-affected cells. The greatest blow falls on the immune system, the suppression of which leads to the fact that the body ceases to protect the body from infections. Causes of fever in prostate cancer during chemotherapy, all kinds of bacteria and harmful bio-organisms that have entered the patient's body. The condition is accompanied by intense fever, chills, fever.


Is it possible to bring down the temperature in case of prostate cancer and how?


Self-medication, especially after prostate cancer is diagnosed, is unacceptable. A sharp rise in temperature to 39-40, accompanied by chills and fever, is a reason to call an ambulance. Before the arrival of specialists, the fever can be brought down by wiping with vinegar. It is dangerous to take medicines without a doctor's prescription.


With subfebrile indicators, an increase in temperature means the activation of the immune system. Taking antipyretics suppresses the body's own efforts to cope with the disease. You can bring down indicators only if the temperature rises above 38.5.


In the postoperative period, the patient undergoes a mandatory course of antibiotic therapy. If the temperature is caused by an inflammatory process due to infection, the indicators will return to normal after the body defeats the infection.


The decision on the need to bring down the temperature is taken by the attending physician after determining the causes of the catalysts. Self-treatment and taking antipyretic drugs is dangerous and can worsen the patient's well-being.



High temperature in stage 4 oncology what does it mean


Feverish condition in cancer can mean infection of the body with bacterial microorganisms or viruses. Also, often the temperature in cancer is observed at 3-4 stages of the oncological process.


Under normal physiological conditions, the hypothalamus maintains a temperature of about 37°C, which can vary depending on the time of day. The lowest rates are observed in the early morning hours, and the body temperature reaches its maximum in the middle of the day. By evening, the thermal state of the body is 36.5 - 37 jС.


A high temperature in cancer involves a rise in body temperature above 38°C, which implies the presence of an internal pathological process. This condition is considered a fairly common symptom for many types of cancer.


Infectious fever in cancer is usually accompanied by the following symptoms:


Is there a temperature in cancer? In oncological diseases, hyperthermia indicators are mainly observed to rise to subfebrile indicators (37 °C - 38 °C). Such temperature indicators indicate the so-called -low-grade fever-.This condition of the body in some cases does not require special treatment, especially if subfebrile indicators are retained for a short time.


With cancer, there is also a temperature during the period of specific anticancer therapy.


What should be the temperature for cancer? A feverish state in oncology goes through three phases in succession:


What temperature in cancer with a malignant lesion is necessary to achieve maximum therapeutic results? In some clinical cases, indicators of body thermoregulation of 37.5 jC - 38.0 jC contribute to an increase in the sensitivity of pathological cells to the effects of highly active X-ray radiation. The hyperthermic state of the body in combination with radiation therapy gives faster anti-cancer effects in the form of the destruction of a large number of mutated tissues.


Today, some methods of artificially raising body temperature are under development.


This technique involves a local thermal effect on a part of the body where cancer has already formed. Depending on the location of the tumor, there are the following types of local hyperthermia:


Consists in heating large areas of the body or limbs.


Whole body hyperthermia


This technique is used for multiple metastatic lesions. A systemic increase in body temperature is usually achieved in special thermal chambers.


First of all, it is worth saying that fever in oncology, a sharp weight loss, fatigue, weakness, changes in the skin are common clinical indicators. Of course, none of these signs is the basis for the early diagnosis of cancer. However, after the occurrence of at least one of them, you should immediately seek medical help.


It is important to pay attention to elevated temperature in oncology. Its increase in a person can occur in the last stages of the disease. Oncological cells have already spread enough throughout the body, because of which many organs and systems have suffered. After this phenomenon, inflammation is noted, whose external manifestations look like fever and increased body temperature.


Subfebrile condition, on the contrary, sometimes serves as one of the early symptoms of a poor-quality formation. Often, such a symptom can be 6-8 months ahead of other signs. The temperature rises to 37-38 degrees, but this is an insignificant but long-term phenomenon that can last from several weeks to several years. As a rule, low-grade fever appears with lymphocytic leukemia, lymphomas, lymphosarcomas, myeloid leukemia.


Immune complexes in this process are of great importance. As a reaction to cancer, the body turns on a protective function - immunity. However, the main provocateur of elevated temperature is the production of a protein by cancer (a substance that has a pyrogenic property).


If there are no other indicators of oncology, then a combination of changes in the blood, urine with subfebrile condition, where protein can also be located, is important for the study.


One of the main ways to treat cancer is chemotherapy. However, this treatment method is quite aggressive.


Fever after chemotherapy


Chemotherapy can provoke fever and other complications, which have their own degrees:



  • Zero degree. The patient has no changes in well-being and in the results of the studies.
  • First degree. Minor changes are observed, the patient remains active.
  • Second degree. The patient's activity is disturbed, the laboratory test results require correction.
  • Third degree. Violations become apparent, active treatment matters, in some cases it is important to cancel chemotherapy.
  • The fourth degree. A complete cancellation of chemotherapeutic agents is prescribed, because violations in the patient's condition pose a danger to his life.

An increase in temperature may be related to the occurrence of an infection in the patient's body. It is not restrained by anything, since the number of neutrophils in the blood is sufficiently reduced. During the course of chemotherapy, an elevated temperature is sometimes noted, which may be the body's response to medications. Fever may not in all cases be an indicator of illness.


A fever in a patient raises a question from the doctor: why does this phenomenon occur? If before the appearance of the symptom there was an illness or a long treatment, then the reaction may have a direct connection with them. However, there are cases when subfebrile condition basically does not include anything similar, but only beginning dysfunction. You can understand the causes by compiling a temperature curve, analyzing the accompanying changes in well-being and laboratory diagnostics.


There is a reminder for the patient to help identify the problem:



  • The first signs of "frost" should be the prompting to measure the temperature. It is important to tell your doctor if you have a temperature above 38 degrees.
  • Only a doctor should prescribe antipyretic drugs. Usually temperature serves as a signal of some kind of illness. Self-shooting will cause the warning to be hidden.
  • Sometimes chemotherapy drugs cause a reaction that is similar to a cold or the flu. In particular, this phenomenon can be noted while taking interoferon and chemotherapy drugs. The patient has a headache and joints, chills are disturbing, poor appetite is determined, there is weakness. Taking the medication before bed will help avoid this reaction.

The process of chemotherapy significantly reduces immune defenses. Therefore, during treatment, it is important to monitor your own hygiene, avoid being in public transport, public places, communicating with small children, as they often provoke the spread of infection.


This type of change in human body temperature in medicine is recognized as a phenomenon that requires increased attention from the doctor.


Such a pathological process occurs not only in cancer, but also due to other infectious or inflammatory processes and body lesions. Each pathology will differ in its timing of the occurrence of such a symptom.


Most patients begin to pay attention to such a symptom only after accompanying pain and malaise occur. During some ailments, subfebrile temperature is the main symptom. At the same time, it tends to do absolutely no harm, however, the ailment that accompanied its cause will develop rapidly.


In addition to oncological diseases, the following diseases can be the root causes of fever:



  • Postviral asthenia.
  • Tuberculosis
  • Rheumatic fever.
  • Localized infections.
  • Toxoplasmosis
  • Brucellosis.
  • Local infections.
  • Physiological reasons.

During such diseases, an increase in body temperature, or rather, subfebrile condition, tends not to be a signal of the appearance of a poor-quality formation. For some people, elevated body temperature is a feature of the body. However, as a preventive measure, it is important to seek the advice of a doctor.



Subfebrile temperature in oncology


A slight increase in temperature in medicine is called subfebrile condition. It is characterized by thermometer values from 37.4 to 38 degrees. It is believed that subfebrile temperature in oncology is one of the early signs of the development and growth of a cancerous tumor, the spread of metastases to nearby organs.


In fact, the described symptom is not considered a specific manifestation of cancer. More often, subfebrile condition occurs against the background of sluggish chronic inflammation, neurological or infectious diseases.


An increase in temperature to values of 37.4-38 degrees can also be with oncology, but is usually recorded in the late stages of tumor growth. This is due to the fact that cancer cells have spread throughout the body and damaged most of the internal systems, provoking inflammatory processes in them.


As a rule, subfebrile condition is observed in the following forms of oncological pathologies:


Drugs used in the treatment of oncological diseases greatly weaken the immune system, as well as disrupt its normal functioning. Therefore, after chemotherapy, the body temperature of patients can really rise to 38 degrees. Usually this symptom is accompanied by other unpleasant phenomena - weakness, nausea, decreased performance, vomiting, a tendency to viral and bacterial infections.


Subfebrile temperature in the treatment of cancer lasts for a long time, up to several months. The thermoregulation of the body is restored after the normalization of the state of the immune system.


Lung cancer is an insidious disease and death at the last stage is almost inevitable. Temperature in lung cancer is a concomitant symptom, although it is commonly believed that it rises only against the background of a cold or taking certain medications.


There are three stages of temperature rise, when it jumps, constantly stays at a high level or declines to normal after taking antibiotics, but after they are canceled, the temperature begins to rise again.


This causes some difficulties for doctors in differential diagnosis due to the similarity of temperature curves in lung cancer and other infectious diseases. An important feature of the oncological process that occurs in the lungs is an indicator of temperature values \u200b\u200bof 38 g for 2-3 weeks.


In addition, elevated temperature indicates the presence of metastases in regional lymph nodes or other organs and systems in the body.


Lung cancer at stages 1-2 proceeds with virtually no symptoms, which increases the risk of mortality with progression. The temperature in lung cancer is the primary symptom, sometimes underestimated by patients. They begin to turn to doctors only with a feverish condition or the appearance of a persistent cough with sputum discharge.


The temperature can vary from 37 to 41 g, while it does not fall for a long time, it stays within subfebrile marks, it jumps, it occurs periodically from time to time, or it remains stable for a long time.


A malignant tumor in the lungs adversely affects the immune system and the respiratory tract when the air is inhaled. The development of inflammation is inevitable, especially in small cell cancer.


It has been proven that this type of cancer begins its development when air is inhaled above 34 degrees Celsius, which often allows doctors to make an accurate diagnosis. In addition, the process of releasing interleukin from tumor cells, which appears against the background of taking chemicals and antibiotics prescribed to patients for therapeutic purposes, affects the rise in temperature to high values.


In addition to the febrile state, patients develop:



  • skin rash;
  • signs of hemophilia;
  • intoxication of the body under the influence of biological preparations taken by the patient (interferon, rituxim, azathioprine, hydroxyurea);
  • vein thrombosis, which indicates the development of cancer called Trousseau's syndrome.

First of all, it is necessary to identify in which particular translation the temperature rises in lung cancer: day or night, and how many days in a row the indicators of 38 g are stable. Perhaps the chemotherapy drugs prescribed by the doctor during treatment are affected.


If the temperature jumps to 41-42 degrees, then this is already clear evidence that the body is highly infected, weakened and no longer resists the inflammatory process. An increase in temperature to critical levels is a clear sign that you need to visit a doctor. With lung cancer, the likelihood of sudden death is high, and it is the temperature that can cause it.


If the temperature is stable and an infectious process takes place in the body, then the doctor must take urgent measures to avoid possible complications and prescribe:



  • antibiotics for bacterial infection;
  • antiviral agents in the course of a viral infection;
  • tablets to relieve inflammation and reduce fever (acetaminophen, ibuprofen).

Sick people at home with an increase in temperature are advised to drink hot tea with honey. If the marks have reached critical values, then you should immediately call an ambulance. Can't be ignored either:



  • the appearance of clear signs of thrombosis on the legs;
  • clotting of blood in the veins;
  • Lysis syndrome against the background of rapid multiplication of cancer cells, leading to metabolic disorders and a decrease in the concentration of electrolytes in the blood.

Fever together with the described symptoms can be fatal and require immediate medical attention for emergency measures.


Patients with lung cancer need to know that the temperature usually jumps, i.e. increased or decreased (below 34g) with the progression of the tumor. If such an imbalance has been observed for more than 2 weeks, then patients should urgently contact the diagnostic center for diagnostic behavior.



High temperature in oncology


Home Symptoms of diseases High temperature in oncology


As you know, temperature is a protective reaction of the body to the ingress of harmful agents into it. E growth often occurs with a cold, and it is thanks to an increase in temperature that we quickly determine the disease, and when it is restored to normal levels, we are glad that everything is in order.


But sometimes the temperature rises for no apparent reason, and if this phenomenon is observed for a long time, you need to think about seeing a doctor, as this is one of the common symptoms of cancer.


However, "panic" is not worth it, it can be a sign of a completely harmless disease, but this fact should alert you and force you to undergo the necessary examination.


A high temperature in oncology at a certain stage is observed in almost everyone. Symptoms result from the effect of cancer cells on a person's immune system. Quite often, this indicates a spreading and progressive disease, but there are cases when an increase in temperature is an early sign of the onset of cancer.


The cause of a high temperature can be lymphoma, lymphogranulomatosis, leukemia, liver or kidney cancer, as well as bone metastases.



  • At an early stage of lymphogranulomatosis, high temperature is the only symptom.
  • In lymphoma, enlarged lymph nodes are additionally detected.
  • Acute leukemia presents with high fever and anemia.
  • In kidney cancer, hematuria and pain in the side join the high temperature.
  • Ovarian cancer, tumors of the gastrointestinal tract and central nervous system may also be accompanied by fever.
  • Atrial myxoma has symptoms similar to infective endocarditis, accompanied by fever, changes in heart murmurs, and peripheral arterial embolism.

High temperature in oncology is often the result of chemotherapy. It should be noted that this symptom may indicate a developing infection, but only a doctor will determine a clear picture based on the results of the tests.


An increase in temperature is not always an indicator of a disease, however, such a reaction of the body should be taken very seriously.



Signs of infection


Signs of the onset of an infection are:



  • high temperature;
  • excessive sweating at night;
  • liquid stool.

Hello, dear doctors! Here there was a disputable and indefinite situation with the diagnosis. Nobody can place it. The problem concerns my wife of 23 years. Help with professional advice. Sun was like that. On 08/22/2013 in the evening, pain in the right side from the side of the stomach did not begin and it radiated to the back, the nature of which was sharp. Then the temperature gradually rose, but not high up to 37.7. They called an ambulance. The emergency doctor said it was probably kidney stones. E was taken away, but after 2 hours they brought it back. The gynecologist checked it there (everything turned out to be in order), then the surgeon felt it and also suggested that it was the kidneys, throwing back appendicitis. They gave me painkillers and sent me to a urologist. The next day we went to the urologist in the general clinic, having done a fluorography (everything is normal). He, without conducting any tests and a banal examination, prescribed etolfort and diclotol. Realizing that the Hippocratic oath is now out of fashion, I took the initiative into my own hands and decided to privately conduct examinations (of course, with state-qualified doctors in a state clinic, only in a more prestigious one for sailors). Since there were holidays and weekends, we waited for Monday 26/08. During this time, the pain was relieved and the temperature was only in the evening, the general condition improved. In the morning they did an ultrasound. Nothing showed, there were no stones anywhere, all organs and their sizes with ducts were normal, except for the gallbladder, which was slightly curved. The conclusion of the ultrasound, on the basis of only complaints, and the consultations received earlier from the above doctors, read the signs: hr. cholecystitis, kidney microliths. Next, I'll take blood and urine tests. The doctor who did the blood sampling and analysis said that she saw such indicators for the first time and that she didn’t think at all that we would come. The wife almost faints, the horror is shorter. We decide to retake the tests. Until the next day, the temperature did not appear, and there was no pain, they did not take any prescribed drugs and herbal tinctures that day. The condition almost completely returned to full health, no complaints and a good tone, as soon as the PMS began in my wife (there should be a period one of these days). 28/08 in the morning on an empty stomach I will again give blood and urine. We arrive at lunchtime - again awkward analyzes (Hemoglobin-130.9, leukocytes-7.0, ESR-already 60, stab-10, segmented-60, eosinophils-1, lymphocytes-26.monocytes-3; in the urine leukocytes-30 -35, squamous epithelium appeared -3-4, bacteria as they were). They send us to nephrology (1 doctor for the whole city!). The doctor, having felt and looked at the tests, suggests, but does not make a diagnosis, that this is pyelonephritis and urgent hospitalization is needed. But her condition improves every day and the pain disappears almost completely. We don’t know what to do, because he will go to the hospital - they will pump him up with antibiotics. But the most interesting thing is that no one takes the responsibility to officially diagnose, and the treatment has already been thought out. Based on tests and ultrasound, I called up doctors I knew (some retired, some in another city) and all the time reported different assumptions: urolithiasis, gallstones, pregnancy, menstruation, cystitis, oncology, in short, a set of all practical diseases. And she gets better and better every day. Based on the information provided, please give advice. Respond to the request, I don’t know what to do, which doctor to go to, what other tests to do, because it’s easiest to go to the ward under the needle, but will there be a result and will they diagnose correctly, and it’s easy to kill the stomach and liver with antibiotics, while giving away not just one paycheck. Best regards, Denis!


02 September 2013


Vasquez Estuardo Eduardovich answers:


General practitioner, Ph.D.


Hello Denis!It is very bad when patients and their relatives begin to infiltrate such a delicate profession as medicine (Read: The picture you described does not talk about something terrible. From a medical point of view, it is quite natural that she is better and the tests give more signs of inflammation (this is already further protective reaction of the body), especially since the start of treatment is delayed due to the fact that you continue to conduct various kinds of consultations. Apparently, at first sand of a renal nature came out, it is possible that against the background of existing cholecystitis or dyskinesia of the gallbladder, and then the condition can move to pyelonephritis, if it does not heal, then it is chronic. Decide and stop at any one general practitioner or urologist (any of them is able to correct this problem) and do not further delay the treatment that is offered. You do not have to understand all the subtleties of the appointment or possible side effects!Unfortunately, not without them, and we doctors do not have the right to think only about the minuses , we think about priorities in terms of patient protection.