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Kidney & Urinary Health
Question #18063
164 days ago
254

fever in kidney stone - #18063

Neil

I am really worried about this fever I’ve been having. Seems like it started about a week after I got diagnosed with a kidney stone. I mean, the pain was excruciating at first, right? The doctor said it’s a medium-sized stone and to drink lots of water. But then, a few days ago, I started having this low-grade fever, like around 100.5°F. I thought it was just the body reacting to the pain, but now I'm really second-guessing myself. Could the fever in kidney stone actually mean something more serious? That google search spiraled me into panic — like, what if it’s an infection or something worse? Sometimes, I get these chills, but then it’s back to being hot and sweaty. I’m also feeling nauseous, is that common? Last week, there was no fever, just pain, and now this sudden escalation is stressing me out. I really don’t want to end up in the ER, but should I be worried about this fever in kidney stone situation? What are the signs of complications? Is it even possible for an infection to come from the stone itself? Any advice or insights would be super helpful right now!

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Doctors' responses

The combination of a fever with kidney stones can indeed be concerning, because it could indicate the presence of an infection in the urinary tract or even the kidneys, known as pyelonephritis. Kidney stones can lead to urinary tract infections (UTIs) by blocking urine flow and creating a stagnant environment, which bacteria can exploit. Fever, chills, nausea, and sweating are common signs of an infection. The seriousness stems from potential complications like sepsis, a systemic infection that can be life-threatening. In this context, your symptoms warrant immediate medical evaluation, especially since you’ve been experiencing chills accompanying the fever. It’s better to err on the side of caution and consult a healthcare provider as soon as possible.

They may recommend a urinalysis or imaging studies to determine if an infection is present or if there’s any obstruction causing your symptoms. It’s also possible for the stone itself to cause obstruction and contribute to these issues without an active infection, but this needs to be differentiated by a healthcare professional. Be sure to mention all your symptoms, including nausea and changes in urine color or odor, as these can provide additional clues. Until you can see a doctor, stay hydrated as your doctor had originally recommended, but be mindful that if there is an obstruction, fluids might build up increasing pain or discomfort. Avoiding the ER is understandable, but if symptoms worsen or if you experience severe symptoms like difficulty urinating, increased or higher fever, or confusion, immediate emergency care is necessary. The risk of ignoring these signs is too great, and prompt treatment can prevent complications, ensure your safety, and help you recover more smoothly.

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