What does kidney percussion pain indicate?

The kidney is the main site for stone formation in the urinary system. Stones in any other part of the body can originate from the kidney. Ureteral stones almost all come from the kidney. Kidney stones are more likely to directly damage the kidneys than stones in any other part of the body. Therefore, early diagnosis and treatment are very important. Percussion pain in the kidney area may be caused by the kidney and ureter. So today I will tell you what percussion pain in the kidney area indicates.

This means that there is percussion pain in the kidney area. These are usually symptoms caused by kidney or ureteral stones. Guidance: It is recommended to go to the hospital first for an abdominal B-ultrasound to check the kidneys and ureters and a urine routine test to see if there are red blood cells.

The patient stands, sits or lies on his side, and the examiner places his left palm flat on the patient's kidney area and makes a fist with his right hand to tap the back of his left hand with light to moderate force. Under normal circumstances, there is no percussion pain in the kidney area. When there is nephritis, pyelonephritis, kidney stones and perinephritis, there may be varying degrees of percussion pain in the kidney area.

Nephritis is an immune disease and an immune-mediated inflammatory response. After different antigenic microorganisms infect the human body, different antibodies are produced, which combine into different immune complexes and deposit in different parts of the kidneys, causing pathological damage.

Pyelonephritis refers to inflammation of the renal pelvis, which is mostly caused by bacterial infection and is usually accompanied by inflammation of the lower urinary tract. It is difficult to distinguish strictly clinically. According to the clinical course and disease, pyelonephritis can be divided into two stages: acute and chronic. Chronic pyelonephritis is an important cause of chronic renal failure.

Kidney stones refer to stones that occur in the renal calyx, renal pelvis, and the junction between the renal pelvis and ureter. Most of them are located in the renal pelvis and calyces; renal parenchymal stones are rare. Plain films show single or multiple round, oval or obtuse triangular dense shadows in the renal area with high and uniform density. The edges are mostly smooth, but some are not smooth and have a mulberry shape.

Perinephritis refers to inflammation of the fatty tissue between the renal capsule and the perirenal fascia. If the infection forms an abscess, it is called a perirenal abscess. The most common pathogenic bacteria are Staphylococcus aureus and Escherichia coli. Most of them are caused by the rupture of renal carbuncle or abscess on the surface of the kidney invading the surrounding tissues of the kidney. A few of them can also be caused by distant inflammation directly infecting the surrounding tissues of the kidney through the blood.

The diagnosis is based on pain when the kidney area is tapped. It can assist with X-ray and urine routine examination.

Use adequate amounts of antibiotics: such as penicillin, carbenicillin, and cefotaxime. Early treatment can often be achieved. Early drainage after diagnosis can alleviate systemic symptoms and reduce patient consumption. If kidney pain is not drained well and kidney damage is severe, nephrectomy may be performed when necessary. If there is a perirenal abscess, perirenal incision and drainage should be performed, and kidney pain expansion and drainage should be performed.