Renal colic

Renal colic.  Lithotripsy.  Photo from www.sciencephoto.com

Renal colic— Is an acute attack of pain in the lumbar region, driven by sharp violation of the outflow of urine from the kidneys and the blood circulation in it. The pain is caused by hyperextension of the renal pelvis at a pressure of flowing urine.

Why did this happen and how to manifest

Meets this condition with urolithiasis (blockage of the ureter stone), deletion of the kidneys (ureters inflection) and other pathological conditions (trauma, tumors, tuberculosis).

To renal colic characterized by the sudden, cramping growth pains in the lumbar region with frequent radiating to the groin, genitals, legs. Renal colic often is accompanied by nausea and vomiting.

Diagnostics

Shows the urgent hospitalization and compulsory medical examination, a urologist to determine the causes of renal colic, the differential diagnosis with acute surgical diseases.

The most valuable method of diagnosis renal colic— Intravenous urography (X-ray examination of the kidneys after intravenous injection of contrast material). It allows you to detect stone and changes in the urinary tract, the expansion of the pelvis and calyces, renal displacement and bending of the ureter. IVP also reveals other, more rare causes renal colic.

Treatment

If renal colic caused by urolithiasis, along with cupping successfully used lithotripsy (crushing stone ultrasound).

Attack of renal colic can facilitate the application of heat — hot water bottle, bath temperature of 37-39 C. Be sure to use antispasmodics and painkillers in injectable form (up to narkotichekih analgesics).

With prolonged attack the doctor may perform novocaine blockade of the spermatic cord (in men) or round ligament of the uterus (in women) from colic. Renal colic, accompanied by a rise in temperature — a direct indication for hospitalization in the urology department, where the purpose of treatment can be carried out ureteral catheterization.

Forecast

In the event that caused the violation of the outflow of urine stone fragment is small, it is often renal colic it ends with the discharge of urine.

Otherwise, untimely delivery of health care, develop acute obstructive pyelonephritis, which in the short term may cause fatal.

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