Renal colic
Encyclopedia
Renal colic is a type of abdominal pain
commonly caused by kidney stones.
or the groin
. The pain is often colicky (comes in waves) due to ureteric peristalsis, but may be constant. It may come in two varieties: dull and acute; the acute variation is particularly unpleasant and is often described as one of the strongest pain sensations felt by humans (being worse than childbirth, broken bones, gunshot wounds, burns, or surgery).
Depending on the type and size/s of the kidney stones moving through the urinal tract the pain may be stronger in the renal or bladder area or equally strong in both. In lower obstructions, males may experience pain in the genitals.
is required. Diclofenac, as well as many other Non-steroidal anti-inflammatory drug
s, and antispasmodics like Hyoscine butyl bromide or Otilonium bromide can be used. But the doctor may not give morphine
to soothe the pain, because it raises ureteral pressure, worsening the condition. However, morphine
may be administered to assist with pain management. There is typically no antalgic position for the patient (lying down on the non-aching side and applying a hot bottle or towel to the area affected may help). If the pain is not too intense, a more speedy release of the stones may be achieved by walking. Larger stones may require surgical intervention for their removal, like percutaneous nephrolithotomy
.Drinking large amounts of water or tea will help you urinate more frequently which will help you pass the stone.
Abdominal pain
Abdominal pain can be one of the symptoms associated with transient disorders or serious disease. Making a definitive diagnosis of the cause of abdominal pain can be difficult, because many diseases can result in this symptom. Abdominal pain is a common problem...
commonly caused by kidney stones.
Presentation
The pain typically begins in the abdomen and often radiates to the hypochondriumHypochondrium
The hypochondrium is the upper part of the abdomen dorsal to the lowest ribs of the thorax. The word derives from the Greek term ὑποχονδρος hupochondros, meaning abdomen, or literally under cartilage.The liver is found in the right hypochondrium....
or the groin
Groin
In human anatomy, the groin areas are the two creases at the junction of the torso with the legs, on either side of the pubic area. This is also known as the medial compartment of the thigh. A pulled groin muscle usually refers to a painful injury sustained by straining the hip adductor muscles...
. The pain is often colicky (comes in waves) due to ureteric peristalsis, but may be constant. It may come in two varieties: dull and acute; the acute variation is particularly unpleasant and is often described as one of the strongest pain sensations felt by humans (being worse than childbirth, broken bones, gunshot wounds, burns, or surgery).
Depending on the type and size/s of the kidney stones moving through the urinal tract the pain may be stronger in the renal or bladder area or equally strong in both. In lower obstructions, males may experience pain in the genitals.
Prognosis and treatment
Most small stones are passed spontaneously and only pain managementPain management
Pain management is a branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain. The typical pain management team includes medical practitioners, clinical psychologists, physiotherapists, occupational therapists,...
is required. Diclofenac, as well as many other Non-steroidal anti-inflammatory drug
Non-steroidal anti-inflammatory drug
Nonsteroidal anti-inflammatory drugs, usually abbreviated to NSAIDs or NAIDs, but also referred to as nonsteroidal anti-inflammatory agents/analgesics or nonsteroidal Anti-inflammatory medicines , are drugs with analgesic and antipyretic effects and which have, in higher doses, anti-inflammatory...
s, and antispasmodics like Hyoscine butyl bromide or Otilonium bromide can be used. But the doctor may not give morphine
Morphine
Morphine is a potent opiate analgesic medication and is considered to be the prototypical opioid. It was first isolated in 1804 by Friedrich Sertürner, first distributed by same in 1817, and first commercially sold by Merck in 1827, which at the time was a single small chemists' shop. It was more...
to soothe the pain, because it raises ureteral pressure, worsening the condition. However, morphine
Morphine
Morphine is a potent opiate analgesic medication and is considered to be the prototypical opioid. It was first isolated in 1804 by Friedrich Sertürner, first distributed by same in 1817, and first commercially sold by Merck in 1827, which at the time was a single small chemists' shop. It was more...
may be administered to assist with pain management. There is typically no antalgic position for the patient (lying down on the non-aching side and applying a hot bottle or towel to the area affected may help). If the pain is not too intense, a more speedy release of the stones may be achieved by walking. Larger stones may require surgical intervention for their removal, like percutaneous nephrolithotomy
Percutaneous nephrolithotomy
Percutaneous nephrolithotomy is a surgical procedure to remove stones from the kidney by a small puncture wound through the skin. It is most suitable to remove stones of more than 2 cm in size. It is usually done under general anesthesia or spinal anesthesia.- Procedure :A Retrograde pyelogram is...
.Drinking large amounts of water or tea will help you urinate more frequently which will help you pass the stone.