Renal colic
Causes
Renal colic occurs when acute violation of urine outflow, which may occur due to obstruction of the upper urinary tract. Obstruction can be caused by calculi conglomerate urinary salts, clots of mucus, blood, pus, necrotic tissue tore, cheesy masses and bend ureteral spasm of the ureter, renal pelvis.
Renal colic occurs when poor circulation in the kidney, ureter, functional disorders of the upper urinary tract, during treatment with glucocorticoid drugs, allergic reactions and other diseases.
The most common reasons:
• Urolithiasis disease;
• Tumours of the kidneys;
• Kidney Injury;
• tumors of adjacent organs (rectum, uterus, prostate) when distributing them to the ureters;
• A tumor of the bladder (violation of the outflow of urine in the bladder level);
• Nephroptosis (kidney ptosis);
• Abnormalities of the urinary tract;
• ureteral stricture;
• Urethral stricture;
• Tuberculosis of the kidneys.
Risk factors:
• genetic predisposition;
• episode of kidney stones in the past (the likelihood of repeated episodes of 60%);
• increased physical activity;
• work related to the long-term overheating;
• presence of diseases that predispose to the development of stones (renal tubular acidosis, polycystic kidney disease, hyperparathyroidism, sarcoidosis);
• increased fluid loss (malabsorption, ileostomy);
• reception sparingly soluble drugs.
Symptoms of renal colic
Renal colic attack typically occurs suddenly. Characterized by strong cutting pain. Pain may last for a long time (10-12 hours). The pain may be given in the lower abdomen, genitals, thighs and groin. Frequent urge to urinate, urinating difficult. Often, renal colic accompanied by vomiting, loose stools, flatulence
Symptoms of renal colic often occur when active movements: running, brisk walking, riding a motorcycle, car, sports games.
The pain quickly becomes unbearable, the patient can not find a place, moaning loudly.
When urinating after an attack can be released of the stones (stones), salt and blood.
Diagnostics
• Complete blood count: signs of inflammation;
• Urinalysis: hematuria (the appearance of red blood cells in the urine);
• Biochemical analysis of blood: increase in creatinine concentration, urea;
• Ultrasonography (ultrasound) kidney: the identification of the structural changes in the kidneys, stones;
• Panoramic radiography of the kidneys;
• excretory urography;
• Retrograde ureteropyelography (for determining the obstacle-level).
• CT (computed tomography) of the kidneys, bladder, ureters: allows layers to study these bodies, discover the cause of colic.
Types of diseases
There are the following forms of renal colic:
1. Two-way.
2. One-way:
• right-sided;
• left-handed.
patient action
In the event of renal colic should immediately seek medical attention.
With the development of colic due to urolithiasis recommended to urinate through cheesecloth or a container to notice the stone out.
Stick to diet number 10 or number 6 (with urate urolithiasis). Relieving pain will help heat treatments: a hot bath (temperature 40-50 ° C) warmer in the lumbar region.
It is timely to empty the bladder, carefully follow the rules of personal hygiene.
Treatment of renal colic
The main treatment - is the elimination of the causes of renal colic, disease therapy, leading to colic (tumors, urolithiasis, etc.).
To eliminate the pain using topical application of heat (heating pad, a warm bath), but only in the absence of high fever, suspected the presence of tumors. Apply painkillers - non-steroidal anti-inflammatory drugs (ibuprofen, nimesulide, diclofenac and others.), Antispasmodics (Drotaverinum, papaverine). Displaying excessive drinking.
In some cases, surgery is necessary.
Complications
• acute obstructive pyelonephritis;
• reduction of kidney function (renal failure);
• urosepsis;
• bakteriemicheskogo shock;
• formation of a stricture of the ureter.
Prevention of renal colic
Recommended: plenty of drink (2.5 liters of fluid a day) to keep urine in the diluted state; a balanced diet; limit salt intake; use of urological herbal, cranberry and cranberry juice.
Renal colic occurs when acute violation of urine outflow, which may occur due to obstruction of the upper urinary tract. Obstruction can be caused by calculi conglomerate urinary salts, clots of mucus, blood, pus, necrotic tissue tore, cheesy masses and bend ureteral spasm of the ureter, renal pelvis.
Renal colic occurs when poor circulation in the kidney, ureter, functional disorders of the upper urinary tract, during treatment with glucocorticoid drugs, allergic reactions and other diseases.
The most common reasons:
• Urolithiasis disease;
• Tumours of the kidneys;
• Kidney Injury;
• tumors of adjacent organs (rectum, uterus, prostate) when distributing them to the ureters;
• A tumor of the bladder (violation of the outflow of urine in the bladder level);
• Nephroptosis (kidney ptosis);
• Abnormalities of the urinary tract;
• ureteral stricture;
• Urethral stricture;
• Tuberculosis of the kidneys.
Risk factors:
• genetic predisposition;
• episode of kidney stones in the past (the likelihood of repeated episodes of 60%);
• increased physical activity;
• work related to the long-term overheating;
• presence of diseases that predispose to the development of stones (renal tubular acidosis, polycystic kidney disease, hyperparathyroidism, sarcoidosis);
• increased fluid loss (malabsorption, ileostomy);
• reception sparingly soluble drugs.
Symptoms of renal colic
Renal colic attack typically occurs suddenly. Characterized by strong cutting pain. Pain may last for a long time (10-12 hours). The pain may be given in the lower abdomen, genitals, thighs and groin. Frequent urge to urinate, urinating difficult. Often, renal colic accompanied by vomiting, loose stools, flatulence
Symptoms of renal colic often occur when active movements: running, brisk walking, riding a motorcycle, car, sports games.
The pain quickly becomes unbearable, the patient can not find a place, moaning loudly.
When urinating after an attack can be released of the stones (stones), salt and blood.
Diagnostics
• Complete blood count: signs of inflammation;
• Urinalysis: hematuria (the appearance of red blood cells in the urine);
• Biochemical analysis of blood: increase in creatinine concentration, urea;
• Ultrasonography (ultrasound) kidney: the identification of the structural changes in the kidneys, stones;
• Panoramic radiography of the kidneys;
• excretory urography;
• Retrograde ureteropyelography (for determining the obstacle-level).
• CT (computed tomography) of the kidneys, bladder, ureters: allows layers to study these bodies, discover the cause of colic.
Types of diseases
There are the following forms of renal colic:
1. Two-way.
2. One-way:
• right-sided;
• left-handed.
patient action
In the event of renal colic should immediately seek medical attention.
With the development of colic due to urolithiasis recommended to urinate through cheesecloth or a container to notice the stone out.
Stick to diet number 10 or number 6 (with urate urolithiasis). Relieving pain will help heat treatments: a hot bath (temperature 40-50 ° C) warmer in the lumbar region.
It is timely to empty the bladder, carefully follow the rules of personal hygiene.
Treatment of renal colic
The main treatment - is the elimination of the causes of renal colic, disease therapy, leading to colic (tumors, urolithiasis, etc.).
To eliminate the pain using topical application of heat (heating pad, a warm bath), but only in the absence of high fever, suspected the presence of tumors. Apply painkillers - non-steroidal anti-inflammatory drugs (ibuprofen, nimesulide, diclofenac and others.), Antispasmodics (Drotaverinum, papaverine). Displaying excessive drinking.
In some cases, surgery is necessary.
Complications
• acute obstructive pyelonephritis;
• reduction of kidney function (renal failure);
• urosepsis;
• bakteriemicheskogo shock;
• formation of a stricture of the ureter.
Prevention of renal colic
Recommended: plenty of drink (2.5 liters of fluid a day) to keep urine in the diluted state; a balanced diet; limit salt intake; use of urological herbal, cranberry and cranberry juice.