Treatment of renal colic
Treatment of renal colic
This pain is called the strongest in the world, and indeed, when the person is experiencing renal colic, just not in forces to constrain emotions from the wild spasms that cover the whole body, not allowing to move. The causes can be several, ranging from urolithiasis, ending the inflammatory processes of organs of urinary system.
Renal colic and its causes
An acute attack of pain in the lumbar region typically occur as a result of sharp circulatory disorders in the kidney and the outflow of urine from it. The renal pelvis is stretched under the pressure of the accumulated fluid, causing wild pain. It begins suddenly with gradual increase in the lower back, moving in the groin, leg and genitals. To endure this state is almost impossible and well, when an ill person are close people who can give first aid. It is important to know, however, that could trigger a spasm. And awaken renal colic following pathology:
urolithiasis as the most common cause. Typically, severe pain occurs when you move the stone in urinary tract and blockage of the lumen of the ureter;
acute or chronic pyelonephritis;
tumor of the kidney;
various kidney injury;
Typically, renal colic urolithiasis is not preceded by any symptoms. Man it feels great, and at some point feels pain. To force the stone to move after the stab in the back or fall, a large number of drinking beer or, for example, after eating watermelon. The diuretics for the prevention of stone formation also results in calculus in motion. Often in pregnant women in third trimester of pregnancy begins to move away the stone. This is due to the expansion of the urinary tract, typical for this period of gestation.
The risk of formation of kidney stones is higher in people who:
have a genetic predisposition to the disease;
a few years ago already taken out a kidney stone. In this case, the probability of a repetition of the situation – 60%;
always carry a physical load;
working in conditions of prolonged overheating;
previously had diseases that lead to the formation of stones (polycystic kidney disease);
long take poorly soluble drugs.
Feelings of the patient
Renal colic, that is a strong pain in the right or left side, may be accompanied by such symptoms:
the presence of blood in the urine;
nausea and gag reflex;
burping and heartburn;
a slight increase in blood pressure;
the urine begins slowly come to the bladder;
less common – fever.
Sudden pain with nausea can last from 15 minutes to 12 hours. All the time the stone leaves the kidneys and moves through the ureter, the person feels unbearable cramps. Often, people who are still not aware that the stone in their kidney began to move, I can be attributed the pain to heart problems, spasms in the stomach or biliary colic. But it behaves as kidney pain, it can spread and genitals, and on any other.
In children renal colic is usually localized in the navel and is accompanied by vomiting. An acute attack lasts no more than 30 minutes, it is also possible that the increase in body temperature to 37.5 degrees.
Relatively small stones (up to 5 mm) in most cases come out on their own. To help them the patient can seek help to the doctor-urologist.
Diagnosis of renal colic
During the initial emergence of such pain the man must call an ambulance and go to the urology Department. Only a specialist can determine the true cause of colic.
As a diagnosis, the doctor uses the following methods:
examination of the patient and assessment of its condition;
palpation of the lumbar region;
the study of the pulse and blood pressure;
fixation related pain symptoms: nausea and vomiting.
The most reliable method of investigation of kidneys is x-ray examination. Special contrast agent, which is injected to the patient intravenously, allows you to see in the picture the position of the stone, changes of the urinary tract, the possible displacement of the kidney or ureter bend.
This diagnostics method also identifies many other more rare causes of renal colic.
First aid and treatment of renal colic
Feeling a sharp pain, the first thing you need to do is make obespechivaushyi drug. As practice shows, Pepto and Ibuprofen in this matter is almost powerless, a little to relieve the pain syndrome will help Baralgin. In the hospital this medication is injected intramuscularly, and by the way, it helps not always.
The next step in removing spasm will be taking a hot bath. Filling the tank to half, you need to go in the water for at least 15 minutes. Thanks to this procedure, the wall of the ureter is slightly weakened, the tension will subside and the patient will feel relieved. The water should be hot enough to be in it was almost impossible. This procedure should only be carried out if the cause of pain is kidney stones.
In hospital the doctor can offer the patient a hot water bottle, which also has a similar effect.
Conservative treatment of renal colic consists in the appointment of a special litholytic drugs for removal of stones from the ureter.
In addition to the above measures of renal colic, it is important to keep drinking regime. You need to drink diuretic teas, water, fruit drinks and fruit drinks up to 3 liters per day.
The promotion of concretion promotes physical activity. If you allow the force, and managed to remove the main symptom of renal colic, then you can walk the stairs, jog or jump in place. These exercises will push the stone out.
As mentioned above, when the size of the stone to 5 mm, it is hoped to bring it with conservative treatment. However, in more advanced cases, when the stones reach sizes of 1.5 cm and had serious complications, the doctors do not remain anything, except how to perform the surgery.
Before, when there was no such minimally invasive medical technologies, has practiced urology open surgery to remove the stone and restore the process of discharge of urine from the kidney. Today, there are new equipment designed to remove calculus with minimal interference and virtually painless. Thanks to this apparatus as a unit, can be remotely crush the stone with ultrasound.
If renal colic was caused by other symptoms, e.g. inflammation of the kidneys, or tumor, then the doctors perform the surgery to restore urinary or removal of the organ.
Renal colic: diet
Salt in the diet is necessary to limit the maximum. So as not to aggravate the pain syndrome it is recommended to remove from your daily menu foods such as:
salt, sharp spices and condiments;
strong meat broths;
You can eat melons, pumpkin, squash, various fruits, juices and vegetables. It is not prohibited dairy products and egg whites. As you quench your pain you can add to your diet lean meat and fish. First courses in acute renal colic should be vegetarian and diet. Vegetables are best steamed.
Since began renal colic Mirsovetov recommends to use a large amount of fluid, which will help the kidneys remove the infection and to flush existing stones. Depending on the type of calculi (urate, phosphate, oxalate and so on) you need to choose the appropriate diet.
Unfortunately, people who don"t know what kidney pain, usually ignore the diet and other doctor"s recommendations. If there is a predisposition to stone formation, then it is likely that pain again. "Thick" urine is a beneficial environment for the formation of stones, and that"s why it"s so important to drink enough clean water.
Renal colic is pathological, the cause of which can be determined only specialist. That"s why to delay treatment in medical institution is highly undesirable.
United States. California
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