Renal colic is an acute painful attack caused by a sudden violation of the passage of urine, an increase in intralocal pressure. It is characterized by severe cramping pain in the lower back, spreading down the ureter, frequent and painful urination, nausea and vomiting, and psychomotor agitation. The relief of an attack is carried out with the help of local heat, the introduction of antispasmodics and analgesics (up to narcotic), novocaine blockades. To determine the cause of renal colic, urine examination, intravenous urography, chromocystoscopy, ultrasound, CT of the kidneys are performed.
Renal colic can complicate the course of a number of diseases of the urinary tract. In clinical urology, it is regarded as an urgent condition requiring the prompt relief of acute pain and the normalization of kidney function. It is considered the most common syndrome in the structure of urinary tract pathologies. Most often triggered by urolithiasis. With the location of a kidney stone, colic occurs in half of the patients, with localization in the ureter - in 95-98%.
The development of renal colic is associated with a sudden impairment of urine drainage from the kidney due to internal blockage or external compression of the urinary tract. This condition is accompanied by reflex spastic contraction of the muscles of the ureter, increased hydrostatic pressure inside the pelvis, venous stasis, parenchymal edema, and overstretching of the fibrous capsule of the kidney. Due to irritation of sensitive receptors, a sudden and pronounced pain syndrome develops - renal colic.
Kidney wicket symptoms
The classic sign is sudden, intense, cramping pain in the lumbar region or costo-vertebral angle. A painful attack can develop at night, during sleep; sometimes patients associate the onset of colic with physical exertion, shaking riding, long walking, taking diuretics or a large volume of fluid.
From the lower back, pain can spread to the mesogastric, iliac region, thigh, rectum; in men - in the penis and scrotum, in women - in the labia and perineum. A painful attack can last from 3 to 18 hours or more; the intensity of pain, its localization and irradiation may vary. Patients are restless, tossing about, not finding a position to relieve pain.
Renal gate treatment
The relief of the condition begins with local thermal procedures (applying a warm heating pad to the lower back or stomach, a sitz bath with a water temperature of 37-39 ° C). In order to relieve pain, spasm of the urinary tract and restore the passage of urine, anesthetic and antispasmodic drugs (metamizole sodium, trimeperidine, atropine, drotaverine or platifillin intramuscularly) are administered.
It is advisable to try to remove a prolonged attack with the help of novocaine blockade of the spermatic cord or the round uterine ligament of the uterus on the side of the lesion, intrapelvic blockade, paravertebral irrigation of the lumbar region with chloroethyl. In the acute phase, acupuncture and electropuncture are widely used. For small stones in the ureter, physiotherapy is carried out - diadynamic therapy, ultrasound therapy, vibration therapy, etc.
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