Emergencies >>>> What to do with renal colic

What to do with renal colic.

Renal colic is an acute, extremely painful condition in which little tolerable paroxysmal pain develops in the lumbar spine , often descending towards the bladder, ureter, scrotum (in men) or vagina (in women). The pain can radiate to the rectum, to the thigh. Pain attacks can last up to several days, intermittently. Pain syndrome often develops after shaking in transport, exercise, brisk walking or running, but it can occur for no apparent reason.

But the reasons that stimulate renal colic are always there. These are a number of diseases:

kidney stones,
kidney injury
pyelonephritis (acute or chronic),
paranephritis,
tumors close to the urethra,
kidney tumors
kidney thrombosis,
kidney infarction,
diseases of the female reproductive system (salpingitis, adnexitis, oophoritis),
diseases of the male genital organs (prostatitis, prostate adenoma),
kidney tuberculosis,
nephroptosis and many other painful conditions.

The immediate cause that caused the painful attack is the difficulty in the outflow of urine due to narrowing of the lumen of the urinary tract (with edema of the mucous membrane, with sharp spasms of the muscles), blockage of the pathways with calculi (stones) or other mechanical obstacles in the form of rejected pieces of tissue, clots of mucous membrane or pus; squeezing, kinking of the urinary tract.

If the outflow of urine is disturbed, the hydrostatic pressure inside the renal pelvis increases, the parenchyma swells, the kidney "swells". In addition to acute paroxysmal pain syndrome, renal colic is characterized by symptoms of a different nature:

Frequent urge to urinate
Painful urination
Possible blood in urine
Temperature increase
Nausea or vomiting
Flatulence
Urge to defecate or difficulty in defecation
Increased blood pressure
Cold perspiration
Pallor
Dizziness
Dry mouth

First aid for renal colic:

It is quite difficult to get rid of renal colic at home , since an accurate diagnosis of the cause that caused a particular attack is necessary. And acting based on assumptions can complicate the condition of the sick person.

Therefore, the first step in the development of signs of renal colic (or symptoms similar to renal colic) should be to call an ambulance.

Further, the victim is positioned in such a way that the position of his body contributes to the subsiding of the pain syndrome. In this case, they are guided by the feelings of the victim himself, and not by their own. If a person is able to change position himself, then they help him to do this, finding comfortable places to lie.

The last thing that can be done before the ambulance arrives is taking antispasmodic drugs (No-shpa, Papaverin, Dibazol). Antispasmodics relax the muscles of the organs and reduce or eliminate pain (but not the cause).

Remember that, without knowing the exact causes of renal colic, it is impossible to arrange a warming up procedure for a person, since the cause may be a purulent - inflammatory process, which, in the presence of heat, will begin to progress.

It is not recommended to drink analgesics with an unclear etiology of renal colic before the arrival of a doctor, since pain relievers will distort the picture of the development of the disease and make it difficult to make a correct diagnosis. And, consequently, they will reduce the effectiveness of treatment.

Due to the fact that renal colic is very similar in symptoms to some diseases: appendicitis, cholecystitis, ectopic pregnancy, pancreatitis, intestinal obstruction and others, the need for diagnosis is put on one of the first places in the treatment of renal colic.