Renal colic symptoms

August 12, 2017 17:51 | First Aid

colic called severe attack of sharp cramping pains in the abdomen.Colic is divided into intestinal, renal and hepatic.

Symptoms: sudden onset of sharp, cramping pain in the abdomen.Sometimes accompanied by vomiting and fever.

What's going on? Hepatic and renal colic is most often caused by stones in these bodies;intestinal colic occurs when fecal stones and some diseases, as well as the tension of individual gases intestinal sites.Colic can also be appendicitis.Koliku causes persistent muscle spasm.The reason for the muscle spasm is often acute swelling and irritation of the inflamed mucosa.Koliku can cause oily and spicy food, food and chemical poisoning, as well as violent shaking, for example, when driving fast on the bumpy road.

In the case of colic attack is an urgent need to call a doctor and do not take painkillers!

What should I do? In all cases, the colic should immediately call the "first aid", to keep the peace and to refrain from taking drugs before the arrival of the doctor, as pai

n relievers and other means can complicate diagnosis and cause complications.

Renal colic - the most common symptom of kidney stone disease and occurs when the stone, leaving the ureter, closes the gap.Learn more about the symptoms of kidney stones, see here.It refers to the urgent states arising in kidney diseases.

sharp violation of urine outflow leads to increased pressure in the renal pelvis, stretching the renal capsule and occurrence of pain attacks.Pain in renal colic are localized in the lumbar region (right or left), are acute, spread over the course of the ureters into the groin and genitals.Often, renal colic occur dizuricheskie disorders and gross hematuria, and in some cases - reflex nausea, vomiting, fever.During an attack of renal colic patients behave restlessly, trying in vain to find a comfortable position.

Causes

Causes of renal colic: stones, tumors, blood clots, mucus, pus, suddenly plugging the lumen of the urinary tract and the urinary excretion of violating, blockage of the ureter, renal pelvis, leading to renal colic.There is at stones, tuberculosis, purulent processes in the kidney, tumors of the kidney and ureter.Following which developed acute obstruction of the upper urinary tract there is an increase in pressure inside the kidney, then there is a disorder of blood circulation, rapidly developing renal edema.

Renal colic is characterized by attacks of acute pain in the lower back and sides of the abdomen, the pain gives to the inner thighs, groin and genitals.Renal colic can occur at any time of the day, the attack comes on suddenly, is developing very quickly.Pain sharp, arching, return of pain depends on the location of the stone in the urinary tract.When the stone that caused the blockage of the renal pelvis, pain in the lower back and give the upper quadrant.Stone on the border of the upper and middle third of the ureter causes pain radiating to the lower abdomen, to the navel.When in an unmarked line stone pain it gives mostly in the front of the thigh and in the suprapubic region.When placing a stone in the ureter paravesical pain in men giving into the scrotum, in women - in the area of ​​the labia majora.

With increasing renal colic pain is often accompanied by vomiting, intestinal paralysis, which occur almost simultaneously.In renal colic observed slowing the heart rate, in other diseases, as a rule, on the contrary, the frequency of contractions of the heart rate increases.At the height of renal colic indicated moderate hypertension.Sometimes the pain causes fainting.The behavior of the patient restless: he is torn, can not find a position in which the pain is reduced.urinary disorders characterized by but impermanent.When effleurage on the lumbar region, aching pain.In the presence of a single kidney can completely stop the excretion of urine.Language in renal colic coated with white bloom.Belly even with intestinal paralysis is involved in the act of breathing.Often, when there are signs of renal colic, typical of acute abdominal diseases.More than half of renal colic accompanied by fever.When the kidney research is sometimes possible to determine its enlargement and tenderness.In renal colic, which is caused mainly by obstruction of the upper urinary tract, the composition of the urine at an altitude of renal colic always normal, as practically investigated the urine of healthy second kidney.After the relief of renal colic following changes are detected in the urine: it contains protein, white blood cells and blood.If blood appears in the urine after renal colic, then this indicates the presence of renal pelvis or ureter stones.If the blood in the urine appeared at the beginning of renal colic, and then a twinge sharply increased, it talks about the process of tumor in the kidney, renal pelvis, ureter, then colic due to obstruction of the upper airway of blood clots.It noted a moderate increase in blood urea.attack of renal colic duration varies from a few minutes to several hours.

Diagnostics

diagnosis of renal colic is set on a typical pain attack.Often have a characteristic restlessness of the patient allows suspected renal colic.Reliably confirmed renal colic excretory urography and hromotsistoskoiiya, detect violations of kidney function and urine evacuation.Timely allocation within 3-5 minutes of intravenous administration of 0.4% solution of indigo carmine solution in an amount of 5 ml allows to abandon a hypothetical diagnosis of renal colic.Panoramic X-ray image reveals the shadows of stones.Diagnostic difficulties arise in identifying the "invisible" uric acid stones.However stones any chemical composition, the minimum diameter of 0.15 cm, is clearly detected by ultrasound scanning.Behind the stone is visible "acoustic shadow", the appearance of which is due to total reflection of ultrasonic waves in its dense structure.Identify uric acid stones enables computer tomography.Urography particularly indicated in cases where surgical intervention is necessary (concrement large, kidney doubt available, its functional capacity).When there is no excretory urogram contrast in the kidney on the affected side.

renal colic need to be differentiated from acute cholecystitis, if the pain in the right upper quadrant, but in hepatic colic is characterized by the return of pain in the area of ​​the nipple of the right breast, in the right shoulder, right shoulder, neck;worse during inspiration and palpation of the gall bladder area.In mild Tapping the right costal arch pain worse, which is not observed in renal colic.

Xromotsistoskopiya allows us to differentiate the disease.Differentiate renal colic and acute appendicitis can be difficult.In acute appendicitis is usually pain occur in the epigastric region, and then in the right iliac region, which is determined at a palpation muscle tension anterior abdominal wall, slight bloating.However, in renal colic is more pronounced pain syndrome, pain is more characteristic of the return, in contrast to the excited behavior of the patient in renal colic patients with severe pain in the abdominal area are forced to keep still, take a forced, unnatural posture in bed.In acute appendicitis vomiting occurs after a long time after the onset of pain, and the symptoms appear almost simultaneously in renal colic.If renal colic can not completely exclude acute appendicitis, the surgeon is forced to resort to surgery.

Differentiation with intestinal colic pain is based on the concentration and sustained for a period of attack, no big breaks between each bout and strongly pronounced abdominal distention.In renal colic pain intensity is significantly higher.

may meet difficulties in the differential diagnosis of intestinal obstruction and renal colic.The reason is that in case of renal colic intestinal paralysis can be pronounced.Such features as the absence of the chair, neothozhdenie gases, sharp pain around the abdomen, can be observed in renal colic, though they are characteristic of intestinal obstruction.It may not always observed characteristics of an intestinal obstruction.Vomiting is characteristic for intestinal obstruction, and renal colic.If you have difficulty in identifying renal colic and intestinal obstruction have to resort to additional methods of investigation: hromotsistoskoiii.intestinal paralysis in renal colic is characterized by intestinal obstruction that at the last agonizing pain, persistent, capture the whole abdomen, when stored, but perverted peristalsis.Patients are severely intoxicated, haggard face, sunken cheeks.When bowel obstruction stomach badly swollen.In cases of high obstruction may be vomiting with intestinal contents.

First aid for renal colic: thermal procedures (hot bath or heating pad on your lower back and stomach), the injection of drugs and painkillers, novocaine blockade of the spermatic cord in men and the blockade of the round ligament of the uterus in women or intrapelvic blockade on Shkolnikov.When failure of these measures - ureteral catheterization to restore urine excretion.

In some cases: large stone complications of acute purulent pyelonephritis, performed the operation to destroy the stones.After the elimination of renal colic requires detailed urological examination.

First aid for renal colic:

• application of heat (heating pads on the lumbar region, or a hot bath with a temperature of 38-39 ° C for 10-20 minutes).This helps eliminate the spasm of the ureters, to stop the pain, and sometimes promotes discharge stone;

• injection of antispasmodic drugs: shpy, baralgina;anticholinergics - atropine, if necessary situations and narcotic analgesics - promedola.

1. Raspberry (leaves) - 20 g, birch (branches) - 100 g, cudweed (grass) - 10 g, cuff (leaves) - 10 g

Boil the whole mixture bath 5 liters of boiling water inenamelware.Wrap an hour, then strain and pour into the tub.The water level in the bath should be a little above the waist.

2. When the pain in her liver and tumors should be 1/4 cup good olive oil mixed with 1/4 cup of grapefruit.Drink it must be for the night, no sooner than 2 hours after a meal, after making an enema.Then go to bed on the right side.Morning repeat enema.This can be done in 4-5 days again, as needed.