Knowledge

Renal colic

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Although this condition can be very painful, most ureteric stones under 5 mm size will eventually pass into the bladder without needing treatments, and cause no permanent physical damage. The experience is said to be traumatizing due to the severe pain, and the experience of
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may be administered to assist with emergency pain management, it is often not recommended as morphine is addictive and raises ureteral pressure, worsening the condition. Vomiting is also considered an important adverse effect of opioids, mainly with
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position for the patient (lying down on the non-aching side and applying a hot bottle or towel to the area affected may help). Larger stones may require surgical intervention for their removal, such as
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as well as pieces of stone. In most cases, people with renal colic are advised to drink more water to facilitate passing; in other instances,
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Eijk, Anna Maria van; Zulaika, Garazi; Lenchner, Madeline; Mason, Linda; Sivakami, Muthusamy; Nyothach, Elizabeth; Unger, Holger;
1229: 948: 297: 260: 779: 463: 1082: 1273: 872: 772: 359: 877: 619:"Menstrual cup use, leakage, acceptability, safety, and availability: a systematic review and meta-analysis" 1192: 309: 96:. The most frequent site of obstruction is the vesico-ureteric junction (VUJ), the narrowest point of the 413:
Ordon, Michael; Andonian, Sero; Blew, Brian; Schuler, Trevor; Chew, Ben; Pace, Kenneth T. (2015-01-01).
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The diagnosis of renal colic is the same as the diagnosis for renal calculus and ureteric stones.
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may be needed. Preventive treatment can be instituted to minimize the likelihood of recurrence.
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is required. Above 5 mm (0.20 in) the rate of spontaneous stone passage decreases.
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Severe abdominal pain due to obstruction of the ureter, often from kidney stones
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pressing on a ureter. When the cups were removed, the symptoms disappeared.
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A renal colic must be differentiated from the following conditions:
100:. Acute obstruction and the resultant urinary stasis (disruption of 1197: 1176: 1166: 1108: 280: 205: 1072: 897: 49: 752: 566:"The Use of Alpha-Blockers for the Treatment of Nephrolithiasis" 1219: 1171: 804: 699: 317: 150: 109: 89: 256: 146: 138: 118: 101: 31: 612: 412: 677: 323:
A 2019 review found three cases of renal colic were
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Most small stones are passed spontaneously and only
794: 288:. Oral narcotic medications are also often used. 1265: 518: 415:"CUA Guideline: Management of ureteral calculi" 1039: 780: 617:; Phillips-Howard, Penelope A. (2019-08-01). 606: 145:and often radiates to below the ribs or the 39:Localization of pain caused by kidney stones 525:The Cochrane Database of Systematic Reviews 316:in cases where the stone is located in the 1046: 1032: 787: 773: 564:Lipkin, Michael; Shah, Ojas (2006-01-01). 563: 54: 30: 652: 634: 589: 540: 519:Holdgate, A; Pollock, T (18 April 2005). 495: 446: 183: 419:Canadian Urological Association Journal 1266: 1027: 949:Urologic chronic pelvic pain syndrome 768: 469: 261:non-steroidal anti-inflammatory drugs 149:. It typically comes in waves due to 132: 384: 382: 312:. Patients can also be treated with 13: 88:commonly caused by obstruction of 14: 1290: 673: 379: 121:, which leads to a very intense 1083:Costovertebral angle tenderness 873:Neurogenic bladder dysfunction 557: 533:10.1002/14651858.CD004137.pub3 512: 406: 341: 104:flow) can distend the ureter ( 1: 878:Bladder sphincter dyssynergia 636:10.1016/S2468-2667(19)30111-2 334: 1193:Lower urinary tract symptoms 310:percutaneous nephrolithotomy 246: 175: 7: 10: 1295: 476:Emergency Medicine Journal 1228: 1185: 1159: 1096: 1065: 941: 911:Non-gonococcal urethritis 896: 836: 803: 681: 63: 43: 38: 29: 24: 964:Retroperitoneal fibrosis 883:Vesicointestinal fistula 623:The Lancet Public Health 349:Nephrolithiasis~Overview 327:caused by malpositioned 141:typically begins in the 959:Urinary tract infection 488:10.1136/emj.2005.034330 162:passing blood and clots 1215:Extravasation of urine 291:There is typically no 184:Differential diagnosis 1274:Urological conditions 888:Vesicoureteral reflux 851:Interstitial cystitis 298:shockwave lithotripsy 1104:Urinary incontinence 996:Urinary incontinence 954:Obstructive uropathy 866:Hemorrhagic cystitis 576:(Suppl 4): S35โ€“S42. 425:(11โ€“12): E837โ€“E851. 125:transmitted via the 1129:Post-void dribbling 279:are used. Although 98:upper urinary tract 70:Acute kidney injury 1124:Nocturnal enuresis 1055:Signs and symptoms 923:Urethral stricture 828:Ureteric stricture 570:Reviews in Urology 470:Teece, DD (2006). 241:testicular torsion 170:endoscopic surgery 133:Signs and symptoms 1261: 1260: 1151:Urinary retention 1021: 1020: 933:Urethral caruncle 918:Urethral syndrome 762: 761: 431:10.5489/cuaj.3483 302:laser lithotripsy 236:ectopic pregnancy 75: 74: 19:Medical condition 1286: 1114:Diurnal enuresis 1088:Vesical tenesmus 1057:relating to the 1048: 1041: 1034: 1025: 1024: 795:Diseases of the 789: 782: 775: 766: 765: 679: 678: 667: 666: 656: 638: 629:(8): e376โ€“e393. 610: 604: 603: 593: 561: 555: 554: 544: 516: 510: 509: 499: 467: 461: 460: 450: 410: 404: 403: 401: 400: 386: 377: 376: 374: 373: 363: 357: 345: 277:butylscopolamine 226:gynaecological: 80:, also known as 59: 58: 34: 22: 21: 1294: 1293: 1289: 1288: 1287: 1285: 1284: 1283: 1264: 1263: 1262: 1257: 1243:Brewer infarcts 1224: 1181: 1155: 1092: 1061: 1052: 1022: 1017: 937: 928:Meatal stenosis 892: 832: 799: 793: 763: 758: 757: 690: 676: 671: 670: 615:Laserson, Kayla 611: 607: 562: 558: 527:(2): CD004137. 517: 513: 468: 464: 411: 407: 398: 396: 388: 387: 380: 371: 369: 365: 364: 360: 346: 342: 337: 253:pain management 249: 232:ovarian torsion 186: 178: 135: 127:ureteric plexus 92:from dislodged 84:, is a type of 53: 20: 17: 12: 11: 5: 1292: 1282: 1281: 1276: 1259: 1258: 1256: 1255: 1250: 1245: 1240: 1234: 1232: 1226: 1225: 1223: 1222: 1217: 1212: 1211: 1210: 1205: 1200: 1189: 1187: 1183: 1182: 1180: 1179: 1174: 1169: 1163: 1161: 1157: 1156: 1154: 1153: 1148: 1147: 1146: 1141: 1136: 1131: 1126: 1121: 1116: 1111: 1100: 1098: 1094: 1093: 1091: 1090: 1085: 1080: 1075: 1069: 1067: 1063: 1062: 1059:urinary system 1051: 1050: 1043: 1036: 1028: 1019: 1018: 1016: 1015: 1014: 1013: 1008: 1003: 993: 988: 987: 986: 981: 976: 966: 961: 956: 951: 945: 943: 939: 938: 936: 935: 930: 925: 920: 915: 914: 913: 902: 900: 894: 893: 891: 890: 885: 880: 875: 870: 869: 868: 863: 858: 856:Hunner's ulcer 853: 842: 840: 834: 833: 831: 830: 825: 820: 815: 809: 807: 801: 800: 792: 791: 784: 777: 769: 760: 759: 756: 755: 744: 733: 722: 707: 691: 686: 685: 683: 682:Classification 675: 674:External links 672: 669: 668: 605: 556: 511: 482:(3): 224โ€“225. 462: 405: 378: 358: 339: 338: 336: 333: 329:menstrual cups 325:hydronephrosis 314:alpha blockers 273:antispasmodics 248: 245: 244: 243: 238: 224: 217:diverticulitis 211:interstitial: 209: 199: 185: 182: 177: 174: 134: 131: 108:) and cause a 86:abdominal pain 82:ureteric colic 73: 72: 67: 61: 60: 47: 41: 40: 36: 35: 27: 26: 18: 15: 9: 6: 4: 3: 2: 1291: 1280: 1277: 1275: 1272: 1271: 1269: 1254: 1251: 1249: 1246: 1244: 1241: 1239: 1236: 1235: 1233: 1231: 1227: 1221: 1218: 1216: 1213: 1209: 1206: 1204: 1201: 1199: 1196: 1195: 1194: 1191: 1190: 1188: 1184: 1178: 1175: 1173: 1170: 1168: 1165: 1164: 1162: 1158: 1152: 1149: 1145: 1142: 1140: 1137: 1135: 1132: 1130: 1127: 1125: 1122: 1120: 1117: 1115: 1112: 1110: 1107: 1106: 1105: 1102: 1101: 1099: 1095: 1089: 1086: 1084: 1081: 1079: 1076: 1074: 1071: 1070: 1068: 1064: 1060: 1056: 1049: 1044: 1042: 1037: 1035: 1030: 1029: 1026: 1012: 1009: 1007: 1004: 1002: 999: 998: 997: 994: 992: 989: 985: 982: 980: 977: 975: 974:Bladder stone 972: 971: 970: 967: 965: 962: 960: 957: 955: 952: 950: 947: 946: 944: 940: 934: 931: 929: 926: 924: 921: 919: 916: 912: 909: 908: 907: 904: 903: 901: 899: 895: 889: 886: 884: 881: 879: 876: 874: 871: 867: 864: 862: 859: 857: 854: 852: 849: 848: 847: 844: 843: 841: 839: 835: 829: 826: 824: 821: 819: 816: 814: 811: 810: 808: 806: 802: 798: 797:urinary tract 790: 785: 783: 778: 776: 771: 770: 767: 754: 750: 749: 745: 743: 739: 738: 734: 732: 728: 727: 723: 721: 717: 716: 712: 708: 706: 702: 701: 697: 693: 692: 689: 684: 680: 664: 660: 655: 650: 646: 642: 637: 632: 628: 624: 620: 616: 609: 601: 597: 592: 587: 583: 579: 575: 571: 567: 560: 552: 548: 543: 538: 534: 530: 526: 522: 515: 507: 503: 498: 493: 489: 485: 481: 477: 473: 466: 458: 454: 449: 444: 440: 436: 432: 428: 424: 420: 416: 409: 395: 391: 385: 383: 368: 362: 356:ยง Background. 355: 351: 350: 344: 340: 332: 330: 326: 321: 319: 315: 311: 307: 303: 299: 294: 289: 287: 282: 278: 274: 270: 266: 262: 258: 254: 242: 239: 237: 233: 229: 228:endometriosis 225: 222: 218: 214: 210: 207: 203: 200: 198: 197:cholecystitis 194: 193:biliary colic 191: 190: 189: 181: 173: 171: 167: 163: 157: 155: 152: 148: 144: 140: 130: 128: 124: 123:visceral pain 120: 117: 116:smooth muscle 114: 111: 107: 103: 99: 95: 94:kidney stones 91: 87: 83: 79: 71: 68: 66: 65:Complications 62: 57: 51: 48: 46: 42: 37: 33: 28: 23: 1253:Mathe's sign 1248:Lloyd's sign 1077: 991:Malakoplakia 983: 979:Kidney stone 969:Urolithiasis 746: 735: 724: 709: 694: 626: 622: 608: 573: 569: 559: 524: 514: 479: 475: 465: 422: 418: 408: 397:. Retrieved 393: 370:. Retrieved 361: 347: 343: 322: 306:ureteroscopy 290: 250: 213:appendicitis 187: 179: 158: 136: 81: 77: 76: 1238:Addis count 1078:Renal colic 984:Renal colic 818:Ureterocele 394:bpac.org.nz 263:), such as 221:peritonitis 166:lithotripsy 154:peristalsis 113:peristaltic 106:hydroureter 78:Renal colic 25:Renal colic 1279:Nephrology 1268:Categories 906:Urethritis 861:Trigonitis 823:Megaureter 813:Ureteritis 737:DiseasesDB 399:2019-01-26 372:2008-01-01 335:References 265:diclofenac 204:and iliac 1230:Eponymous 1208:frequency 748:SNOMED CT 645:2468-2667 582:1523-6161 439:1911-6470 354:eMedicine 286:pethidine 269:ibuprofen 247:Treatment 206:aneurysms 176:Diagnosis 110:reflexive 45:Specialty 1198:Nocturia 1177:Polyuria 1167:Oliguria 1144:Overflow 1119:Giggling 1109:Enuresis 1011:Overflow 846:Cystitis 663:31324419 600:17216000 551:15846699 506:16498166 457:26788233 293:antalgic 281:morphine 151:ureteric 1203:urgency 1097:Control 1073:Dysuria 942:Any/all 898:Urethra 838:Bladder 753:7093002 731:D056844 654:6669309 591:1765041 542:6986698 497:2464448 448:4707902 50:Urology 1220:Uremia 1172:Anuria 1160:Volume 1134:Stress 1001:Stress 805:Ureter 661:  651:  643:  598:  588:  580:  549:  539:  504:  494:  455:  445:  437:  318:ureter 271:, and 257:NSAIDs 202:aortic 137:Renal 90:ureter 52:  1186:Other 742:26026 720:788.0 275:like 147:groin 143:flank 139:colic 119:spasm 102:urine 1139:Urge 1066:Pain 1006:Urge 726:MeSH 715:9-CM 659:PMID 641:ISSN 596:PMID 578:ISSN 547:PMID 502:PMID 453:PMID 435:ISSN 234:and 195:and 711:ICD 705:N23 696:ICD 649:PMC 631:doi 586:PMC 537:PMC 529:doi 492:PMC 484:doi 443:PMC 427:doi 352:at 308:or 267:or 219:or 168:or 1270:: 751:: 740:: 729:: 718:: 703:: 700:10 657:. 647:. 639:. 625:. 621:. 594:. 584:. 572:. 568:. 545:. 535:. 523:. 500:. 490:. 480:23 478:. 474:. 451:. 441:. 433:. 421:. 417:. 392:. 381:^ 320:. 304:, 300:, 230:, 215:, 129:. 1047:e 1040:t 1033:v 788:e 781:t 774:v 713:- 698:- 688:D 665:. 633:: 627:4 602:. 574:8 553:. 531:: 508:. 486:: 459:. 429:: 423:9 402:. 375:. 259:(

Index


Specialty
Urology
Edit this on Wikidata
Complications
Acute kidney injury
abdominal pain
ureter
kidney stones
upper urinary tract
urine
hydroureter
reflexive
peristaltic
smooth muscle
spasm
visceral pain
ureteric plexus
colic
flank
groin
ureteric
peristalsis
passing blood and clots
lithotripsy
endoscopic surgery
biliary colic
cholecystitis
aortic
aneurysms

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