Počečnaâ how: what is this, the cause of the, symptoms, diagnostics, treatment, prevention

Почечная колика – что это за болезнь?

Renal colic is a bout a sharp pain, arising in acute violation of patency of the urinary tract (pelvis, mochetochnika).

Počečnaâ how: the cause of the

Renal colic occurs when acute violation outflow of urine, that can be caused by obstruction of upper urinary tract. Obstruction may be due to konkrementom, conglomeration of urinary salts, clots of mucus, blood, pus, ottorgnuvshimisja nekrotizirovannymi fabrics, kazeoznymi the masses, as well as simply a ureter, ureter spasm, renal pelvis.

Renal colic occurs when there is a violation of circulation in the kidney, ureter, functional disorders of the upper urinary tract, treatment with glukokortikoidnami drugs, in allergic reactions and other diseases.

The most common causes of renal colic:

• Urolithiasis;
• Kidney Tumors;
• kidney injury;
• Tumors of neighboring organs (rectum, uterus, prostate) When distributing them on the ureters;
• Bladder tumor (the outflow of urine at the level of the bladder);
• Nephroptosis (kidneys);
• Anomalies in the development of the urinary tract;
• Ureteral stricture;
• Urethral stricture;
• Renal tuberculosis.

Risk factors for renal colic

• genetic predisposition;
• episode of urolithiasis in the past (the likelihood of an episode is 60%);
• increased physical activity;
• Job, associated with prolonged overheating;
• the presence of diseases, predisposing to the development of concrements (renal tubular acidosis, multicystic kidney disease, giperparatireoidizm, sarkoidoz);
• increased fluid loss (malabsorption, ileostomy);
• taking poorly soluble drugs.

Symptoms of renal colic

An attack of renal colic, usually, It occurs suddenly. Strong cutting back pain. Pain syndrome can last a long time (up to 10-12 hours). The pain can give to the lower part of the stomach, genitals, hips, smell. The frequent urge to urinate, difficult urination. Renal colic often accompanied by vomiting, liquid stool, meteorizmom.

Renal colic symptoms tend to occur when active movements: run, brisk walking, riding on a motorcycle, car, sports games.

The pain quickly becomes unbearable, the patient could not find a place, loud moans.

When urinating after attack could be part of concrements (stones), salt, blood.

Počečnaâ how: diagnostics

• General blood analysis: signs of inflammation;
• General urine analysis: hematuria (the appearance of red blood cells in the urine);
• Biochemical blood analysis: increase in serum creatinine, urea;
• Ultrasonography (US) kidney: detection of structural changes of kidney, stones;
• Plain radiography of the kidneys;
• Descending urography;
• Retrograde ureteropyelography (to determine the level of hurdles).
• CT (CT scan) kidney, Bladder, ureters: allows layers to examine the bodies, Discover the cause of renal colic.

Počečnaâ how: types of disease

There are the following forms of renal colic:

• Two-sided.
• One-way:
• right-sided;
• reproductive health library.

Počečnaâ how: patient actions

When the occurrence of renal colic you should immediately seek medical assistance.

When developing colic due to urolithiasis recommended peeing through cheesecloth or in a container, to see the output of the stone.

Dieting No. 10 or no. 6 (at uratnom urolitiaze). Relieve pain help

thermal treatments: hot bath (temperature 40-50° c), hotty in the lumbar region.

Should be timely emptied your bladder, carefully observe rules of personal hygiene.

Treatment of renal colic

The main treatment is the removal of the causes of renal colic, therapy of disease, causing colic (tumor, urolithiasis etc.).

To eliminate pain using local application of heat (heaters, warm bath), but only in the absence of a high body temperature, suspected presence of tumors. Used painkillers-non-steroidal anti-inflammatory drugs (Ibuprofen, nimesulide, diclofenac, etc.), antispasmodics (drotaverin, papaverine). Displaying drink.

In some cases surgical treatment.

Complications of renal colic

• acute obstructive pyelonephritis;
• decreased kidney function (renal failure);
• urosepsis;
• bacteremic shock;
• ureteral stricture formation.

Prevention of renal colic

Recommended: excessive drinking (2,5liters per day) to maintain the urine in diluted condition; a balanced diet; limit salt intake; use of urological herbal fees, cowberry and kljukvennyh fruit.