Renal colic in women and men is the most frequent and regular manifestation of the symptom of an attack of urolithiasis. The attack of renal colic brings a very great suffering to the sick person.
The renal colic code for ICD-10 is provided as N23.
Today we will talk about the symptoms and treatment of acute renal colic, providing the first-aid algorithm, how to relieve the pain, the characteristics of the diet.
CONTENTS
Symptoms of renal colic
The onset of a pain attackrenal colic suddenly. Against the background of full health, there are sharp pains in the corresponding side of the lumbar region. Pain is given to the genitals and along the ureter. The patient is restless, he does not find his place, constantly changes the position of the body in bed, his breathing becomes frequent, nausea and vomiting often occur, the defecation is delayed, and the gases escape. Often the pains are so strong that the patient literally "climbs on the wall."
The duration of attacks lasts from several hours to two days.
Treatment of renal colic: what to do?
First emergency aid in case of an attack of
. The patient is put in bed, they put warmers on the waist.
When a kidney colic occurs, the patient is helped by a hot bath for 20 minutes( it is good to add a few glasses of decoction of horsetail or one or more herbs: oregano, sage leaves, leaves and small branches of birch, daisy flowers, mallow leaves,cuffs).
This hot broth( meaning horsetail) can drink a glass before taking a bath.
After the bath, go to bed and put the poultices on your stomach, and inside take every two hours on a tablespoon of radish juice with honey.
You can make hot poultices. The poultry is best made from soft, boiled potatoes. You can also fold in several layers of cloth, moisten it with warm water or put a heating pad. But the effect is higher if a wet hot cloth is applied to the body, and not a rubber hot water bottle or a bottle.
But, if bleeding starts, then instead of poultice it is necessary to put a bubble with ice on the abdomen and waist.
First of all, a patient with renal colic is recommended to lie down and call an ambulance.
Diet and how to relieve the pain with an attack
Before the arrival of the "First Aid" you can take a warm bath or put a heating pad on the lumbar region.
Drug treatment with renal colic is performed with spasmolytics( No-shpa, Papaverin) and pain medications( Baralgin, Revalgin).But-shpu and Baralgin recommend taking 1 tablet up to 3 times a day.
Patients with renal colic should be excluded from the diet of all salty foods, as well as broths, liver, sausages, smoked products, beans, chocolate, cocoa, strong tea. It is recommended to eat boiled vegetables, vegetarian soups, cereals, salads from vegetables and fruits.
If the condition of the patient who has suffered renal colic gradually worsens, the attack resumes, fever, nausea, vomiting is noted, the emergency medical team should be called.
Treatment with official medicine
Renal colic, accompanied by fever, is an indication for admission to the urological department where a ureter can be catheterized for therapeutic purposes.
Treatment begins with the application of heat( hot-water bottle, bath temperature 37-39 ° C), antispasmodic and analgesics. The attack can stop the intramuscular injection of 5 ml of the solution of Baralgina in combination with the intake of Baralgina inward by 0.5 g 3 times a day or by subcutaneous injection of 1 ml of 0.1% solution of Atropine in combination in 1 ml of a 2% solution of Promedol or 1ml of a 2% solution of Pantopone( or 1 ml of a 1% Morphine solution).
With a prolonged seizure, a novocain blockade of the spermatic cord( round ligament of the uterus) is advisable from the side of the lesion. In case of a prolonged attack of renal colic( due to blockage of the ureter with a stone), antibiotics of a wide spectrum of action should be prescribed, 5-NOC at 0.05 g 3 times a day or nevigramone 0.5 g 3 times a day, a urologist consultation to resolve the issueoperative treatment.
If the attack does not end with the removal of the stone and if its size is small, then long walks, abundant drinking( for breakfast up to 2, 5 liters) are recommended to leave the stone in the post-trial period. In this case, and prescribe antispasmodics. Especially beneficial effect on the removal of the stone is provided by essential oils( Rovatinex, Cystenal) 3-5 drops on sugar 3-4 times a day.
From instrumental methods, catheterization of the ureters is particularly effective, changing the position of the stone, which often contributes to its removal.
Inside take several times a day on a tablespoon of Tannin, which should be dissolved in a glass of water( take tannin on the tip of the knife).
Of the drugs used primarily antispasmodics - No-shpu, Spazmalgon, Atropin.
If renal colic in a patient is repeated often and therapeutic methods of treatment do not help, surgical treatment is indicated.
Folk remedies for the prevention of renal colic
For the prevention of renal colic, folk medicine advises recipes.
Birch Juice .Drink 1 glass a day on an empty stomach.
Water soft .It is better to drink "soft" water than "hard" water, as in the period of exacerbation, and during the period of remission.
Nettle .1 tablespoon( top) dry grass for 1 cup of boiling water, steam for 30 minutes. Take 1 tablespoon three times a day.
Burdock .10 g of dry ground roots on a glass of water. Boil for 20 minutes. Take 1 tablespoon three times a day.
Marena dye ( chemist's drug) - 1 tablet 3 times a day( before dissolving the tablet dissolve in a glass of warm water).
Infusions of flowers and rose hips .A teaspoon of flowers and a teaspoon of fruit pour a glass of boiling water, leave for 2 hours. Drink daily as a tea, adding sugar to taste. You can simultaneously use infusion from the roots of wild rose.
Infusion of herb sprout .3 teaspoons of chopped fresh herb infuse 4 hours in 400 ml of boiling water. Strain. Drink half a glass 3 times a day before meals.
Infusion of herb horsetail .A teaspoon with the top of dry grass pour a glass of boiling water and insist 30 minutes, strain and drink in the morning on an empty stomach. In half an hour you can have breakfast. So every day for 2 months, not missing the days. Horsetail softens the stones well, turning them into sand.
Tincture of garlic .Before the new moon, take a small handful of peeled, chopped garlic, pour 1 liter of vodka, insist 9 days in the sun, but not at the fire. As soon as the new moon begins, take a glass of this tincture 1 time per day on an empty stomach. Shake before use.
Decoction of rose hips .Two tablespoons of crushed roots pour a glass of water, boil for 10 minutes, insist, wrapped until the broth cools. Strain and drink the broth 4 times a day for half a cup for 1-2 weeks. This broth dissolves any stones in the bile and urinary bladder and renal pelvis, dividing them into fine grains of sand.
Flaxseed decoction .A teaspoon of semen for a glass of water. Boil and drink half the glass every two hours for 2 days. The mixture is rather thick, before intake it must be diluted with water. For taste to it you can add a little lemon juice.
Cannabis seeds decoction .Pass through a meat grinder 1 glass of cannabis seeds, mix with 3 glasses of milk and wait until 1 glass. Strain hot. Drink 1 glass a day for 5 days. After 10 days, repeat the treatment. Do not eat anything sharp during treatment. Possible pain in the liver, which will soon pass. The remedy is used for cholelithiasis and nephrolithiasis.
Powder from dried apple peel .Drink three times a day for a glass of hot water, in which stir a tablespoon of powder.
Unloading days once a week( cucumber, apple or watermelon diet).
Radish, juice .Drink in the morning on an empty stomach a glass of radish juice or eat raw radish in the form of a salad.
Juice of fresh lemon .Drinking the juice of one lemon in a mixture with half a glass of hot water several times a day and half a glass of a mixture of carrot, beet and cucumber juice, you can achieve the disappearance of sand or stones for several weeks.
Horsetail of the field .20 g of dry ground grass to a glass of boiling water, insist 30 minutes, strain. Drink half the glass three times a day.
Emergency care for renal colic
Renal colic: how to relieve an attack and pain
. Source: YNGorgov. Official and traditional medicine. The most detailed encyclopedia.- Moscow: Izd-vo Eksmo, 2012.
