What is colic?
The renal colic it is an episode of low back pain is very intense, type a spasm, accompanied by general malaise, sweating, nausea and/or vomiting. Not all patients have the same symptoms, some patients complain of pain in the inguinal area. Colic usually occurs by the obstruction of the kidney by a calculus (stone) found in the ureter or in the kidney. If this calculation is found in the lower area of the ureter near the bladder, may receive discomfort voiding (urination). If the box of colico renal is accompanied by fever, it is very likely that there is a urinary tract infection.
What are its causes?
The renal colic is triggered by the presence of urolithiasis, or the presence of stones (calculi) in the ureter and/or kidney. When the stones do not allow urine to perform their natural course the kidney and the urinary tract is dilated, by the obstuccion of urine, which triggers in low back pain is very intense. Not only the urinary stones cause a renal colic. Everything that takes up the ureter and block the kidney can cause colic. For example, some tumors that grow within the ureter or outside of the ureter, in another body and compresses the urinary system.
Symptoms
- Pain strong intensity in the lumbar region radiating to the genitals
- Pain when urinating
- Bleeding in the urine (Hematuria )
- Nausea and vomiting
- The urge to urinate
- Fever and chills in cases associated with a urinary tract infection.
- Pain in genitals
Treatments
Medication: usually, the first treatment is pharmacological, using drugs, such as Diclofenac, Ketorolac and indomethacin.
Litotricia extracorporeal: it is an outpatient treatment, the good teams of extracorporeal do not need to perform anesthesia for the patient to tolerate the treatment. The Lithotripsy extracorporeal search result fragmentacion urolithiasis, through the application of shock waves generated externally, the Litotritor. The impact of this energy in the calculation, achieved it decays and then is removed the fragments of the stones converted to in grit through the urine.
Minimally invasive surgery: when kidney stones, for your location could not be treated with extracorporeal or by the size of the calculation (it is very large), it is perform a surgery called “Nefrolitotricia Percutaneous“. This procedure surgical consists in extracting kidney stones through an incision of a centimeter in the back, which is accessed by the kidney and removed all the lithiasis . The patient should be hospitalized after this surgery.
Endoscopic lithotripsy: this method is used to remove the stones located in the bladder or the ureters. Using local anesthesia, it is an outpatient procedure that consists in insert a thin tube with a camera (ureteroscope) through the urethra, which allows you to view the calculation and spray it with the Laser-HOLMIUM. The patient is discharged to your home bout 5 hours after the Ureteroscopy.
