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General Practice 2023

Córenal: what é, symptoms and what to do

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Córenal: what é, symptoms and what to do
Córenal: what é, symptoms and what to do

Renal colic is an episode of intense and sharp pain in the lower and lateral region of the back, which can also affect the bladder, caused mainly by the presence of kidney stones, which cause inflammation and obstruction of the flow of urine in the urinary.

To relieve the pain of renal colic, it is important to consult the urologist so that the cause of the pain is identified and, thus, the most appropriate treatment is indicated, which usually involves the use of anti-inflammatory, analgesic and anti-inflammatory drugs. -spasmodic, in addition to being essential for the person to increase water consumption, rest and make a warm water compress to relieve discomfort.

Symptoms of renal colic

The main symptom of renal colic is intense pain in the bottom and side of the back, whose intensity can vary throughout the day, which can make daily movements and activities difficult. In addition, the pain of renal colic can radiate to the groin and also be felt in the abdominal area or genitourinary region, which can vary depending on the cause of the colic. Here's how to identify renal colic.

What to do

To relieve renal colic, it is important that the urologist is consulted so that an evaluation is carried out and the cause of the colic can be identified. In this way, it is possible that the most appropriate treatment is indicated, which may involve the use of medication, change in eating habits or surgery, for example. Know the main causes of renal colic.

1. Treatment with drugs

To relieve the intense pain of a kidney crisis, it is important to use medications that can be taken orally, in tablets, or injected, which can sometimes be more effective and cause faster relief:

  • Anti-inflammatory drugs, such as Diclofenac, Ketoprofen or Ibuprofen: they are usually the first option, since in addition to relieving pain, they can reduce the inflammatory process that causes swelling and worsening the crisis;
  • Analgesics, such as Dipyrone, Paracetamol, Codeine, Tramadol and Morphine: they are important to reduce pain, which needs to be more potent as the pain gets more intense;
  • Anti-spasmodics, such as Hyoscine or Scopolamine, known as Buscopan: helps to decrease kidney, bladder and urinary tract spasms, which happen because the stone can occlude the flow of urine, and this is an important cause of pain;

Other types of medication may also be indicated by the doctor, such as antiemetics, such as Bromopride, Metoclopramide or Dramamine, for example, to relieve nausea and vomiting.

In addition, after the crisis, the doctor may also indicate the use of medication to help eliminate the stone more easily and prevent new attacks, such as diuretics or tamsulosin, for example.

2. Drinking lots of fluids

It is recommended that the person with renal colic drinks between 2 and 3 liters of fluids a day, distributed in small doses throughout the day. Hydration is essential both during the treatment of the crisis and after, to facilitate the elimination of the stone, as it stimulates the formation of urine and the functioning of the kidneys, in addition to preventing the appearance of new stones in the future.

3. Avoid foods rich in oxalate

As the main cause of renal colic is the presence of kidney stones, it is essential to pay attention to dietary habits, since consumption of foods rich in oxalate can increase the risk of stone formation. Thus, it is recommended to avoid the consumption of spinach, cocoa, chocolate, beets, peanuts, nuts, shellfish and seafood, soft drinks, coffee and some teas, such as black, mate or green tea.

It is also recommended to avoid excess vitamin C and too much protein, not consuming more than 100g per day, in addition to being important to eliminate s alt from the diet. Check out what the diet should be like for those with kidney stones.

4. Home remedies

Home remedies for renal colic should be indicated by the doctor in order to complement the treatment, and the consumption of stone break tea may be recommended, which prevents the aggregation of crystals, preventing the formation of large stones, which is the main cause of renal colic.

In addition, during the crisis, a compress with a hot water bag can be applied to the painful area, which helps to dilate the urinary channels for the passage of the stone, in addition to promoting pain and discomfort relief.

5. Surgery

Surgery to relieve renal colic is indicated only in cases where the pain is intense, persistent and debilitating and does not improve even after the use of medication, being mainly recommended when the colic is caused by kidney stones. Learn more about kidney stone surgery.

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