What is the Colico Nefritico?Tambien Called Colico Renal is an acute attack of pain in the lumbar region, caused by an acute rape of the exit of urine of the kidney and a rape of the blood circulation in him.
The Colic Nefritico is a type of pain that has when the stones block part of his urinary tract.
His urinary tract estan formed by the kidneys, the ureters, the bladder and the urethra.
You can have stones in any part of his urinary tract.
They form when the minerals like the calcium and the acid úrico mix together in his urine and create hard glasses.
The stones can be so small like a grain of sand or so big like a ball of golf.
The renal colic is a common clinical syndrome that can occur because of a variety of factors that cause an exit of urine or an espasmo of the smooth muscles of the ureter, that accompanies of a syndrome of marked pain. It is the most common pathology of the urinary tract. The prevalencia of this syndrome is associated to the epidemiology of the urolitiasis, since the most frequent obstruction of the upper urinary tract is caused by concretions (calculations).
When these stones grow the sufficiently big, can arrive to be very painful .
Very often, it treats of a stone or of stones formed by mineral salts.
In absence of factors of gravity, the treatment bases in taking drunk and analgesics. The fault of effect of the analgesics or the factors of gravity has to drive to the hospitalisation.
The pain is generally in a side, but can be in both sides of the inferior back. The colico Nefritico can begin quickly, go and come, and worsen over time.
The classical presentation for a patient with colic nefritico acute is the sudden apparition of intense pain originated in the flank and irradiando inferior and previous; at least 50% of the patients also will present nauseas and vomits.
The patients with urinary calculations can report pain, infection or hematuria.
The patients with small calculations no obstructive or with calculations of estafilococos can be asintomáticos or experience moderate and easy symptoms to control.
Causes of the Colico Renal?The colic nefritico is an illness that can occur by a variety of reasons. In the heart of this pathology finds a rape of the exit of urine of the kidney, what drives to a sudden increase of the pressure in the urinary tract. The cause of the renal colic can be an obstacle to level of the upper urinary tract, that blocks the light ureteral, causing his occlusion, what causes the development of a series of mechanisms fisiopatológicos that cause the main symptomatology of this ailment.
Around 90% of the attacks of renal colic are caused by urolitiasis, a chronic ailment of the upper urinary tract, accompanied by the training of concretions in them.
The causes and the mechanism of the development of the urolitiasis,have not studied entirely to date.
Andl Attacks of Colico Renal is an illness polietológica, that is to say, an ailment, in the base of which there are several reasons.
The probability of risk of attacks of renal colic, are associated with the age. With lower frequency, the illness develops in the infancy and the adolescence, a bit more often in the elderly. The maximum incidence falls in the age of 30-50 years. In the men, the CIE develops with more frequency that in the women.
So much the right kidney like the left see affected with the same frequency, by what are possible the attacks of the renal colic of the right side and of the left side. In 15-30% of the patients form calculations in both kidneys.
Colic nefritico occurs when a stone lodges in his urinary tract, often in his ureter.
The stone extends and widens the area, causing intense pain.
Around the 12 percent of the men and the 6 percent of the women will receive one or more urinary stones in his life.
The tax of renal colic is increasing because of changes in our diet and habits of lifestyle.
The calculations are the main cause of colico Nefritico. Tumors, estenosis or cicatrisation inflamatoria of the urinary roads (after the calculation or surgery) are other causes of internal obstruction.
The colico Nefritico is caused by an obstruction in the urinary roads. It includes the kidneys, the ureters, the bladder and the urethra.
The Ureters carry the urine from the kidneys to the bladder.
The urethra transports the urine to the outside when urinating.
The most common cause of an obstruction in the urinary tract is a calculation Nefritico.
The clots of blood, espasmos of the ureter, and fabric died also can block the urinary roads, what originates the colico Nefritico.
In 10% of the cases of renal colic, the obstruction of the upper urinary tract is not caused by a Colico Renal, but by other renal injuries bass, eat:
The apparition of the renal colic can be caused by the compression of the urinary tract from the outside in case of severe traumatism ( extensive hematoma) or neoplasmas of the pelvic organs.
Like general rule, the diagnostic in such cases does not cause special difficulties, since the renal colic develops in the context of an image pronounced of the underlying illness. However, when diagnosing a Colico Renal, have to exclude the previous illnesses (proofs of laboratory of blood and urine, ultrasound , etc.). In case of doubt, it is necessary to consult with a fisioterapeuta , oncólogo or gynaecologist .
Separately, it is necessary to distinguish a so rare pathology, like a kidney errante (omitted). In such cases, the attacks of renal colic are caused by the curvature of the ureter and have some peculiarities: generally, they arise after a trip with shakes, prolonged treks, physical activity, etc. The pain increases in the vertical position and disappears in the position supina.
In the majority of the cases, this ailment develops on the base of pathologies previously existent of the kidneys or the urinary tract and, without a treatment and prevention adapted, often self-evident in several recurrent episodes. With greater frequency, the renal colic produces because of the obstruction of the urinary roads with calculations to level of the renal pelvis or the ureters, or because of any another obstruction.
Factors Risk Colico Renal?Genetic predisposition (in 55% of the patients can track the familiar character of the illness).
Professional risks (work in shops of hot articles, etc.).
Intensive physical activities ( professional sports).
Some illnesses that promote the development of the renal illness poliquística , hiperparatiroidismo.
Pathological conditions accompanied of chronic dehydration (syndrome of malabsorción);
A rich diet in substances that cause the training of stones, like the oxalato or the protein
Urinary disorders, that contribute to the development of the chronic inflammation and the stagnation of the urine.
A rich diet in substances that cause the training of stones, like the oxalato or the protein
A familiar history or personnel of stones
Dehydration of not drinking sufficient liquid, or to lose too liquid through sudoración, vomits
Surgery of bypass gastric, that increases the absorption of his body of calcium and other substances that form stones
Metabolic disorders, hereditary illnesses, hiperparatiroidismo and other conditions that can increase
The Substances formadoras of stone in his body infection of the urinary tract
Pain Colico Nefritico?The pain is the main symptom of the renal colic. There is a painful feeling because of the increase of the pressure of the urine in the renal pelvis and the renal skin fibrótica ( because of a light increase in the size of the kidney ), that causes irritation of the terminaciones nervous of which the impulses transmit along the nice nervous fibres through the node celíaca in the médula spinal to level of the inferior thoracic column and the upper lumbar segments
The pain generally produces suddenly, no dependent of the hour of the day and the position of the body, and describes like a sudden acute pain in the lumbar zone that irradia along the ureter to the genital external ( irradiation for the line oblicua that connects the twelfth rib with the genital ). However, the dissemination of the pain can be something different, depending of the level of obstruction of the ureter.
The pain of colics in an attack of renal colic is caused by espasmos reflections of the smooth muscle of the ureter in reply to the apparition of an obstruction to the flow of exit of the urine.
A significant paper in the development of the syndrome of severe pain is a rape of the exit of urine, what carries to an increase of the intravenous pressure, estasis venous and alteration of the microcirculación of the kidney. Like result, the size of the organ affected increases, accompanied by the excessive growth of the rich capsule in inervación.
The previous pathological processes cause a syndrome of pain extremely severe in the renal colic.
The small stones can not causing any symptom.
The biggest stones can cause renal colic, especially if they block an ureter.
This is the tube of urine that goes from his kidney to his bladder.
The main complication is the obstruction Nefritico is the pielonefritis (infection Nefritico).
The pielonefritis can evolve for himself absceso Nefritico, bacteria that happen in the bloodstream or failure of the vital organs.
Symptoms Colico Renal?A typical attack of renal colic begins in a sudden way, in a context of complete health. Like general rule, his development can not associate with the physical effort, neither with the sobretensión nervous, neither with any another factor desfavorable.
The attack of renal colic can begin anytime of the year and anytime of the day, in the home or in a trip, in the work or on holiday.
The main and permanent sign of the renal colic is a grave pain of a character of calambre. The pain does not depend on the movements, by what the patient runs around the room with the vain hope to find a position that at least can relieve his suffering.
The location and the irradiation of the pain, as well as some additional symptoms of the renal colic, depend of the level of obstruction of the urinary tract.
When the stone locates in the pelvis of the kidney, the pain locates in the top of the lumbar region (in the corner costovertebral corresponding). In this case, the pain often gives to the abdomen and to the rectum, can go accompanied of painful tenesmus (painful need of vaciar the intestine).
If the obstruction occurs in the ureter, the pain locates in the waist or in the side of the kidney affected, and pushes downwards the ureter to the ligament inguinal, the urethra , to the genital external.
The syndrome of pain often accompanies of nauseas and does not produce relief of the vomit . This type of symptoms is especially typical for the location of the obstruction in the tops (pelvis of the kidney, tops of the ureter).
With the location of the obstruction in the inferior parts of the ureters, is possible the apparition of phenomena disúricos ( win painful frequent to urinate ).
It fits to signal that the gravity of the syndrome of pain and other symptoms of renal colic does not depend of the size of the calculation, whereas an increase in the corporal temperature can indicate the association of complications infecciosas. Especially it would have to alert a high fever with shivers .
Intense pain along the side of his body between his ribs and the hip, or in his inferior part of the abdomen
Pain that extends to the back or the groin nauseas or vomits
Severe pain in the back, abdomen, the groin or low pain.
Pain when urinating.
Nauseas and vomits.
When feeling the need to urinate with frequency or of immediate form.
Urinate less than what is normal for you, or at all at all.
Fever and shivers (if has an infection).
Blood in the urine, that can be of pink colour, red or brown muddy urine or maloliente
Diagnose Colico Nefritico?The renal colic more common has to differentiate with the following illnesses:
In different levels of obstruction, is necessary a differential diagnostic with different illnesses.
Therefore, with the obstruction in the kidney of the kidney and the upper portion of the ureters, the renal colic often proceeds with characteristic symptoms of acute surgical illnesses of the abdominal cavity ( pain in the abdomen , nauseas, vomits, fever).
When the obstruction locates in the ureters, especially in the half part and down, the irradiation of the syndrome of pain often occurs in the genital, by what is necessary a differential diagnostic with acute illnesses of the pelvic organs.
If the concrete find in the lowest segment of the ureters, the clinical picture complements with signs of disuria ( frequent painful urination, pain in the urethra, wishes imperiosos to urinate), by what has to exclude the cistitis and the men also have prostatitis and uretritis.
Therefore, in the differential diagnostic has to recopilar carefully the history, loan attention to the behaviour of the patient and realise additional studies of timely way.
With analysis of blood and urine can show the infection or of the function Nefritico.
With ultrasound of X-rays, computerized tomography or magnetic resonance can show a calculation Nefritico or other causes of his pain.
It can him administer liquid of contrast to help to his urinary tract see better in the photos.
Say him to the doctor if some time has had an allergic reaction to the liquid contrast.
Colico nefritico Right side?Attack of renal colic and apendicitis acute
The renal colic of the right side has to distinguish first of all of an attack of apendicitis acute, since the initial clinical picture is very similar. In both cases, the attack occurs in a sudden way, in a context of complete welfare.
With the location of the calculation in the right ureter, the pain in the renal colic can locate in the region ilíaca right, as well as in the apendicitis acute.
In the case of the apendicitis acute, the pain relaxes in decúbito prono in the sore side and strengthens when walking, so that the patients move with a characteristic inclination to in front and to the side affected.
Has to take into account that the syndrome of pain with apendicitis acute locates , and in the case of the renal colic, the pain irradia downwards in the muslo, in the ligament inguinal and in the region of the genital external.
Colico Renal and hepatic (biliar)
The pain in the hepatic colic (biliar) can irradiar to the right lumbar region. Besides, the nature of the syndrome of pain seems in many respects to the renal colic (pain extremely intense, accompanied of vomits, that does not produce relief). To the equal that in the case of the renal colic, the patients with hepatic colic are launched by the room, since the intensity of the syndrome of pain does not depend on the position of the body, and the general state of the patients is relatively satisfactory.
For an attack of hepatic colic, exists a relation with the consumption of foods grasos or fritos (like general rule, an attack occurs two or three hours after the errors in the diet). Besides, the pain with hepatic colic irradia upwards, under the right scapula, in the right clavicle and, in case of renal colic, downwards.
Colico Renal and acute intestinal obstruction
Very often it has to realise a differential diagnostic of renal colic and acute intestinal obstruction (vomits of the intestines). The acute intestinal obstruction also to the beginning of the development of the pathology characterises by the unexpected apparition of pains of calambres and vomits, that do not provide relief.
In the first phase of the acute intestinal obstruction, the patients comport of the same way that in the renal colic, since the pain is strong, does not depend on the position of the body and the general condition keeps on being relatively satisfactory.
The vomits characterise for exhausting the multiple vomits, whereas in the renal colics, the vomits are used to to be only. Establish the diagnostic will help to listen the abdomen (for the initial phase of acute intestinal obstruction characterised by an intense intestinal noise), as well as the analysis of urine , determining the hematuria in the case of renal colic.
Diagnostic Colico Renal acute?Diagnostic of the colico nefritico acute bases in an interview and exploration of the patient, characteristic clinical and proofs of laboratory and the instrumental examinations ( renal echography ( inscribe ) and the urinary tract, urografía ( inscribe ) or computerized tomography ).
The first medical queries, during which asks him about the peculiarities of the pain uando the pains began as it changed over time, in which they do feel, that gives to what the nature of the pain (acute, deaf, always present, or if they produce attacks episódicos), changes if the intensity of the pain with a change in the posture, if the pain diminished after taking medicines for the pain . Also the doctor asks if there were nauseas and vomits, what caused, if they brought relief.
Necessarily, the doctor is interested in the changes in the urination, already was that they are it and which type of character carry (for example, blood in the urine, pain when urinating, etc.). After this, the doctor asks if there have been similar attacks in the past, if the diagnostic of urolitiasis has diagnosed in the past, if the person has an illness of the urinary tract and if it has had a trauma or surgery in the lumbar region during his life.
The doctor happens to a clinical examination
In some cases, carried out even more the palpation of the abdomen, pelvic examination ( inscribe ) for the women and the rectal touch for descartar other illnesses that can manifest similar symptoms.
After a consultay a clinical examination, the doctor sees a complete clinical picture, on the base of the cual, in fact, realises the diagnostic of renal colic. And besides, to confirm the clinical diagnostic of a doctor, assign examinations of laboratory and instrumental.
Differentiate Colicos Nefriticos?Differential diagnostic of atypical renal colics and abdominal disasters (pancreatitis acute, perforación of the ulcer of stomach, colecistitis acute) Fits to signal that the renal colic produces in 25% of the cases with atypical irradiation, by what the pain can extend by all the abdomen, giving to the hipocondrio and even to the subclavian areas.
An acute attack of renal colic often accompanies of symptoms of peritonitis local in the side of the injury, like the acute pain of the abdominal wall and the absence of intestinal noises when it listens the stomach.
It is difficult to realise a differential diagnostic with abdominal disasters, like pancreatitis acute, perforación of the ulcer of stomach, colecistitis acute.
Loan attention to the behaviour of the patient. With a "acute abdomen", the patients, by general rule, because of his difficult condition, are in the bed, whereas the patients with renal colic run by the room, since the syndrome of pain stronger combines with a general state relatively satisfactory.
Loan attention to the characteristic symptoms of the illnesses that caused the clinical "acute abdomen".
The clinical picture of the perforación of an ulcer of stomach begins with a characteristic pain of the daga, that first locates in the epigastrio, and only then has a character spilt. A specific sign of this pathology is a reactive tension unusually strong of the abdominal muscles ("dorsal abdomen").
The pancreatitis acute often develops after a party (illness of New Year), and characterises by a pain of culebrilla with an unusually wide irradiation, vomits repeated and general state extremely severe of the patient.
The colecistitis acute , is necessary to collect carefully an anamnesis, since the majority of the times his attack develops in the context of illnesses diagnosed of the tract biliar ( colelitiasis , discinesia biliar, etc.) after imprecisions in the diet (consumption of foods grasos fritos).
Pain with colecistitis acute permanent character, located in the hipocondrio right, irradia under the right scapula and in the right subclavian area, accompanied of vomits repeated, what provides little relief.
Differentiate Colicos nefriticos and illnesses neurológicas?Differential diagnostic of renal colics and illnesses neurológicas acute (attack of radiculitis, hernia of the disk intervertebral, neuralgia intercostal) The location of the pain in the renal colic often coincides with the location of the pain in the acute attacks of radiculitis , neuralgia intercostal , etc.
Has to loan attention to the behaviour of the patient. With the radiculitis acute, the patient freezes by the pain and can not enderezarse, and with the renal colic the pain is not related with the position of the body.
The pain of the ciática gives down and to backwards (buttocks), and in renal- downwards and to forward (in the ligament inguinal in the interior of the muslo, in the zone of the genital external).
Colico Renal in women?
When obstructing the urinary tract in the half and inferior ureter, the pain can locate in the ileum and administer in the muslo, the ligament inguinal and the genital external in the side affected. In such cases, is necessary the differential diagnostic with the acute pathology of the feminine sexual sphere.
With all these pathologies, the syndrome of pain produces suddenly and is unusually intense. However, unlike the renal colics, the pain in the acute illnesses of the feminine sexual sphere depends on the position of the body, by what the patients try to remain in the bed in a position of relief of the pain.
It will provide a considerable assistance ( delay in the menstruation with the interruption of the pregnancy ectópico, increase of the physical activity with torsion of the cyst, connection with the ovulation with apoplejía of the ovary).
In cases of disasters ginecológicas acute attract the attention of the additional symptoms, such like fast pulse, under pressure , pale skin, seasicknesses , cold sweat.
Colico Renal in the pregnancy?Clinical picture
It fits to signal that the calculations of the upper urinary tract are the most common cause of intense abdominal pain, on which the pregnant women are hospitalizadas. The statistics show that around 0.2 to 0.8 pregnant women suffer urolitiasis.
The pregnancy in himself is not a factor that biases to the training of calculations (estadísticamente showed that when increasing the number of pregnancies does not increase the incidence of the CIE), but in the case that it produce the latent pregnancy ICD can contribute to the demonstration of the pathology. Especially often, the attacks of renal colic in the DCI in pregnant women produce in the last quarter.
Other causes of renal colic in pregnant women are extremely rare.
The clinic of the renal colic in pregnant women consists in a tríada classical of symptoms: convulsions of calambres, hematuria and the step of calculations.
It fits to signal that a severe attack of renal colic no only simulates the labour activity, but it also can cause a premature birth . In such cases, has to be extremely accurate when doing a diagnostic.
Relieve the pain in the pregnancy?The first help in the renal colic in pregnant women has like aim delete the syndrome of pain and warn complications.
The thermal procedures (bottle of hot water, bathroom) are contraindicados for the pregnant women.
To delete espasmolíticos pain used: solution to 2% of clorhidrato of papaverina 2 ml by road subcutánea and 2% of solution of shpy 2 ml by road subcutánea, solution to 0,2% platifillina gidrotartrata 2 ml by road subcutánea.
Sometimes, an attack of renal colic in pregnant women can be repressed by espasmolíticos that act selectivamente on the smooth muscles of the ureters (Cystenal or Warn).
Cystenal With an attack of renal colic designates 20 drops once (by portion of sugar under the tongue), and for attacks repeated 10 drops 3 times to the day, during or after a food.
It takes 2 tabletas after the foods. It fits to signal that Cystenal and Warn no only have effect antiespasmódico, but also anti-inflammatory.
The renal colic in pregnant women interrupts in a hospital to avoid the possibility of grave complications. The fact is that the possibility of infection multiplies many times during the pregnancy . Besides, an attack of renal colic can cause a premature childbirth.
Colico Renal in boys?
Characteristics of an attack of renal colic in boys The renal colic in the boys is much less common that in the adults, and is atypical. These circumstances cause a big quantity of medical errors in the diagnostic.
To the equal that the adults, the boys during the attack comport with a lot of restlessness, cry, shout, do not give to touch the abdomen. Often there are vomits reflections, paresia intestinal, that cause swell and retention of faeces.
The boys pqqueños and average age can not locate properly the syndrome of pain and, generally, signal to the navel like the most painful place.
For a correct diagnostic of the renal colic, is necessary to examine the muscular tone and the sensitivity of the lumbar regions. The symptom of Pasternatsky in the boys is determined by the cerebral shock of the waist with the yemas of the fingers, placed under the waist in the area of the location of the kidneys.
When doing a diagnostic, remember that a positive symptom Pasternatsky often occurs with apendicitis acute in case of atypical location of the appendix, with intestinal obstruction and thrombosis of the mesenteric glasses.
In the cases of valuable service doubt us upper urinary tract, that allows to reveal pielocalicial agrandamiento abnormal of the system and / or the renal ureters.
Any concretions including nerentgenokontrastnye, size of 1 mm, very visible in the screen of the monitor like the shadows ehonegativnoe if they find in the system pielocalicial or in the upper ureter.
What do with the renal colic in a boy?
To relieve the renal colic in a boy, proceed in the cases in that the diagnostic was not in doubt and exclude the abdominal surgical pathology.
You would have to begin with a warm bathroom (37-39 degrees), since with frequency suffices with realising this procedure to detain completely the attack.
If it fails the thermal procedure to detain the attack, prescribe antiespasmódicos and analgesics in dose of age. Like general rule, a good effect is given by No-shpa and Baralgin. Before using, consult to a specialist
Examinations and proofs Colico Renal?Which examinations and proofs can recetar a doctor for the colic nefritico? In the renal colic, an analysis of general urine is compulsory. If there are erythrocytes in the urine in big quantities or the blood is visible to simple sight, this is a sign of renal colic.
Besides, renal colic and the kidneys of ultrasound produced assigned and the urinary tract, that allows to see and measure the stones in the ureter and renal pelvis that turns into a proof innegable of clinical diagnostic. Besides, the ultrasound can detect focus purulentos in the kidney, in his case. The ultrasound is not a compulsory method of examination in the renal colic, therefore, can be appointed or no designated depending of the level of technical equipment of the medical institution. That is to say, the ultrasound is more an auxiliary method of diagnostic of renal colic.
Compulsory in the renal colic, together with a general analysis of the urine, recommends a general X-ray of the abdomen and an urografía excretora. Panoramic of X-rays of the abdomen ( inscribe ) allows the detection of oxalato and stones of calcium (rentgenopozitivnye) in the kidneys and the ureters, as well as to evaluate the condition of the intestine. Although the simple X-ray method is not very informative, since it allows him identify only two types of stones, but in the renal colic, mainly of the instrumental examinations produce exactly this, as in the majority of the cases of renal calculations - rentgenopozitivnye. And if the calculations can identify by means of a X-ray of study of the abdomen, is possible that do not prescribe other instrumental examinations.
After realising the analysis of urine and of the opinion X-ray assigned urografía excretora, that is a X-ray of the kidneys and of the urinary tract after the administration of an agent of contrast in the same. Urografía To evaluate the blood flow to the kidneys, the training of urine, and to identify where there is a stone (in which it splits of the ureter), caused renal colic.
The method of the computerized tomography is highly informative in the diagnostic of the renal colic and can replace the urografía excretora. Therefore, if it exists a technical possibility, assigns a computerized tomography in place of urografía. But, unfortunately, in a lot of cases, the rare tomography time prescribes because of the high cost of the method, the fault of necessary teams and specialists in medical institutions.
Therapy of the Colico Nefritico?Not going in in the chamber of rays with any object of metal.
The metal can cause grave injuries. Say him to the professional of the health if has any metal inside or on his body.
A lot of methods are available for the treatment of this illness.
The small stones can be deleted through the urine without medical intervention.
The consumption of liquids in abundance helps when accelerating the urinary tract.
The average stones can them ask the use of technicians to relax the muscles around the stone.
The thick stones can justify the use of the ureteroscopia, a process that involves the insertion of an instrument in the ureter and the physical elimination of the stone.
In rare occasions, the surgery is necessary because the stones do not adjust through the rest of the urinary tract.
Treat Colico Nefritico?The first attention pre-medical for the renal colic realises in those cases in that the diagnostic is not in doubt, that is to say, with typical attacks repeated in patients with a diagnostic established of urolitiasis.
A warm bathroom or a thermal pad in the waist helps to relieve the espasmo of the ureter and the leakage of stones. It can use antiespasmódicos from his home-made medicine cabinet. Very often they recommend Baralgin (a medical product that contains antiespasmódicos and an analgesic ). Instead, it can take No-shpu or papaverina (antiespasmódicos).
In absence of these medicines, can use nitroglycerine (half tableta under the tongue), that also relaxes the muscles of the smooth muscle and can delete the espasmo of the ureter.
Before the arrival of the doctor, advises to the patient that register the medicines taken and control the urine to detect the decomposition of the concrements (is better to collect the urine in a container).
The presence of urolitiasis does not exclude the possibility to develop another acute pathology (for example, apendicitis). Therefore, if the attack is atypical, is better not doing at all before the arrival of a doctor. The heat and antiespasmódicos can aggravate the processes infecciosos-inflamatorios in the case of apendicitis acute or other illnesses of the group of pathologies with the clinical "acute abdomen".
It consult to his doctor if you has symptoms of colic nefritico or urinary calculations.
His doctor can do proofs to look for high levels of substances that form calculations in the blood or the urine.
A computerized tomography can look for stones in his kidneys and other urinary organs.
If you has a big stone, his doctor can do one of these procedures for extirparlo and relieve the renal colic:
Litotricia extracorpórea By waves of crash (ESWL): This procedure uses waves of crash headed to his kidneys to break the stones in pieces very small.
To continuation, happen the fragments of stone in the urine.
Ureteroscopia: His doctor inserts a thin scope, lit through his urethra and bladder to remove the stone.
Nefrolitotomía percutánea: This procedure uses small instruments inserted through a small cut in the back to remove a stone.
You will be anaesthetised during this procedure.
The medicines can help to diminish the pain and espasmos muscular.
Also it is possible that need a medicine to calm his stomach and leave to vomit.
The surgery can be necessary to delete a grave obstruction.
The surgery also can be necessary if his kidneys are not working properly.
Control the symptoms?
To avoid the colic nefritico in the future, take these steps to warn the urinary stones:
It drink liquids to help to diminish the pain and the blockades to the ras of his urinary tract.
Ask how much liquid to drink each day and those that llíquidos are better for you.
It can that it have to take at least 3 litres (12 glasses) of liquid to the day.
The half of the daily liquids have to be water.
Limit the coffee, tea and sodas to 2 daily cups.
His urine has to be pale and clear.
Cuele The urine every time that it urinate.
It urinate in a strainer (funnel with a fine mesh in the inferior part) or frasco of glass for collect rlas stones of the kidney.
Give to the calculations Nefriticoes to his medico of primary attention in his next visit.
Comma a variety of healthy foods.
The healthy foods include fruits, vegetables, integral breads, dairy products basses in fat, beans, meats magras and fish.
It can that it have to increase the quantity of citruses that eats, like the oranges.
It consult with his doctor the quantity of salt, calcium and proteins that has to eat.
Avoid the activity with high temperatures.
The heat can cause that it dehydrate and urinate less.
Look for immediate help?Taking into account that the majority of the calculations ureterales will happen of spontaneous form, the conservative treatment in the form of observation with the analgesia is the method preferred.
The calculations ureterales require the intervention radiológica or surgical only when it fails the conservative treatment.
It can not leave to vomit.
You sees or increases the sangrado when urinating.
You is urinating less than the usual or at all at all.
His pain does not improve still after the treatment.
When consult to the Medico?Which type of doctor would have to visit for the renal colic? With the development of the renal colic, can do two things. In the first place, you can have his own half of transport to arrive to any hospital, where there is a Department of Urology, Nefrología or surgery , and to apply, respectively, for the urólogo ( inscribe ) , a nefrólogo ( inscribe ) or surgery ( inscribe ) . It is optimum to put in contact with an urólogo or nefrólogo, since these specialists devote to the diagnostic and treatment of illnesses of the urinary system. However, if there is not an urólogo or a nefrólogo, can contact to a surgeon that also have the necessary qualifications for the diagnostic and treatment of the renal colic.
It can call to an ambulance, and the medical team visitor will carry to the person to the on duty hospital in the city, where will take to patients with a similar diagnostic and where there are notable specialists.
If have high fever.
The need to urinate with more frequency of the usual, or of immediate form.
You sees a stone in the strainer of the urine after urinating.
His doctor will give him medicines to relieve the pain of the renal colic.
The options include:
Anti-inflammatories no esteroideos such like ibuprofen
Medicines to warn the espasmos muscular
You has questions or interests on his condition or care.
Diets Colicos Nefriticos?In those cases in that the cause of the renal colic does not comprise entirely, prescribes the table of standard treatment N10. This diet is designed to improve the operation of the cardiovascular system, the liver and the kidneys, as well as to normalise the metabolism.
The therapeutic table N10 involves a light decrease in the energetic value of the diet because of a decrease in the consumption of fats and carbohydrates. It limited significantly the quantity of chloride of sodium (the foods prepare without salt). It exclude heavy and indigestible foods (meat and fish served in a form boiled), as well as foods that irritate the liver and the kidneys that promote the flatulences and stimulate the nervous system, eat:
After detaining the attack of renal colic, is necessary to subject to a proof, after which adjust the diet in accordance with the diagnostic.
If it establishes the cause of the renal colic, during an attack, prescribes a therapeutic diet taking into account the underlying illness. Of course, this also takes into account the pathologies that accompany it ( obesity , diabetes , hipertensión, etc.).
The urolitiasis diet properly elected is one of the best means of prevention renal colic However, the composition of the stones has to be laboratory confirmed, because the wrong food can cause a significant damage.
Relieve the pain of kidneys
Expel the stones of the kidneys
1.2-COMO TRATAR ENFERMEDADES
1.3-COMO CURAR ENFERMEDADES
2 .- INFORMACION DENTAL