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Renal colic in women: causes, symptoms and treatment, emergency care

Renal colic should not be seen as a pathology, but as an accompanying symptom. An attack of sharp, intolerable pain in the lower back or on the sides of the abdomen develops suddenly - the condition is caused by impaired passage of urine.

The pain in renal colic is cramping, spreading to the groin. There is either complete anuria (no urination), or frequent urging with painful release of small portions.

Content

Causes of Renal Colic

Renal colic in women

The pain generated by an attack of renal colic occurs due to a stretching or squeezing of the ureter when the stones in its opening: urinary stone, blood clot, mucous membranes and purulent lumps. The musculature of the ureter is reduced, preventing the free flow of urine.

The fluid pressure in the renal pelvic rises sharply, the venous outflow is disturbed, the tissues of the organ parenchyma swell. The fibrous capsule of the kidney is over-stretched. An attack of renal colic requires a strong medical anesthesia (narcotic group of drugs) or urgent surgical intervention.

The main reason is urolithiasis. In 60% of the attacks, "cork" is formed by urinary stones. With pyelonephritis - blood and mucous clots; with kidney tuberculosis - pieces of dead epithelium.

There is a twisting (kink) of the ureter, which is provoked by nephroptosis or kidney dystopia. An organ tumor, traumatic hematomas are the cause of external compression of the ureter. Consider vascular pathologies (venous thrombosis of the kidneys, organ infarction, etc.) and congenital anomalies.

The group of inflammatory and congestive diseases responsible for the onset of renal colic in women:

  • hydronephrosis, nephritis and cystitis;
  • pathology of the uterus;
  • polycystic kidney disease;
  • inflammation of the appendages ( adnexid ) and damage to the fallopian tube;
  • twisting "legs" of ovarian cysts;
  • ovarian apoplexy (organ tissue rupture);
  • ectopic pregnancy ( ectopic );
  • spontaneous abortion;
  • pregnancy.

Symptoms of renal colic in women, an attack

Symptoms of renal colic in women

The main symptom of renal colic is suddenness of pain. There is no pattern of occurrence. After physical activity, a long walk or shaking while riding, the probability of feeling a “knife in the back” increases. The loin and stomach ache - bilateral renal colic, pain from one side only - one-sided.

A woman experiences an acute painful attack, moves erratically in bed in the hope of finding a comfortable position and relieving her condition. The pain spreads in the thigh, perineum. The skin is pale, cold, damp with sweat. Great weakness, nausea interspersed with vomiting, increased blood pressure. Later, the temperature rises.

The attack of renal colic lasts from 3 hours and more, sometimes up to a day, if there is no medical assistance. During this period, the nature of the pain, and its irradiation is changing. The patient appears thirst, flatulence, chills. Severe pain develops shock. As soon as the renal colic ends, urine comes out freely. When it is settled precipitates out.

During an attack, it is important that the doctor is able to correctly “read” the clinical symptoms and differentiate the condition of the woman. Examination is carried out by the gynecologist together with the urologist.

Conditions with similar symptoms and pains:

Treatment of renal colic in women, drugs

In most cases, the treatment of renal colic in women takes place in the hospital, although some attacks are successfully completed with a stone. For the first three days, the woman is under medical supervision in order to assist in a relapse in time.

Indications for compulsory hospitalization:

  • can not stop the pain of the patient;
  • single kidney or donor;
  • high fever and suspected infection in the body.

Medical treatment:

  • pain relief drugs;
  • anti-spasms;
  • reducing urine production;
  • antiemetics.

In parallel, prescribe vitamins, nutritional supplements that treat the cause of the formation of urolithiasis.

Surgical method of removing the stone is used when it is impossible to do this by conservative treatment. Modern methods are less traumatic. It is not always necessary to even puncture the skin. Apply ultrasound, laser, endoscopic devices, stents.

Open surgery is performed only when it is impossible to carry out other methods of treatment and severe damage to the kidney.

Emergency care for renal colic

Emergency care should be provided to a woman close to the arrival of doctors. At home, apply local warming compresses, apply a heating pad to the place of intense pain on the abdomen or back. If possible, take a sitz bath. Water temperature is about 40º C.

With confidence that the cause of the pain is renal colic, first aid should be given immediately.

It is necessary to take a medicine that will relieve spasm from smooth muscles (No-shpa). The drug against pain (Ibuprofen, Ketanov, etc.) at home can be taken with confidence, if it is localized on the left. Otherwise, the symptoms of other acute inflammations may be blurred.

Doctors assessed the patient's condition upon arrival. Renal colic in a woman requires an immediate response. Emergency care is provided by doctors, the algorithm is as follows:

  • Complete rest of the patient;
  • Thermal procedures to relieve spasm and outflow of urine;
  • Anesthetic is administered for renal colic, sometimes a narcotic group;
  • Apply drugs, relieves spasm and antiemetic;
  • The lack of effect on the above measures signal to the introduction of narcotic drugs (morphine, promedola, etc.);
  • Localization of calculus in the ureter of the pelvic division allows for the blockade of Lorin-Epstein (administration of novocaine 0.5% into the round ligament of the uterus);
  • At the location of the stone in the upper part of the ureter used pelvic block according to Shkolnikov.
  • Physiotherapy (vibrotherapy, ultrasound therapy, diadynamic therapy), aimed at removing small stones

The absence of positive dynamics is a signal for urgent hospitalization of the patient. In the hospital take measures: catheterization of the ureter, puncture nephrostomy or surgery.

Attention! Algorithm only for renal colic. If you suspect a concomitant pathology of the abdominal organs, thermal procedures are prohibited.

Diagnosis of the disease

For the doctor, it is necessary to ask the patient in detail about the lifestyle, daily diet, hereditary diseases. During palpation, part of the back will be painful.

  • A urinalysis will reveal inclusions of red blood cells, protein, elevated leukocytes and epithelial cells.
  • To exclude abdominal pathology appoint x-rays.
  • Intravenous urography. The result of changing the contours of the cups and renal pelvis, the position of the ureter and its bending tells the doctor the cause of the pain.
  • Ultrasound of the pelvic organs and abdominal cavity.
  • Chromocytoscopy. Determines the slowdown in the release of indigo carmine from the overlapped ureter.
  • MRI of the kidneys.
  • Clinical and blood test for creatine levels.

Complications

Complications Due to urinary retention there is a risk of developing pyonephrosis or hydronephrosis. The accumulation of urine forces the kidneys to grow in size, overstretches the tissues, leads to the loss of organ functions.

The lack of adequate treatment of urolithiasis leads to a substantive pyelonephritis, and then the risk of urosepsis and bacterial shock increases.

Features of renal colic in pregnant women

renal colic in pregnant women

When a child is born, the load on the kidneys increases, the likelihood of exacerbation of chronic pathologies and the risk of an attack of colic increases. In pregnant women, renal colic has symptoms and treatment is the same as in other women.

Pain occurs on the background of pyelonephritis or urolithiasis. Localization of pain is more often on the right.

You can try to change the position of the body and find a more comfortable, in which the pain is less. . Hot tubs and hot-water bottles on the lower back are prohibited for pregnant women.

Symptoms during pregnancy

To determine the renal colic can be on the tone of the uterus. The remaining symptoms are not much different from the usual attack in non-pregnant women. The same abrupt onset, pain, chills, thirst and weakness.

The danger in the increased tone of the uterus, which increases the likelihood of childbirth. You can not hesitate, pregnant call an ambulance.

In the absence of a doctor or a long wait for the team, they independently take antispasmodics in the form of tablets or intramuscularly (no-spa, baralgin). They will relieve spasm and facilitate urine excretion.

Prevention of renal colic in women

With timely response to an attack, relief of pain and restoration of the passage of urine, it is possible to avoid complications and the occurrence of relapse. If adequate treatment was not followed, then the changes in the kidneys are an irreversible process.

Preventing recurrence can be, if you exclude risk factors that contribute to the development of urolithiasis:

  • See what kind of water you drink. The formation of stones is affected by the content of salts and minerals.
  • In the diet it is necessary to reduce the proportion of chocolate, smoked meat and pickles. Limit sorrel, parsley.
  • Low intake of vitamin A exfoliates epithelium in the renal pelvis. Such "garbage" serves as a building material for future stones.
  • Vitamin D is essential for calcium absorption. He, in turn, neutralizes oxalic acid inside the intestine. Its danger is expressed by the formation of oxalate kidney stones.
  • Excessive vitamin D is also bad for the body, provokes dehydration, and it thickens urine and increases the accumulation of calcium salts.
  • Congenital abnormalities of the urinary tract and kidneys can not be excluded, but knowing about its features, it is necessary to monitor the state of health.
  • Avoid infections of the genitourinary system. Pathogens change the composition of urine, its properties and contribute to the crystallization of stones. Certain bacteria damage kidney tissue and create material for the formation of stones.
  • Avoid drafts, hypothermia.
  • Lead an active, lively lifestyle.

Urolithiasis to renal colic does not manifest itself. It is important to follow a diet that prevents or reduces the likelihood of stone formation. Limit to:

  1. Green salad, sorrel, potatoes, cheese, chocolate and tea. These products contribute to oxalate stones.
  2. Eggs, beans, chicken, corn, peanuts to avoid the formation of cysteine ​​stones.
  3. Dairy products, vegetables (phosphate stones).
  4. Meat, pulses, chocolate, coffee. Increase the formation of uric acid stones.

Avoid renal colic is not always possible. But preventive measures significantly reduce the likelihood of recurrence of the attack. Pay attention to herbal infusions, decoctions. Enrich your diet with vitamins, calcium. Drink more pure water and do not neglect physical exercise.

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