How does renal colic pain come? What are its causes? What are the accompanying symptoms that might indicate serious problems? The answer is in this report.
In a report published in the French magazine Top Sante, Professor Olivier Traxer, a urologist at Tinon Hospital in Paris, and a member of the French Association of Urology, affirmed that the pain that a person experiences while feeling renal colic exceeds the pain of childbirth.
The report said that about 120 thousand people annually in France suffer from renal colic accompanied by severe pain that requires urgent medical intervention, whether by undergoing surgery or prescribing some medications.
How does renal colic pain come?
The magazine says that the pain that patients describe during a case of renal colic is unlike any other pain.
The pain begins in the back and then rises to the ribs. To define the area precisely, Traxere says, “Imagine a point in the back at the level of the navel, then go up 20 cm above it.”
According to the French doctor, renal colic may be one of the most severe pain that a person may know throughout his life, and it increases and decreases from time to time, and it may move to the abdomen and then go down to the level of the genitals.
Traxer explains that renal colic occurs when the kidneys are blocked, which in turn is due to the blockage of one of the ducts (ureters) that connect to the kidneys and the bladder, which prevents the flow of urine and causes the kidneys to swell.
Gallstones cause 80% of cases
In 80% of cases, small stones consisting of calcium crystals block the ureter. In rare cases, the cause is a blood clot, a tumor, or an abnormal narrowing of the urinary tract.
In all cases, renal colic should be treated urgently, as Dr. Traxer stresses that the blockage may lead to long-term damage to the kidneys. There are 3 criteria that determine whether or not a patient needs surgery:
It is a sign of a kidney infection and a high risk of sepsis, and this condition is serious and life-threatening, according to Traxer.
2- The patient has only one kidney
In this case, it is necessary to perform a surgical intervention with maximum speed; Because the remaining kidney blockage endangers the patient’s life.
3- Acute pain
When any medication fails to relieve pain, surgery should be performed and relieved as soon as possible.
The surgery requires making sure that there are no complications for the patient’s health. After general anesthesia, the surgeon inserts a probe into the ureter, which allows the urine to drain and thus the pain subsides.
Traxer explains that if the patient’s condition is not critical, treatment with NSAIDs helps relieve pain. These antagonists slow the flow of urine, which gives the kidneys additional time to empty, and treatment can be limited to giving the patient an injection in the hospital emergency room.
In fact, treatment with NSAIDs should not be continued for more than 2 or 3 days; Because it negatively affects the kidneys, and is not suitable for people with impaired kidney function.
In contrast, analgesics such as paracetamol or morphine can be used to calm the pain, although they are less effective than anti-inflammatory drugs.
In many cases the stones move and come out with the urine, depending on the patient’s condition and the size of the stones. But if they are large or the patient has other problems, urgent surgical intervention may be required to remove them.