EC Microbiology

Editorial Volume 18 Issue 12 - 2022

Managing Renal Colic in Emergency

Amal Saleh Akeel1, Abdulrahman Mohammed Yousef Almehmadi1, Abdulaziz Hamed Salem Alghamdi1, Ahmed Abdulaziz Ali Alassiri2, Ahamed Ateq Masoud Albeshri3, Anwar Saeed Sabti Alghamdi1, Ahmed Hammad Hamed Aljohani4, Mubarak Mohammed Aldosari5, Saud Nahed Saud Aldawsari5, Ghalib Nasser Aldawsari5, Abdullah Tawfoq Aldoaje1, Abdulrahman Hossny Mohammed1, Mohammed Ahmed Mohammed alzubaidi1, Sultan Abdullah Almutairi6

1King Fahad Hospital Jeddah, Saudi Arabia
2Heraa hospital, Makkah, Saudi Arabia
3King Abdulaziz hospital, Makkah, Saudi Arabia
4King Salman Armed Forces Hospital, Tabuk, Saudi Arabia
5Wadi aldawasir hospital, Riyadh, Saudi Arabia
6Sulaimaniya primary health care center, Riyadh, Saudi Arabia

*Corresponding Author: Amal Saleh Akeel, Emergency Medicine Consultant, King Fahad Hospital, Jeddah, Saudi Arabia.
Received: December 26, 2022; Published: December 26, 2022

Introduction: Renal colic disease is a very common disease in medicine. Ureteric colic is a more clinically correct term for the ailment since it more accurately describes the source of renal colic, which is typically obstruction of the urine flow by stones in the upper urinary tract (urolithiasis). By increasing the pressure in the urinary tract wall and encouraging the production of prostaglandins, the blockage in the ureter leads to vasodilation. This causes diuresis, which raises kidney pressure even further. Rarely, renal colic can develop for reasons other than urinary stones, such as blood clots that can form from upper urinary tract hemorrhage, sloughed renal papilla (caused, for example, by sickle cell disease, diabetes, or prolonged painkiller usage), or lymphadenopathy. Rapid and efficient management of this excruciatingly painful disease is possible in the Emergency Department with prompt diagnosis and proper treatment implemented.

Aim of the Study: The present literature reviews the acute clinical evaluation of renal colic patients, outlines appropriate diagnostic approaches using lab testing, imaging, and conservative treatments, appropriate options for analgesia, and specifies when surgical intervention is necessary for an emergency.

Methodology: The present literature review is a comprehensive research of PUBMED since the year 1973 to 2021.

Conclusion: Due to the significant issues with our diet, renal colic illness is highly prevalent in the community. Therefore, it is crucial that we understand how to manage these patients and when to use medicine and when to come up with new treatments. The majority of nations utilize opiates and NSAIDs to treat renal colic pain. Future studies should examine the efficiency of quick pain relief for renal colic and any side effects brought on by these drugs. We should have a population for screening, such as people with metabolic syndrome and people with kidney illness, and don't forget to employ non-contracted enhanced computed tomography, the gold standard for diagnosis.


Keywords: Renal Colic; Opiates; NSAIDS; Emergency Treatment

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Amal Saleh Akeel., et al. “Managing Renal Colic in Emergency”. EC Microbiology  18.12 (2022): 69-76.