Biliary and renal colic, causes, symptoms, first emergency medical care for biliary and renal colic.

Biliary colic is an attack of pain in the right hypochondrium. Colic often accompanies gallstone disease. The reason for the development of colic is often stones that get stuck in the biliary tract and interfere with the normal outflow of bile, cause the gallbladder to stretch. The factors that trigger the onset of an attack include negative emotions, plentiful fatty foods, spices, spicy seasonings, alcohol, physical activity. In women, an attack often coincides with menstruation or occurs after childbirth. 

Symptoms of biliary colic.

Sudden sharp pain occurs (usually at night) in the right hypochondrium. Often the pain gives to the right shoulder and shoulder blade, part of the neck, less often to the region of the heart. In the latter case, it looks like an attack of angina pectoris. The pain is constant and cramping. With an attack of biliary colic, there may be frequent vomiting, which does not bring relief. A pain attack lasts from several minutes to several hours. The patient noted excitement, he groans. Characterized by excessive sweating, pale skin. The abdomen is swollen, the muscles of the anterior abdominal wall are tense. When probing the abdomen in the right hypochondrium – sharp pain.

, and if pyelonephritis occurs, then the body temperature rises. With renal colic, the patient, when probing, finds pain in the corner between the spine and lower rib, the appearance of blood in the urine.

First aid for renal colic.

With uncomplicated renal colic, you can restrict yourself to thermal procedures (use a heating pad and a hot bath). Antispasmodics and painkillers are used intramuscularly or intravenously (dental ammonia extract, 2–4 ml of a 2% solution of papaverine hydrochloride, a 0.1% solution of atropine sulfate, a 0.2% solution of platifillin hydrotartrate, a 2% solution of drotaverine hydrochloride).

If you have a first-time or protracted attack, you must definitely call an ambulance. The doctor introduces narcotic analgesics (1% solution of promedol), performs novocaine blockade in the kidney area. In the absence of effect, the patient is hospitalized in the urological or surgical department of the hospital. If the above measures are ineffective, an operation is performed to remove the stone and restore patency of the upper urinary tract.

Based on the book “Quick help in emergency situations”.
Kashin S.P..

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