Background: Renal colic is an acute flank pain which may radiate to the groin, lower abdomen, or external genitalia due to the passage of a urinary stones. Pain management is the most important task in emergency wards when a patient with renal colic attends. This study aims to compare intravenous acetaminophen plus a low dose of morphine with a full dose of morphine in renal colic. Methods: In ...

Few clinical studies have evaluated the use of parecoxib in acute pain due to renal colic. The objective of this study is to compare the analgesic efficacy of intravenously injected parecoxib (40 mg) versus intramuscularly injected pethidine (50 mg) in reducing pain during acute renal colic attacks. This prospectively randomized controlled trial was conducted from January 2010 to December 2012....

PURPOSE Although non-selective non-steroidal anti-inflammatory drugs (nsNSAIDs) and opioids are effective treatments for acute renal colic, they are associated with adverse events (AEs). As cyclooxygenase-2 selective NSAIDs may provide a safer alternative, we compared the efficacy and safety of parecoxib versus an nsNSAID in subjects with acute renal colic. MATERIALS AND METHODS Phase IV., mu...

Objectives: Renal colic is a type of abdominal pain commonly caused by obstructive stones. The aim of this study was to compare the safety and efficacy of rectal diclofenac sodium (RDS) and intramuscular pethidine (IMP) injection in acute renal colic. Materials and Methods: In an interventional prospective double-blind randomized clinical trial, 541 patients who had referred to our center becau...

Computed tomography (CT) currently has the greatest sensitivity and specificity of imaging modalities used for the diagnosis of renal colic. When compared with ultrasound, non–contrast-enhanced CT is more sensitive in identifying obstructing ureteral stones and more accurate in measuring stone size. CT also more consistently locates the specific site of obstruction along the course of the urete...

Forty-seven patients with acute renal colic were treated with either tenoxicam 20 mg i.v. or buscopan compositum (hyoscine butylbromide 20 mg and dipyrone 2.5 g) i.v. in a double blind study. Renal colic was diagnosed with use of a general urine examination, intravenous urogram, ultrasonography or voiding of calculus. The severity of symptoms were assessed by a verbal six point scale. Results d...

Ureteric colic is a very common problem. Patients often present to A+E in significant pain, with sepsis. There are very strict guidelines produced by the BAUS and the College of Emergency Medicine. Despite this, over a quarter of UK A&E departments did not perform any radiological investigations when patients presented with renal colic. Shockingly some departments do not even offer renal colic ...

Renal colic is a common cause of severe acute abdominal pain in clinical practice. Classical symptoms include acute frank pain radiating to the groin, nausea and vomiting. There is often laboratory evidence of haematuria. Men are more often affected than women and the incidence increases with age. Acute renal colic is usually due to renal or ureteric stones. Most stones measuring 5mm or less in...