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Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis
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[Renal colic].

Francois Leboutte1, Andreas Neisius2

  • 1Abteilung für Urologie und Kinderurologie, Krankenhaus der Barmherzigen Brüder Trier, Medizincampus Trier der Universitätsmedizin Mainz, Nordallee 1, 54292, Trier, Deutschland.

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Summary

Renal colic, often caused by urolithiasis, requires prompt diagnosis and management. Treatment focuses on pain relief, infection control, and stone removal, with imaging guiding interventions.

Keywords:
Antibacterial agentsEmergency medicineNon-steroidal anti-inflammatory agentsPain managementUrolithiasis

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Area of Science:

  • Urology
  • Emergency Medicine
  • Radiology

Background:

  • Renal colic is a common emergency department presentation, frequently indicating urolithiasis.
  • It accounts for 5-10% of all emergency visits.

Purpose of the Study:

  • To outline current diagnostic and treatment strategies for renal colic.
  • To emphasize appropriate imaging and management pathways.

Main Methods:

  • Diagnosis involves laboratory tests, ultrasound, and low-dose noncontrast computed tomography (CT).
  • Kidney, ureter, bladder (KUB) radiography is largely superseded by CT.
  • Ionizing radiation is minimized in sensitive populations like children and pregnant women.

Main Results:

  • Pain management with NSAIDs or opioids is standard.
  • Antibiotics are used for suspected infections.
  • Pharmacological expulsion therapy and early urinary drainage (JJ stent/nephrostomy) are options.
  • Definitive stone removal can be primary or secondary.

Conclusions:

  • Effective management of renal colic hinges on accurate diagnosis and tailored treatment.
  • Minimizing radiation exposure is crucial in specific patient groups.
  • A multimodal approach addresses pain, infection, and stone burden.