Pain in urolithiasis. What is left in the bag?

Authors

  • Nagesh Kamath Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal, Karnataka
  • Shiran Shetty Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal, Karnataka

Keywords:

Urolithiasis, Pain, Colic

Abstract

A host of reasons contribute to abdominal pain although the pain due to renal calculus (RC) being less frequent. Unbearable pain is seen in the case of urolithiasis that is severe in intensity than any other disease condition. Pain doesn’t subside by taking analgesics or postural changes. Pain is unexplainable. It may persist from few minutes to hours comes back and makes one feel very sick, may be seen daily or intermittently accompanied by vomiting and sleepless nights. Once and for all one wants to get rid of the pain, but due to improper diagnosis, pain persists as the analgesic action of drugs comes down. What has one got left in the bag to try?

References

Pearle MS, Calhoun EA, Curhan GC. Urologic Diseases of America Project. Urologic diseases in America project: Urolithiasis. J Urol. 2005;173(3):848-57.

Herring LC. Observations on the analysis of ten thousand urinary calculi. J Urol. 1962;88:545-62.

Cohen E, Hafner R, Rotenberg Z, Fadilla M, Garty M. Comparison of ketorolac and diclofenac in the treatment of renal colic. Eur J Clin Pharmacol. 1998;54(6):455-8.

Donnally CJ 3rd, Gupta A, Bensalah K, Tuncel A, Raman J, Pearle MS, et al. Longitudinal evaluation of the SF-36 quality of life questionnaire in patients with kidney stones. Urol Res. 2011;39(2):141-6.

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Published

2016-12-10

Issue

Vol. 1 No. 3 (2014): October-December 2014

Section

Letter to the Editor