16 doctors weighed in:

What is best treatment for renal colic or uretric colic?

16 doctors weighed in
7 doctors agree

In brief: ER Stone Care

For someone in the er, the best intervention is to give toradol, if: no anti-coagulation, not allergic, no GI ulcers and no abnormal creatinine.
Studies have proven toradol to be more effective than narcotics in first line therapy. Narcotics can then be used in lesser quantities for ongoing management. Plus the anti-inflammatory properties aid in stone passage by reducing ureteral swelling.

In brief: ER Stone Care

For someone in the er, the best intervention is to give toradol, if: no anti-coagulation, not allergic, no GI ulcers and no abnormal creatinine.
Studies have proven toradol to be more effective than narcotics in first line therapy. Narcotics can then be used in lesser quantities for ongoing management. Plus the anti-inflammatory properties aid in stone passage by reducing ureteral swelling.
Dr. Robert Donato
Dr. Robert Donato
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6 doctors agree

In brief: Treat the blockage

Renal or ureteric colic is caused by an underlying blockage of the kidney or ureter, commonly caused by a stone or by a congenital malformation of the kidney, a uretero-pelvic or uretero-vesical junction obstruction.
An imaging study, such as a renal ultrasound, a ct scan of the kidney and pelvis, or a Lasix (furosemide) renogram can diagnose the area of obstruction. Treatment depends on the cause.

In brief: Treat the blockage

Renal or ureteric colic is caused by an underlying blockage of the kidney or ureter, commonly caused by a stone or by a congenital malformation of the kidney, a uretero-pelvic or uretero-vesical junction obstruction.
An imaging study, such as a renal ultrasound, a ct scan of the kidney and pelvis, or a Lasix (furosemide) renogram can diagnose the area of obstruction. Treatment depends on the cause.
Dr. Kristin Kozakowski
Dr. Kristin Kozakowski
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Dr. George Klauber
Pediatrics - Urology
3 doctors agree

In brief: Pain meds +? stent

Initially pain meds as required, toradol or Dilaudid if necessary.
Hopefully stone will pass on its own. May require temoporary ureteral stenting if extreme pain not relieved or ferile, this will relieve pain + might break up stone. Appropriate plan can be made after colic has been reieved. Jj ureteral stent is a small tube placed between bladder and kidney via a cystoscope.

In brief: Pain meds +? stent

Initially pain meds as required, toradol or Dilaudid if necessary.
Hopefully stone will pass on its own. May require temoporary ureteral stenting if extreme pain not relieved or ferile, this will relieve pain + might break up stone. Appropriate plan can be made after colic has been reieved. Jj ureteral stent is a small tube placed between bladder and kidney via a cystoscope.
Dr. George Klauber
Dr. George Klauber
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Dr. Dilawar Singh
General Practice
2 doctors agree

In brief: Colic

Immediate treatment is pain relif.
It may be with NSAIDs or morphine. This is followed by definitive treatment which will depend on number , size and location of stones.

In brief: Colic

Immediate treatment is pain relif.
It may be with NSAIDs or morphine. This is followed by definitive treatment which will depend on number , size and location of stones.
Dr. Dilawar Singh
Dr. Dilawar Singh
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