Intravenous pyelography X-Ray
April 2nd, 2009
Intravenous pyelography X-Ray showing normal kidney, ureter, urinary bladder, as well as kidney stones, ureter stones, stones in urinary bladder, renal pelvis, you will also learn how to see position of kidney etc from this video presentation by Dr. Jaiswal Sir at Era’ s Lucknow Medical College and Hospital
which is best analgesic in renal colic—- diclofenac,paracetamol,dicyclomine,tramodol,pentazocine???and in what form — oral or i.m. or i.v.???
what should be administered to dissolve renal stone????
The pain is often colicky (comes in waves) due to ureteric peristalsis, but may be constant. It may come in two varieties: dull and acute; the acute variation is particularly unpleasant and is often described as one of the strongest pain sensations felt by humans (including the pain of labor pains in a female).
Diclofenac IM or IV drip of opiates like pethidine or morphine and antispasmodics like Hyoscine butyl bromide can be used. Lying down on the non-aching side and applying a hot bottle or towel to the area affected may help. Additionally, submersion in a hot bath may help alleviate the pain. If the pain is not too intense, a more speedy release of the stones may be achieved by walking. Larger stones may require surgical intervention for their removal.
I.V acetaminophene also proved to be very effective in renal colic management.
at what size of renal stone should one consider the surgical removal of stones?