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Journal of Education, Health and Sport

Acute renal colic / renal stones – problematic common disease. Current knowledge on etiology, diagnosis and treatments
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  • Acute renal colic / renal stones – problematic common disease. Current knowledge on etiology, diagnosis and treatments
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Acute renal colic / renal stones – problematic common disease. Current knowledge on etiology, diagnosis and treatments

Authors

  • Rafał Bakalarczyk https://orcid.org/0009-0008-8788-8503
  • Adrian Rejmer Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-1248-4941
  • Natalia Woś Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0002-9212-2664
  • Katarzyna Rojek Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0004-3691-3669
  • Lucjan Bednarz Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0001-3213-3508
  • Karolina Wijas Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0000-7776-8446
  • Kinga Bialic Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0009-4029-5919
  • Karolina Szala-Czerwonka Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0001-8545-9237
  • Artur Bialic Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0008-9148-8801
  • Paweł Majewski Uniwersytet Medyczny w Lublinie https://orcid.org/0009-0000-4624-3129

DOI:

https://doi.org/10.12775/JEHS.2023.28.01.008

Keywords

acute renal colic, renal colic treatment, anti-inflammatory drugs, renal stones fluid therapy

Abstract

Introduction:

An attack of renal colic as a result of kidney stones is one of the most common urological emergencies, with a wide spectrum of severity that generates high morbidity and high health costs. However, there is no single pharmacological treatment regimen for its acute phase. Renal colic is described as one of the worst types of pain, and effective analgesia in the shortest possible time is of paramount importance

Aim of the study:

Summary of current knowledge on the treatment of Acute renal colic / renal stones. The main purpose of our work is to review and summarize the various recommended options for the treatment of acute renal colic attack and prevention of recurrent urolithiasis depending on the type of stones and also to price the efficacy and safety profile of various drugs used in this ailment and to propose a practical treatment regimen.

Material and methods:

We conducted a literature search in PubMed using the terms "acute renal colic," "renal colic treatment," "anti-inflammatory drugs," "renal stones," and "fluid therapy." The most relevant clinical trials, meta-analyses and systematic reviews published from January 1, 2017 to January 1, 2022 in English and Spanish were reviewed.

Results:

In various studies reviewed, non-steroidal anti-inflammatory drugs (NSAIDs) show better pain control, with lower doses and fewer side effects than treatment with opioids.
Complete cure in kidney stones is rare due to the frequent recurrence of the disease. Although acute attacks of renal colic are rare in the patients studied, many patients show improvement after taking nonsteroidal anti-inflammatory drugs. Opioids and fluid therapy are reserved for subsequent lines of treatment and also have proven benefits in relieving symptoms.

References

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Holdgate A, Pollock T. Systematic review of the relative efficacy of non-steroidal anti-inflammatory drugs and opioids in the treatment of acute renal colic. BMJ. 2004 Jun 12;328(7453):1401. doi: 10.1136/bmj.38119.581991.55. Epub 2004 Jun 3. Erratum in: BMJ. 2004 Oct 30;329(7473):1019. PMID: 15178585; PMCID: PMC421776.

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Published

2023-05-11

How to Cite

1.
BAKALARCZYK, Rafał, REJMER, Adrian, WOŚ, Natalia, ROJEK, Katarzyna, BEDNARZ, Lucjan, WIJAS, Karolina, BIALIC, Kinga, SZALA-CZERWONKA, Karolina, BIALIC, Artur and MAJEWSKI, Paweł. Acute renal colic / renal stones – problematic common disease. Current knowledge on etiology, diagnosis and treatments. Journal of Education, Health and Sport. Online. 11 May 2023. Vol. 28, no. 1, pp. 100-108. [Accessed 17 May 2025]. DOI 10.12775/JEHS.2023.28.01.008.
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Issue

Vol. 28 No. 1 (2023)

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Review Articles

License

Copyright (c) 2023 Rafał Bakalarczyk, Adrian Rejmer, Natalia Woś, Katarzyna Rojek, Lucjan Bednarz, Karolina Wijas, Kinga Bialic, Karolina Szala-Czerwonka, Artur Bialic, Paweł Majewski

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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