Stone disease: emergency treatment

The pain comes first
The treatment of stone disease occurs in two stages: the acute treatment and subsequent stone removal. Since the colic to severe pain at all belong to the pain is eliminated, the highest principle. This medication is used to relieve the pain of a hand. The parasympatholytics, for example, the active ingredient Hyoscinbutylbromid should relax the smooth muscles are used only for intramural (in the bladder wall ingrown) stones when concomitant pollakiuria (frequent emptying of small amounts of urine) and dysuria (unpleasant, difficult or painful urination) is present. They have on the wall tension of the ureter has no control and therefore should not come at the top of the urinary tract stones are used.


Opiates are sometimes necessary
For pain therapy is usually pain-relieving and anti-inflammatory NSAIDs such as diclofenac are used. As a reserve drug metamizole is in question. In extreme, uncontrollable pain may also be injected an opiate.


Reduce fluid intake during the colic
During an acute stone colic also a restricted fluid intake is necessary to reduce the urinary obstruction and pressure on the area above the bottleneck caused by the stone does not have to increase further. Only when the colic subsides and the tightness is removed, the liquid flow can be increased.


Infection must be drained when the urine through a catheter
If a bacterial infection of the upper urinary tract (pyelonephritis) with urinary retention, it may come to a flood of pathogens into the bloodstream and thus to the perilous state of urosepsis. Therefore, in this case necessarily an artificial urinary diversion is necessary. This can be done via a catheter inserted through the renal tissues (nephrostomy) or through a ureteral catheter. Catheterization may also be useful if the colic can not be corrected by medication. By draining the urine makes the pain immediately.
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