What medicine is used to relieve renal colic?
Renal colic is severe pain caused by urinary tract stones, infection, or other diseases, often in the waist or lower abdomen. Medication treatments for renal colic are designed to provide quick pain relief and address the underlying cause. The following are the medications for renal colic and related hot topics that have been hotly discussed on the Internet in the past 10 days. They are compiled into structured data based on medical advice for reference.
1. Common analgesics for renal colic
| drug type | Representative medicine | Mechanism of action | Things to note |
|---|---|---|---|
| Nonsteroidal anti-inflammatory drugs (NSAIDs) | Ibuprofen, diclofenac sodium | Inhibits prostaglandin synthesis, reducing inflammation and pain | Avoid long-term use, use with caution in patients with gastric ulcers |
| opioid analgesics | Tramadol, pethidine | Acts on the central nervous system, providing powerful analgesia | May be addictive and requires medical guidance |
| Antispasmodics | Anisodamine (654-2), phloroglucinol | Relaxes smooth muscles and relieves spasmodic pain | May cause dry mouth and heart palpitations |
2. Renal colic treatment hot spots that are hotly discussed on the Internet
1.NSAIDs vs Opioid Controversy: Recent medical forum discussions pointed out that NSAIDs are effective as first-line drugs for renal colic (such as diclofenac sodium suppositories), but some patients still need opioid assistance. Experts recommend giving priority to NSAIDs to reduce the risk of addiction.
2.Rising attention on traditional Chinese medicine therapy: Chinese patent medicines such as Desmodium Herba Granules and Paishi Granules have become hot spots on social platforms for their "gentle stone removal". However, attention should be paid to their auxiliary status. Acute pain still needs to be combined with western medicine.
3.Application of new antispasmodic drugs: Phloroglucinol is recommended because of its minor side effects, and relevant clinical data have been cited many times in medical information in the past 10 days.
3. Precautions when using medication for renal colic
| Things to note | Detailed description |
|---|---|
| Drug contraindications | Avoid NSAIDs in patients with renal insufficiency; use anisodamine with caution in patients with glaucoma |
| Combination medication | Antispasmodic drugs + analgesics can enhance the effect, but doctor’s advice is required |
| emergency indications | Fever, anuria, or severe vomiting require immediate medical attention and may require surgical intervention |
4. Prevention and long-term management suggestions
1.Increase water intake: Drink 2-3 liters of water every day to reduce the formation of stones.
2.diet modification: Limit high-oxalate foods (such as spinach, nuts), and supplement calcium in moderation.
3.Regular review: Stone patients should undergo urinary system ultrasound every six months.
Summary: The medication for renal colic needs to be selected individually based on the pain level and cause. NSAIDs are the first choice, and in severe cases, opioids or antispasmodics can be combined. Recent hot topics have focused on drug optimization and auxiliary therapy with traditional Chinese medicine, but patients should take medications under the guidance of a doctor to avoid self-treatment and delaying the condition.
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