Cital 1 tsp in a glass of water x tds (urine alkaliniser) or Barleywarer (Kissan) 1 glass tds.
Plenty of water and fluids.
Inj. PERINORM 2cc IM (Antiemetic) if there is vomiting.
I.V. Gluids 1000ml DNS if fluid intake is not sufficient.
Send Urine for RBC’s collected furing colic.
If pain is severe
Inj. Baralgan 2cc IM may be repeated.
Inj. Morphin 1amp IM or IV (Analgesic), morphin is the most preferred.
Inj. Atropin 1 amp I.V.
If colic persists, Give Hydrotherapy or Refer to a surgeon.
Ask for Urine Exam X-ray KUB and ultrasonography.
Hydrotherapy:
I.V 1000ml 5% dextrose given as a fast drip. At the end of the drip. Give
Inj. LASIX 1-2 amps IV (Diuderic to force urine flow)
Inj. Baralgan 2cc IM (for pain and relaxation of ureter)
Repeat for 3 consecutive days. Then repeat K.U.B X-ray. If stone has not moved and pain persists, Refer to urologist for stone removal of Lothotripsy.
Whenever you suspect ureteric colic, collect urine during or after the colic. Presence of RBC’s confirms your diagnosis, even if a small stone or crystal may not be seen X-ray.
If there is significant tenderness over the abdomen, then it is not a ureteric colic.
Small stones in lower ureter can be basketted and removed through cystoscope. Larger stones causing Hydronephrosis, are best treated with lithotripsy (ESWL) or surgery.
