Biliary colic usually begins abruptly in usually two or three hours after dinner. It felt like a cramp or a burning epigastric with radiation to back (to the top of the scapula) or right shoulder. During colic patient is agitated, tachycardic, feverish and often the digestive symptoms associated reflexes: bilious vomiting or diarrhea.
When no complications, colic usually stops abruptly. When colic is prolonged and not succumb to the usual painkillers, suggests the common bile duct stones and acute cholecystitis.
To elucidate the cause biliary colic biliary exploration is required by: ultrasound, plain radiography as a hypochondriac, oral cholecystography, colangio-script iv and so on
Treatment includes administration of analgesics (Algocalmin), antispasmodics (Scobutil, papaverine), antiemetics (Torecan).
Renal colic ( RC ) is a breakthrough back pain , kidney disease feature . It usually occurs suddenly , is located in Lomba , with exacerbations causing a patient’s agitation killers looking for a position . Pain radiating down the hypogastrium , the genitals or groin .
C.R. usually not accompanied by fever, only in cases of retention basins appears septic fever. Palpation of diseased region exacerbates pain and sometimes there is a contracture . Lomb percussion triggers a vivid pain ( sign Giordano ) . On abdominal examination there is flatulence .
Physiological explanation of pain is sudden distension basins and pelvis due to ureteral spasm , whose origin can be : a calculation ureters hired a deposit or mucopurulent chiag the ureter , pelvic injury juxtaureterală
Laboratory will be performed : urine examination , plain radiography , urography .
In C.R. , Violent pain requiring emergency treatment : antispasmodic ( papaverine ) , common analgesics ( Algocalmin ) . Warm bath has a good antispasmodic action .
In colicele not fail to remember you can use morphine treatment , but only in association with an antispasmodic and only after the diagnosis is certain.
Intestinal colic is the result of bowel distension and irritation receptors in its wall. If to this is added a crushing mesentery, the pain becomes stronger.
Închidrea intestinal colic is caused by sudden intestinal lumen through the clamp, volvulus, intussusception. In colic caused by bowel obstruction (tumor) pain is caused by peristaltic wave that starts at the obstruction. Emphasizes the pain as the peristaltic wave approaches the obstacle, then diminish and disappear, to be repeated when a new peristaltic wave.
Is the temporary treatment and the use of antispasmodic analgesics common, but most often require surgical intervention to remove the obstacle.
Cecal colic is characteristic of the onset of acute appendicitis . It usually installs apparent health suddenly filled with right iliac fossa pain , radiating to the epigastrium and umbilical region . The pain may spread throughout the abdomen , because after a while to be located predominantly in the right iliac fossa . The pain is accompanied by nausea and vomiting. The patient has no fever, no leukocytosis
Clinical examination of the abdomen showed the presence of symptomatic triad : hyper- estezie skin, muscle stiffness and pain in the right iliac fossa .
Diagnosis of acute appendicitis requires emergency surgery , but cecal colic be timed intervention , if any contraindications other measures ( cardiovascular disease, hepatorenal failure , old age etc . ) . Keep patient at rest in bed , flashing ice bag local hydric regime , analgesic .
Salpingiană colic pain is located in the hypogastrium: abdomen is slim. Genital examination shows a large salpinx very painful.