Diseases of the kidneys, ureters and perinephral fiber in most cases are accompanied by pain in the lumbar region, in hypochondrium, costovertebral corner, often with one, sometimes with both sides. In some cases the pain occur immediately and occur abruptly, as an attack of renal colic, in others they have a constant dull character.
An attack of renal colic occurs suddenly and lasts several hours or even days. Sharp, cutting pain in the lower back, side or upper quadrant gives (radiating) down as n. ileoinguinalis: in the groin, inner thighs, external genitals. In most cases, renal colic is accompanied by bloating, nausea, vomiting, increase, sometimes painful urination. Urine often stained with blood (macroscopic hematuria), microscopically, usually in the urine detected erythrocytes. Normal or subfebrile temperature, pulse rare. Patients are restless, change position. In some cases, renal colic is accompanied by fever, chills, high leukocytosis blood, accelerated ROHE even in the absence of urinary infections caused by the inverse of throwing (reflux) of urine from crowded pelvis into the kidney through the veins, lymphatic vessels and renal tubules. Fever and leukocytosis blood usually are expressed mild and disappear as the remission of attack.
Renal colic is the result of acute irritation of sensitive nerve endings, which are richly supplied with fibrous capsule kidneys, the wall of the renal pelvis and surrounding tissue. An attack of renal colic may occur when forced stretching the renal pelvis or fibrous capsule caused by obstruction of the ureter or kidney stones, blood clot, the accumulation of salts, a piece of the tumor or the tumor from outside, such as a tumor, outgoing from the adjacent organs.
Pain of renal colic can depend on spasmodic contractions of the ureter.
The phenomenon of peritoneal irritation, nausea, vomiting, flatulence - is explained by anastomoses renal nervous plexus with solar and celiac entanglements. Sometimes these phenomena simulate acute appendicitis, peritonitis and intestinal obstruction (gastrointestinal type renal colic).
Renal colic in most cases observed at stones of kidneys or ureters, but it is not a specific symptom of kidney stones. It is observed if hydronephrosis, omitted the kidney, rich renal bleedings, causing obstruction of the ureter blood clots.
Right renal colic can be distinguished from acute appendicitis or cholecystitis for restless behavior of the patient, the characteristic radiation of pain, presence in the urine of a red blood cells, the absence of voltage abdominal muscles, weak pulse. In doubtful cases the question decides indigocarmina sample (chromatotherapy). In acute appendicitis, cholecystitis the Indigo Carmine, entered intravenously, is released from the gallbladder mouths disorders after 3-4 minutes, and renal colic - late or not you receive.
In the differential diagnosis, as well as for medicinal purposes, you can use the blockade of the spermatic cord or round ligament of the uterus 20 ml of 1 % solution novokaina. Renal colic after such blockade usually 15-20 minutes calms down, when the acute intraperitoneal processes blockade did not work.
Dull pain in kidney diseases are caused by slow-growing increase in the kidneys in the amount or extension of the pelvis. They are for renal tumors, hydronephrosis, chronic inflammatory processes - pyelonephritis, Pioneros, paranemia, at stones of kidneys, partially violates the outflow of urine.
Pain in the bladder are typically associated with urination. Independent pain observed in malignant tumors of the bladder or in acute inflammation of it (acute cystitis) and is felt in the lower abdomen above the pubic area, especially when you are feeling this area.
The pain emanating from the prostate, such as inflammation, stones or tumors her, felt in the sacrum and the groin, in the anus or perineum. Chronic urethritis in the urethra have sensation of itching or meketane, increasing during urination.