Epistemis

Colic lower back pain

Specialty: Nephrology and urology.

  • renal colic
  • kidney pain that comes and goes

Why it occurs

  • Renoureteral colic (lithiasis)
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Initial workup

Urinary sediment, ultrasound or CT without contrast; kidney function.

red flags

Colic with fever and involvement → obstructive pyelonephritis (urgent drainage); in >60 years rule out aneurysm.

Standard management

  • NSAID (diclofenac) — first line of colic; opioid pain reliever if it doesn't go away

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousEjaculatory pain
Area
Nephrology and urology
Listed causes
3
Treatment options
1
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