Renal colic in pregnancy

Pregnancy is a physiological state in which the woman's body undergoes many changes, some of these affect the urinary system both in its anatomy and in its functioning; which makes the pregnant woman prone to urinary infections , and the formation of stones (stones) in the kidney en or in the urinar

Pregnancy is a physiological state in which the woman's body undergoes many changes, some of these affect the urinary system both in its anatomy and in its functioning; which makes the pregnant woman prone to urinary infections, and the formation of stones (stones) in the kidney en or in the urinary tract that give rise to known renal colic. The cause of nephritic colic is the formation of a stone or calculus in the kidney or ureter. These stones are formed by crystals, mainly calcium oxalate that is excreted in the urine.

Symptoms of renal colic in pregnant women

Kidney colic is characterized by the sudden onset of pain on one side of the abdomen or lower back

, which appears and disappears cyclically, can be referred to by women as a burning sensation or punctures It usually radiates to the genitals and the lower back. Sometimes the pain is accompanied by urinary symptoms such as stinging or discomfort when urinating (dysuria), much desire to go to the bathroom (frequency and / or urgency). There is usually no deterioration of the general state (fever, nausea or vomiting).Although this condition is not very frequent in pregnancy, it is a reason for the pregnant woman to enter due to the intense pain and the need for intravenous treatment. Despite the scandalous symptoms,

there is usually no risk to the fetus

. Multiple pregnancies are a risk factor for nephritic colic. Women with a history of nephritic colic before pregnancy also develop this condition more frequently in pregnancy.Diagnosis and treatment of renal colic in pregnancy

Ultrasound is the safest and most reliable test for the fetus and the mother. However, other tests such as nuclear magnetic resonance or low-rate tomography can be performed depending on the severity of the clinical picture and the trimester of pregnancy when nephritic colic occurs.

The treatment is anal analgesia, spamolytic drugs and rest.

The spontaneous expulsion rate of stones (stones) during pregnancy is high, so the initial treatment is usually conservative based on analgesics orally and control of the evolution with ultrasound.

In case of clinical complication, such asacute pyelonephritis

(a high urinary tract infection) and / or obstruction of the urinary tract, the urologist and the gynecologist should act urgently as the risk of a threat of premature labor increases.