Articles: colic.
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The Journal of urology · May 1995
Treatment of renal colic by desmopressin intranasal spray and diclofenac sodium.
The vasopressin analogue, 1-desamino-8-arginine vasopressin (desmopressin), is a potent antidiuretic without the pressor effects of vasopressin. A total of 18 patients with acute renal colic due to stone disease received 40 microgramsf1p4mopressin intranasal spray with encouraging results. There was a significant decrease in the colic pain intensity from an initial mean visual analogue score of 67 +/- 17 mm. to 39 +/- 36 mm. within 30 minutes (p < 0.001). ⋯ We conclude that intranasal desmopressin spray can be used successfully in the treatment of renal colic. It may also replace prostaglandin synthetase inhibitors in treating renal colic with the advantage of avoiding the potential side effects. Further studies are needed to investigate whether the combination of desmopressin with analgesics or spasmolytic drugs offers competitive results compared with those achieved by prostaglandin synthetase inhibitors in the treatment of renal colic.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of intramuscular ketorolac and pethidine in the alleviation of renal colic.
To compare the analgesic efficacy of a single 30 mg intramuscular dose of ketorolac with that of intramuscular pethidine 100 mg, in a double-blind, parallel-group investigation of patients presenting with pain suggestive of renal colic. ⋯ Ketorolac can be considered a viable alternative to pethidine for the treatment of renal colic.
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Comparative Study Clinical Trial
Excessive infant crying: a controlled study of mothers helping mothers.
To determine the efficacy of behavioral management counseling in the treatment of persistent, excessive infant crying (> 3 hours per day). ⋯ Behavioral management was more effective in reducing fussing/crying than spending time with the mother talking through the problem or just waiting for spontaneous remission. Treatment by suitably but briefly trained lay counselors is an inexpensive and successful treatment option.
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NSAID are by far the most efficient therapy in renal colic treatment as they directly interfere with the physiopathology of a renal colic. Other therapies that have been standard are now shown to be insufficient or even contraindicated. Hydratation during a renal colic seems to be unimportant. The efficiency of stone-expulsive drugs has still to be proven.