renal colic

colic /col·ic/ (kol´ik)

1. acute paroxysmal abdominal pain.

2. pertaining to the colon.

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appendicular colic  pain in the vermiform appendix caused by inflammation.

biliary colic  colic due to passage of gallstones along the bile duct.

gallstone colic , hepatic colic biliary c.

infantile colic  a paroxysmal type seen during the first 3 months of life.

lead colic  colic due to lead poisoning.

renal colic  pain due to thrombosis of the renal vein or artery, dissection of the renal artery, renal infarction, intrarenal mass lesions, or passage of a stone within the collecting system.

vermicular colic  appendicular c.

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renal colic,

sharp, severe pain in the lower back over the kidney, radiating forward into the groin. Renal colic usually accompanies forcible dilation of a ureter, followed by spasm as a stone is lodged or passed through it. See also urinary calculus.

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colic

1. pertaining to the colon.

2. a syndrome caused by severe paroxysmal pain due to disease of an abdominal organ. Usually due to alimentary tract disease, and rarely to infection or calculus in the urinary tract involving the renal pelvis, ureter, bladder or urethra.

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bovine colic

is characterized mainly by recurrent bouts of downwards arching of the back, restless walking, looking at the flank, lying down, rolling, and getting up again. Colic is evident for a few hours only and is followed by spontaneous recovery in most cases. These cases are probably caused by intestinal spasm.

The next most common cause is intestinal obstruction by phytobezoar, volvulus, strangulation (2), or intussusception. In these the colic disappears but no feces are passed for some days. Rectal examination reveals scant, pasty gray or blood-stained feces, and possibly the presence of distended loops of intestine. Enterotomy or enterectomy is essential for survival. Rare cases also occur due to renal infarction or to ureteric obstruction.

colon impaction colic

impaction of the colon on a diet high in tough fiber is common in horses and pigs. There is mild abdominal pain and hard fecal masses are passed. See also meconium ileus, impaction colic (below).

equine colic

most cases are due to intestinal disease. Characteristic signs are bouts of pain marked by pawing, looking at the flank, lying down and getting up restlessly, rolling; the gut sounds are either absent or excessive. Mild cases recover spontaneously or after medical treatment for gut spasm or impaction with dry feed. Life-threatened cases have shock, circulatory collapse and usually positive findings on abdominal paracentesis. Surgery is often obligatory. Acute colic is also an important part of the syndrome in acute enteritis and colitis in which diarrhea is a paramount sign. Peritonitis is usually manifested as subacute colic.

flatulent colic

of horses is due to gas accumulation in the large intestine when grazing on lush pasture. There is severe pain, obvious distention of the abdomen, and the rectum is obstructed by distended loops of bowel. Sporadic cases occur as a result of partial obstruction of the intestine by fibrous adhesions. Trocarization through the flank or rectum is often necessary. Called also tympanitic colic. Previously called intestinal meteorismus.

gastric dilatation colic

of horses due to gastric dilatation is a severe acute disease due to gorging on hay or grain, especially immediately after racing, or due to lipoma causing strangulation at the pylorus. Regurgitation through the nostrils or the discharge of large quantities of fluid gastric contents through a nasal tube is a frequent sign. Death is common as a result of gastric rupture.

impaction colic

in horses is due to dry or indigestible feed, or bad teeth, or in foals by the retention of meconium. Subacute pain bouts occur at long intervals and over several days; death in untreated cases is due to exhaustion. Effective treatment is large oral doses of mineral oil (paraffin) administered by nasal tube. See also colon impaction colic (above).

intestinal obstruction colic

in horses is caused by intestinal obstruction consisting mostly of acute life-threatening cases due to intussusception, strangulation or volvulus, usually affecting the small intestine, although sometimes it is the cecum or colon. Typical signs are shock, absence of gut sounds, very severe pain, short course, positive findings of blood-stained fluid on paracentesis, distended loops of gut on rectal examination and death due to shock and dehydration unless the blockage is relieved by surgery.

Less severe cases are caused by impaction of the ileocecal valve by undigested fine fiber or grain, by sand accumulation, obstruction by phytobezoars, enteroliths or linear foreign bodies, usually in the small colon. See also under enterolith, phytobezoar, linear foreign body, volvulus, intussusception, strangulation.

lead colic

colic due to lead poisoning.

recurrent colic

equine colic that recurs at intervals of weeks or months. Due usually to repeated dietary indiscretions or to a persisting defect, e.g. bad teeth, verminous aneurysm.

renal colic

intermittent and acute pain usually resulting from the presence of one or more calculi in the kidney or ureter.

sand colic

is caused by the ingestion of soil or sand and can be an acute syndrome due to ileocecal valve impaction or chronic mild pain with diarrhea for a period of months.

spasmodic colic

this form of colic in horses is often due to excitement. Bouts of sharp pain are accompanied by loud, frequent gut sounds, and spontaneous recovery is usual within an hour. Occasional cases develop volvulus during bouts of rolling.

thromboembolic colic

is caused by infarction of a section of gut wall or by stimulation by migrating strongyle larvae and may appear as intermittent spasmodic colic or subacute colic for a number of days followed by development of peritonitis. See also strongylosis.

tympanitic colic

see flatulent colic.

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renal colic

Nephrology A colicky pain typical of Pts passing kidney stones