Sudden "knife-cut" colic pain in one side of waist and abdomen

Introduction Sudden "knife-cut" colic in one side of the waist and abdomen, radiating along the ureter to the lower abdomen, perineum and inner thigh, which can last from a few minutes to a few hours. During the onset of low back pain, the patient bends over the back, rests restlessly, pale, sweating. After the pain, there are many different degrees of hematuria, which are more common in urinary stones. Its clinical manifestations are sudden onset, severe low back pain, and the pain is mostly persistent or intermittent, and radiates along the ureter to the axilla, perineum and scrotum; hematuria or pyuria, dysuria or interruption of urinary flow.

Cause

The cause of sudden "knife-cut" colic in one side of the waist and abdomen:

More common in urinary stones.

an examination

Related inspection

CT imaging scan

One side of the waist and abdomen sudden "knife cut" colic diagnosis and diagnosis:

Clinical manifestations vary depending on where the stone is located. The typical manifestations of kidney and ureteral calculi are renal colic and hematuria. Before the onset of colic caused by stones, the patient does not have any feeling. Due to certain incentives, such as strenuous exercise, labor, long-distance ride, etc., there is a sudden sharp waist on one side. Colic, and radiation to the lower abdomen and perineum, accompanied by abdominal distension, nausea, vomiting, varying degrees of hematuria; bladder stones are mainly dysuria and painful urination.

Its clinical manifestations are sudden onset, severe low back pain, and the pain is mostly persistent or intermittent, and radiates along the ureter to the axilla, perineum and scrotum; hematuria or pyuria, dysuria or interruption of urinary flow.

Differential diagnosis

One side of the waist and abdomen suddenly "knife cut" like colic confusing symptoms:

1. Bending, lifting heavy weight, weightlifting, low back pain: When bending hard, lifting heavy objects or lifting heavy objects, sudden low back pain occurs, and the muscles on both sides of the lumbar vertebrae are cramped and tender, suggesting that it may be an acute lumbar sprain or lumbar muscle. strain.

2. Low back pain to the lower extremity: low back pain, such as "explosion" pain, and radiate to the back of the thigh, armpit, calf outside, acupuncture or electric shock-like feeling, the lower limbs feel numb after low back pain. After the patient lie down, the symptoms are relieved. Standing, walking, and even coughing and sneezing. When the bowel movement is forced, the back pain is aggravated, suggesting that it may be lumbar disc herniation. Low back pain, especially in the 4th to 5th lumbar vertebrae, and radiate to one side of the lower extremity, and even have obvious numbness. When lying down, the lower limbs of the affected side cannot lift straight legs, suggesting that it may be root sciatica.

3. Low back pain with frequent urination, urgency, dysuria: low back pain accompanied by frequent urination, urinary urgency, dysuria, suggesting that it may be a urinary tract infection.

4. Low back pain with kidney area sputum pain: low back pain, when slamming the waist, the pain is particularly dramatic, should consider the kidney disease such as pyelonephritis, kidney tuberculosis, peri-renal abscess.

5. Low back pain in bed: aggravation of low back pain in bed, but reduced after getting up, should consider lumbar fibrosis.

6. Low back pain with increased vaginal discharge: Many women with back pain, leucorrhea more often, due to inflammation of the reproductive system. Such as cervicitis, pelvic inflammatory disease, annex inflammation and so on.

7. Room labor, excessive birth and low back pain: excessive sexual intercourse, excessive childbearing or excessive abortion, waist pain, other tests are normal, this is the Chinese medicine said kidney deficiency, waist loss Raised. In summary, through the above discussion, we know that the causes of low back pain are various. In clinical practice, doctors must pass laboratory tests in addition to understanding symptoms and physical examinations to make a diagnosis. Therefore, when there is low back pain, you should go to the hospital for examination, symptomatic treatment, and do not abuse the supplement.

Clinical manifestations vary depending on where the stone is located. The typical manifestations of kidney and ureteral calculi are renal colic and hematuria. Before the onset of colic caused by stones, the patient does not have any feeling. Due to certain incentives, such as strenuous exercise, labor, long-distance ride, etc., there is a sudden sharp waist on one side. Colic, and radiation to the lower abdomen and perineum, accompanied by abdominal distension, nausea, vomiting, varying degrees of hematuria; bladder stones are mainly dysuria and painful urination.

Its clinical manifestations are sudden onset, severe low back pain, and the pain is mostly persistent or intermittent, and radiates along the ureter to the axilla, perineum and scrotum; hematuria or pyuria, dysuria or interruption of urinary flow.

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