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Treatment of stone disease

Treatment of stone disease

Treatment of stone disease

Treatment of stone disease

The immediate treatment of renal colic is bed rest, application of warmth to the site of pain and a powerful analgesic. e.g. morphine, pethidine intramuscularly or diclofenac as a suppository. Patients are advised to drink 2 litres of water per day. Around 90% of stones less than 4 mm in diameter will pass spontaneously. Bigger stones can now be fragmented by extracorporeal shock wave lithotripsy. Endoscopic surgery may be required for some stones, but open surgery is now almost never performed, except for large bladder stones. All stones are potentially infected and surgery should be covered with appropriate antibiotics.

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