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COMPARISON OF THE EFFICACY OF DICLOFENAC AND PETHIDINE SUPPOSITORY IN PATIENTS WITH RENAL COLIC ADMITTED IN THE EMERGENCY DEPARTMENT

1Dr Sajid Ali, 2Dr Kamran Iftikhar, 3Dr Ruqayya Tabassum
2020 Zenodo  
Objective: Renal colic is a common cause of emergency visits. Treatment in the emergency department (ED) is limited to pain control due to the spontaneous passage of over 90% of kidney stones. Currently used painkillers are selected based on the experience of doctors and various theories from various sources. The purpose of this study was to compare popular drugs (pethidine and diclofenac) used in renal colic. Place and Duration: In the emergency department of the Jinnah Hospital Lahore for six
more » ... ital Lahore for six months duration from October 2019 to March 2020 Methods: In this randomized, single-blind clinical trial, 90 renal colic patients admitted to the emergency department of the Jinnah Hospital Lahore were randomly assigned to each of 3 treatments, including a pethidine suppository (50 mg, intravenously) and a diclofenac suppository (50 mg) and a combination of suppositories of pethidine and diclofenac. In this sense, the response to treatment and the length of hospital stay were compared. Results: The suppository of diclofenac was the best pain reliever in patients under 25 years of age. Pethidine and diclofenac are the best solutions for patients aged 25–45 years. In contrast, pethidine was the best treatment for patients over 45 years of age. We also observed a reduction in hospital stay in patients receiving pethidine. Conclusion: It can be concluded that morphine is more suitable for controlling pain and reducing hospital stay in patients with renal colic. Key words: renal colic, emergency room, pain relief unit
doi:10.5281/zenodo.4013172 fatcat:wvt4qmcmordgloh5nyof2vl5bu