Acute renal colic is a common presentation in general practice, so a basic understanding of its evaluation and treatment would be useful.Most of the literature is retrospective, but we will try to provide an evidence based review of the management of urolithiasis and will cite prospective randomised controlled trials when available.Typical symptoms of acute renal colic are intermittent colicky flank pain that may radiate to the lower abdomen or groin, often associated with nausea and vomiting.Lower urinary tract symptoms such as dysuria, urgency, and frequency may occur once a stone enters the ureter.
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