• Pethidine 100 mg (average size adult) and metoclopramide 10 mg IM } IM injection or IV titration 50 mg (preferable)
• Avoid high fluid intake.
• Most cases settle and the patient can go home when pain relief is obtained and an intravenous pyelogram (IVP) arranged for the next day.
• Further pain can be alleviated by indomethacin suppositories but should be limited to two a day.
• An effective alternative treatment is diclofenac 75 mg IM injection then 50 mg (o) tds for 1 week.
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Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.