Routine treatment

• 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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Dealing With Back Pain

Dealing With Back Pain

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