comparing the effects of pethidine and diclofenac suppository on patients with renal colic in the emergency department

Objective: renal colic is a common cause of emergency room visits. due to thespontaneous passage of more than 90% of kidney stones, treatment in the emergencydepartment (ed) is limited to pain control. analgesics currently used are selected basedon physician experiences and various theories from different sources. the aim of this studywas to compare the common drugs (pethidine and diclofenac) used for renal colic in iran.methods: in this single-blinded randomized clinical trial, 90 patients with renal colic whoreferred to the ed of imam reza hospital in kermanshah were randomly assigned to each of3 treatments including pethidine suppository (50 mg, iv), diclofenac suppository (50 mg),and a combination of pethidine and diclofenac suppository. in this regard, the response totreatment and duration of hospitalization were compared.results: the best medicine to relieve pain intensity in patients under 25 years wasdiclofenac suppository. in patients in the age range of 25-45 years, pethidine and diclofenacwere the best choice. conversely, in patients older than 45 years, pethidine was the besttreatment. we could also observe a decrease in the length of hospitalization in patientswho received pethidine.conclusion: it can be concluded that morphine is more appropriate to control pain andreduce the length of hospitalization in patients with renal colic.