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Kidney Stones

Kidney stones are hard deposits of minerals that form inside your kidneys. Many people describe kidney stone pain as the worst pain of their life. The pain often begins suddenly in the lower back or side and can move toward the abdomen or groin. 

The good news is that many kidney stones pass on their own. When they do not, safe and effective treatment options are available. As long as kidney stones pass or are treated, they usually do not cause long-term damage. 

At Banner Health, our urology team provides advanced testing and minimally invasive treatments to relieve pain and reduce your risk of future stones. 

What are kidney stones? 

Kidney stones, also called nephrolithiasis, are solid pieces of material that form when minerals and salts build up in your urine. They usually develop when there is too much of a certain mineral, most commonly calcium, and not enough fluid to dilute the urine. 

Stones form in the kidney but can travel through the urinary tract, including the ureter, bladder and urethra. They can be as small as a grain of sand or grow much larger depending on mineral buildup. 

Pain usually begins when a stone blocks the flow of urine. 

What do kidney stones feel like? 

Kidney stone symptoms can vary depending on size and location. Common signs include: 

  • Severe, fluctuating pain in the lower back or side 
  • Pain that radiates to the abdomen and groin 
  • Pain that comes in waves and makes it hard to get comfortable 
  • Blood in the urine 
  • Frequent or difficult urination 
  • Urine obstruction or decreased urine flow 
  • Nausea and vomiting 
  • Fever 
  • Infection 
  • Urinary tract infection (UTI) 

If you are unsure what is causing your pain, contact your doctor. They can determine whether your symptoms are due to kidney stones or another kidney problem

Seek immediate medical care if you have severe pain you cannot tolerate or pain along with fever, infection symptoms or difficulty urinating. 

Kidney stone or kidney infection? 

Kidney stones can cause sharp, cramping pain that moves. A kidney infection may cause steady back pain along with fever, chills and feeling unwell. 

If you have fever over 101 degrees, shaking chills or worsening pain, seek emergency care. An infected kidney stone is a medical emergency. 

Types of kidney stones 

There are five main types of kidney stones, and each has a different cause: 

  • Calcium oxalate stones – The most common type 
  • Calcium phosphate stones 
  • Struvite stones – More common in women and often linked to infection 
  • Uric acid stones – More common in men and people with gout 
  • Cystine stones – Caused by buildup of the amino acid cystine due to a rare inherited condition called cystinuria 

Identifying the stone type helps guide treatment and prevention. 

Risk factors for kidney stones 

Certain conditions increase your risk. Some risk factors are controllable, and others are not. 

Low fluid intake 

The most common cause of kidney stones is not drinking enough fluids. 

Diet 

A diet high in sodium and animal protein increases your risk. Eating very high amounts of certain nuts and vegetables that contain oxalate may also increase risk in some people. 

Personal or family history 

You are more likely to develop kidney stones if you have had them before or if a family member has had them. 

Obesity 

People who are obese have higher rates of kidney stone formation. 

Medications 

Certain medications increase risk, including: 

  • Acetazolamide 
  • Indinavir 

Medical conditions 

You may have a higher chance of developing kidney stones if you have: 

  • Diabetes 
  • Crohn’s disease 
  • Hyperparathyroidism 
  • Gout 
  • Renal tubular acidosis 
  • Cystinuria 
  • A history of intestinal surgery such as gastric bypass 

Blockages in the urinary tract can also lead to stones forming. 

Gender and age 

Kidney stones were once thought to be more common in men. Today, they are believed to affect men and women more equally. 

They are more common in people over age 30 but are becoming increasingly common in children. 

Immobility in children 

Children who are immobile, such as those in a cast after surgery, are at higher risk because their bones may release extra calcium into the bloodstream. 

How long does it take to pass a kidney stone? 

The time it takes depends on the size of the stone. 

  • A 3 mm stone has about an 80% chance of passing on its own 
  • At 5 mm, the odds drop to about 50% 
  • At 8 mm, the odds drop to about 20% 

Small stones may pass in a few days. Larger stones may take weeks or require treatment. 

Pain often occurs when the stone blocks urine drainage from the kidney. If this blockage causes kidney swelling, it is called hydronephrosis and requires treatment. 

When should you go to the emergency room? 

Seek immediate care if you have: 

  • Severe, uncontrolled pain 
  • Fever 
  • Chills 
  • Persistent vomiting 
  • Difficulty urinating 
  • Only one functioning kidney 

These symptoms may indicate blockage, infection or kidney swelling. 

Diagnosing kidney stones 

If your symptoms suggest a kidney stone, your doctor may recommend: 

  • CT scan 
  • Ultrasound 
  • X-ray 
  • Blood tests 
  • Urinalysis
  • Urine culture

Additional testing such as kidney function testing or, in rare cases, biopsy may be used to rule out other causes of symptoms.

How are kidney stones treated?

Passing a stone naturally

Most small stones pass on their own, especially if they are under 5 mm.

Your doctor may prescribe:

  • Alpha blockers to relax the ureter
  • Pain relievers
  • Anti-inflammatory medications

These medications can help facilitate stone passage and manage pain.

If you have only one kidney, your doctor may recommend more aggressive treatment to protect kidney function.

Kidney stone surgery options

When stones do not pass on their own, procedures may be needed.

  • Extracorporeal shock wave lithotripsy
    This minimally invasive procedure uses sound waves to break smaller kidney stones into fragments that can pass in the urine. Most people go home the same day.
  • Ureteroscopy
    A small flexible scope is inserted through the urethra and bladder into the ureter. A laser can break the stone into pieces or remove it. No incisions are required, and most people go home the same day.
  • Percutaneous nephrolithotomy
    This procedure is used for larger stones. A small 1 cm incision is made in the flank or lower back to access the kidney. The stone is broken into pieces and removed. Hospital stay is usually one to two days.

What happens after you pass a kidney stone?

If you pass a kidney stone at home, try to save it in a clean container. Your doctor can send it to a lab for analysis.

Analyzing the stone

Stone analysis determines what the stone is made of.

  • Understanding your stone type
    Knowing whether it is calcium oxalate, uric acid or another type helps identify the cause.
  • Planning prevention
    Once your stone type is known, your doctor may recommend dietary changes, medications or lifestyle adjustments to reduce your risk of recurrence.

How to prevent kidney stones

You can lower your risk by focusing on hydration and diet.

  • Drink two to three liters of water daily
  • Aim for light yellow or clear urine
  • Add lemon or citrus to increase citrate, which binds with calcium
  • Stay well hydrated in hot weather
  • Choose a diet low in sodium
  • Limit excessive animal protein
  • Reduce very high intake of high-oxalate foods if recommended
  • Continue eating normal dietary calcium

If you take calcium supplements, talk to your doctor about whether they are necessary. Supplements may increase risk, but calcium in food does not.

If you have had kidney stones before:

  • Your doctor may prescribe medications tailored to your stone type
  • A 24-hour urine test may be recommended
  • A registered dietitian can help create a prevention plan

Without prevention, up to half of people develop another stone within five years.

Why choose Banner Health for kidney stone treatment?

Choosing the right health care provider for kidney stone treatment matters. Banner Health offers comprehensive, state-of-the-art care using advanced imaging and minimally invasive procedures.

Our experienced urologists create personalized treatment plans designed to relieve pain quickly and prevent future stones. From diagnosis to recovery, our team focuses on protecting your kidney health and overall well-being.

If you are experiencing kidney stone symptoms, schedule an appointment with a Banner Health provider or seek emergency care if your pain is severe.