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Kidney Stones Symptoms: What to Watch For and When to Act

By Maya Richardson

April 12, 2025

Kidney stones are a common health problem that remains a mystery to many. Despite medical advances, many people are still unaware of what causes and how kidney stones form. Factors such as diet, lifestyle, and genetics play a role in their formation.

The symptoms of kidney stones, from cramping pain to blood in the urine, can be distressing and painful. By better understanding kidney stones, patients can be more proactive in their prevention and treatment.

kidney-stones-symptoms

Kidney stones symptoms often include intense pain in the back or side.

What are kidney stones?

Kidney stones are a common medical condition when minerals and salts in the urine clump together to form solid masses. These stones can be as small as a grain of sand or as large as a football and can cause pain, discomfort, and sometimes serious complications if not treated promptly. Factors such as diet, hydration levels, genetics, and certain medical conditions can increase the risk of kidney stones.

What causes kidney stones

Kidney stones mainly form when urine contains too many stone-forming substances such as calcium, oxalate, uric acid, or cystine. These substances clump together and form crystals, gradually developing into stones. As the stones grow larger and move down the ureter, they can cause severe pain and block urine flow.

Types of Kidney Stones

There are many kidney stones, including calcium oxalate, uric acid, struvite, and cystine stones. Each type has its cause and mechanism of formation, requiring different treatment methods.

The diversity in stone types and the complexity of the causative factors create a challenging picture for diagnosing and treating kidney stones.

Common Symptoms of Kidney Stones

Kidney stones are a disease that can progress silently in the early stages, but when symptoms appear, they are very clear and cause pain. Symptoms of kidney stones can vary depending on the size, location, and type of stone. However, most patients experience similar symptoms.

Severe pain (Renal colic)

Kidney stone pain is one of the most easily recognized symptoms, often occurring suddenly and severely. The pain starts in the back or one side of the lower abdomen and can then spread to the groin or genital area. This pain is often not continuous but occurs in episodes, causing a stabbing sensation in the body.

Painful urination and blood in the urine

When stones move in the ureter, they can cause irritation and inflammation, making the patient feel a burning pain when urinating. In addition, blood can appear in the urine, with a red or pink color, causing anxiety for the patient.

Nausea and vomiting

This symptom occurs due to the body's reaction to severe pain. Nausea may be accompanied by vomiting, making the condition more serious.

Fever and chills

When kidney stones cause infection, the patient may develop a fever and feel chills. This is a warning sign that kidney stones have led to a serious complication that requires immediate treatment.

These symptoms warn of kidney stones, and if not treated promptly, the disease can lead to dangerous complications.

When to see a doctor

When kidney stones cause unusual symptoms, knowing when to see a doctor is extremely important to prevent serious complications. Although some pain may subside after a while, if symptoms persist or become severe, seeking medical help is a must.

Severe and constant pain

When pain persists and becomes unbearable, seeing a doctor is necessary. In particular, if the pain shows no signs of abating or recurs repeatedly, your doctor will need to perform tests to determine the severity of the condition and provide appropriate treatment.

Difficulty urinating, blood in the urine, or signs of infection

If you notice red or pink urine or feel pain when urinating, this is a sign that the stone may have damaged or irritated the ureter. Additionally, if you have a fever, chills, or other signs of infection, you should see a doctor immediately to prevent a possible kidney infection from developing.

Persistent nausea and vomiting

Many people with kidney stones experience nausea and vomiting, especially if the pain persists. When this condition does not improve or becomes more severe, it can be a sign of more serious problems, such as infection or blockage of the ureter, requiring prompt medical intervention.

Seeing a doctor will not only help determine your exact condition but also help reduce the risk of dangerous complications from kidney stones.

How kidney stone symptoms vary by size and location

The size and location of a kidney stone play a decisive role in the manifestation of symptoms and the severity of the disease. Each type of stone, whether large or small, can cause different discomfort depending on where it appears in the urinary system. Understanding this difference will help patients easily identify and seek appropriate treatment.

Small stones (under 5mm)

Small kidney stones usually do not cause severe pain like large stones but can cause discomfort when moving down the ureter. When moving, small stones can cause dull pain or burning when urinating, but sometimes these symptoms can be quite mild, causing the patient to be subjective and not realize the severity.

Large stones (over 5mm)

Larger stones often cause severe pain because they can get stuck in the ureter, blocking urine flow. The pain caused by large stones is often very strong and sudden, sometimes requiring hospitalization. These stones can lead to kidney obstruction, causing swelling and prolonged pain.

Location of stones: Kidney, ureter, or bladder

The location of the stone in the kidney or ureter also determines the pain level and accompanying symptoms. Stones in the kidney may not cause immediate pain, but as they move down the ureter, they can interrupt the urine flow, causing renal colic. If the stone gets stuck in the ureter, it can cause a blockage and lead to infection, increasing pain and discomfort.

When the stone is in the bladder, the patient may experience symptoms such as painful urination, frequent urination, and sometimes blood in the urine. Each type of kidney stone, whether large or small, requires different treatments depending on the location and severity of the disease.

Kidney Stone Diagnosis

Diagnosis of kidney stones is a complex process that requires a combination of medical methods to accurately determine the type of stone, its size, and its location in the urinary system. Early and accurate detection of kidney stones is important for effective treatment and prevention of serious complications.

Medical History and Clinical Examination

Diagnosis begins with collecting information from the patient, including symptoms, medical history, and risk factors that may be associated with the formation of kidney stones. Clinical examination helps the doctor identify clinical signs such as pain, blood in the urine, or signs of infection.

Imaging Tests

Imaging methods play a key role in determining the presence and size of kidney stones. Renal ultrasound is a common method. However, non-contrast CT scans (without contrast) are often more accurate, especially for small and difficult-to-detect stones. X-rays can also help detect calcium but are ineffective for uric acid stones.

Urine and blood tests

In addition to imaging methods, urine and blood tests help identify abnormalities in chemical composition, such as calcium, oxalate, uric acid, or cystine levels in the body. This helps the doctor understand the cause of kidney stones, thereby choosing the appropriate treatment method.

Early and accurate diagnosis not only helps reduce pain but also prevents serious complications such as kidney failure or urinary tract infections.

Conclusion

Kidney stones are a disease that has many potential risks and serious complications if not diagnosed and treated promptly. Symptoms of the disease, such as severe pain, painful urination, or blood in the urine, need to be recognized early to have an appropriate treatment plan.

Diagnosing kidney stones requires a close combination of clinical information collection, imaging tests, and chemical tests. This helps to accurately determine the stone's type, size, and location, thereby providing an effective treatment plan.

Prevention through a reasonable diet and maintaining body hydration levels is important to reduce the risk of kidney stone formation.

Frequently Asked Questions (FAQs) About Kidney Stones

  • What symptoms can kidney stones cause?
    Kidney stones often cause back pain, lower abdominal pain, painful urination, and blood in the urine and may be accompanied by nausea or vomiting, especially when the stone moves down the ureter or causes a blockage.
  • Can kidney stones go away on their own?
    Small kidney stones may pass through the urinary tract without intervention. However, large or stuck stones can be painful and require medical treatment to avoid complications.
  • How can kidney stones be prevented?
    Maintaining a balanced diet, limiting foods high in oxalate and salt, drinking enough water, and controlling risk factors such as diabetes or high blood pressure are effective preventive measures.
  • When should you see a doctor if you suspect you have kidney stones?
    If you experience severe pain, blood in your urine, symptoms of infection such as fever, or persistent nausea and vomiting, seek prompt medical attention to avoid complications.
  • How are kidney stones treated?
    Treatment for kidney stones depends on the size and location of the stone. Common treatments include taking pain medication, using shock waves, or surgery to remove the stone if necessary.
Article by

Maya Richardson

Maya overflows with a passion for writing and researching health. Her deep love of words and her endless curiosity helps Maya to empower those around her with invaluable information about a healthier lifestyle.

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