What are the medications to take when passing Kidney Stone?

adminMay 5th, 2011Recent Post1 Comment ยป

My Mom has a kidney stone(s) right now, and last night she was on the floor screaming in pain. We don’t exactly know how big it is, but, when she passes it, I heard that it hurt so much, like child birth! I need some suggestions for main meds when she is passing it. I am looking for a medication that is very trustworthy, and takes a lot of pain out of it. Also, if you can, would you please list some things I should expect when she passes it? Thank you so much. I am praying for her…

How do you know the stone will pass if you don’t know how large it is? The odds of passing a kidney stone decrease sharply when a stone is larger than 5-6mm. First off, if she has diabetes or any other condition that compromises the immune system, she should be seen immediately. If she has (or could have) a urinary tract infection, she should be placed on antibiotics immediately. The risk of developing a serious infection is much higher when an obstructing stone is present and this kind of infection can be life-threatening. So if she has even a suggestion of a FEVER, go immediately to the E.R.

How to know if the stone has a chance of passing: When the stone first drops into the ureter (tube that carries urine from the kidney down to the bladder), the pain is usually up high in the back/flank. As the stone works its way down toward the bladder, the pain often moves down into the lower part of the abdomen, then down into the crotch. If the pain stays in exactly the same position, the stone isn’t moving. If the stone is blocking the kidney, it can do serious damage to the kidney over a period of weeks to months.

Now, on to your actual question. Over-the-counter pain medication options are few and not particularly potent. NSAIDs such as ibuprofen (Motrin, Advil…) or naproxen (Aleve) are good options as long as there is no history of kidney disease. Tylenol can help a bit. I prescribe patients with kidney stones either hydrocodone (Vicodin, lortab) or oxycodone (Percocet). Sitting in a hot tub or bath gives some people some relief from kidney stone pain.

Best of Luck. Remember, if the pain doesn’t move for a week, go get medical attention.

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  1. Brian Golden Urologist in Vegas says:

    How do you know the stone will pass if you don’t know how large it is? The odds of passing a kidney stone decrease sharply when a stone is larger than 5-6mm. First off, if she has diabetes or any other condition that compromises the immune system, she should be seen immediately. If she has (or could have) a urinary tract infection, she should be placed on antibiotics immediately. The risk of developing a serious infection is much higher when an obstructing stone is present and this kind of infection can be life-threatening. So if she has even a suggestion of a FEVER, go immediately to the E.R.

    How to know if the stone has a chance of passing: When the stone first drops into the ureter (tube that carries urine from the kidney down to the bladder), the pain is usually up high in the back/flank. As the stone works its way down toward the bladder, the pain often moves down into the lower part of the abdomen, then down into the crotch. If the pain stays in exactly the same position, the stone isn’t moving. If the stone is blocking the kidney, it can do serious damage to the kidney over a period of weeks to months.

    Now, on to your actual question. Over-the-counter pain medication options are few and not particularly potent. NSAIDs such as ibuprofen (Motrin, Advil…) or naproxen (Aleve) are good options as long as there is no history of kidney disease. Tylenol can help a bit. I prescribe patients with kidney stones either hydrocodone (Vicodin, lortab) or oxycodone (Percocet). Sitting in a hot tub or bath gives some people some relief from kidney stone pain.

    Best of Luck. Remember, if the pain doesn’t move for a week, go get medical attention.
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