Are kidney stones severe?

Written by Zhou Qi
Nephrology
Updated on February 21, 2025
00:00
00:00

The severity of kidney stones depends on the size of the stones and their location. For example, stones within the kidney parenchyma, if not large and not moving, generally do not cause much trouble.

However, if the stones block the area of the renal pelvis and calyces, or even move downward to block the ureter, causing the urine produced by the kidneys to not be excreted smoothly, it will cause the patient to experience renal colic. This type of pain is very intense, radiating to the back and causing abdominal pain, as well as pain in the perineal area. Patients often may also experience fever and other clinical symptoms. Prolonged obstruction of the urinary system can lead to renal failure, which is quite dangerous.

Other Voices

doctor image
home-news-image
Written by Zeng Zhong
Urology
39sec home-news-image

How to relieve the pain of kidney stones

Kidney stones, if mobile within the kidney, can cause intense pain in the patient's lumbar and abdominal area, clinically referred to as renal colic. Patients often experience unbearable pain, heavy sweating, along with symptoms such as nausea and vomiting. In such cases, it is crucial to seek timely treatment at the hospital's urology department. Doctors will use medications to alleviate pain and spasm. If there is nausea and vomiting, antiemetic drugs will also be used to relieve symptoms. Once diagnosed with kidney stones, patients are advised to seek treatment at a hospital as soon as possible.

doctor image
home-news-image
Written by Wang Shuai
Urology
57sec home-news-image

What department should I go to for kidney stones?

Kidney stones are a urological condition requiring treatment at a hospital's urology department. Diagnosis involves imaging, such as ultrasound or CT scans, to determine the stone's exact size and location for appropriate treatment. If the stone is relatively small, with a diameter of six millimeters or less, referred to as a small stone, it generally does not require special treatment. Increased fluid intake, frequent urination, and exercise can help facilitate the expulsion of the stone. If the stone's diameter is between 0.7 and 1.5 centimeters, extracorporeal shock wave lithotripsy or ureteroscopy may be considered. For larger stones exceeding 1.5 centimeters, possibly accompanied by hydronephrosis, the recommended treatments are percutaneous nephrolithotomy or open surgery for stone removal.

doctor image
home-news-image
Written by Zeng Zhong
Urology
47sec home-news-image

How big must a kidney stone be to require lithotripsy?

If the kidney stone is between 0.5 and 1.5 centimeters in size, extracorporeal shock wave lithotripsy is required. After the treatment, patients should drink more water, urinate frequently, and exercise more, such as running, jumping rope, and playing basketball, to facilitate the expulsion of the stones. Then, one week later, a follow-up visit to the hospital for an ultrasonic examination of the urinary system should be done to check the status of the stone expulsion. If the kidney stone is larger than 1.5 centimeters, minimally invasive surgery is required for stone disintegration, primarily using percutaneous nephrolithotomy with Holmium laser lithotripsy.

doctor image
home-news-image
Written by Wang Jian
Urology
51sec home-news-image

Is kidney stone surgery painful?

For the treatment of kidney stones, larger kidney stones or multiple stones, stag-horn stones might consider surgical treatment. There are two types of surgery, the first is percutaneous nephrolithotomy, which involves inserting a nephroscope through a puncture in the kidney to break up and expel the stones from the body; the second type of surgery is ureteroscopy, which does not require an incision, by entering the kidney through the urethra and ureter, and then breaking up the stones and expelling them from the body. Both surgical methods are performed under anesthesia, so the patient will not feel pain. However, pain after ureteroscopy is typically less than that after percutaneous nephrolithotomy, which requires absolute bed rest post-operation, while ureteroscopy does not.

doctor image
home-news-image
Written by Zhou Qi
Nephrology
43sec home-news-image

Are kidney stones severe?

The severity of kidney stones depends on the size of the stones and their location. For example, stones within the kidney parenchyma, if not large and not moving, generally do not cause much trouble. However, if the stones block the area of the renal pelvis and calyces, or even move downward to block the ureter, causing the urine produced by the kidneys to not be excreted smoothly, it will cause the patient to experience renal colic. This type of pain is very intense, radiating to the back and causing abdominal pain, as well as pain in the perineal area. Patients often may also experience fever and other clinical symptoms. Prolonged obstruction of the urinary system can lead to renal failure, which is quite dangerous.