A member asked:

How to treat kidney stones?

11 doctors weighed in across 6 answers

Depends: Most kidney stones pass in their own in the urine. Bigger stones might require lithotripsy or surgical removal. After the stone is treated you need to prevent stone formation by increasing your fluid intake and restricting salt and animal protein in your diet.

Answered 4/17/2014

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Kidney stone.: Kidney stones up to 5mm in size will predictably pass on their own. Just drink plenty of water so you produce a lot of urine, dilate those ureters and allow the stone to pass. It may hurt while it's on its way out, but it'll pass. Bigger stones will likely get stuck and will cause tremendous pain and will have to be removed by lithotripsy or cystoscopy.

Answered 1/3/2016

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Stones: Stones less than 5 mm have a high chance of spontaneous passage. Those greater than 5 mm are treated based on their size and location. The means of treating kidney stones include ureteroscopy with holmium laser lithotripsy (fine telescope and laser), ESWL (shockwave treatment), and percutaneous nephrolithotomy (larger telescope placed via an incision in the skin, directly into the kidney).

Answered 4/9/2019

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Dr. George Klauber answered

Specializes in Pediatric Urology

Depends upon: Size & composition of stones. Stones smaller than 5mm usually pass on their own & treated with high fluid intake & possibly flomax (tamsulosin). May require ureteroscopic break up & extraction if stuck & causing obstruction. Shockwave lithotripsy for stones uup to 15 mm in diameter. Percutaneous lithotripsy if larger than 15 mm or staghorn stone. May require medication if 2 much calcium or uric acid in urine.

Answered 5/31/2013

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Dr. Deborah Josefson answered

Specializes in Internal Medicine

Hydration, pain meds: Hydration and pain medications are the hallmark of treatment . Depending on the type of stones, modifying the diet and alkanizing the urine my help. There are also anecdotal reports that riding a roller coaster can help dislodge the stones.

Answered 10/6/2016

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Dr. answered

Fluids, pain relief: Kidney stones classically cause sudden severe lower back pain, which radiates to the groin, may be associated with nausea. Commonly blood in the urine. May be precipitated by dehydration, so drink plenty. Pain may be eased with NSAID medication such as Diclofenac, or Ibuprofen. If persisting pain, fever, or known impairment of kidney function recommend Dr review same day!

Answered 10/22/2016

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