Narcotics. Narcotics (opiates) are the mainstay for pain relief. Examples includes oxycodone, morphine and dilaudid. Additional choices such as tylenol can help. Alpha blockers such as Flomax or uroxatral (alfuzosin) can relax the ureters and assist in stone passage. Remember to drink fluids to produce 2+ liters of urine daily. If admitted, request a pca (patient controlled IV anesthesia pump).
Kidney stones. The key to medical "expulsive therapy" involves using one or more medications (tamsulisin, ketorolac etc) to dilate and/or relax the ureter, in conjunction with pain control and vigorous oral hydration. The success rate of this approach depends on the size of the stone, your particular ureteral anatomy and your willingness to endure some discomfort in the process.
REMOVE stone, meds. Obviously when the kidney stone passes the pain will resolve. If the kidney stone is too large (>4mm) it is unlikely to pass on its own and referral to a urologist is in order. To help pass a kidney stone fluid hydration will help (er gives IV fluid bolus). I have found drinking 1-2 gatorades (full strength) acts as an IV bolus. Narcotic pain meds can help with the pain. Hope you are better!
Ureteral colic. The pain of ureteral colic is nearly unbearable. Narcotics only dull your perception of the pain. Urologist generally prefer to stop the ureteral spasm (source of pain). This is best accomplished with IV toradol (ketorolac). Narcotics are then given after stoping the spasm.
Orthophosphoric acid. Orthophosphoric acid helps ease kidney stone pain dosage is 40mg (30drops) supplied by biotics as superphosphozyme.