Kidney stones can produce severe pain which may vary with the size of the stone, its location in the urinary system, and if the stone is being moved within the urinary tract. It develops suddenly and this may manifest in any part of the body. Most of the time it is a severe and unambiguous type of discomfort that might affect such bodily regions as the lower back, abdomen and groin. Understanding where this kind of pain commonly develops lets a patient identify the signs early enough so he or she can seek medical attention.
If you get this kind of pain, especially if there’s blood in the urine or you’re feeling sick, then it is high time to visit a healthcare provider, who will tell you what the cause and how it can be treated. In this blog, we will be discussing where exactly do you feel kidney stone pain and why having regular checkups can play a big role in avoiding this condition.
Understanding Kidney Stone Pain
The pain arises from the blockages that the kidney stones form in the urinary tract, which consists of the kidneys, the ureters: the tubes that transport urine from the kidneys to the bladder, the bladder and the urethra. When such a stone slows or blocks the urine’s passage through the kidney, pressure builds, which causes inflammation and swelling of the organs. They cause pressure and irritation leading to signals denoting pain, which people claim do not stop for a minute.
Besides, some types of the kidney stones have a rough surface that rubs the lining of the urinary tract causing additional pain. The contraction of the muscular walls of the ureter ensues to push the stone from the kidney to the bladder, an event which causes so much pain because the passage ways are very narrow.
Types of Pain
Pain from a kidney stone, specifically called renal colic, is usually severe. It is often said to be one of the worst types of pain, people compare it to labor or the worse pains anyone has ever felt.
- Cramp like discomfort frequently occurs over the area of the flank which is between the back and the abdomen and it may sweep over to the abdomen, groin, or the inner part of the thigh depending on the location of the stone.
- When this stone stays in, the type of pain the patient is expected to feel can be periodical, sharp or lancinating. It will also explain how the stone in solution may cause discomfort which varies in waves, due to the contractions of the ureter. This wave-like nature can aggravate the problem, making the pain even more tiring when it is sharp and there is little to no time to recover.
- To many, the pain of the kidney stones is very cardinal, a signal enough that one needs to seek the services of doctors because pain is overwhelming and comes in a way that affects daily activities. Medications and increased water intake may help when the stone is small at times but in most cases, a medical procedure to disintegrate or physically remove the stone is the only solution to the severe pain the patient feels.
Common Areas of Kidney Stone Pain
- Flank or Side: Kidney stone pain typically starts in the side or lower back, just below the ribs. This is due to the stone moving within the kidney or entering the ureter, which is the narrow tube connecting the kidney to the bladder.
- Lower Abdomen and Groin: As the stone travels down the urinary tract, pain often radiates to the lower abdomen and groin areas.
- Pain Pathway: Pain can shift from the back to the abdomen and toward the groin as the stone moves through the urinary tract.
Specific Sensations Related to Kidney Stones
- Waves of Pain: Kidney stone pain often comes in waves due to peristalsis, the process by which the ureter muscles contract to push urine (or stones) forward. This wave-like pain is also known as renal colic.
- Intensity and Duration: Pain intensity can vary and usually lasts from 20 to 60 minutes at a time. However, it may subside if the stone stops moving, only to return with renewed intensity if it moves again.
- Other Associated Symptoms: Along with pain, kidney stones can cause nausea, vomiting, and even hematuria (blood in the urine), which are tell-tale symptoms that medical professionals watch for.
Other Potential Areas Affected by Kidney Stone Pain
- Bladder Area: If the stone reaches the bladder, you might feel pain around the bladder area, which may feel similar to symptoms of a urinary tract infection (UTI).
- Pain During Urination: Stones can cause a burning sensation during urination or make you feel the urge to urinate more frequently. This happens when the stone reaches the urethra.
Differentiating Kidney Stone Pain from Other Types of Pain
- Comparison with Back Pain: Lower back pain may stem from muscle strain or disc issues, but kidney stone pain often feels deeper, sharper, and more focused on one side.
- Appendicitis or Hernia: Pain in the lower abdomen can sometimes mimic appendicitis or hernia symptoms. However, kidney stone pain has a distinctive wave-like quality and can be accompanied by other urinary symptoms that these conditions lack.
Why Immediate Medical Attention is Crucial
- Risk of Complications: Untreated kidney stones can block the flow of urine, leading to kidney damage or infection.
- Signs You Need Emergency Care: Severe, unrelenting pain, fever, or inability to urinate are signs that you may need immediate treatment, as these can indicate an infection or other complications.
Diagnosis and Imaging
- Medical Diagnosis: Doctors typically perform imaging tests such as ultrasound or CT scans to confirm the presence, size, and location of stones. Blood and urine tests can also identify any infections or related conditions.
- When to Seek Help: Anyone experiencing severe pain, especially with fever or blood in the urine, should seek medical attention promptly.
Treatment Options and Pain Management
The treatment options come in handy where the stones are too big to pass or where they evoke immense pain and several side effects. The approaches used are as simple as the ones that do not involve any surgery and as complex as those that involve surgery but are considered minimally invasive with an aim of fragmenting or dislodging the stones from the urinary system. Here’s a closer look at the main treatments:
Retrograde Intrarenal Surgery (RIRS)
RIRS is a non-anatomizing procedure used when the stones are lodged deep in the kidney or when they cannot be treated in other ways. During RIRS the physician uses a flexible ureteroscope which is a narrow tube containing a camera that is inserted through the urethra and then up through the bladder into the kidney. Depending on the size and location of the incised colon, a stone is often found, and then a laser will be utilized to split the stone into small pieces, which will be either surgically extracted or expelled through urine. RIRS is very useful for treating large renal stones or stones located in specific locations in renal cavities. Because one is not stitched and no surgical cut is made, recovery takes a short time and with diminished complications.
Extracorporeal Shock Wave Lithotripsy (ESWL)
ESWL is a non-invasive procedure that uses high-energy sound waves to break kidney stones into smaller pieces. This method is suitable for stones located in the kidneys or upper ureter that are small to medium in size. During ESWL, patients lie on a table, and shock waves are directed at the stone through the skin. The sound waves cause the stone to fragment into tiny pieces, which can then be passed out of the body naturally through urine.
Ureteroscopy
Ureteroscopy is a versatile, minimally invasive technique commonly used for stones lodged in the ureter (the tube connecting the kidney to the bladder) or kidney. A ureteroscope, a thin tube with a camera, is passed through the urethra, into the bladder, and then into the ureter. Once the stone is located, it can be broken up using a laser (laser lithotripsy) and removed with specialized tools.
Percutaneous Nephrolithotomy (PCNL)
PCNL is recommended for large or complex stones, particularly those that cannot be treated effectively with other methods. This procedure involves making a small incision in the back to access the kidney directly. Through this incision, a nephroscope (a small instrument with a camera) is inserted to locate the stone. The stone is then broken up using ultrasound, laser, or pneumatic energy, and the fragments are removed.
For pain management, patients are typically given medications to alleviate discomfort during recovery, along with advice on staying hydrated and monitoring urine output to ensure any remaining fragments pass smoothly.
CureStone: Comprehensive Kidney Stone Care
At CureStone, we provide expert kidney stone treatment and prevention to keep you stone-free. Our team offers personalized care, advanced techniques, and preventive strategies tailored to your needs. From your first consultation to full recovery, we’re here to help you live healthier and pain-free. Contact us today for trusted kidney health solutions.