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Published on: 2/28/2026
Sudden, severe pain in your side or lower back that can radiate to the groin, plus painful or frequent urination and blood in the urine, often points to kidney stones; nausea or vomiting may occur, and fever or chills with these symptoms signals an emergency.
Next steps include urgent care if you have fever, uncontrollable pain, persistent vomiting, or trouble urinating; otherwise increase fluids if you can keep them down, use appropriate pain relief, and see a clinician for tests and imaging to confirm and guide treatment. There are several factors to consider for your specific case; see below for complete details that could change which next steps are safest.
If you're dealing with sudden, intense pain—especially in your lower back, side, or abdomen—you may be wondering: Are these kidney stone symptoms?
Kidney stones (also called nephrolithiasis) are common and can be extremely painful. But they are also very treatable. Understanding the symptoms, what causes them, and what to do next can help you respond calmly and appropriately.
Let's break it down clearly and medically.
Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. They develop when your urine becomes concentrated, allowing minerals to crystallize and stick together.
Kidney stones can:
It's often when a stone begins to move or block urine flow that kidney stone symptoms appear.
Symptoms vary depending on the size and location of the stone. Some stones are small and pass without much trouble. Others cause intense discomfort.
Here are the most common kidney stone symptoms:
This is the hallmark symptom.
People often describe it as one of the worst pains they've ever experienced.
If the stone moves closer to the bladder, you may notice:
This can sometimes be mistaken for a urinary tract infection (UTI).
Kidney stones can irritate the lining of the urinary tract, leading to:
Even small amounts of blood should be evaluated.
The kidneys and digestive system share nerve pathways. Severe kidney stone pain can trigger:
If you experience:
along with kidney stone symptoms, this could signal an infection. This is a medical emergency and requires immediate care.
The pain comes from:
The ureter tries to push the stone out, which causes intense, wave-like pain. This explains why symptoms can feel sudden and severe.
Certain factors increase your risk:
If you've had one kidney stone, your risk of another increases.
Several other conditions can mimic kidney stone symptoms, including:
That's why proper evaluation is important. Not all back or abdominal pain is caused by kidney stones.
If you suspect kidney stone symptoms, here's what to do.
Seek immediate medical care if you have:
These could signal complications that require urgent treatment.
If your symptoms are uncomfortable but not life-threatening, you can use a free AI-powered Nephrolithiasis (Kidney Stones) symptom checker to quickly assess whether what you're experiencing matches kidney stone patterns and determine the appropriate level of care you should seek.
Online tools are not a diagnosis—but they can help you make informed decisions about next steps.
If you're stable and not vomiting:
Hydration can help small stones pass naturally.
However, if pain is severe or you cannot keep fluids down, seek medical care instead of trying to manage it alone.
Doctors may recommend:
Do not exceed recommended doses of over-the-counter medications.
A doctor may perform:
These tests confirm whether you have kidney stones and determine their size and location.
Treatment depends on the size:
It depends on:
Small stones may pass in a few days. Larger ones can take weeks—or may require intervention.
Pain often comes and goes in waves rather than staying constant.
Yes, prevention is possible and important.
General prevention tips include:
If you've had a kidney stone, your doctor may analyze it to determine the exact type (calcium oxalate, uric acid, etc.) and tailor prevention strategies.
You should speak to a doctor if:
You should seek urgent medical attention immediately if:
Kidney stones are common and treatable—but complications can become serious if ignored.
Kidney stone symptoms are often unmistakable once they start—especially the sudden, severe flank pain that radiates toward the groin. While not every case is dangerous, some require urgent care.
The key is to:
Most kidney stones can be treated effectively. With the right steps, you can manage the pain, prevent complications, and reduce the risk of future stones.
If anything feels severe, worsening, or unusual—don't wait. Speak to a doctor promptly. Your health and safety come first.
(References)
* Russo, M., Cindolo, L., Cestari, A., & Cindolo, L. (2022). Clinical presentation of acute flank pain: a narrative review. *Minerva Urology and Nephrology*, *74*(5), 551-561.
* Kamal, N. (2022). Renal Colic: Pathophysiology, Diagnosis, and Treatment. *The Journal of Emergency Medicine*, *62*(3), e275-e283.
* Clements, T., & Saarela, K. (2022). Acute Renal Colic: An Emergency Department Perspective. *Emergency Medicine Clinics of North America*, *40*(3), 517-531.
* Khan, S. R., Canales, B. K., & Daudon, M. (2021). Urolithiasis: a comprehensive review. *Nature Reviews Disease Primers*, *7*(1), 1-22.
* Zhu, M. C., & Zhang, Y. T. (2020). Current Concepts in the Diagnosis and Management of Urolithiasis. *Frontiers in Surgery*, *7*, 607412.
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