Nephrologist (Kidney Specialist) Questions Kidney Stones

What is the best painkiller for kidney stone pain?

I have a kidney stone and it hurts bad. What is the best painkiller for kidney stone pain?

3 Answers

Kidney stones cause an intense inflammatory response in the body, which leads to pain but also to muscle spasms. The ideal treatment medically includes the use of a nonsteroidal antiinflammatory type drug in conjunction with a muscle relaxer. One such combination could be the use of Ibuprofen 800 mg three times a day (if there is no risk or history of bleeding, obstruction, or perforation to the stomach and GI tract, and no history of stroke, heart attack, or blood clot), with Cyclobenzaprine (Flexeril) 10 mg twice a day. If the alkalinization of the urine using cranberry juice (or equivalent) fails to relieve the pain within 3 days, however, and help "pass" the stone in the urine, then it is imperative to seek appropriate medical care and treatment with a certified urologist. Good luck!
Usually painkillers for kidney stones are given by Emergency Rooms since these pains are severe. It usually requires narcotics of the opioid variety, but only during the pain attack. Constant intake of any painkiller is very bad, addictive, destructive, and should be discouraged.
Kidney stones are very painful. First of all, make sure your primary care doctor is aware because you may need medical attention. Any opioid can help to control pain from a kidney stone. Each person responds differently to different opioids, so the specific one depends on how you have tolerated opioids in the past and also depends on your other medical issues. I hope you feel better.