Kidney Stones

Hard mineral deposits that can cause sudden, severe pain. Ultrasound can show some before they hurt, but scanning for them is not routine screening.

Last updated October 2026 · New Dawn Health editorial team

How common
Common, and often recurrent once you have had one
Usually silent?
Until a stone moves — some are found by chance
First imaging test
Ultrasound; CT sees small stones better
Key modifiable factor
Fluid intake — dilute urine resists stones

What are kidney stones?

Kidney stones are hard, crystal-like deposits that form in the kidney when minerals in the urine become concentrated enough to clump together. The most common type is calcium oxalate.

A small stone can sit quietly for years. When one breaks loose into the ureter, the narrow tube that drains the kidney, it can cause severe pain. Stones often come back: in one five-year trial, 27 of 100 people who had passed a first stone formed another.

A patient lies on their side while a sonographer scans the flank over the kidney.
The probe goes to the flank, where the kidney sits close to the back.

What do kidney stones feel like?

A moving stone usually causes sudden, severe pain in the side or back that spreads toward the groin, often in waves. Blood in the urine, nausea and an urgent need to urinate are common. A stone that has not moved may cause nothing at all.

What raises your risk of kidney stones?

A major driver is not drinking enough. Concentrated urine lets minerals crystallize. Other established factors include:

  • A diet high in salt or animal protein
  • A family history of stones
  • Obesity and related metabolic conditions
  • Heat or heavy sweating without replacing the fluid
  • Certain medical conditions and medicines

How kidney stones are found

An abdominal ultrasound can show a stone and any swelling of the kidney (hydronephrosis) from a blockage. It uses no radiation, but it does not see every stone.

What ultrasound can show
  • Many stones resting in the kidney
  • Hydronephrosis — kidney swelling from a blockage
What it can miss
  • Small stones, or ones low in the ureter. A CT scan without contrast sees these better, with some radiation.
  • Why stones form. A blood panel, urine tests and analysis of a passed stone answer that.

Lowering the risk, and what to do now

Fluid is the most effective single step. In a five-year randomized trial, 12 of 99 people told to drink more water formed another stone, against 27 of 100 without that advice. The AUA guideline advises enough fluid to make at least 2.5 liters of urine a day after a calcium-based stone.

  • Pain with fever, being unable to pass urine, or vomiting that will not stop: call 119 in Taiwan, as in the box above.
  • Sudden flank pain or blood in the urine without those signs: see a doctor the same day.
  • A stone found by chance: drink enough to keep your urine pale, cut back on salt, and ask whether tests to find the cause are worthwhile.

These steps lower the chance of a repeat stone; they cannot guarantee one never forms.

Sources & further reading

  1. [1] Kidney stones — symptoms and causes: see a professional right away for fever, chills or inability to urinate — NIH / NIDDK
  2. [2] Kidney stones — diagnosis (ultrasound, CT, X-ray) — NIH / NIDDK
  3. [3] Medical Management of Kidney Stones — AUA guideline (current edition) — fluid for at least 2.5 liters of urine a day — American Urological Association
  4. [4] Urinary volume, water and recurrences in idiopathic calcium nephrolithiasis: 5-year randomized trial (Borghi 1996) — 12 of 99 vs 27 of 100 — Journal of Urology / PubMed
  5. [5] Kidney Stones — NIH / NIDDK

Kidney Stones — Frequently Asked Questions

How do I know if I have a kidney stone?

A moving stone usually causes sudden, severe pain in the side or back that spreads toward the groin, often with nausea or blood in the urine. Pain with fever or chills, being unable to pass urine, or vomiting that will not stop is an emergency. In Taiwan call 119 (the local equivalent of 911).

Can a kidney stone show up on a scan before it hurts?

Sometimes. An abdominal ultrasound can show a stone resting in the kidney, and swelling if one is blocking urine flow. It can miss small stones. Finding one early does not usually mean treatment; it is a reason to talk about fluids and diet.

Do all kidney stones need to be treated?

No. Small stones that cause no symptoms and are not blocking the kidney are often monitored. Pain, blockage, infection, reduced kidney function or repeated stones can each call for treatment, and a urologist decides.

How can I lower the chance of kidney stones coming back?

Drink enough to keep your urine pale. In a five-year trial, 12 of 99 people who drank more water formed another stone, against 27 of 100 who did not. Less salt and very high animal protein helps. If stones keep forming, tests of the stone and your urine tailor the advice.

Screen smart. Travel once. Know where you stand.

Compare screening packages, see exactly what each one includes, or talk to a coordinator about fitting Kidney Stones screening into your visit to Taiwan.