Early symptoms of kidney stones in women

Written by Chen Feng
Urology
Updated on February 06, 2025
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The initial symptoms of kidney stones in women vary depending on the size of the stone and whether the stone causes an obstruction. Generally, during the early stages of kidney stones, the stones are relatively small and do not cause obstruction in the kidney or bladder, and typically do not present any symptoms. However, if a small stone moves downward and accidentally gets stuck in a naturally narrow part of the ureter, it can cause symptoms such as pain and discomfort in the lower back, nausea, and vomiting. If the stone gets stuck at the junction of the ureter and the bladder, it irritates the bladder mucosa, leading to symptoms of frequent urination, urgent urination, and painful urination. However, small stones generally pass on their own. Analgesics can be used for symptomatic treatment. Additionally, medications that dilate the ureter, along with drinking plenty of water and physical activity such as jumping, generally help the stone to pass.

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Nephrology
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Causes of Kidney Stones

The causes of kidney stone formation include the following: One reason is the increased amount of stone-forming components in the urine. Various factors that cause an increase in the concentration of salts, uric acid, oxalates, and cystine in the urine can exceed their solubility. This results in the precipitation and crystallization from the urine, which further grows into stones. For example, hyperuricemia can lead to an increased excretion of urinary uric acid, making it easy to form urate stones. Secondly, the reduction in urine substances that inhibit stone formation, including decreases in citrate and magnesium, can promote stone formation. Third, urinary tract obstruction and infection can lead to stone formation. In cases of urinary tract obstruction and poor urine flow, small crystals formed in the urine can easily adhere to the epithelial cells of the urinary tract, becoming the nucleus of the stone. Urinary tract obstruction may also lead to urinary tract infections where bacteria, pus, and damaged, necrotic epithelial cells can also form the core of stones and gradually develop into larger stones. Fourth, diet and hydration play significant roles. Long-term, high intake of high-protein, high-sodium, high-sugar foods can cause increased excretion of urinary calcium and uric acid, while reducing citrate levels, thus promoting stone formation. A decrease in water intake can also cause urine concentration, further promoting stone formation. Fifth, environmental factors and genetic factors are considered to be related to the formation of kidney stones. It is believed that the hardness of water and genetic factors also have certain relationships with kidney stone formation.

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How to relieve pain during a kidney stone attack?

When kidney stones occur, there are often significant pain symptoms. This is mainly due to the smaller stones in the kidney moving within the kidney or falling into the ureter, stimulating the ureter wall, causing ureteral spasms and subsequent pain. The pain usually appears suddenly and can be very intense. In such cases, it is necessary to go to the hospital promptly for spasm relief and pain treatment. Medications such as scopolamine, atropine, or tramadol can be used for pain relief. If necessary, scopolamine may need to be administered intravenously. (Specific medications should be used under the guidance of a physician.)

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Urology
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Which department should I go to for kidney stones?

After developing kidney stones, it is necessary to promptly visit the urology department of a hospital for examination and treatment. Diagnostic procedures such as ultrasound, CT scans, and imaging are required to determine the exact location and size of the stones. If the stone inside the kidney is small, around five millimeters, this can often be managed by increasing water intake, frequent urination, exercising, and using medications such as stone-expelling granules and effervescent agents to facilitate the expulsion of the stones from the body. If the stone is large and causes hydronephrosis of the kidney, surgery is recommended as soon as possible. If there is a concurrent infection, it is necessary to control the infection before proceeding with surgical treatment.

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Does kidney stones cause hematuria?

Kidney stones can cause hematuria. The main reason that kidney stones cause hematuria is due to the damage to the mucous membrane of the renal pelvis caused by the stones, and even the rupture of blood vessels, leading to hematuria. In this case, it is necessary to use imaging methods such as color Doppler ultrasound and CT to determine the exact location and size of the stones. If the stone is small, such as about five or six millimeters, symptomatic hemostasis treatment can be conducted, and if necessary, drinking more water, urinating frequently, exercising more, and taking oral stone-discharging granules or effervescents can help expel the stones from the body. If the stone is large, it is advisable to opt for surgical treatment as soon as possible.

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What should you not eat if you have kidney stones?

Since the main component found in kidney stones is calcium oxalate stones, it is necessary to eat less food high in calcium and oxalates in our diet. Common foods that are high in calcium include soy products such as tofu, soy milk, and dairy products like cow's milk and cheese, which should be consumed in moderation. Additionally, it is advisable to eat fewer foods high in oxalates, such as celery, spinach, strawberries, and chocolate. Moreover, if the stones are uric acid stones, it is important to consume less seafood, animal organs, beer, and other foods high in purines. It is best to drink more water every day and urinate frequently to dilute the urine, which can reduce the formation of stones.