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Emergency Care · Beaumont, TX · Open 24/7

Kidney Stone Pain? Emergency Care in Beaumont, Open 24/7

Kidney stone pain often starts suddenly in the side or back, comes in waves and can be strong enough to make you vomit. Many stones pass on their own, but pain you cannot control, fever with flank pain, or not being able to pee are reasons to be seen now. Eastex Emergency Room on Eastex Freeway in Beaumont is open around the clock for adults and children.

Flank and side painBlood in urineFever with back painVomiting with pain
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Go to the ER now if kidney stone pain comes with any of these

A stone that blocks urine flow while an infection is present can become serious quickly. These signs need same-day emergency evaluation.

  • Fever or shaking chills with side, back or groin pain
  • Pain you cannot control with the medicine you have at home
  • Vomiting that stops you keeping fluids or pills down
  • Little or no urine, or you cannot pee at all
  • Only one working kidney, a kidney transplant, or known kidney disease, with new flank pain
  • Pregnancy with new side or back pain
  • Confusion, fainting or feeling very weak with pain or fever
  • First-ever severe flank pain after age 50, which needs other causes checked

Call 911 if the person is confused, hard to wake, fainting, or has trouble breathing. Do not drive yourself if pain or vomiting makes it unsafe.

Symptoms

What kidney stone pain can feel like

Stones usually cause no symptoms while they sit in the kidney. Pain tends to start when a stone moves into the ureter, the narrow tube between the kidney and the bladder.

  • Sharp pain in the side or back, below the ribs
  • Pain that spreads to the lower belly or groin
  • Pain that comes in waves and changes in strength
  • Not being able to sit still or get comfortable
  • Pink, red or brown urine
  • Burning or pain when you pee
  • Needing to pee often, or only passing small amounts
  • Nausea and vomiting
  • Cloudy or bad-smelling urine
  • Fever and chills, which can mean infection

Possible Causes

Kidney stones are common, but flank pain has other causes too

Side and back pain is not always a stone. Part of an emergency evaluation is checking for problems that can look similar.

Kidney or ureter stone

Crystals in the urine clump into a hard stone. Dehydration, diet, family history and some medical conditions raise the risk.

Kidney infection

An infection that travels up from the bladder can cause flank pain, fever and vomiting, with or without a stone.

Other abdominal causes

Appendicitis, gallbladder problems, ovarian problems and, rarely, a problem with the aorta can cause pain in the same area.

Why it is hard to tell at home: the symptoms of a stone, a kidney infection and some other abdominal problems overlap. Blood in the urine can come from a stone or from other causes. Only an exam and testing can sort this out, so if the pain is severe, new, or comes with fever, get checked rather than waiting for the stone to pass.

Your Evaluation

How the ER evaluates possible kidney stones

The goal is to control your pain, find out whether a stone is present and whether it is blocking the kidney, and check for infection.

  1. Triage and vital signs. Temperature, heart rate and blood pressure help show whether infection or dehydration is part of the picture.
  2. History and exam. Where the pain started, how it moves, any past stones, and whether you are pregnant all shape the next steps.
  3. Pain and nausea control. Medicine for pain and vomiting is often started early, sometimes through an IV.
  4. Urine and blood tests. These look for blood, signs of infection and how well your kidneys are working.
  5. Imaging when needed. A CT scan or ultrasound can show the size and position of a stone and whether urine is backing up.
  6. A plan. Many people go home with pain medicine, fluids and a strainer for their urine. Others need a specialist or hospital care.

Testing available on site

Lab testing

Blood and urine tests run on site.

CT scan

Cross-sectional imaging when the exam calls for it.

Ultrasound

Imaging without radiation for many abdominal and soft-tissue questions.

IV fluids and medicine

Fluids and medicines through an IV when you need them.

The tests above are the diagnostic services Eastex ER lists on its own service pages. Not every patient needs every test. The emergency physician decides what to order based on your history and exam, and a normal result does not rule out every cause. Always follow your discharge instructions and the follow-up plan you are given.

What a freestanding ER can and cannot do for stones

Eastex ER is a freestanding emergency room. It does not have inpatient beds or a urology operating room. If testing shows a stone that is blocking the kidney and infected, a stone that is very unlikely to pass, kidney injury, or pain that cannot be controlled, the team will arrange care at a hospital, including transfer when needed.

  • Procedures to break up or remove stones are done by urologists, usually in a hospital or surgery center.
  • If you are sent home, you should get clear return instructions and advice on which doctor to follow up with.
  • Come back or call 911 if fever, vomiting or uncontrolled pain develops after you leave.

While you wait for a stone to pass

If you have been seen and told the stone is likely to pass, your doctor will usually suggest drinking enough fluid to keep your urine pale, using pain medicine exactly as prescribed, and straining your urine so you can catch the stone. Some people are given a medicine that relaxes the ureter. Keep your follow-up appointment even if the pain stops, because a stone can stop moving without causing pain and still block the kidney.

Come back if

  • You develop a fever or chills.
  • Pain gets worse or is not controlled by your medicine.
  • You vomit and cannot keep fluids or medicine down.
  • You pee much less, or not at all.

Lowering the chance of another stone

About half of people who have one stone will have another within years. A lab test of the stone, blood tests and sometimes a 24-hour urine test help your doctor tailor advice. Common suggestions include drinking more water through the day and adjusting salt and some foods, but the right plan depends on the type of stone, so ask before making big diet changes.

Higher-risk situations

Stones are more urgent in people who are pregnant, have only one kidney or a kidney transplant, have chronic kidney disease, diabetes or a weakened immune system. In children, flank pain, blood in the urine or pain with peeing should be checked by a doctor.

Planning Your Visit

Before you come in

Walk-ins are welcome at any hour. If you can, bring a list of your medicines, any stone you have already passed, and the results of past kidney imaging.

Find us

5550 Eastex Fwy, Suite C, Beaumont, TX 77708. Open 24 hours, every day. Call 409-800-1100.

What to bring

Photo ID, insurance card and a list of your medicines and allergies, if you can grab them safely.

Insurance

See which plans we work with and what to expect as a freestanding emergency room.

Billing

How emergency visits are billed, and who to contact with questions about a bill.

FAQs

Kidney stone questions

Short answers to questions people ask before they come in.

Not sure what to do?

If symptoms are severe or getting worse, call 911. For questions about coming in, call Eastex ER any time.

409-800-1100

Mild pain that you can manage, with no fever and normal peeing, can often be checked by your doctor or an urgent care clinic. Severe pain, vomiting, fever, little or no urine, pregnancy, or a single kidney are reasons to use an emergency room, because imaging, IV medicine and fast lab work may be needed.

Many small stones pass in the urine over days to weeks. Larger stones are less likely to pass. A clinician can estimate this from imaging and will tell you what to watch for while you wait.

A stone can trap infected urine behind it. That can lead to a serious kidney infection or a bloodstream infection, which needs treatment quickly and sometimes a procedure to drain the kidney.

Not always. The physician weighs your age, history, past stones and pregnancy status. Ultrasound may be used instead in some cases, such as pregnancy or in children.

Keep it and bring it to your follow-up visit. A lab can test what it is made of, which helps your doctor suggest ways to lower the chance of another stone.

Keep Reading

Related guides

More from Eastex ER on deciding where to go and what to expect. Browse every guide in our health resources library.

Severe flank pain or fever with a stone? Come in now.

Eastex Emergency Room is open 24/7 at 5550 Eastex Fwy, Suite C, Beaumont, TX 77708. Walk in or call 409-800-1100. For a life-threatening emergency, call 911.

Sources

  1. MedlinePlus: Kidney stones
  2. NIDDK: Kidney Stones
  3. MedlinePlus: Kidney stones - self-care

Last updated:

This page is general education and does not replace an exam by a clinician. If you think you are having a life-threatening emergency, call 911.