Can You Pass a 2mm Kidney Stone? Symptoms & What to Do

Kidney stones are hard, pebble-like formations that develop in the kidneys when certain minerals in urine become highly concentrated. They vary in size, but a 2mm kidney stone is considered very small. These tiny formations are often less problematic than larger stones, and understanding their characteristics can help manage their passage.

Understanding 2mm Kidney Stones

A 2mm kidney stone has a high likelihood of passing spontaneously. The ureters, tubes connecting the kidneys to the bladder, typically measure 3 to 4 millimeters in diameter. This means a 2mm stone is smaller than the ureter’s average width, making natural passage quite feasible. Stones less than 4mm have a high success rate of passing on their own, estimated at 80% or more. While the average time for a 2mm stone to pass is about 8 days, it can sometimes take up to a month.

Symptoms During Passage

Even a small 2mm kidney stone can cause intense symptoms as it moves through the urinary tract. Pain often begins suddenly and can be severe, described as a gripping or colicky pain that fluctuates in intensity. This discomfort typically occurs in the side and back, below the ribs, and may radiate towards the lower abdomen and groin.

The pain results from the stone moving through the ureter, potentially blocking urine flow or causing spasms. Other symptoms include nausea, vomiting, an urgent and frequent need to urinate, a burning sensation during urination, and blood in the urine.

Strategies for Passing a Stone

Several strategies can help facilitate the passage of a 2mm kidney stone at home. Increasing fluid intake is a primary recommendation, as ample hydration helps to flush the stone through the urinary system. Drinking plenty of water, enough to keep urine light yellow or clear, is beneficial. Some suggest adding fresh lemon juice to water.

Pain management is also important. Over-the-counter pain relievers like ibuprofen can alleviate discomfort. A doctor might prescribe alpha-blockers to relax ureter muscles, making passage easier. Straining urine through a filter can catch the stone for analysis by a healthcare provider.

When to Consult a Doctor

While many 2mm kidney stones pass without complications, medical attention is necessary in certain situations. Consult a doctor for persistent, severe pain unmanaged by medication. Signs of infection, such as fever and chills, require immediate evaluation, as a stone can cause a blockage leading to bacterial buildup.

Seek professional care if nausea and vomiting prevent adequate fluid intake, leading to dehydration. A complete inability to urinate or a significant decrease in urine output signals a potential blockage requiring urgent attention. Also, if a 2mm stone has not passed after several weeks, or if symptoms worsen, consult a healthcare provider.