Most stones pass through the urinary tract on their own. Over-the-counter pain medications (such as ibuprofen) may help alleviate pain. Medical expulsive therapy involves the use of alpha blockers, ibuprofen and increased hydration to encourage passage of these stones. If your pain is not controlled, your doctor may prescribe an additional pain medication.
Your doctor may also prescribe medication that stops the stone from growing or helps break down the crystal making it easier to pass. Medications include:
- Allopurinol (for uric acid stones)
- Antibiotics (for struvite stones)
- Phosphate solutions
- Sodium bicarbonate or sodium citrate
- Thiazide diuretics.
More aggressive treatment may be necessary if the stone is too large to pass, it is blocking urine flow or causing severe pain and ongoing infection.