What Will the ER Do for Kidney Stones? Complete Guide to Emergency Treatment

You know this feeling. The pain hit you like a wave and now you’re heading to the emergency room. On the way there, you’re wondering “what will the ER do for kidney stones?” Will they actually help, or will you just sit in a waiting room for hours?

Stop worrying. Before you arrive, you need to know exactly what happens when you walk through those doors—and why going to the right ER makes all the difference.

Here’s what the ER will do for kidney stones: First, they’ll get your pain under control with IV medication that works fast. Then, they’ll run a CT scan to see exactly where your stone is and how big it is. They’ll check your blood and urine for infection. Finally, they’ll give you a treatment plan—either medication to help pass the stone or a referral if you need surgical intervention. At Priority ER, this happens in under an hour, not 4-6 hours.

Clinic vs. ER: What’s the Actual Difference?

This isn’t about what sign is on the building. It’s about what’s inside the building—and what they can actually do for your kidney stone.

Here’s what the ER can do that clinics cannot. Understanding this helps you know what the ER will do for kidney stones that makes it worth the visit.

CT Imaging: ERs have on-site CT scanners that can locate your stone precisely, measure its size, and show if there’s any blockage. Clinics typically cannot do this.

IV Medication: ERs can give you IV pain medication that works in minutes, not the hour+ it takes for oral pills to kick in. Most clinics are limited to oral medications.

Complete Lab Work: ERs run blood tests to check kidney function and infection markers, plus urinalysis—all with results in minutes. Clinics often send labs out, with results taking days.

If your symptoms are severe—intense pain, fever, blood in urine, inability to urinate—the ER is the only place that can properly diagnose and treat you.

⚠️ About Those “24 Hour” Claims

Many clinics advertise “24 hours” or “extended hours” but actually close at 9 or 10 PM. Before you drive across town at 2 AM with kidney stone pain, verify they’re actually open. Every Priority ER location is truly open 24 hours a day, 365 days a year—including Christmas, Thanksgiving, and every other night when kidney stones seem to strike.

When Home Care or a Clinic is Totally Fine

Not every kidney stone needs the ER. Understanding when a clinic is appropriate helps you make the right choice—and know when you truly need what the ER will do for kidney stones.

LOW ACUITY

Kidney Stone Situations Appropriate for Home Care / Clinic

Manageable pain • No fever • Able to urinate • Keeping fluids down

Pain Management
Mild to Moderate Pain
Controlled with OTC medications, able to rest

Urinary Function
Normal Urination
Able to urinate, minimal blood, no blockage

Hydration Status
Tolerating Fluids
Keeping water down, no persistent vomiting

Temperature
No Fever
Temperature below 101°F, no chills

Stone Size
Known Small Stone (<5mm)
Previously diagnosed, likely to pass naturally

Follow-up Care
Post-ER Management
Stone passed, need prescription refill or check-up

Activity Level
Able to Function
Can walk, move around, perform basic activities

General Status
Alert and Oriented
No confusion, weakness, or feeling faint

The key word is manageable. When symptoms are tolerable and you’re staying hydrated, drinking fluids, and able to urinate—home care or a clinic during daytime hours works fine. But when things escalate, you need what the ER will do for kidney stones.

When Kidney Stones Need the ER Right Now

Your body knows. There’s a difference between “uncomfortable” and “something’s really wrong.” Trust that instinct. Here’s what our emergency team says warrants immediate ER care for severe abdominal pain:

Person experiencing severe kidney stone pain
Emergency

Severe, Uncontrollable Pain

Pain so intense you can’t sit still, can’t find a comfortable position, or pain that causes vomiting. This level requires IV medication.

Fever thermometer showing high temperature
Emergency

Fever with Kidney Stone Pain

Fever over 101°F combined with kidney stone symptoms indicates possible infection. This can become life-threatening quickly.

Medical emergency urinary symptoms
Emergency

Inability to Urinate

Complete urinary blockage is a medical emergency. If you feel the urge but cannot urinate, or have not urinated in many hours despite drinking fluids.

Patient with severe nausea and vomiting
Emergency

Persistent Vomiting & Dehydration

Can’t keep any fluids down for several hours. This leads to dehydration which makes passing a stone even harder and more dangerous.

💡

Trust Your Instincts

If something feels really wrong—even if you can’t explain why—go to the ER. You know your body better than anyone. That gut feeling exists for a reason.

WHAT WE DO FOR KIDNEY STONES

Complete Kidney Stone Care at Priority ER

Here’s exactly what the ER will do for kidney stones when you come to Priority ER:

01

Immediate Pain Relief — IV pain medication starts within minutes of arrival. We use fast-acting medications like ketorolac (Toradol) and stronger options if needed.

02

CT Scan for Stone Location — Our on-site CT scanner shows exactly where your stone is, how big it is, and whether there’s any blockage. Results in minutes, not days.

03

Complete Lab Work — Blood tests check kidney function and infection markers. Urinalysis confirms diagnosis. All done on-site with rapid results.

04

IV Fluid Hydration — IV fluids help flush your system and keep you hydrated, especially important if vomiting has left you dehydrated.

05

Treatment Plan — Based on stone size and location, we’ll prescribe medications to help pass the stone (alpha-blockers, pain meds) or arrange urology referral if intervention is needed.

06

Discharge with Clear Instructions — You leave knowing what to do, what to watch for, and when to return. No guessing, no confusion.

The Difference at 2 AM

Hospital ER

3+ hours

Average wait in Texas

Priority ER

Minutes

Straight to a room

CT Scans

On-site, results in minutes

Full Lab

No waiting for off-site results

Real ER

Board-certified ER physicians

Same capabilities as a hospital ER.
Without the chaos.

What to Expect When You Arrive

Knowing exactly what the ER will do for kidney stones helps you feel calmer during a painful episode. Here’s how a Priority ER visit typically unfolds:

Your Priority ER Visit

From arrival to answers

1
Immediate Greeting
0-2 minutes

2
Private Room & IV Started
2-5 minutes

3
Physician Exam
5-10 minutes

4
CT Scan & Labs
10-30 minutes

5
Answers & Treatment Plan
30-60 minutes

Step 1

Immediate Greeting (0-2 min)

You’re greeted the moment you walk in. No clipboard, no waiting for someone to notice you.

Step 2

Private Room & IV Started (2-5 min)

You go straight to a private treatment room. IV pain medication can start immediately.

Step 3

Physician Exam (5-10 min)

A board-certified ER doctor examines you, assesses your pain level, and orders imaging.

Step 4

CT Scan & Labs (10-30 min)

CT scan to locate your stone and lab work—all done on-site with fast results.

Step 5

Answers & Treatment Plan (30-60 min)

Stone size and location confirmed, treatment plan explained, prescriptions provided. You leave with answers.

Compare that to a typical hospital ER: wait for triage, wait for a room, wait for a doctor, wait for lab results, wait for imaging results… You could spend 4-6 hours for the same care that takes under an hour at Priority ER.²

Kidney Stone Care 24/7

Complete Kidney Stone Treatment—Fast

Board-certified emergency physicians. CT scans and full lab on-site. IV pain management. Zero wait time. This is what real kidney stone emergency care looks like.

Priority ER Locations

All locations are equipped with CT imaging, full laboratory services, and staffed by board-certified emergency physicians experienced in kidney stone treatment.

🌵 Odessa (West Texas)

3800 E 42nd St, Suite 105

Odessa, TX 79762

Get Directions →

Serving Odessa, Midland, Gardendale, Greenwood & the Permian Basin

🏛 Round Rock (Austin Area)

1700 Round Rock Ave

Round Rock, TX 78681

Get Directions →

Serving Round Rock, Cedar Park, Pflugerville, Georgetown & North Austin

⭐ McKinney (North Dallas)

5000 Eldorado Pkwy

McKinney, TX 75072

Get Directions →

Serving McKinney, Frisco, Allen, Prosper & Collin County

🏙 Pantego (Arlington)

1607 S Bowen Rd

Pantego, TX 76013

Get Directions →

Serving Arlington, Pantego, Grand Prairie & Mid-Cities DFW

🌊 Rockwall (East Dallas)

2265 N Lakeshore Dr #100

Rockwall, TX 75087

Get Directions →

Serving Rockwall, Heath, Rowlett, Fate & Lake Ray Hubbard area

The Bottom Line

When you’re searching “what will the ER do for kidney stones” while in pain, you’re looking for answers and relief. The last thing you need is to wait hours in a crowded waiting room or end up somewhere that can’t actually help.

Now you know: the ER provides IV pain medication, CT imaging, lab work, and a treatment plan—everything you need to diagnose and manage your kidney stone. And Priority ER gives you all of this—CT imaging, on-site labs, IV pain management—without the chaos and wait times of a hospital ER.

When kidney stone pain becomes unbearable, come to a place that can actually help—fast.

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions about your health. If you believe you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.

Medical References

  1. American Urological Association. (2024). “Medical Management of Kidney Stones: AUA Guideline.” Journal of Urology. Retrieved from https://www.auanet.org/
  2. American College of Emergency Physicians. (2024). “Emergency Management of Urolithiasis.” ACEP Clinical Practice Guidelines. Retrieved from https://www.acep.org/
  3. National Kidney Foundation. (2024). “Kidney Stones: Symptoms, Causes, and Treatment.” Retrieved from https://www.kidney.org/
  4. American College of Radiology. (2024). “ACR Appropriateness Criteria: Acute Onset Flank Pain.” ACR Guidelines. Retrieved from https://www.acr.org/
  5. Mayo Clinic. (2024). “Kidney Stones: Diagnosis and Treatment.” Mayo Clinic Proceedings. Retrieved from https://www.mayoclinic.org/
  6. European Association of Urology. (2024). “EAU Guidelines on Urolithiasis.” EAU Guidelines. Retrieved from https://uroweb.org/
  7. Healthcare Cost and Utilization Project. (2024). “Emergency Department Visits for Kidney Stones.” HCUP Statistical Brief. Retrieved from https://hcup-us.ahrq.gov/
  8. National Institute of Diabetes and Digestive and Kidney Diseases. (2024). “Kidney Stones.” NIDDK Health Information. Retrieved from https://www.niddk.nih.gov/
  9. Radiological Society of North America. (2024). “CT for Kidney Stone Detection.” RSNA Guidelines. Retrieved from https://www.rsna.org/