Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get urgent or emergency help if you have:
Fever or chills with suspected stone pain
Severe pain that is not controlled
Repeated vomiting or inability to keep fluids down
Inability to urinate or only a very small urine output
Confusion, faintness, marked weakness, or rapidly worsening illness
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical assessment for new severe side, back, abdominal, or groin pain, especially if you also have blood in your urine, vomiting, or pain when urinating.
Similar symptoms can have other causes that need different treatment.
Urgent assessment is also important if you may be pregnant, have only one functioning kidney, have reduced kidney function, or have a weakened immune system.
3
Does any of this apply?
Book an appointment
Routine follow-up is appropriate after a stone episode to confirm that the stone has passed, review test results, and discuss recurrence prevention.
Arrange a review if urinary symptoms continue, pain keeps returning, or you are unsure whether a stone has passed.
Every sign above is quoted from the sofidex article on Kidney stones. If you are not sure, err upward — it is always reasonable to be checked.