As a emergency medicine physician in Chattanooga I will say the majority of individuals with kidney stones get a good bit of relief from Tordal( an NSAID like advil). It seems to work better on renal stones that other types of pain. I will also say that often those who come in and claim to have kidney stones often have no evidence of said stones other than their demand for narcotics. That being said, I most always give a combination of tordal,narcotics (morphine of dilaudid) and anti-nausea meds with lots of fluids. I would imagine there are some doctors out there who have decided to quit giving narcotics for kidney stones altogether due to overwhelming amount of drug seekers who use kidney stones as a common complaint in the ED. I know I hav
e given multiple doses of strong narcotics
only to find out the patient had a negative Cat-scan and a history of multiple visits for the same with negative scans as well.