How long does it take for a 4 mm kidney stone to pass?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I was admitted to the hospital last week due to an overwhelming pain that made me pass out and vomit. I discovered I had a 0.157 inch kidney stone. It is now stuck in my ureter. It was stuck in the thinnest part of the tube. It has been almost one week since the pain started and I have not yet passed the stone, though the pain is under control and there has been no problem urinating I just wanted to know if this is normal. How long does the stone take to pass?

Kindly help.

Answered by Dr. Raja Ramesh

Education:

MBBS

Professional Bio:

Dr. Raja Ramesh is a skilled Urologist and Andrologist specializing in urinary tract health and male reproductive system disorders. With advanced expertise in surgical and medical management, he provides comprehensive care for urological conditions, male infertility, and related concerns. Known for his patient-focused approach, Dr. Ramesh is dedicated to delivering effective treatment solutions and improving the overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

We welcome you to icliniq family.

I appreciate the confidence you place in me for your healthcare consultation.

The general recommendation for treatment for 0.157 inch ureteric calculi, is >95 percent chance of spontaneous clearance irrespective of its location. If pain is under control, then we just have to wait for the stone to pass out. There are three narrow points in the ureter where it gets stuck.

The maximum waiting time for the stone to pass out is six weeks. However, if the stone is stuck at the same location for more than two weeks, then intervention is needed. However, if it does not pass out by six weeks, it is better to surgically remove it. Surgery will be an endoscopic procedure.

I hope this has helped you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 2, 2023
Reviewed At June 25, 2026

Education:

MBBS

Professional Bio:

Dr. Raja Ramesh is a skilled Urologist and Andrologist specializing in urinary tract health and male reproductive system disorders. With advanced expertise in surgical and medical management, he provides comprehensive care for urological conditions, male infertility, and related concerns. Known for his patient-focused approach, Dr. Ramesh is dedicated to delivering effective treatment solutions and improving the overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Raja Ramesh is a skilled Urologist and Andrologist specializing in urinary tract health and male reproductive system disorders. With advanced expertise in surgical and medical management, he provides comprehensive care for urological conditions, male infertility, and related concerns. Known for his patient-focused approach, Dr. Ramesh is dedicated to delivering effective treatment solutions and improving the overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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