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CT scan for stones — with or without contrast?

Stone Fighter #E224F2Stone Fighter #E224F2Jun 13, 2026👁️ 765❤️ 131
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Hey everyone, first time dealing with a possible stone back in January. I didn't even know what stone symptoms were until after the fact. I actually turned down the CT because of the contrast dye. What are the alternatives? My urologist seems convinced it's the only option. I'm pretty sensitive to medications so the idea of getting injected with contrast makes me nervous.

Backstory: In January I had what I assumed was a back strain even though I never did anything to cause it. It came on super sudden, really severe, couldn't move without pain, plus cramping and pain radiating from my back around to my stomach. Turns out those could've been stone symptoms. I've also had microscopic blood in my urine that they're trying to track down. Has anyone had a similar experience? What was your RBC count? Did you have symptoms like mine? I had a baby two years ago and had been writing off dull back pain as just normal postpartum back stuff. Once that possible stone passed in January my back pain just magically disappeared. But I still have blood in my urine so now they want to do the imaging study and a cystoscopy.

Comments (5)

Stone Fighter #1D3B29Stone Fighter #1D3B29May 5, 2026

I've had tons of CT scans for stones and just got my first one with contrast this past weekend when a stone had caused the urine behind it to get infected. I'm assuming the contrast makes things more accurate? Not totally sure, but they found the demon stone without any issues and I was in surgery the next morning.

Stone Fighter #775F1FStone Fighter #775F1FMay 5, 2026

The gold standard imaging for kidney stones is a CT-KUB (without contrast). There are a few specific situations where contrast is better, but the vast majority of cases are actually better without it.

Stone Fighter #9CC827Stone Fighter #9CC827May 5, 2026

I had mild pain that came in waves but went away after eating so I thought it was just hunger. Then I started getting pain every 2 hours. Went to urgent care for some pain meds and they asked me “do you know where your kidney is?” They said it was kidney pain, urine test showed blood, and sent me to the ER. I kept telling them the pain went away after eating like an idiot, so they ordered a CT with contrast, X-ray, and ultrasound — confirmed a 1.3cm stone. Had ESWL and my urologist said it tu...

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