The Life STORRIED Study

Inclusion Criteria: * Age 18 years to 70 years old * Experiencing back pain or renal colic * Text messaging and internet access including email capabilities or access to a smartphone * Anticipated discharge within 24 hours Exclusion Criteria: * Patients who take opioids for chronic pain or cancer treatments * Patients who have taken opioids in the past month with the exception of patients who have taken opioids in the previous 48 hours before arriving at the ED for their presenting condition based on provider assessment * Patients who are pregnant, in police custody, intoxicated, cognitively impaired, or otherwise unable to fully consent and participate * Patients who are hemodynamically compromised, in respiratory distress, or in severe emotional or physical distress. * Patients older than 70 or younger than 18 * Patients who will be admitted to hospital or deemed to have a critical illness based on provider assessment * Patients who are cognitively impaired * Patients who are suicidal or homicidal ideation by chart review and clinician assessment. * Patients with evidence of aberrant behavior based on clinical assessment * Patients who do not have a phone, text messaging OR email address * Patients under police arrest at ED visit * Patients who are non-English or Spanish speaking * Patients previously enrolled * Patient with any current contraindications for NSAIDs or opioid medications including allergies, chronic kidney disease (GFR60, if measured)