Initial Assessment + Imaging
a. Recommend imaging (e.g., CT scan) to evaluate stone size, location, and obstruction.

Conservative Management
a. If stones are small (<5mm) and no obstruction, suggest hydration, pain control, and medical expulsive therapy.

Interventional Treatments
a. For larger stones or obstruction, consider extracorporeal shock wave lithotripsy (ESWL), ureteroscopy, or percutaneous nephrolithotomy.

Metabolic Evaluation
a. Advise metabolic workup to identify underlying causes and prevent recurrence.

Follow-up and Referral
a. Recommend urology referral for specialized management and follow-up imaging to monitor stone clearance.