Can a 5mm kidney stone cause pain if it is in the lower lobe of the kidney? If it is considered non-obstructing should anything be done?

A stone anywhere in the urinary collecting system may cause pain at any time.  If there is no obstruction or pain, then medical management is most appropriate especially for a small stone such as the 5 millimeter (mm) stone that you mention.  Medical management includes drinking lots of water and staying on a low salt diet.

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