The temperature may be lower than normal. Abdominal palpation often reveals a colon with firm fecal nuggets, a full bladder and smallish kidneys with a lumpy feel. B lood tests and a urinalysis will confirm a suspicion of renal problems. On the blood tests the BUN and Creatinine are elevated. There may also be evidence of anemia without regeneration of red blood cells.
Dehydration is evident in many cases.
The urinalysis will exhibit a low specific gravity and increased protein levels. Urinary tract infections are often detected. Treatment of these cases is directed at support of the body in face of a failing organ system. The condition is progressive and the level of support is determined by the clinical and laboratory findings. The kidney is an active and selective pump system of the body.