Symptoms & Signs
There may be no symptoms. Symptoms of chronic kidney disease are often present over time and may include:
* Increased urinary frequency or urgency
* Blood in the urine
* Flank pain or back pain
* Decreased urine output
* Decreased alertness
o Confusion, delirium
* Decreased sensation, numbness (especially in the legs)
* Nausea, vomiting
* Easy bruising or bleeding
* Swelling, generalized
Diagnosis & Tests
A physical examination may show signs of interstitial nephritis or kidney failure.
Blood pressure may be high. The doctor may hear abnormal heart or lung sounds when listening to the chest with a stethoscope. There may be signs of premature skin aging.
Lab tests may show blood and pus in the urine, with or without signs of infection. There may be mild or no loss of protein in the urine.
Tests that may be done include:
* Complete blood count
* Examination of sediment or tissue passed in the urine
* Intravenous pyelogram (IVP)
* Toxicology screen
Reviewed By : David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and James R. Mason, MD, Oncologist, Director, Blood and Marrow Transplantation Program and Stem Cell Processing Lab, Scripps Clinic, Torrey Pines, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.