Pet Health

Cat Kidney Failure: Symptoms, Causes, & Treatment

Learn about cat kidney failure, including symptoms, causes, and effective treatment options to help keep your feline friend healthy and happy.
Author: Veterinary Team
Dial A Vet
Updated
June 6, 2025
|
Published
June 6, 2025
Cat sitting in a sunny spot, looking lethargic, with a bowl of water nearby, illustrating symptoms of kidney failure.

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Kidney failure in cats can be a distressing diagnosis, leaving many pet owners feeling helpless and overwhelmed. As one of the most common health issues in older cats, it’s crucial to recognize the signs early and understand the available treatment options. With the right care and guidance, cats with kidney disease can still enjoy a good quality of life. Let’s explore everything you need to know about cat kidney failure.

⚠️ What to Watch For

Kidney failure, also known as renal failure, occurs when a cat’s kidneys lose the ability to filter waste products from the blood effectively. This leads to a buildup of toxins in the body, causing noticeable symptoms. The earlier you spot these signs, the better the chances of managing the condition.

Common symptoms of kidney failure in cats include:

  • Increased thirst and urination
  • Weight loss and decreased appetite
  • Lethargy or lack of energy
  • Vomiting or nausea
  • Bad breath with a chemical or ammonia-like odor
  • Dehydration (evidenced by dry gums or skin tenting)
  • Diarrhea or constipation
  • Poor coat condition

If you notice any of these symptoms, especially if they persist or worsen, it’s important to take action promptly. Kidney disease can progress quickly if left untreated, so early intervention is key.

🔍 Possible Causes

Kidney failure in cats can be classified into two types: acute and chronic. Each has different underlying causes and progression rates.

Acute Kidney Failure: This type develops suddenly and can be caused by:

  • Ingestion of toxins (e.g., antifreeze, lilies, or certain medications like ibuprofen)
  • Severe dehydration
  • Urinary blockages
  • Infections, such as pyelonephritis
  • Shock or trauma

Chronic Kidney Disease (CKD): CKD progresses slowly over months or years and is more common in older cats. Causes include:

  • Age-related wear and tear
  • Genetic predisposition (e.g., in Persian or Siamese cats)
  • High blood pressure
  • Polycystic kidney disease
  • Long-term exposure to toxins or low-grade infections

Sometimes, the exact cause of kidney failure remains unknown. However, understanding the potential risks can help you take preventative measures to protect your cat’s health.

✅ What You Can Do at Home

If your cat has been diagnosed with kidney failure, there are several steps you can take at home to support their health and comfort. While treatment will vary based on the severity of the condition, these tips can make a big difference:

  • Hydration: Ensure your cat always has access to fresh, clean water. Many cats with kidney issues become dehydrated, so encourage drinking by using a pet fountain or offering wet food.
  • Dietary Changes: Your vet may recommend a prescription kidney diet, which is lower in protein, phosphorus, and sodium to reduce kidney strain.
  • Medication: Follow your vet’s instructions for any prescribed medications, such as anti-nausea drugs, appetite stimulants, or blood pressure medications.
  • Monitor Symptoms: Keep track of your cat’s appetite, water intake, urination, and overall behavior. Report any changes to your vet immediately.
  • Reduce Stress: Create a calm, quiet environment for your cat and minimize disruptions to their routine.

While these steps can help manage the condition, they are not a replacement for veterinary care. Regular checkups and blood tests are essential to monitor your cat’s kidney function and adjust their treatment plan as needed.

💡 When to Call a Vet

It’s always better to err on the side of caution when it comes to your cat’s health. Contact your vet immediately if your cat:

  • Stops eating or drinking for more than 24 hours
  • Shows signs of severe dehydration or weakness
  • Vomits repeatedly
  • Develops difficulty urinating or stops urinating entirely
  • Exhibits unusual behaviors, such as hiding or crying in pain

These symptoms could indicate a medical emergency, such as acute kidney failure or urinary blockage, which requires prompt treatment. Your vet may recommend blood work, urine tests, or imaging studies to determine the best course of action.

FAQs

Q: Can kidney failure be cured in cats?
A: Chronic kidney disease cannot be cured, but it can be managed to improve your cat’s quality of life. Acute kidney failure may be reversible if treated quickly.

Q: How long can a cat live with kidney failure?
A: The prognosis depends on the severity of the condition and how well it is managed. Some cats with CKD live for several years with proper care.

Q: What should I feed a cat with kidney disease?
A: Your vet may recommend a prescription kidney diet that is low in protein, phosphorus, and sodium. Always consult your veterinarian before making dietary changes.

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References

While every effort is made to ensure the accuracy of this content - including vet review where applicable - this article is for informational purposes only and is not a substitute for professional veterinary advice, diagnosis, or treatment. If your pet is unwell or you are concerned, please speak with a licensed veterinarian. You can book a $49 online consultation with our veterinary team  😄
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