Pet Health

Kidney Disease in Cats: Causes, Symptoms, and Treatment (Vet-Reviewed)

Discover the causes, symptoms, and treatment options for kidney disease in cats in our comprehensive vet-reviewed guide. Ensure your feline's health today!
Author: Veterinary Team
Dial A Vet
Updated
June 6, 2025
|
Published
June 6, 2025
Elderly cat receiving veterinary care for kidney disease, showcasing attentive veterinarian examining the cat's health.

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As cat owners, we want our feline companions to live long, healthy lives. But when a cat starts drinking more water than usual, losing weight, or acting lethargic, it’s natural to worry. Kidney disease is a common issue in cats, especially as they age, and understanding the causes, symptoms, and treatment options can make a big difference in managing their health.

⚠️ What to Watch For

Kidney disease can develop slowly over time (chronic kidney disease or CKD) or appear suddenly (acute kidney injury). The symptoms can be subtle at first, so it’s essential to recognize the early warning signs:

  • Increased thirst and urination
  • Weight loss
  • Decreased appetite
  • Lethargy or low energy
  • Vomiting or nausea
  • Bad breath with a possible ammonia-like odor
  • Dry, unkempt coat
  • Muscle weakness or twitching

If you notice any of these signs, it’s important to reach out to your vet as soon as possible. Early intervention can slow the progression of kidney disease and improve your cat’s quality of life.

🔍 Possible Causes

Kidney disease in cats can be caused by a variety of factors, including age, genetics, and environmental influences. Here are some of the most common causes:

  • Aging: Chronic kidney disease is more common in older cats as their kidneys naturally lose function over time.
  • Genetics: Certain breeds, such as Persians and Abyssinians, are predisposed to kidney issues.
  • Infections: Bacterial infections like pyelonephritis can damage the kidneys if left untreated.
  • Toxins: Ingesting toxic substances, such as antifreeze, certain medications, or lilies, can cause acute kidney injury.
  • Dehydration: Chronic dehydration, especially in cats who eat primarily dry food, can strain the kidneys over time.
  • High blood pressure: Hypertension can damage the kidneys, creating a vicious cycle of declining kidney function.
  • Polycystic kidney disease (PKD): This genetic condition, common in Persian cats, leads to cysts in the kidneys that impair their function.

Understanding the underlying cause is key to determining the best treatment plan for your cat. Your veterinarian will likely recommend diagnostic tests, such as bloodwork, urinalysis, and imaging, to identify the root of the problem.

✅ What You Can Do at Home

While veterinary care is essential, there are several steps you can take at home to support your cat with kidney disease. Here’s how you can help:

  • Provide fresh water: Encourage hydration by offering fresh water daily and considering a cat water fountain to make drinking more appealing.
  • Switch to a kidney-friendly diet: Prescription diets formulated for kidney disease are lower in protein, phosphorus, and sodium to reduce the workload on the kidneys.
  • Offer wet food: Canned food has a higher water content, helping to keep your cat hydrated.
  • Monitor appetite and weight: Keep track of your cat’s eating habits and weight to catch any changes early.
  • Use supplements: Some cats may benefit from supplements like omega-3 fatty acids or phosphorus binders, as recommended by your vet.

These small changes can make a big difference in your cat’s comfort and overall health. However, always consult your vet before making any major dietary or lifestyle changes.

💡 When to Call a Vet

Kidney disease is a serious condition that requires veterinary supervision. You should contact your vet if:

  • Your cat shows any of the symptoms listed above
  • There are sudden changes in their behavior, appetite, or weight
  • They stop eating or drinking entirely
  • They appear to be in pain or have difficulty urinating

In some cases, your vet may recommend treatments such as fluid therapy, medications, or even hospitalization to stabilize your cat. Early diagnosis and ongoing care are crucial for managing kidney disease effectively.

According to VCA Animal Hospitals, regular checkups, including bloodwork and urinalysis, are essential for early detection and monitoring of kidney disease (source).

FAQs

Q: How common is kidney disease in cats?
A: Kidney disease is very common, especially in older cats. Studies suggest that up to 30% of cats over the age of 10 may develop chronic kidney disease.

Q: Can kidney disease in cats be cured?
A: While chronic kidney disease is not curable, it can often be managed with diet, medications, and supportive care. Acute kidney injury may be reversible if treated promptly.

Q: What is the life expectancy for a cat with kidney disease?
A: Life expectancy depends on the stage of the disease and how well it’s managed. Some cats with early-stage CKD live for years with proper care, while advanced cases may have a shorter prognosis.

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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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