Pet Care Blog

Understanding Kidney Disease in Cats: A Guide for Caring Pet Owners

Dr. Ricky Walther, DVM
Reviewed by Dr. Angela Beal, DVM, FFCP
cat lying on a wooden table

If you're a cat parent, you know just how special and unique our feline friends are. From their playful antics to their soothing purrs, they hold a special place in our hearts. But just like us, cats can face health challenges as they age, and one of the most common conditions they encounter is kidney disease.

Whether you're a long-time cat owner or a new pet parent, hearing that your furry companion may have kidney issues can feel overwhelming. What does it mean for their health? How can you help them feel their best?

Key Takeaways

  • Kidney disease in cats is common, especially as they age, and can be acute or chronic depending on the cause.
  • Early signs include increased thirst, frequent urination, weight loss, lethargy, and bad breath—prompt diagnosis is crucial.
  • Treatment focuses on managing symptoms through prescription diets, hydration support, medications, and regular vet checkups.
  • Without treatment, kidney disease can lead to serious complications like dehydration, high blood pressure, and a shortened lifespan.
  • If you sign up for pet insurance before your cat develops a chronic condition, you can dramatically reduce future vet bills. Pawlicy Advisor helps you find the right plan before problems arise.

Looking to save on vet bills? See if pet insurance is right for you.

Instant results. No spam. 1M+ pet parents served.

The good news is that with the right care and knowledge, cats with kidney disease can lead happy, comfortable lives. In this article, we’ll explain kidney disease, how to spot the signs, and the steps you can take to support your cat. Let’s dive in and learn more about keeping your cat healthy!

✔️ Reviewed by multiple licensed veterinarians

✔️ Updated with the latest medical data

✔️ Compiled from veterinary research

Jump to the section that matters most to you below.

What Is Kidney Disease in Cats?

Kidney disease occurs when a cat’s kidneys stop functioning properly. The kidneys play a vital role in your cat's overall health, acting as the body's filtration system. They remove wastes from the blood, balance essential minerals, and help regulate blood pressure. When the kidneys don’t work properly, these processes can get out of balance, leading to numerous health issues.

There are two main types of kidney disease:

  • Acute kidney disease (AKD): This occurs suddenly, often due to toxin ingestion (e.g., antifreeze, lilies), poor blood flow to the kidneys, or an infection. With prompt treatment, acute kidney disease can sometimes be reversed.
  • Chronic kidney disease (CKD): CKD is a progressive condition that develops over time, often associated with aging or underlying health issues. While CKD is not curable, it can be managed effectively to improve quality of life.

Think of the kidneys as tiny, hard-working machines. Over time, wear and tear—or an unexpected challenge—can cause them to slow down or stop working efficiently. The result? Toxins and waste build up in your cat's body, making them feel unwell.

While kidney disease can sound scary, it’s a common issue in cats, and understanding it is the first step toward helping your furry friend feel better. With some simple adjustments and regular check-ins with your vet, many cats with kidney disease can continue to thrive.

In the next sections, we’ll explore the signs of kidney disease, how the condition is diagnosed, and how you can support your cat.

Signs and Symptoms of Kidney Disease in Cats

Cats are masters at hiding when they’re not feeling well, so it’s up to us as pet parents to keep an eye out for changes in their behavior or health. When it comes to kidney disease, catching the early signs can make a big difference in managing the condition and helping your furry friend feel their best.

Here are some common signs and symptoms of kidney disease in cats to watch for:

1. Increased Thirst

Is your cat suddenly glued to their water bowl or drinking from unusual places, like the sink or shower? Increased thirst is often one of the first signs of kidney disease as the kidneys struggle to conserve water.

2. Frequent Urination

If you’re noticing more trips to the litter box or larger clumps of urine, it could be a sign that your cat’s kidneys aren’t filtering efficiently.

3. Weight Loss and Poor Appetite

When toxins build up in the cat’s body, they often don’t feel like eating, which can lead to noticeable weight loss.

4. Vomiting or Nausea

Frequent vomiting or signs of nausea, like drooling or smacking their lips, can occur as waste products accumulate in the bloodstream.

5. Lethargy or Weakness

If your once-energetic kitty seems tired, weak, or less interested in play, it could be due to the effects of kidney disease.

6. Bad Breath

Cats with kidney disease may develop a distinct ammonia-like smell to their breath, which is caused by toxins in their system.

7. Dull or Unkempt Coat

Because your cat may not feel well, they might groom themselves less often, leading to a rough or greasy coat.

8. Other Subtle Changes

Sometimes, the signs are less obvious, like hiding more, seeming irritable, or just acting “off.” Trust your instincts if something seems different about your cat.

If you notice one or more of these symptoms, don’t panic—but do schedule a visit with your veterinarian. They can run tests to determine if kidney disease is the cause and help guide you in creating a care plan for your kitty.

Remember, early detection is key to managing kidney disease and keeping your cat happy and comfortable for as long as possible.

Risks of untreated kidney disease in cats

What happens If kidney disease in cats is not treated?

If kidney disease is left untreated, it can lead to a gradual decline in your cat’s overall health and well-being. Since the kidneys play such an essential role in filtering waste products, regulating hydration, and balancing nutrients, their dysfunction affects nearly every system in the body.

Here’s what can happen if kidney disease isn’t addressed:

1. Toxins build up in the blood

Without treatment, the kidneys can’t efficiently remove waste products from the blood. This causes the toxins to accumulate, a condition called uremia.The toxin buildup can make your cat feel sick, with symptoms such as severe nausea, vomiting, lethargy, and loss of appetite.

2. Dehydration

As kidney disease progresses, more water is lost through increased urination. Without intervention, this can lead to severe dehydration, exacerbating kidney damage and further impacting your health.

3. Weight loss and muscle wasting

Untreated kidney disease often causes a significant loss of appetite, leading to weight loss and muscle wasting. This significantly impacts your cat’s strength and energy levels.

4. High blood pressure

Kidney disease can cause high blood pressure, which, if left unchecked, may result in damage to the eyes, heart, and brain. Cats with untreated high blood pressure can even suffer from blindness or neurological issues.

5. Anemia

As kidney disease advances, your cat may become anemic because their body doesn’t produce enough red blood cells. This can leave them feeling weak, fatigued, and less active.

6. Pain and discomfort

Kidney disease can cause secondary issues, such as painful mouth ulcers, due to toxin buildup. Without treatment, your cat may experience increasing discomfort, impacting their quality of life.

7. Shortened lifespan

While kidney disease isn’t always an immediate life-threatening condition, failure to begin treatment can accelerate its progression. This can shorten your cat’s lifespan and make their remaining time uncomfortable.

Early action makes a difference

The effects of untreated kidney disease can sound scary, but when caught early and managed properly, many of these complications can be delayed or even prevented. With the right care, cats with kidney disease can often enjoy many happy, love-filled years with their families.

If you suspect your cat has kidney disease, don’t wait—schedule a visit with your veterinarian. They’ll help you create a plan to support your furry friend and keep their tail swishing for as long as possible

Treatment options for kidney disease in cats

If your cat has been diagnosed with kidney disease, you might be wondering, "What now?" The good news is that while kidney disease isn’t curable, it can often be managed with the right care. Treatment focuses on slowing the progression of the disease, easing symptoms, and improving your cat's quality of life.

Here’s a breakdown of common treatment options:

1. Special diets

Nutrition plays a huge role in managing kidney disease. Your vet may recommend a prescription kidney diet that’s lower in protein, phosphorus, and sodium than regular diets. These diets are designed to reduce the workload on the kidneys and help prevent further damage. Many cats enjoy these special foods, but if your kitty is picky, don’t worry—your vet can suggest alternatives.

2. Hydration support

Cats with kidney disease often struggle to stay hydrated. You can encourage them to drink more water by investing in a water fountain and providing multiple water bowls around the house. In some cases, your vet might recommend giving subcutaneous fluids at home—a process that’s easier than it sounds, and can make a big difference in keeping your cat comfortable.

3. Medications

Depending on your cat’s condition, your vet may prescribe medications to manage nausea, improve appetite, control blood pressure, or reduce phosphorus levels. These meds can help your cat feel better and slow the progression of the disease.

4. Supplements

Your vet may recommend certain supplements, like omega-3 fatty acids or probiotics, to support kidney health and reduce inflammation. Always check with your vet before adding anything new to your cat’s routine.

5. Regular check-ups

Frequent vet visits are crucial for monitoring your cat’s condition. Blood work and urine tests will help track kidney function so adjustments can be made to the treatment plan as needed.

6. Comfort and support

Sometimes, the little things make the biggest difference. Providing a cozy, stress-free environment, offering warmed food to entice picky eaters, and keeping their litter box clean and accessible can contribute to your cat’s comfort and well-being.

7. Advanced options

In severe cases, treatments like dialysis or a kidney transplant may be discussed. However, these procedures are rare and involve significant resources.

Kidney disease in cats is manageable with the right approach. By staying vigilant, seeking early veterinary intervention, and following a tailored care plan, you can help your cat enjoy many happy years. If you suspect your cat may have kidney disease, don’t wait—schedule a vet visit today. Your proactive care makes all the difference.

Your cat's health is priceless; let's protect it together.

Do you want to find the best pet insurance?

Let's analyze your pet's breed, age, and location to find the right coverage and the best savings. Ready?

Analyze My Pet

About Pawlicy Advisor

The pet insurance marketplace endorsed by veterinarians, at Pawlicy Advisor we make buying the best pet insurance easier. By comparing personalized coverage and pricing differences we can save you a ton of money, up to 83% in some instances!

Pawlicy Advisor helping a pet parent and their dog find a great deal on insurance

Instantly Compare Pet Insurance Plans

Get Quotes

Guides

How Pet Insurance Works

How To Compare Plans

Determine If Pet Insurance Is Worth It

Determine If Wellness Plans Are Worth It

Vet Visit Costs

New Puppy Checklist

Comparison Charts

ASPCA vs. Pets Best

Pets Best vs. Embrace

Embrace vs. Pumpkin

Pumpkin vs. MetLife

More Comparison Charts

Find Your State

New Jersey

California

Florida

Oregon

Texas

New York

Colorado

Pennsylvania

More States

Dog Insurance

German Shepherd

Rottweiler

Akita

Boxer

English Bulldog

French Bulldog

Great Dane

Pug

Corgi

Chihuahua

Poodle

More Breeds

Ricky Walther, DVM

Dr. Ricky Walther
DVM

Ricky Walther, DVM, is a small animal general practitioner in the greater Sacramento, California area. Realizing the positive financial and medical impact that pet insurance can provide for pet parents and the profession, he lends support and advice to companies like Pawlicy Advisor "The Pet Insurance Marketplace") that simplify the process of connecting with veterinary financing resources.

More on Cat Nutrition

Cat drinking milk from a bowl outside
6 minute read
Can Cats Drink Milk?
Cat sniffing a branch of an apple tree
7 minute read
Can Cats Eat Apples?
Cat eating from green bowl
6 minute read
Can Cats Eat Avocado?
Cat Near Bananas on Counter
5 minute read
Can Cats Eat Bananas?
Cat trying to get vegetables off counter
5 minute read
Can Cats Eat Carrots?
Cat eating cheese
7 minute read
Can Cats Eat Cheese? Here’s Everything You Need to Know
Can reaching onto counter to eat dessert
6 minute read
Can Cats Eat Chocolate?
Cat eating corn from a bowl on the floor
7 minute read
Can Cats Eat Corn?
Can cats eat eggs
6 minute read
Can Cats Eat Eggs? Here's Everything You Need to Know
Cat staring at a bowl of grapes
4 minute read
Cat Cats Eat Grapes?
Back to Blog
A family with pets that are insured by Pawlicy Advisor
Pawlicy Advisor is the leading independent marketplace for finding the best coverage for your pet at the lowest rate.
Join 2,438,795+ insured dogs and cats across the US.
Get a Quote
Our pet insurance partners
ASPCA Pet Health Insurance Logo
Pets Best Pet Insurance Logo
Embrace Pet Insurance Logo
Pumpkin Pet Insurance Logo
MetLife Pet Insurance Logo
Prudent Pet Insurance Logo