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Managing chronic kidney disease in cats

Chronic kidney disease is one of the most common conditions affecting older cats, often progressing silently before symptoms become clear. In this article, we explore what causes it, how to detect it early, and the most effective ways to manage it over the long term. We also reflect on how these moments of illness in our pets can lead us to think about choices, continuity, and hope—topics that connect with the philosophy of cryopreservation.
4 minutes
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June 30, 2025
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Pet
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Kidney failure
Joana Vargas

Cats are famously independent, stoic, and subtle when it comes to showing discomfort. That’s part of what makes chronic kidney disease (CKD) so difficult to catch early. It’s a condition that creeps in gradually, often without dramatic symptoms until the kidneys are already significantly damaged. By then, management, not cure, becomes the focus.

Kidney disease affects a cat’s ability to filter waste from the blood, regulate hydration, balance electrolytes, and maintain blood pressure. When this filtration process begins to fail, toxins slowly build up in the bloodstream. Over time, it begins to affect the entire body.

CKD is especially common in senior cats, those over the age of 10, but it can affect younger cats as well. Genetics, diet, environment, and even past infections may all play a role in its onset.

Recognizing the signs: early clues and red flags

Because symptoms develop slowly, they can be easy to miss or attribute to “just getting older.” But subtle changes often signal that something more serious is going on. Common early signs include:

  • Increased thirst and urination
  • Loss of appetite or weight loss
  • Lethargy or withdrawal
  • Vomiting or nausea
  • Bad breath (sometimes with a chemical or ammonia-like smell)
  • Poor coat condition

As the disease progresses, more serious complications can develop, such as anemia, high blood pressure, and severe dehydration. Regular wellness exams and lab work, especially for aging cats, are crucial for detecting these issues before they spiral.

What causes kidney disease in cats?

There is no single cause. In many cases, CKD is idiopathic, meaning the exact origin is unknown. But possible contributors include:

  • Genetic predisposition (some breeds, like Persians and Siamese, are more susceptible)
  • Chronic infections or urinary blockages
  • Long-term dehydration
  • Exposure to toxins, such as antifreeze or certain plants
  • Poor diet or unbalanced nutrients over time
  • Congenital kidney abnormalities in younger cats

What’s important is that CKD is often progressive, but that doesn’t mean quality of life has to deteriorate rapidly. With attention and care, cats can live many more good years after diagnosis.

Managing the condition: a long-term approach

There is no cure for chronic kidney disease, but it can be managed effectively, especially if diagnosed early. The goal of care is to reduce the burden on the kidneys and improve the cat’s comfort and vitality.

Key components of management include:

1. Dietary changes

A kidney-supportive diet is low in phosphorus and protein (but of high quality), helping reduce toxin buildup. Many commercial renal diets also include omega-3 fatty acids and added hydration.

2. Increased hydration

Encouraging water intake is essential. Cats with CKD tend to become dehydrated easily. This can be managed with water fountains, wet food, or even subcutaneous fluid therapy at home.

3. Medications and supplements

Depending on symptoms, your vet might recommend drugs to control blood pressure, phosphorus binders, antacids, or appetite stimulants. Some cats benefit from potassium supplements or vitamin B complex.

4. Regular monitoring

Routine blood and urine tests help track the progression and allow for adjustments in the care plan. Monitoring weight, hydration, and appetite at home is equally important.

Living with a chronically ill cat

One of the hardest parts of managing CKD is the emotional weight it brings. You might wonder: Am I doing enough? Am I doing too much? How will I know when it’s time to let go?

These are deeply human questions. They often don’t have clear answers, but they matter because they reflect the bond we have with our animals. A cat with kidney disease can still enjoy life, grooming in a sunny spot, purring on your lap, or playing gently. These moments remind us that life is still worth protecting and nurturing, even when it’s complicated.

Letting your cat guide you, with their energy, mood, and daily behavior, can help you make informed, loving decisions.

Cryopreservation: a choice available for pets too

Cryopreservation is not limited to humans. It is also available for pets, offering individuals and families the opportunity to preserve their animal companions after legal death, with the hope that future scientific progress may allow for revival and treatment. The procedure involves stabilizing and storing the body at ultra-low temperatures to maintain biological integrity over time.

This is not a cure, and it is not about escaping death. It is about preserving the potential for life beyond what current science can offer. For pet owners navigating the end-of-life journey of a beloved animal, this option can resonate deeply. The helplessness, the longing for more time, the grief of letting go, these feelings are valid, and they matter.

We understand how emotionally intense a diagnosis can be. That is why we are here to walk you through the process of cryopreservation, not as a promise, but as an informed and compassionate opportunity to extend the timeline of hope.

Chronic kidney disease in cats is not an immediate end, it’s a call to action. With knowledge, preparation, and compassion, you can extend both the lifespan and the quality of your cat’s time with you.

And in the bigger picture, it reminds us that all living beings deserve dignity, choice, and love, whether that’s in how we feed them, comfort them, or imagine their future.

About Tomorrow.bio

At Tomorrow.bio we are dedicated to advancing the science of cryopreservation with the goal of giving people a second chance at life As Europe’s leading human cryopreservation provider we focus on rapid high-quality standby, stabilization and storage of terminal patients preserving them until future technologies may allow revival and treatment.

Our mission is to make human cryopreservation a reliable and accessible option for everyone We believe that no life should end because current capabilities fall short.

Our vision is a future where death is optional where people have the freedom to choose long-term preservation in the face of terminal illness or fatal injury and to awaken when science has caught upInterested in learning more or becoming a member

📧 Contact us at hello@tomorrow.bio

🌐 Visit our website www.tomorrow.bio

🤝 Schedule a call with our team Book a consultation