Understanding Kidney (Renal) Disease in Dogs and Cats

What Is Kidney Disease?

The kidneys act as the body’s filters — removing waste, balancing fluids, and helping control blood pressure.

When the kidneys become damaged or worn down, they lose their ability to do these jobs effectively. This condition is known as chronic kidney disease (CKD) or renal failure.

Kidney disease is common in older pets, but with early detection and proper management, we can slow the progression and keep your pet comfortable for years.

Common Signs of Kidney Disease

You may notice:

  • Increased thirst and urination
  • Weight loss
  • Decreased appetite or nausea
  • Vomiting
  • Lethargy or weakness
  • Bad breath or drooling
  • Poor coat condition (cats) or muscle loss

These signs can develop slowly, so routine bloodwork is key to catching kidney issues early.

How We Diagnose It

Diagnosis is based on:

  • Bloodwork: Measures kidney values (BUN, creatinine, SDMA).
  • Urinalysis: Checks urine concentration and looks for protein or infection.
  • Blood pressure: High blood pressure can worsen kidney damage.
  • Imaging (x-rays or ultrasound): Evaluates kidney size and shape.

Treatment & Management

Kidney disease can’t be cured, but it can be managed with the right care plan.

1. Prescription Diet

Diet is the most important part of managing kidney disease.

  • Formulated to reduce kidney workload with controlled protein, phosphorus, and sodium.
  • Helps maintain hydration and minimize toxin buildup.
  • Feed only the prescribed food and treats — no high-protein snacks or table food.

Recommended diets:

  • Dogs: Hill’s k/d, Royal Canin Renal Support, or Purina Pro Plan NF.
  • Cats: Royal Canin Renal Support, Hill’s k/d, or Purina NF Early Care.

2. Hydration Support

Keeping your pet hydrated helps the kidneys function better.

  • Offer fresh water at all times.
  • For cats, consider a pet fountain or adding water to wet food.
  • Some pets may need subcutaneous fluids at home to stay hydrated.

3. Medications & Supplements

Depending on your pet’s test results, we may add:

  • Antacids or anti-nausea medication to help appetite.
  • Phosphate binders to reduce phosphorus levels.
  • Blood pressure medication (commonly needed in cats).
  • Omega-3 fatty acids to help reduce inflammation and support kidney tissue.

Monitoring & Follow-Up

Regular rechecks are vital for adjusting treatment and tracking progress.

We recommend:

  • Bloodwork every 3 months until stable, then every 6 months.
  • Urinalysis and blood pressure at each recheck.
  • Weight and hydration checks at home.

Report any changes in thirst, appetite, or activity right away — small changes can mean a lot in kidney patients.

At Home Care Tips

  • Feed only the prescribed renal diet and approved treats.
  • Keep fresh water available at all times.
  • Give all medications as directed.
  • Track appetite, energy, and urination changes.
  • Keep stress low and maintain a consistent routine.

The Good News

With early detection and the right management, pets with kidney disease can still enjoy a good quality of life for years.

Our goal is to slow progression, keep them comfortable, and support you every step of the way.

If you have any additional questions, please call us at 319-277-7675 or email us at [email protected]. We would be happy to assist you.