Chronic kidney disease is one of the most common conditions in older cats and causes significant suffering that can be reduced through early detection and management.
CKD causes progressive suffering through nausea, malaise, and ultimately uraemic poisoning. The insidious onset means many cats live with early-stage disease causing subclinical suffering for months before diagnosis. Early detection through annual blood screening from age 7 allows intervention that can add years of good quality life. End-of-life decisions must weigh quality of life carefully; euthanasia is often the kindest option in severe disease.