Chronic kidney disease is the most common serious health condition in older cats, causing progressive decline that requires careful management to maintain quality of life.
Chronic kidney disease causes progressive welfare deterioration if not managed proactively. Nausea from uremic toxin buildup is one of the most significant welfare impacts, reducing appetite and causing intermittent vomiting that is distressing for affected cats. Dehydration from reduced kidney concentrating ability compounds the problem. Hypertension, a common complication, causes retinal damage that can lead to acute blindness. With appropriate management including dietary modification, blood pressure control, phosphate binders, and fluid support, many cats with kidney disease can maintain good quality of life for extended periods. Regular monitoring to detect progression and adjust treatment is essential, as the disease is chronic and management needs change over time.