Chronic kidney disease affects the majority of cats over 15 years old. Early detection and management significantly improve quality of life and longevity.
CKD causes progressive accumulation of waste products, dehydration, nausea, and eventually uremic crises that cause severe suffering. Because cats mask illness effectively, owners often present animals that have been silently declining for months. Early detection through routine screening allows intervention before significant damage accumulates. Prescription renal diets, subcutaneous fluid support, appetite stimulants, and phosphate binders are all proven to slow progression and maintain quality of life. End-of-life decision-making should focus on quality of life indicators rather than blood values alone.