CKD is increasingly common in older dogs, and integrated management extends quality life while maintaining comfort through evidence-based dietary and medical interventions.
Canine CKD causes nausea, reduced appetite, lethargy, and polyuria that progressively compromise quality of life. The earlier the diagnosis, the more time management has to slow progression and maintain comfort. Treating hypertension, restricting phosphorus, maintaining hydration, and controlling uremic symptoms through diet and medication can provide years of good quality life after diagnosis. End-of-life welfare requires honest assessment of quality of life rather than attachment to continued treatment.