Signs and Treatment of Kidney Failure in Dogs and Cats

Kidney failure in pets is serious but treatable

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Kidney failure is common in dogs and cats, and it can be fatal. Knowing the symptoms to watch for can help you know when to seek veterinary care for your dog or cat. Prompt and aggressive treatment for kidney failure will give your dog or cat a better chance of a successful outcome.

About Kidney Failure

The kidneys are crucial organs that perform the vital tasks of filtering the body's waste and excreting it in the form of urine. They also help to ensure a proper balance of salt, water, calcium, and phosphorus in the body. Kidneys also help to control blood pressure and encourage red blood cell production. Kidney failure (also called renal failure) is slow or abrupt shutting down of kidney function and is more common in older animals. When the kidneys cease to function, animals grow ill and die.

Chronic kidney disease is quite common in dogs; 1 in 10 dogs develop kidney disease, while as many as 3 in 10 cats do, and many pets die of the disorder. Because kidney failure often progresses slowly, it can be hard to spot the symptoms until your pet's kidneys are severely compromised. Once that happens, while treatments are available, many vets recommend treating symptoms rather than the underlying illness. More radical, expensive treatments such as kidney dialysis or replacement are not available for animals.

Early Signs of Kidney Failure in Dogs and Cats

The best way to slow or stop kidney failure in your pet is to catch the problem as early as possible. This isn't always easy, as symptoms progress slowing and may be subtle or mimic other disorders. The symptoms of kidney failure most commonly noticed by dog and cat owners include:

Long-Term Symptoms of Kidney Failure 

Kidney failure results in waste products produced by the bodybuilding up in the bloodstream. As symptoms of kidney failure progress, other body organs are also affected by these waste products. The resulting symptoms can be severe, and may include:

  • Blindness or other visual abnormalities may occur due to elevated blood pressure (hypertension).
  • Bleeding disorders and excessive bruising may occur.
  • Seizures and other evidence of brain disease may result in toxic waste products affect the central nervous system.
  • Breathing may become difficult as fluid builds up in the lungs (pulmonary edema).
  • Abnormalities in the heart muscle and disturbances of the heart rhythm can occur as electrolyte levels in the blood reach abnormal levels.

Left untreated, kidney failure will eventually prove to be fatal for your dog or cat. However, there are treatments that can successfully slow the progress of kidney disease.

Diagnosing Kidney Failure in Cats and Dogs

If you see any of the signs of kidney failure in your pet, your vet will perform various tests to confirm a diagnosis. Tests may include a blood profile, blood pressure test, urinalysis, and, in some cases, X-ray or ultrasound imaging.

  • A blood profile will detect anemia or abnormal levels of electrolytes, protein enzymes, and blood urea nitrogen.
  • A blood pressure test will determine whether your dog or cat has elevated blood pressure, another symptom of kidney failure. 
  • Urinalysis will detect concentrated or dilute urine.
  • Imaging will detect changes in the size and shape of your pet's kidney's; in many cases, renal failure will cause the kidneys to shrink.

Treating Kidney Failure in Your Pet

Kidney failure can be the result of old age and underlying health issues.


It can also be caused by exposure to toxins such as antifreeze or by bacteria that can be a result of poor oral health. In some cases, kidney failure can be reversed by treating the animal for exposure to a toxin or by managing dental issues.

If the disease has no obvious treatable cause, therapies are likely to include:

  • Medications to increase urine production and lower blood pressure
  • Therapy to increase fluids in the animal's system
  • Management of chemical imbalances and gastrointestinal issues
  • Correction of anemia through supplements and medications
If you suspect your pet is sick, call your vet immediately. For health-related questions, always consult your veterinarian, as they have examined your pet, know the pet's health history, and can make the best recommendations for your pet.