Understanding the Leading Cause of Death in Cats: Kidney Disease
As beloved companions, cats deserve the best care throughout their lives. Understanding what commonly ends feline lives can help pet owners take crucial steps to improve both the quality and length of their pets’ lives. Among all age-related diseases, chronic kidney disease (CKD) emerges as a leading cause of death in cats, especially in their senior and geriatric years.
What Is Chronic Kidney Disease in Cats?
Chronic kidney disease is a progressive condition in which a cat's kidneys lose function over time. Kidneys are essential organs responsible for flushing out waste products, balancing fluids and electrolytes, and producing hormones. When they begin to fail, these functions are compromised, severely affecting the cat’s overall health.
Why Is Kidney Disease So Common in Cats?
Several factors contribute to the high prevalence of kidney disease among older cats:
- Aging: Naturally aging organs are more prone to degeneration.
- Genetics: Certain breeds, especially purebreds, have a genetic predisposition to kidney issues.
- Diet: Poor-quality diets or excessive protein and phosphorus intake can stress the kidneys.
- Infections and toxins: Previous episodes of kidney infections or ingestion of toxic substances can lead to long-term damage.
- Dental disease: As cats age, untreated dental disease can introduce bacteria that spread to the kidneys.
Recognizing the Symptoms of Kidney Disease
The early signs of CKD can be subtle, but early detection is critical. Warning symptoms include:
- Increased thirst and urination
- Weight loss despite a normal appetite
- Vomiting or diarrhea
- Bad breath with a chemical (ammonia-like) odor
- Lethargy or reduced activity
- Poor coat condition
As the disease progresses, these symptoms may worsen, and cats may show signs of severe dehydration, ulcers, and in some cases, seizures or coma.
Diagnosis and Monitoring
Veterinarians diagnose CKD through a combination of physical examinations, blood tests, and urinalysis. Key indicators include elevated blood urea nitrogen (BUN), creatinine levels, and low urine concentration. More advanced diagnostics involve measuring SDMA (Symmetric Dimethylarginine), an early indicator of kidney degradation.
Managing Kidney Disease in Cats
Though chronic kidney disease is incurable, it can be managed to slow its progression and enhance quality of life. Management strategies include:
- Prescription kidney diets: These are specially formulated to reduce phosphorus, sodium, and protein load on the kidneys.
- Hydration: Ensuring adequate water intake helps flush toxins. Some cats benefit from subcutaneous fluid therapy administered at home.
- Medications: Drugs that control blood pressure, reduce phosphorus levels, and manage anemia are often prescribed.
- Regular veterinary visits: Frequent monitoring allows early detection of progression and adjustment of treatment plans.
Preventive Measures to Reduce the Risk of CKD
While not all causes of kidney disease are preventable, there are important steps cat owners can take:
- Feed a balanced, high-quality diet appropriate for your cat’s life stage.
- Provide plenty of fresh water daily to promote hydration.
- Keep up with routine veterinary checkups to detect issues early.
- Maintain good dental hygiene to prevent bacterial spread to internal organs.
- Keep your cat indoors or supervised outdoors to avoid exposure to toxins, injuries, and infections.
Other Common Causes of Mortality in Cats
While kidney disease ranks as a top cause of feline death, other health conditions also commonly contribute to mortality in cats:
- Trauma: Especially in outdoor cats, trauma from traffic accidents or animal attacks is a frequent cause of death.
- Cancer: Types such as lymphoma frequently affect older cats.
- Heart disease: Often undiagnosed until late stages.
- Non-specific illnesses: Infections or metabolic diseases that go unnoticed or untreated.
Life Stage Awareness
Understanding your cat’s life stage is crucial in managing health proactively:
- Kitten (Birth–1 year): Focus on vaccinations, spaying/neutering, and early checkups.
- Junior (1–2 years): Monitor growth, behavior, and weight.
- Prime (3–6 years): Regular wellness checks and maintaining optimal weight are critical.
- Mature (7–10 years): Screen for age-related diseases even if symptoms aren’t evident.
- Senior (11–14 years): Biannual vet visits and special diets are recommended.
- Geriatric (15+ years): Expect and prepare for chronic conditions like CKD.
A Final Thought on Feline Longevity
Chronic kidney disease does not have to be a death sentence. With vigilant care, early diagnosis, and the appropriate lifestyle adaptations, cats can live many more months or years of happy, comfortable lives. Pet owners who actively engage in their cat’s wellness — from choosing the right food to scheduling routine exams — play the most significant role in extending their feline friend’s life.





