Chronic kidney disease in dogs is a progressive condition that primarily affects pets over the age of seven. The kidneys play a vital role in eliminating metabolic waste and regulating water balance in the body. When they begin to fail, toxins build up in the bloodstream, causing symptoms such as weight loss, lethargy, decreased appetite, nausea, vomiting, dehydration, and increased thirst. While this condition is irreversible, appropriate management can significantly slow its progression.
Several factors can worsen kidney disease, including dehydration, the use of nephrotoxic medications, urinary tract infections, kidney stones, and high blood pressure. Early detection of these contributing issues leads to better outcomes and improved disease control.

Diagnosing Chronic Kidney Disease in Dogs
Diagnosis involves both a clinical examination and diagnostic testing. Dogs with kidney disease often show signs of weight loss, weakness, and noticeable dehydration. The veterinarian may feel small, irregular kidneys and detect a heart murmur, which could indicate hypertension or anemia.
Blood tests are essential to confirm the diagnosis. Elevated levels of blood urea nitrogen (BUN) and creatinine indicate decreased kidney function. Additional findings may include high phosphorus or calcium levels, as well as electrolyte imbalances. A urinalysis evaluates the kidneys’ ability to concentrate urine and may reveal infections or protein loss. Imaging such as X-rays or ultrasound can provide further insight into kidney structure and health.
Treatment and Ongoing Management
Although chronic kidney disease cannot be cured, it can be managed to maintain a dog’s comfort and quality of life. The main goals of treatment are to slow disease progression and control symptoms.
Nutrition is key. Specially formulated renal diets help reduce kidney workload. These diets include controlled levels of phosphorus, high-quality protein, and omega-3 fatty acids with anti-inflammatory benefits.
Maintaining hydration is critical. Some dogs may require intravenous fluids in the clinic or subcutaneous fluids at home. Medications may also be prescribed to manage high blood pressure, correct electrolyte imbalances, and ease nausea. Nutritional supplements such as phosphate binders and probiotics can be added to support kidney function.
In more advanced stages, treatments such as hemodialysis or kidney transplantation are possible, though not widely accessible. Regular veterinary checkups are vital to monitor progress and adjust treatment as needed.
When to Consult a Veterinarian
If your dog shows signs of chronic kidney disease—such as increased thirst, appetite loss, or weight loss—contact your veterinarian without delay. Early diagnosis and an appropriate care plan can make a meaningful difference in your pet’s comfort and longevity.