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Kidney disease, in the form of chronic renal failure (CRF), is a common problem in older cats. I have seen kidney failure in cats as young as 4 years, but far more frequently in much older cats. The most noticeable symptom is an increase in water consumption and urination ("drink-a-lot, pee-a-lot syndrome"). A blood test should be done if you notice these symptoms, as there are several conditions that can cause this. The increase in drinking and urinating in CRF is due to loss of the kidney's ability to concentrate the urine. The kidneys have a very large reserve capacity, and symptoms of kidney failure are not seen until approximately 75% of kidney tissue is non-functional. In my experience, kidney failure is the most common cause of death in older cats. Chronic kidney failure is progressive and incurable. No conventional or alternative medical treatment can reverse its course, since the disease involves the loss of kidney cells and replacement by scar tissue. The rate of progression in any individual cat probably cannot be slowed to any significant degree. When the process is advanced, the kidneys become small and lumpy, and the amount of functional tissue is greatly limited. The most significant problems caused by the loss of function are build-up of blood toxins, and anemia. These can cause weight loss, lethargy, vomiting, loss of appetite, weakness, and other signs of illness. Some cats are able to maintain their body weight and live relatively comfortable lives for months to years, while others succumb to the disease more quickly. In conventional medicine, there are drugs that can minimize anemia, and phosphate binders to prevent phosphorus precipitates from further damaging the kidneys. However, these may not be palatable, and may cause adverse reactions. They are also of little or no value unless the cat is eating a restricted protein/low phosphorus diet exclusively. It may also be important to supplement potassium in the food.

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Q: If a cat has acute renal failure how long will the cat live until death?
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