Kidney disease in dogs
Chronic kidney disease (CKD) is a slow loss of kidney function, usually in older dogs. The kidneys can lose a lot of function before signs appear.
Last updated: October 2026 · 3 sources · see sources
Signs to watch for
- Drinking and peeing more
- Weight loss
- Poor appetite
- Vomiting
- Bad breath
- Low energy
Trouble breathing, collapse, repeated vomiting, not peeing, or a seizure that lasts more than a few minutes needs a vet right away. See when to see a vet.
How vets diagnose it
Bloodwork (creatinine, BUN and SDMA) and a urinalysis show how well the kidneys work. Vets also check blood pressure and urine protein, then stage the disease. [2][3]
How it's treated
There's no cure, but care slows it down: a kidney diet, fluids, anti-nausea medicine, blood pressure medicine and treatment of urine protein. [2][3]
Medicines your vet may mention: Benazepril, Semintra, Cerenia. We don't list doses; your vet will decide what fits your pet.
What it costs to diagnose and manage
| Item | Typical US price | Src |
|---|---|---|
| Diagnosis (exam and tests) | $200–$500 | [1] |
| Ongoing treatment, per month | $200–$500 | [1] |
| Ongoing treatment over a year (monthly range × 12) | $2,400–$6,000 | [1] |
These are typical US ranges from the sources listed. Your pet's costs depend on how severe things are, the tests your vet recommends, your pet's size and where you live. Ask your vet for a written estimate.
Outlook
Outlook depends on the stage. Many dogs found early live comfortably for a long time. [2][3]
Common questions
What is kidney disease in dogs?
Chronic kidney disease (CKD) is a slow loss of kidney function, usually in older dogs. The kidneys can lose a lot of function before signs appear.
What are the signs of kidney disease?
Common signs include: drinking and peeing more, weight loss, poor appetite, vomiting, bad breath, low energy.
How do vets diagnose kidney disease?
Bloodwork (creatinine, BUN and SDMA) and a urinalysis show how well the kidneys work. Vets also check blood pressure and urine protein, then stage the disease.
How is kidney disease treated?
There's no cure, but care slows it down: a kidney diet, fluids, anti-nausea medicine, blood pressure medicine and treatment of urine protein.
How much does kidney disease cost to treat?
Diagnosis (exam and tests): $200–$500; Ongoing treatment, per month: $200–$500; Ongoing treatment over a year (monthly range × 12): $2,400–$6,000. Costs vary with severity, tests, your pet's size and where you live.
Related
This page is general information for pet owners, not veterinary advice. Talk to your vet about your own pet.