Chronic kidney disease (CKD) is a progressive, irreversible condition where a dog's kidneys gradually fail to function properly. Although more common in older dogs, CKD can develop at any age. When detected early, appropriate treatment can ease symptoms and extend a dog's life significantly, sometimes for months or years.
Treatment primarily focuses on managing symptoms such as high blood pressure and protein loss through urine, while addressing imbalances in minerals like calcium and phosphorus caused by secondary hyperparathyroidism. A key to managing CKD involves dietary changes rather than relying solely on medications. Veterinarians often recommend a specialised therapeutic renal diet to support kidney function and improve outcomes.
Therapeutic kidney diets are carefully formulated to help manage CKD through specific nutrient adjustments:
Phosphorus is a vital mineral found mainly in teeth and bones but also present in soft tissues and fluids. In CKD, phosphorus builds up because the kidneys can’t remove it efficiently, leading to further kidney damage. Limiting dietary phosphorus has been shown to slow disease progression and increase survival, especially in advanced stages such as Stage 3 CKD.
Protein produces nitrogenous waste, which overloaded kidneys struggle to excrete. However, entirely reducing protein can cause loss of muscle and a weakened immune system. The current veterinary consensus supports feeding good quality proteins in controlled amounts to maintain lean body mass while restricting phosphorus intake independently. This balance helps preserve strength, coordination, and overall health without adding extra burden to the kidneys.
Omega-3 fatty acids like EPA and DHA, found in fish oil, play an important role by reducing inflammation and glomerular hypertension in the kidneys. Supplementing renal diets with omega-3 may help preserve kidney function and slow chronic kidney disease progression.
Antioxidants combat harmful free radicals which otherwise cause cellular damage and worsen kidney function decline. Combined with omega-3s, antioxidants in renal diets synergistically slow CKD progression more effectively than when given separately.
Fermentable fibre, such as beet pulp or prebiotics like fructooligosaccharides and gum arabic, aid in excreting nitrogen through faeces. This allows dogs to consume adequate high-quality protein for strength without taxing impaired kidneys.
Scientific studies confirm that dogs fed well-managed renal diets live significantly longer than those on regular maintenance diets. For example, research indicates that about 70% of dogs on therapeutic renal diets survive three times longer than those without dietary management in place.
Nutrition-focused treatment, as part of comprehensive veterinary care, helps slow CKD progression, reduce discomfort, and improve quality of life for affected dogs.
When considering a dog’s diet for kidney disease management, always consult a veterinary professional and avoid making changes without guidance to ensure you provide the best care possible.
For those looking to welcome new canine companions, responsible ownership and sourcing from reputable breeders and adoption centres is essential, reflecting a commitment to lifelong care including health challenges that may arise.