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Best Food for Cats with Kidney Disease13 min read

June 9, 2019 10 min read
kidney disase

Best Food for Cats with Kidney Disease13 min read

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Reading Time: 10 minuteskidney disase
Cats with kidney disease often need a special diet that has lower protein than cats normally eat. The kidneys remove waste from the blood, manage blood pressure, stimulate bone marrow to make red blood cells, and make hormones.

But it’s not unusual for a cat’s kidneys to start to fail as a cat gets older. Left untreated, kidney disease can lead to some serious health problems for your cat.

However, if kidney disease is diagnosed early and your cat receives good care, as well as a good diet, you can help him live a longer, happier life.

Quick Links: Best Food for Cats with Kidney Disease to Buy


Editor's Choice

HI-TOR Veterinary Select Neo Diet for Cats Canned Food
  • Highly digestible recipe
  • Zero artificial flavors or colors
  • Affordable
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Best Affordable

Weruva Truluxe Steak Frites with Beef & Pumpkin in Gravy
  • Contains good quality protein
  • Cats love the taste
  • Also suitable for a cat with renal disease
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Requires prescription approval

Hill's Prescription Diet k/d Feline Chicken & Vegetable Stew
  • Often recommended by vets
  • Formula has controlled levels of phosphorus and sodium
  • Rich with omega-3 fatty acids
Check Price

Requires prescription approval

Royal Canin Veterinary Diet Feline Renal Support E
  • Often recommended by vets
  • Contains antioxidents and EPA/DHA
  • Low in phosphorus and protein
Check Price

Requires prescription approval

Purina Pro Plan Veterinary Diets NF Kidney Function Early Care Feline Formula
  • Purina Pro Plan Veterinary Diets NF Kidney Function Early Care
  • High quality protein
  • It tastes good to your cat
Check Price

Causes of kidney disease in cats

There are two types of kidney failure in cats:

Acute renal failure

Acute renal failure in cats has a sudden onset. It can spring up over the course of a few weeks or even a few days. It can occur in cats of any age. Causes include:

  • Toxins/poisons. Toxins are the most common cause of acute renal failure. They can include items such as antifreeze, toxic plants such as lilies, household chemicals, pesticides, cleaning fluids, and some human medications. For cats, even one ibuprofen pill can result in the kidneys going into renal failure. You should check your garage and yard often for these substances to make sure your cat can’t come into contact with them.
  • Trauma. Trauma, especially involving a burst bladder or broken pelvis, can result in acute renal failure.
  • Shock. A cat that goes into shock due to losing lots of blood can go into acute renal failure.
  • Overheating and dehydration. A cat that experiences rapid dehydration or which overheats in hot weather can suffer from renal failure. Overexertion, vomiting, and diarrhea can all cause a cat to lose a lot of fluids and go to into renal failure.
  • Infection. A kidney infection can lead to acute renal failure.
  • Blockages. A blockage that alters the flow of blood into the kidney and the flow of urine from the kidney can result in renal failure. This can occur in a male cat that is unable to urinate because of a urethral blockage.
  • Heart failure. Heart failure with low blood pressure can reduce the flow of blood to the kidneys, leading to acute renal failure.

Also Read: 5 Best Cat Food for Urinary Health

If your cat’s condition is diagnosed quickly enough, acute renal failure can often be reversed and your cat can return to normal health.

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Chronic renal failure

Chronic renal failure is the other kind of kidney failure in cats. It is often harder to overcome than acute renal failure.

It usually appears in cats that are middle-aged and older and can develop over the course of months or years.

If you have a cat that is 7+ years of age, you should pay special attention to the possibility of chronic renal failure and be mindful of the symptoms.

There is no cure for chronic renal failure but, if diagnosed early, it can be managed.

Many cats can live three years or longer after they are diagnosed with chronic renal failure, if they receive good management of their disease.

The exact causes of chronic renal failure are uncertain but they can include:

  • Kidney infections and blockages. Infections and blockages of the kidneys may not cause acute renal failure but they can slowly affect your cat’s kidney function for months or years.
  • Other health problems. Other health conditions that affect your cat, ranging from thyroid disease to dental problems to cancer, can all take a toll on your cat’s kidneys over time.

Symptoms of kidney disease in cats

There are many different symptoms of kidney disease in cats. Some of them are general symptoms that could indicate other possible health problems.

If you see some of these symptoms, take your cat to your veterinarian.

Remember that the earlier your cat is diagnosed with a kidney problem, the better chance you have to manage the disease and help your cat live a long, happy life.

Here are some of the common symptoms of kidney disease in cats:

  • Frequent urination. This does not mean that the kidneys are working well. It means that your cat is having difficulty holding water in his body. He may also pee outside the litter box.
  • Excessive thirst. Cats with kidney disease and renal failure will drink lots of water.
  • Loss of appetite and weight loss.
  • Mouth ulcers, especially on the tongue and gums.
  • Extremely bad breath.
  • The tongue may appear brown.
  • Vomiting, diarrhea, and urine that is bloody or cloudy.
  • Constipation.
  • Weakness, lethargy, indifference.
  • The cat’s coat can become dry and brittle.
  • The bladder and kidneys may develop bacterial infections.

If you suspect that your cat has kidney disease (either acute or chronic), your veterinarian can run tests to make a diagnosis.

While cats are obligate carnivores and need plenty of meat in their diet usually, cats that have kidney disease need a special diet. It should be low in phosphorus and protein and enriched with Vitamin D and omega-3 fatty acids.

According to Cornell University’s Feline Health Center, sodium content should also be restricted. Electrolyte imbalances can be common with cats that have renal failure so less phosphorus and less salt can help control these problems.

They also recommend foods that are high in water-soluble vitamins, fiber, and antioxidant concentrations, along with restricted levels of protein and phosphorus. Cornell recommends therapeutic, i.e., prescription or veterinary diets, for cats with kidney disease.

Many studies seem to show that feeding cats the low protein/low phosphorus/low salt diet helps them with chronic renal failure and the diet appears to extend their lives.

However, some veterinary nutritionists believe that cats with kidney disease might do better eating a diet that has very high quality protein.

This kind of food should theoretically produce little waste for the kidneys to handle, so it would be easier for them to cope with.

This subject is being debated. We think there is currently more evidence for the low protein, low phosphorus, low sodium diet for cats with kidney disease so our food recommendations are based on those studies.

What to look for when choosing a food for a cat with kidney disease

Cats with kidney disease can lose their appetite. This is especially true with cats that have chronic renal failure.

These cats can be suffering from some stomach acid secretions. Some of the therapeutic foods that are low in protein, phosphorus, and salt are not always very appealing to cats, so if you are feeding one of these foods on the advice of your veterinarian, you may need to be very patient with trying to get your cat to eat it.

A prescription diet can be important for a cat with kidney disease, but it’s even more important that your cat eats something, even if it’s not the prescribed food.

Your cat has to keep eating so he can get better.

We can suggest some possible foods for your cat but you should discuss any non-prescription food with your veterinarian before feeding it.

If your cat refuses to eat anything, we suggest asking your veterinarian for an appetite stimulant. In some cases a stimulant can encourage a cat to start eating again.

Obviously, you will need to make any food transitions very slowly with your cat. Cats can be picky eaters at the best of times and when a cat is coping with kidney disease, a food change can be very difficult.

Things to look for when choosing a cat food for a cat with kidney disease:

  • Canned/wet food is recommended over dry food;
  • Lower or restricted protein;
  • Lower or restricted phosphorus;
  • Lower or restricted sodium;
  • The company should have veterinary nutritionists on staff to formulate the food;
  • Choose a company that has top quality control measures;
  • Choose a company that invests in cat food nutritional research.

Whenever you are considering prescription or veterinary foods, the research and quality control measures of the company are important considerations.

Prescription foods aren’t exactly medications but they do have a therapeutic purpose. You need to be certain that the food meets the required standards to help your cat.

If your cat refuses to eat the veterinary food prescribed by your vet, look for commercial cat foods that meet these same requirements.

Hopefully you can find one that is more palatable to your cat. It’s very important that your cat eats a food that has less than 0.5 percent phosphorus on a dry matter basis (DMB). You may not be able to find a phosphorus level this low in the U.S. because that’s the minimum allowed by AAFCO.

If you can’t find a food with a phosphorus level this low, look for a food that has a phosphorus level between 0.75 and 1 percent.

That might be a more realistic goal with commercial cat foods. Remember that the goal is to find a lower protein, lower sodium and lower phosphorus-containing food that your cat will willingly eat.

Best commercial foods for cats with kidney disease

Most of the foods listed here are prescription cat foods. If your cat is diagnosed with kidney disease, especially with chronic renal failure, it’s likely that your veterinarian will recommend feeding your cat with one of these foods or something similar.

If your cat will eat the prescription food options, that’s great. If not, Weruva and Hi-Tor are both commercial brands that don’t need a prescription.

HI-TOR Veterinary Select Neo Diet for Cats Canned Food

Nutritional info:

  • Protein – 8% Min
  • Fat – 10% Min
  • Fiber – 1% Max
  • Moisture– 78% Max
  • Caloric Content: 1,316 kcal/kg

This non-prescription low phosphorus cat food is made by Sunshine Mills in the United States, Hi-Tor Veterinary Select is a commercial brand that doesn’t require a prescription. The company makes foods that can be used to replace veterinary formulas for some health conditions.

Hi-tor Veterinary Select Neo Diet for Cats Canned Food is a commercial food used for cats with kidney disease. According to the company, it can be fed instead of Hill’s Prescription Diet k/d.

The Neo formula has 8 percent minimum crude protein, 10 percent minimum crude fat, 0.10 percent minimum phosphorus, 1 percent crude fiber, and 78 percent moisture. Sodium information isn’t provided.

Featured ingredients include Meat By-products, Chicken, Animal Liver, Beef, Poultry Fat, and Ocean Fish. Hi-Tor’s commercial foods cost less than prescription cat foods.

This could be a food to consider, especially if you will be feeding your cat a special diet on a long-term basis.

Weruva Truluxe Steak Frites with Beef & Pumpkin in Gravy

Nutritional info:

  • Protein – 10% Min
  • Fat – 1.3% Min
  • Fiber – 0.5% Max
  • Moisture– 86% Max
  • Caloric Content: 72 kcal/3 oz can

Weruva canned cat foods seem to be popular with cats that have chronic kidney disease.

The Truluxe steak frites recipe has 0.57 percent phosphorus (DMB) and 0.22 percent sodium (DMB). Those figures are rather low, especially for a commercial cat food.

The protein is a little higher than we might like (61.9 percent DMB) but it’s good quality protein.

We think this would be a good food for many cats with kidney disease. If you check carefully, you may find other Weruva canned cat foods that would be suitable for your cat with renal disease.

Hill's Prescription Diet k/d Feline Chicken & Vegetable Stew

Nutritional info:

  • Protein – 4% Min
  • Fat – 3% Min
  • Fiber – 1.5% Max
  • Caloric Content: 70 kcal/2.9 oz can

Hill’s Prescription Diet k/d Feline Chicken & Vegetable Stew is one of the foods most often recommended for cats with kidney disease.

This kidney care formula has controlled levels of phosphorus and sodium; and therapeutic levels of L-Carnitine (an amino acid) and omega-3 fatty acids.

It supports your cat’s kidney function and helps sustain muscle mass.

Chicken and pork liver are the first ingredients. Hill’s has several other prescription foods for cats with kidney disease if your cat doesn’t like this recipe.

Royal Canin Veterinary Diet Feline Renal Support E canned cat food

Nutritional info:

  • Protein –9% Min
  • Fat – 5.1% Min
  • Fiber – 2% Max
  • Moisture– 79.5% Max
  • Caloric Content: 171 kcal/can

Royal Canin Veterinary Diet Feline Renal Support E canned cat food is another food that your veterinarian might recommend for your cat with kidney disease.

The Royal Canin Renal Support Diets come in several wet and dry versions so if your cat doesn’t like this recipe, he might like a different formula.

The diets can be mixed or rotated to provide more feeding options to appeal to your cat.

This food features pork by-products, chicken liver, chicken, and chicken by-products. It is low in phosphorus and protein. This renal support diet also includes a complex of antioxidents and EPA/DHA.

Purina Pro Plan Veterinary Diets NF Kidney Function Early Care Feline Formula

Nutritional info:

  • Protein – 6.5% Min
  • Fat – 3% Min
  • Fiber – 3% Max
  • Moisture– 77% Max
  • Caloric Content: 162 kcal/can

Purina Pro Plan Veterinary Diets NF Kidney Function Early Care Feline Formula was developed to support your cat’s kidneys.

It has a moderate amount of high quality protein; a restricted amount of phosphorus; and omega-3 fatty acids as a source of EPA and DHA. It also contains antioxidants and most cats like the taste.

The food is available in both a dry and canned version. The canned version features meat by-products, liver, rice, and chicken by-products.

This food is for “early care” of a cat diagnosed with kidney disease. Purina Pro Plan Veterinary Diets also makes a formula for cats that require advanced care of their kidney condition.

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Please remember that protein doesn’t cause renal disease in cats or any other animals.

Cats need meat protein, and diets that are high in protein are normally very good for your cat.

Even if your cat has very mild kidney issues, you probably don’t need to worry about the protein in his diet very much.

What is important to remember is that your cat’s kidneys have to work harder when you feed low quality sources of protein and plant sources of protein.

If you are feeding your cat good quality sources of meat protein throughout his life, there is less waste for the kidneys to remove so they don’t have to work as hard.

Kidney disease and renal failure are complex subjects. Even experts don’t always agree on what to feed cats with renal disease.

Many cats with kidney issues will get better by following diets that are low in protein, low in phosphorus, and low in sodium content.

However, these diets don’t appeal to some cats, and some will refuse to eat prescription cat foods.

This can lead to weight loss and malnutrition. If your cat won’t eat a prescription diet, talk to your vet about other approaches and other foods to try.

Carlotta Cooper

Carlotta Cooper is a long-time contributing editor for the weekly dog show magazine DN Dog News. She's the author of The Dog Adoption Bible, a Dog Writers Association of America (DWAA) award winner. In addition, she is an American Kennel Club Gazette breed columnist and is the author of several books about pets. She has been reviewing pet foods and writing about dog food for more than 10 years.
  1. Avatar

    A M

    Purina Pro Plan does NOT have high quality protein!! Meat by-products is the FIRST listed ingredients, and anyone 'in the know' knows that can even include the powdered remains of euthanized pets and road kill. Also, very low-grade sources of other animal protein that are hard to digest: hooves, etc.

    • Carlotta Cooper

      Carlotta Cooper

      Seriously, please check some more reputable sources. I do not mean any disrespect to you but the United States Food & Drug Administration has tested various pet foods multiple times and the food does not contain euthanized pets. There have been several occasions when pet food was found to contain pentobarbital, a drug used to put an animal to sleep. This doesn't indicate that pet food is made from pets. This drug can be administered to cattle or even horses. Most recently, I believe, it was found in Evanger's and a couple of other very expensive canned foods. These foods are RECALLED when they are found because this drug is not allowed to be used in pet food. If you want to feed your pet good pet foods, buy nutritious foods and stop worrying so much about the individual ingredients. The food is not supposed to be something that you would eat. It's supposed to be nutritious for a cat or dog. Listen to veterinary nutritionists who know how to formulate these foods correctly.

  2. Avatar


    I'm amused at what is considered "High Quality" meats in regards to this article. There's this amazing book called "The Food Pets Die For" you should read that and then you'll understand what "meat by-products" really consist of, cause it certainly isn't high quality, more like road kill, euthanized animals from shelters etc... Can't let all that yummy goodness go to waste. It's certainly padded the pockets of these vile pet food companies, while they slowly kill your animals by diet.

    • Carlotta Cooper

      Carlotta Cooper

      Hi Chris, I have read "The Food Pets Die For." It was written decades ago and I found it to be one-sided and sensational. If you will check with veterinary nutritionists, such as Dr. Lisa Freeman, they will tell you that meat by-products are good for cats because of their need for meat protein.

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