Every cat owner knows the joy and companionship their feline friend brings to their life. But what happens when our cats face a health challenge, like polycystic kidney disease? As a cat owner, it's important to be well-informed and prepared to support your furry family member through thick and thin. In this comprehensive guide, we'll dive into the world of polycystic kidney disease in cats, exploring its causes, symptoms, and the latest advancements in treatment options.

Understanding polycystic kidney disease in cats

Polycystic kidney disease (PKD) is a genetic condition that affects cats, leading to numerous cysts within the kidneys. These cysts, which are fluid-filled sacs, develop in both kidneys and gradually increase in size and number over time. As the most prevalent hereditary kidney disorder affecting cats, polycystic kidney disease in cats poses significant health risks.

Polycystic kidney disease in cats is relatively common, with certain breeds being more susceptible to the condition. For example, Persian cats and related breeds, such as Exotic Shorthairs and Himalayans, have a higher prevalence of polycystic kidney disease. Studies have shown that up to 40% of Persian cats may carry the gene responsible for PKD. However, the disease can affect other breeds and mixed-breed cats as well.

What are the causes of polycystic kidney disease in cats?

Polycystic kidney disease is an inherited condition that arises due to specific gene mutations. Polycystic kidney disease is caused by a mutation in the PKD1 gene, which is inherited in an autosomal dominant manner. This means that only one copy of the mutated gene needs to be present for a cat to develop the condition. If one parent cat carries the gene mutation and the other parent cat does not, there is a 50% chance that each kitten in the litter will inherit the mutated gene and, consequently, develop polycystic kidney disease.

What are the symptoms of polycystic kidney disease?

Cats with polycystic kidney disease typically have no clinical signs until the development of renal disease and dysfunction. Once renal impairment and dysfunction occur, you may notice the following symptoms:

  • Increased thirst and urination: As kidney function declines, affected cats may drink and urinate more frequently.
  • Weight loss: Cats with polycystic kidney disease may lose weight due to a decreased appetite.
  • Lethargy: A general lack of energy and activity can be a sign of deteriorating kidney function.
  • Vomiting: Nausea and vomiting can result from the buildup of toxins in the blood as the kidneys fail to filter them effectively.
  • Poor coat condition: Cats with polycystic kidney disease may have a dull, dry coat, and overall poor hair coat.
  • Bad breath: Uremic breath, which has an ammonia-like odour, can be a sign of advanced kidney disease.

How is polycystic kidney disease diagnosed in cats?

Diagnosing polycystic kidney disease in cats involves a combination of physical examination, assessment of clinical signs, and specific diagnostic tests. Your veterinarian will typically perform the following steps to confirm a polycystic kidney disease (PKD) diagnosis and evaluate the severity of the disease:

  1. Physical examination: The veterinarian will begin by conducting a thorough physical examination of the cat, paying close attention to the size, shape, and consistency of the kidneys. In advanced cases of PKD, the kidneys may feel enlarged and irregular due to the presence of multiple cysts.
  2. Blood tests: A blood test, known as a complete blood count (CBC) and blood chemistry panel, can provide valuable information about the cat's overall health and kidney function. Elevated levels of blood urea nitrogen (BUN) and creatinine may indicate decreased kidney function, which can be suggestive of PKD or other kidney diseases.
  3. Urine tests: A urinalysis can help assess the concentration and composition of the cat's urine, providing further insight into kidney function. Cats with PKD may have a dilute urine with an increased presence of protein or red and white blood cells.
  4. Ultrasound imaging: An abdominal ultrasound is one of the most reliable diagnostic tools for detecting PKD in cats. This non-invasive imaging technique allows the veterinarian to visualize the cat's kidneys and identify the presence, size, and number of cysts.

What are the treatment options for polycystic kidney disease in cats?

Unfortunately, there is currently no known treatment or cure for polycystic kidney disease in cats. However, treatment is aimed at slowing down the development of secondary renal dysfunction and managing any pain the cat may experience.

Regular check-ups and lab tests play a crucial role in monitoring cats with polycystic kidney disease. Ultrasound imaging is an effective method for tracking the growth and development of new cysts over time. As the disease progresses and renal failure sets in, ongoing monitoring should be tailored to the specific stage of the condition.

The formation and growth of cysts, along with the onset of renal failure, can vary significantly among affected cats. Many cats may not show signs of renal failure or exhibit symptoms until later in their lives. Although there is no cure for polycystic kidney disease, appropriate treatment can help slow down the progression of renal failure and improve the cat's overall well-being.

Can polycystic kidney disease be prevented in cats?

Because polycystic kidney disease is a genetic condition, it is advisable not to breed cats with the disease. When an affected cat mates with an unaffected cat, there is a 50% chance that each kitten in the litter will inherit the polycystic kidney disease gene and develop the condition. To identify carriers, genetic tests using a simple cheek swab are available, providing valuable information for responsible breeding practices.


In conclusion, polycystic kidney disease is a prevalent genetic condition in cats, particularly in Persian and related breeds. Early detection through regular veterinary check-ups, ultrasound imaging, and blood testing is crucial for managing the disease effectively and improving the affected cat's quality of life. By practicing responsible breeding and avoiding breeding cats with polycystic kidney disease, we can help minimize the spread of this inherited disorder. Although there is no cure for polycystic kidney disease, appropriate treatment strategies, including dietary management, fluid therapy, and medications, can slow down the progression of renal failure and alleviate symptoms. As a cat owner, staying informed and vigilant about your cat's health is key to ensuring their well-being and providing them with the best possible care in the face of polycystic kidney disease. Thanks for reading and make sure to contact your veterinarian if you have any questions.