Hi Connie,

Sorry to hear about your cat’s condition. Kidney disease is unfortunately progressive and disheartening to address as not every patient will do well. It sounds like his case is a bit more advanced and progressive than anyone would like. There is no simple answer as to when it is time to say goodbye. Often I advise people that when your pet is no longer having a good quality of life or doing the things they like to/used to do, then you will know it is time. You can look at some of the various Quality of Life scales from Pawspice or the Ohio State University vet school. Other treatments you could consider might include subcutaneous fluids, antacids, and medications to help reduce protein loss through the kidneys and blood pressure. These are simple options to talk with your veterinarian about. I wish you the best of luck and hope you treasure the time left with your cat.

I hope this helps.

Dr. Ryan Llera