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Home / Health / 8 Symptoms Of Polycystic Kidney Disease In Cats

8 Symptoms Of Polycystic Kidney Disease In Cats

ByKatrina Stewardson Posted on18/08/202409/01/2025 Last Updated09/01/2025
Bali a tabby Maine Coon cat laying upside down outside
4.8
(4)

Polycystic Kidney Disease (PKD) is one of the most common genetic disorders affecting domestic cats, with studies indicating that up to 38% of some cat breeds, such as Persians, carry the gene responsible for this condition.

While PKD is often associated with Persian cats, many people are unaware that Maine Coons, another beloved breed, are also significantly affected by this disease.

This genetic disorder leads to the development of fluid-filled cysts in the kidneys, gradually impairing their function and potentially leading to kidney failure over time.

Polycystic kidney disease in cats: Two healthy Maine Coon cats laying on the bed

I have sourced the information in this article from reliable sources such as the Cornell University College of Veterinary Medicine and recent studies published in veterinary journals like the “Journal of Feline Medicine and Surgery.” These sources emphasize the importance of early diagnosis and ongoing management to mitigate the disease’s impact on affected cats.

Polycystic Kidney Disease (PKD) In Cats

Polycystic Kidney Disease (PKD) is a genetic disorder in cats causing the development of fluid-filled cysts within the kidneys. Over time, these cysts grow larger, occupying more of the kidney tissue, and gradually impairing kidney function.

This degeneration can lead to chronic kidney disease (CKD), a serious condition that affects the cat’s overall health and quality of life.

PKD is progressive, meaning that the severity of the disease increases as the cysts continue to enlarge, eventually leading to renal failure if not managed properly.

PKD is a hereditary condition, meaning it is passed down from one generation to the next through specific genetic mutations.

The disorder is autosomal dominant, which means that only one copy of the mutated gene, inherited from either parent, is necessary for a cat to develop the disease. This makes it more likely for offspring to inherit the condition if one of the parents is affected.

Polycystic Kidney Disease (PKD) is a significant health concern in Maine Coon cats, though it is not as prevalent in this breed as it is in Persians and other related breeds.

Studies suggest that while PKD has a genetic basis that can affect many cat breeds, the incidence in Maine Coons is lower compared to the roughly 40-50% of Persian cats affected by the disease.

The condition’s hereditary nature makes it critical for breeders to test cats before breeding, to reduce the risk of passing on this debilitating condition.

Although PKD is more common in older cats, it can be difficult for owners to identify because cats tend not to show any signs of the disease until they reach seven years old.

Studies Of PKD

A study in the Journal of Feline Medicine and Surgery investigated the prevalence of PKD in various cat breeds, including Maine Coons.

The research found that while the prevalence in Maine Coons was not as high as in Persian cats, it was still significant enough to recommend regular screening for breeding cats.

Another study conducted by the American College of Veterinary Internal Medicine (ACVIM) found that approximately 5-10% of Maine Coons may carry the PKD gene, although this percentage can vary depending on the lineage.

Symptoms Of PKD

Here’s a table summarizing the general symptoms of Polycystic Kidney Disease (PKD) in cats:

SymptomDescription
Increased
Thirst
Cats with PKD often
drink more water than
usual due to kidney
impairment.
Frequent
Urination
The kidneys struggle
to concentrate urine,
leading to increased
urination.
LethargyAffected cats may
appear more tired
or less active than usual.
Weight LossCats with PKD may lose
weight gradually as
their kidneys become
less efficient.
Decreased
Appetite
PKD can cause a decrease
in appetite, leading to
further weight loss.
VomitingAs the disease progresses,
toxins build up in
the bloodstream,
causing vomiting.
Bad BreathDue to the buildup of
waste products in the
blood, cats with PKD may
have bad breath.
High Blood
Pressure
PKD can lead to
hypertension, which may
cause additional symptoms
like headaches or
nosebleeds in severe cases.
Polycystic Kidney Disease In Cats Symptoms

There are no unique symptoms exclusive to Maine Coons, but due to their larger size, some symptoms like lethargy or weight loss might be more noticeable.

Diagnosing PKD

Diagnosing Polycystic Kidney Disease (PKD) in cats often begins with a thorough veterinary examination.

  • Physical Examination: A vet will conduct a general physical exam to assess the overall health of the cat, checking for signs like enlarged kidneys or symptoms such as weight loss and lethargy.
  • Medical History Review: The vet will review the cat’s medical history, focusing on any known genetic predispositions or previous health issues that could indicate PKD.
  • Blood and Urine Tests: These tests help evaluate kidney function by measuring levels of creatinine and blood urea nitrogen (BUN) in the blood and checking for abnormalities in the urine, such as the presence of protein or blood.

Ultrasound And Genetic Testing

  • Ultrasound: This imaging technique is highly effective in detecting the presence of cysts in the kidneys. It’s a non-invasive method that can visualize the size, number, and location of cysts.
  • Genetic Testing: Determine whether a cat carries the mutation that causes PKD, allowing breeders and owners to make informed decisions.

Treatment Options

Treatment and management focus on slowing the progression of the disease and ensuring a good quality of life for the cat.

In cases where PKD has been identified, owners can manage their cat’s disease using the following methods. These techniques are thought to reduce vomiting and nausea, whilst also blocking the absorption of phosphorus (source 1):

Medication

  • Blood Pressure Control: Hypertension is common in cats with PKD and can be managed with medications such as amlodipine or enalapril.
  • Diuretics: In cases of fluid retention or swelling, diuretics may help manage symptoms.
  • Phosphate Binders: If kidney function declines, phosphate binders can help manage high phosphate levels in the blood.

Diet Changes

  • Kidney-Specific Diet: Diets formulated for kidney health are low in protein, phosphorus, and sodium. These diets help reduce the workload on the kidneys and manage symptoms.
  • Hydration: Ensuring your cat has access to fresh water and encourages hydration. Wet food can be beneficial for maintaining fluid intake.

Regular Veterinary Check-Ups

  • Monitoring Kidney Function: Regular blood tests and urinalysis help monitor kidney function and adjust treatment as needed.
  • Ultrasound Exams: Periodic ultrasound exams may be used to assess the progression of cyst development and kidney size.

Symptom Management

  1. Pain Relief: If the cat shows signs of pain or discomfort, pain management may be necessary, typically under veterinary guidance.
  2. Appetite Stimulation: Cats with PKD may have reduced appetite; appetite stimulants or palatable food options can be used to ensure proper nutrition.

Conclusion

Polycystic Kidney Disease (PKD) poses a significant challenge to the health and well-being of affected cats, but with proactive and informed management, their quality of life can be substantially improved.

Understanding the disease’s progression, and implementing a comprehensive treatment plan that includes medication, dietary adjustments, and regular veterinary check-ups, is essential.

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Author

  • Bali the Maine Coon cat and Katrina Stewardson. Female holding big cat!
    Katrina Stewardson

    A Maine Coon cat enthusiast with 13+ years of experience owning three Maine Coon cats. I have first-hand experience with many Maine Coon health issues, e.g., hip dysplasia, bent tail canal, and arthritis. I have experience in training Maine Coons, registered breeders, adopting Maine Coons, and caring for a Maine Coon. I currently own two male Maine Coon cats, named Mika and Bali.

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