What to expect in Last Days of Dog with Kidney Failure? When your dog’s kidneys start to fail, you may be surprised at how quickly his health declines. While there’s no cure for chronic kidney disease in dogs, you can help your dog maintain his quality of life in the days leading up to his death by being prepared and keeping an eye out for the signs of Canine Kidney Failure (CKD).
This guide will walk you through what you should expect during the last days of your dog with kidney failure, helping both you and your pup prepare for this difficult time together.
The Initial Symptoms of Kidney Failure in Dogs

One of the initial symptoms of kidney failure in dogs is an increase in water consumption and urination. You may also notice your dog has lost their appetite and is losing weight. Your dog may seem lethargic and have decreased energy levels.
As the disease progresses, your dog may vomit, have diarrhea, and develop bad breath. In the final stages of kidney failure, your dog’s body is gradually filling up with toxins. You may gradually start to see signs a dog is dying from kidney failure.
Signs of Renal Failure in Dogs
- One of the first signs that your dog may have renal failure is an increase in thirst and urination. You may notice your dog spending more time at the water bowl and making more trips outside to relieve himself.
- A decrease in appetite is another common sign of renal failure in dogs. Your dog may lose interest in his food or stop eating altogether.
- Weight loss is another sign that something may be wrong, as dogs with renal failure often consume fewer calories than they burn.
- Pale gums are another common symptom, as kidneys play a role in producing red blood cells. If your dog’s gums are pale, it could be a sign of anemia or other problems with his blood cells. Anemia can cause lethargy, weakness, fainting, and chronic infections.
- Vomiting may also be a sign of kidney disease. Renal failure affects the body’s ability to filter out toxins so dogs with kidney disease can’t always keep their stomach contents down when they get sick.
- Older dogs often show these symptoms before younger ones do because there’s a chance they’re suffering from both kidney disease and arthritis at the same time. Signs of arthritis include limping on one side or difficulty getting up off the floor without help from you or another person.
Recognizing the decline

The final stages of canine kidney failure are very difficult for both the dog and the owner. As the toxins build up in the dog’s body, it will start to experience a decline in its health. Recognizing the signs that your dog is dying is important so that you can make the decision to euthanize them. Some common signs include fever, difficulty breathing, vomiting, diarrhea or constipation.
Read More: How Much Does it Cost to Euthanize a Dog at Home
Dogs who have experienced fever may also show seizures or paralysis. They may also seem disoriented and uncoordinated as their limbs stop working correctly. These symptoms are often accompanied by an increased heart rate and rapid breathing. If you notice any of these symptoms, it is important to contact your veterinarian immediately because there may be something else going on besides just renal failure that needs attention as well.
Read More: Dog Kidney Failure – When To Euthanize Your Dog
Hospitalization
Your dog may need to be hospitalized in the final stages of kidney failure. This is because their body will slowly start to fill up with toxins. hospitalization will help to keep your dog comfortable and will also allow them to receive more intensive Treatment Guidelines for Chronic Kidney Disease in Dogs and Cats.
During this time, you may notice that your dog’s appetite decreases and they begin to lose weight. You may also notice that they drink less water and urinate less often. As the toxins build up in their body, they may start to experience nausea and vomiting. In the final stages, your dog may become lethargic and sleepy. They may also experience seizures or muscle twitching.
Shortness of breath
One of the most common signs that a dog is dying from kidney failure is shortness of breath. This is because the kidneys are responsible for filtering toxins out of the blood, and when they’re not functioning properly, those toxins build up and cause respiratory distress. If your dog is having trouble breathing, it’s important to take them to the vet immediately. In the meantime, here are some things you can do to help your dog feel more comfortable in their final days.
Try to keep them cool – this will prevent overheating which leads to fluid accumulation in the lungs (pulmonary edema). It also prevents dehydration and weight loss which can make a dog more uncomfortable.
Give them water or electrolyte-rich fluids such as coconut water or Pedialyte in order to prevent dehydration. It’s also important to provide medications if your dog has any allergies or other medical conditions that require medication in order for them to be as comfortable as possible in their final days.
Loss of appetite and vomiting
One of the initial signs that your dog is entering the final stages of kidney failure is a loss of appetite. Your dog may stop eating altogether or may only pick at their food. They may also start vomiting. As their body starts to fill up with toxins, they may experience nausea and will no longer have an appetite. This can lead to weight loss and weakness. You may also notice that your dog is drinking less water than usual.
Depression

As your dog’s kidney function declines, this can lead to depression, as your dog may not feel well and may not have the energy to do things they once enjoyed. You may notice your dog sleeping more, or they may stop eating as much.
In the final stages of kidney failure, your dog may experience severe kidney pain and may go into shock. As their organs start to shut down, they will become increasingly weak and sleepy. Ultimately, death from kidney failure is a peaceful process, and your dog will drift off into a deep sleep from which they will not wake up.
Read More: How to Euthanize a Dog with Over the Counter Drugs
Diarrhea and Bloody Urine
One of the most common signs that a dog is in the final stages of kidney failure is diarrhea and bloody urine. This is because the kidneys are no longer able to filter out toxins from the blood, causing them to be excreted through diarrhea.
Bloody urine may also be caused by dehydration, which is common in dogs with kidney failure. As the body becomes more and more dehydrated, the blood becomes thicker and can start to form clots. This can lead to bloody urine. If you notice any of these signs, it’s important to take your dog to the vet immediately.
Confusion at the end stage
At the end stage of kidney failure, your dog’s body is gradually filling up with toxins. This can cause confusion and disorientation. You may also notice your dog’s appetite decreases and they start to drink less water. As their kidneys begin to shut down, your dog may experience diarrhea, vomiting, and seizures. In the final stages, your dog will become comatose and eventually die.
The Final Stage (death): 15+ hours before death
In the last 15 hours before death, your dog may become very quiet and lethargic. They may also refuse to eat or drink anything. As their body starts to shut down, they may experience seizures or convulsions. Ultimately, they will fall into a coma and die. Dogs who have been in kidney failure for over 6 months are much more likely to be in these final stages, but it can happen at any time during the disease process.
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Conclusion
As your dog enters the final stages of kidney failure, their body will gradually fill up with toxins. You may start to see signs that they are dying, such as lethargy, loss of appetite, and weight loss. It is important to make sure your dog is comfortable during this time and to contact your veterinarian if you have any concerns. With proper care, your dog can enjoy their last days and leave this world peacefully.