The kidneys are essential for normal balance and metabolism, and any damage or reduction in kidney function is very serious and must be carefully treated and monitored. Treatments for animals with kidney failure have come a long way in recent years and there are many excellent therapies and solutions. Big improvements can be made, even in animals with marked kidney problems. The long term outlook really depends on how widespread the kidney damage is, and if we can reverse this damage with medication and treatment. With the current treatments, many animals with kidney problems can go on to lead a happy life for many years as long as they are carefully treated and monitored. Repeat blood tests are recommended every 6 months (or sooner if requested by the vet), to ensure the appropriate treatments can be given.