Female Dog Incontinence Treatment: Understanding Causes and Finding Help

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Posted Oct 19, 2024

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Female dog incontinence can be a frustrating and stressful issue for both dogs and their owners.

Some common causes of female dog incontinence include urinary tract infections, which can be caused by bacteria such as E. coli.

As dogs age, their muscles and organs can weaken, leading to incontinence.

Hormonal imbalances, particularly a decrease in estrogen, can also contribute to incontinence in female dogs.

In some cases, incontinence can be a sign of an underlying health issue, such as kidney disease or a tumor.

Regular veterinary check-ups can help identify and address any underlying health issues.

A dog's weight can also play a role in incontinence, with overweight dogs being more prone to the condition.

Causes of Female Dog Incontinence

Female dog incontinence can be caused by a decrease in estrogen levels, which can occur after spaying. This is because estrogen helps strengthen the muscles that keep urine in the bladder.

Low estrogen levels are the most common cause of incontinence in spayed female dogs, especially in middle-aged to senior pets. It's estimated that urinary incontinence affects more than 20% of all spayed dogs, especially large breeds.

Credit: youtube.com, Vet Minute: Dog Incontinence

Other potential causes of female dog incontinence include bladder storage dysfunction, where the bladder contracts too frequently and pushes out small amounts of urine. This can be caused by a variety of factors, including urinary tract infections, bladder tumors, and anatomic abnormalities.

Here are some potential causes of female dog incontinence:

Stress

Stress can be a major contributor to female dog incontinence, and it's not uncommon for dogs to leak urine in response to overwhelming situations.

A new environment can be a significant source of stress for a dog, causing her to lose bladder control.

Loud noises can also trigger stress in dogs, making them more prone to accidents.

Strangers can be intimidating for some dogs, leading to stress and incontinence.

Dogs that are fearful or anxious are particularly susceptible to stress-related incontinence.

Changes at home, such as a new pet or family member, can also cause stress and lead to accidents.

What Causes Incontinence

Female dog incontinence can be caused by a variety of factors, and it's essential to understand these causes to provide the best care for your furry friend.

Credit: youtube.com, Urinary Incontinence in Dogs

Low estrogen levels are a common cause of incontinence in spayed female dogs. In fact, it's estimated that urinary incontinence affects more than 20% of all spayed dogs, especially large breeds.

Spinal cord or nerve disease or injury can also lead to incontinence. This can cause a range of symptoms, including weakness, pain, and difficulty controlling the bladder.

Urinary tract infections can cause incontinence, and they're often accompanied by other symptoms like straining to urinate, frequent urination, and blood in the urine.

Bladder stones can also cause incontinence, and they can be painful for your dog.

The most common cause of incontinence in older dogs is Urethral Sphincter Mechanism Incompetence (USMI), which is a failure of the "valve" of the bladder neck and urethra to prevent urine leakage.

Here are some of the most common causes of female dog incontinence:

  • Low estrogen levels
  • Spinal cord or nerve disease or injury
  • Urinary tract infections
  • Bladder stones
  • USMI (Urethral Sphincter Mechanism Incompetence)

It's essential to work with a veterinarian to determine the underlying cause of your dog's incontinence and develop a treatment plan to address it.

Signs

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If your dog is leaking urine while sleeping, it may be a sign of urinary incontinence.

You might also notice wet spots wherever your dog sleeps, which is a common sign of this issue.

Dampness around the hindquarters and thighs is another indication of incontinence.

Irritated skin or redness from the dripping of urine can also be a sign, as urine can be caustic and burn the skin.

Licking the vulva or penis more than usual can be a sign of incontinence, as dogs may try to clean themselves after accidents.

Dribbling urine when your dog is excited, frightened, submissive, or stressed is also a possible sign.

Here are some common symptoms of female dog incontinence:

  • Sores or inflammation on your dog's skin caused by frequent contact with urine, usually around the vulva and hind legs
  • A strong odor of urine coming from your dog and their bedding
  • Damp hair around the vulva and hind legs
  • Constant licking around the genital area
  • Bedding is often damp
  • A house-trained dog may suddenly act shy or uneasy and be peeing in the house
  • They may leave wet spots where they sat or walked
  • Peeing while sleeping and at random times throughout the day

Treatment and Solutions

If your vet can't find a specific cause for your dog's incontinence, they can prescribe drugs to strengthen the bladder muscles. Medication can be tried in different doses until an effective combination is found.

Phenylpropanolamine (PPA) is a commonly used dog incontinence medicine because it's well-tolerated by many dogs and has been extensively used in veterinary medicine. However, pet parents should monitor their dogs closely on this medication due to the risks and potential side effects.

Credit: youtube.com, 3 Minute, 3 Tip Tuesday: Remedies for Dog Incontinence

Hormone therapy can help spayed female dogs, and sometimes males may benefit from testosterone injections, but this is less common. These drugs can affect the bone marrow, so your vet will need to do frequent blood work with this therapy.

If medical treatment doesn't work, surgical therapy may be an option. There are various surgical options, including colposuspension, injections of bulking agents like collagen, and stem cell therapy.

Here are some common treatments for specific conditions that may be causing your dog's incontinence:

  • Urinary Tract Infections (UTI): Antibiotics such as amoxicillin, sulfamethoxazole, and tetracycline are commonly used to treat UTIs.
  • Bladder Stones: Diet and medications like allopurinol can help with some bladder stones, while others may require surgical intervention.
  • Diabetes and Cushing’s Disease: Treating the underlying condition can help improve urine issues.
  • Ectopic Ureters: Surgery is often necessary to correct this condition.
  • Weak Bladder: Medication or surgery may be recommended to help manage the condition.
  • Estrogen-Responsive Urinary Incontinence: Medications like diethylstilbestrol can help mimic the effects of estrogen and improve the function of the urinary sphincter.

Spay/Neuter Increases

Spaying or neutering your dog can have some unintended consequences, especially when it comes to urinary incontinence.

One study of 492 female dogs found that neutering itself and early-age neutering are major risk factors for early-onset urinary incontinence.

Spayed females weighing over 25 kg are at a higher risk of developing urinary sphincter incompetence, and delaying the spay procedure can reduce this risk.

Delaying the spay procedure in larger dogs can make a big difference - for every month it's delayed in the first year, the risk of urinary sphincter incompetence is reduced.

Expand your knowledge: Female Dog Spaying Procedure

Pet Owner Looking at Her Dog while Standing Near the Veterinarian Holding Stethoscope
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Spayed female dogs in their middle years are more likely to experience urinary incontinence, especially if they've been spayed early.

This is because estrogen and progesterone, which help strengthen the muscles that keep urine in the bladder, are lower in spayed females.

Male dogs, on the other hand, have testosterone, which aids in the strengthening of these muscles, making them less likely to experience urinary incontinence.

However, even neutered male dogs are more likely to experience urinary incontinence than unneutered dogs.

A full bladder is also part of the problem, especially when dogs go without a bathroom break for longer periods, like during the night.

Treatment and Solutions

Urinary incontinence in dogs is a common issue that can be caused by various factors, including medical conditions, age, and spaying or neutering. It's treatable, even curable, with the right approach.

Medications like phenylpropanolamine (PPA) can be prescribed to strengthen the bladder muscles, but pet owners should monitor their dogs closely due to potential side effects. PPA is often used in conjunction with other treatments to achieve the best results.

Veterinarian Checking Up  the Dog Using an Ultrasound Machine
Credit: pexels.com, Veterinarian Checking Up the Dog Using an Ultrasound Machine

For spayed female dogs, hormone therapy can be an effective solution, while males may benefit from testosterone injections. However, these treatments require close monitoring to prevent potential side effects.

Surgical therapy is another option for dogs that don't respond to medical treatment. Procedures like colposuspension, injections of bulking agents like collagen, and stem cell therapy can help restore bladder function.

Dog diapers can be a helpful tool for managing cleanliness, but owners need to be vigilant for signs of urine scalding or infection on their dog's skin.

Here are some common medical conditions that can cause urinary incontinence in dogs:

  • Urinary tract infections (UTIs)
  • Bladder stones
  • Diabetes and Cushing's disease
  • Ectopic ureters
  • Weak bladder
  • Estrogen-responsive urinary incontinence

Each of these conditions requires a different approach, and your veterinarian will work with you to develop a treatment plan tailored to your dog's specific needs.

In some cases, surgery may be necessary to correct anatomical abnormalities, such as ectopic ureters. This can be a complex procedure, but it can be effective in restoring bladder function.

It's essential to work closely with your veterinarian to determine the underlying cause of your dog's urinary incontinence and develop a treatment plan that addresses their specific needs. With the right approach, many dogs can enjoy a normal life with their families.

Understanding Incontinence

Credit: youtube.com, The Best Way to Treat Dog Incontinence + Stop Urine Leakage! - Dog Health Vet Advice

Incontinence is a common issue in dogs, especially in spayed females. More than 20% of spayed dogs experience urinary incontinence, with large breeds being particularly susceptible.

Urinary incontinence is the involuntary leakage of urine, and dogs often don't even realize they're urinating. In fact, many dogs with incontinence will pee in their sleep or while lying down, leaving behind a trail of urine.

The causes of incontinence in dogs are varied, but some common culprits include urinary tract infections, bladder stones, and spinal cord disease or damage. Hormonal abnormalities, such as thyroid disease or Cushing's disease, can also contribute to incontinence.

Here are some potential signs of incontinence to watch out for:

  • Frequent urination
  • Dog peeing in sleep
  • Dog leaking urine (while lying down)
  • Excessive licking of the genital area
  • Genital area appearing red and irritated

Hormones

Hormones play a significant role in incontinence in dogs, particularly in females. Spayed female dogs are the most common victims of low estrogen levels, which can lead to incontinence.

Low estrogen levels can cause bladder sphincter and valve laxity, resulting in urine leakage, especially while the dog sleeps. This is a common issue in female dogs, but it can also affect males.

For more insights, see: Most Common Female Dog Names

Credit: youtube.com, Dr. Sara Gottfried: How to Optimize Female Hormone Health for Vitality & Longevity | Huberman Lab

Dogs with low estrogen levels, obesity, and larger breed size are more likely to experience hormone-responsive incontinence. This can develop months or even years after a neutering procedure.

Here are some common causes of hormone-related incontinence in dogs:

  • Low estrogen levels
  • Obesity
  • Larger breed size

These factors can lead to a range of symptoms, including urine leakage while sleeping. If you suspect that your dog's incontinence is related to hormones, it's essential to consult with a veterinarian to rule out other potential causes.

What Is Incontinence?

Incontinence in dogs is a common issue that affects many pet owners. It's the involuntary leakage of urine, and your dog might not even be aware that they're urinating.

Incontinence often occurs in places where pets are resting, such as in their bed or on the couch, and it tends to be a normal or large amount of urine.

One in five dogs is affected by urinary incontinence, and most of them are unaware that they're leaking urine. This condition can affect dogs of all breeds and ages.

Credit: youtube.com, Urinary Incontinence: types, causes & treatments - Ask A Nurse | @LevelUpRN

The most common symptom of incontinence is a spot of urine underneath your dog after sleeping or relaxing. This can be a sign that your dog is experiencing urinary incontinence.

Here are some common signs of urinary incontinence in dogs:

  • Frequent urination
  • Dog peeing in sleep
  • Dog leaking urine (while lying down)
  • Excessive licking of the genital area
  • Genital area appearing red and irritated

Diagnosis and Administration

Your veterinarian will do a thorough physical exam, standard blood tests, and urinalysis to diagnose female dog incontinence. This is usually the first step in determining the cause of the problem.

Blood tests can help identify hormonal imbalances, kidney function, and electrolyte abnormalities that may be contributing to the incontinence. Your vet may also perform a urine culture to check for bladder infections.

If standard tests don't point to the cause, your vet may do more specialized tests, such as radiographs, ultrasound, or other types of scans. These tests can help identify anatomical issues, like ectopic ureters, that may be causing the incontinence.

Here are some possible causes of female dog incontinence and their corresponding treatments:

Veterinarian Diagnosis

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Your veterinarian will do a thorough physical exam to get a better understanding of your dog's overall health. They will also take a medical history to learn more about your dog's symptoms and when they started.

A physical exam is just the beginning. Your vet will also do standard blood tests and urinalysis to check for any underlying issues. If these tests don't provide a clear answer, your vet may do more specialized blood tests, urine culture, radiographs, ultrasound, or other types of scans.

Some diagnostic tests may be more relevant than others depending on your dog's age and symptoms. For example, if your dog started leaking urine when they were very young, your vet may do a dye "urography" to check for anatomical abnormalities like ectopic ureter.

Here are some common diagnostic tests your vet may use to diagnose urinary incontinence:

  • Blood Tests: To test kidney function, blood glucose, hormonal imbalances, and electrolyte abnormalities.
  • Urine Culture: To check for bladder infections and urinary tract infections (UTIs).
  • Ultrasound: To examine the kidneys and bladder for abnormalities.
  • Diagnostic Imaging: To get a closer look at the internal structures of your dog's body.

Your vet will use the results of these tests to determine the underlying cause of your dog's incontinence. This will help you and your vet develop a treatment plan that's tailored to your dog's specific needs.

How Is Administered?

A Man Doing an Examination on a Dog
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Proin is typically given orally, either as a liquid or tablet.

Some forms of Proin need to be administered a few times a day, but the new Proin ER can be given just once in 24 hours.

You can give Proin with or without food.

Health Issues and Complications

Female dog incontinence can be caused by a range of health issues, including weak bladder sphincter, urinary tract infections, and other medical conditions. These conditions can lead to complications such as painful urination, kidney damage, and even infections.

Some breeds, like the Bearded Collie, Boxer, and Dalmatian, are more prone to urinary incontinence due to their genetic makeup. Obesity and estrogen deficiency can also contribute to the condition.

Urinary incontinence can be a sign of an underlying issue, such as diabetes, Cushing's disease, or kidney or liver disease. If left untreated, these conditions can lead to more severe health problems.

Here are some common health issues that can cause urinary incontinence in female dogs:

It's essential to work with a veterinarian to diagnose the underlying cause of urinary incontinence and develop a treatment plan to address it.

Health Issues

Urinary incontinence in dogs can be a frustrating and embarrassing issue for both dogs and their owners. It's a common problem that can be caused by a variety of factors, including spinal cord injuries, which can lead to permanent consequences such as urinary and fecal incontinence.

Some dogs may suffer from neurological problems, like fibrocartilaginous embolism (FCE), which can block blood flow in the spine and require dedication and physical therapy for recovery. In rare cases, a stroke can occur, but with proper treatment, dogs can recover over time.

Boxes of Canine Medicine
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Urinary incontinence can be treated with medications, but surgery may be necessary in some cases. Common treatments include antibiotics for urinary tract infections (UTIs), dietary changes and medications for bladder stones, and hormone replacement medications for weak bladders.

Dogs with diabetes and Cushing's Disease may experience abnormal urination, but managing these conditions can improve the issue. Ectopic ureters require surgery to relocate the abnormal ureter, while estrogen-responsive urinary incontinence can be treated with medications that mimic the effects of estrogen.

Other possible conditions, such as polydipsia (increased water intake), can lead to frequent urination, while urinary tract infections can cause a strong urge to urinate. In some cases, these conditions can be misdiagnosed as urinary incontinence.

A weak bladder sphincter can cause urinary incontinence, particularly in spayed female dogs. According to research, dogs weighing 15 kilograms (33 pounds) or more are seven times more likely to develop urinary incontinence. Certain breeds, such as the Bearded Collie and Boxer, are also more prone to this condition.

Multiple factors contribute to a weak bladder sphincter, including abnormal bladder positioning, estrogen deficiency, obesity, genetics, and changes to vaginal support structures.

Medication Side Effect

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Some medications can cause your dog to leak urine as a side effect. Prednisone, a cortisone derivative, can increase thirst in dogs, leading to increased urination and leakage.

Furosemide, a diuretic, works similarly by increasing water consumption in dogs, resulting in more frequent urination and potential leakage.

Increased water consumption can be a sign of a medication side effect, so it's essential to monitor your dog's behavior and adjust their medication accordingly.

Frequently Asked Questions

Can female dog incontinence be cured?

Yes, female dog incontinence can often be cured with the right medical treatment, which is usually 100% successful in most cases. Consult with your vet to discuss the best options for your ageing dog.

What is the best medication for female dog incontinence?

For female dog incontinence, Incurin (estriol) Tablets have been shown to effectively reduce or eliminate symptoms in spayed females. Consult with a veterinarian to determine if Incurin is the right treatment for your dog.

At what age do female dogs become incontinent?

Female dogs typically become middle-aged between 5-7 years old, which is when incontinence can start to occur, but age varies depending on breed and size.

How can I treat my dog's urinary incontinence at home?

To manage your dog's urinary incontinence at home, use doggie diapers, waterproof pads, and maintain good hygiene to prevent skin infections. Regular, frequent walks can also help reduce accidents and improve overall health

Shawna Welch

Writer

Shawna Welch is a versatile and engaging writer with a passion for exploring complex topics in an approachable way. With a keen interest in animal behavior, Shawna has developed a niche expertise in canine behavioral issues, shedding light on common problems and offering actionable advice for pet owners. Her writing style is characterized by clarity, empathy, and a commitment to accuracy, making her a trusted voice in the field.