Q. My 8 year old dog started leaking urine out of nowhere yesterday. Large amounts frequently and he doesnt seem like he knows he peeing when it happens.
DR. CHRISTIE LONG, D.V.M., C.V.A.
A. These can be tough cases to solve, but ultimately you have to figure out whether there's a neurologic problem causing the dog to have a loss of control, or another process that's causing the creation of excessive amounts of urine, and thus overflow incontinence. The workup starts with blood work and a urinalysis to look for things like diabetes, kidney disease, urinary tract infection, high calcium levels. A thorough neurologic evaluation should be done as well in order to determine if there is loss of neurologic function due to a bulging disk or other problems in the spinal cord.