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What do vets give dogs for incontinence?

Vets commonly prescribe medications such as phenylpropanolamine or hormone therapy to manage urinary incontinence in dogs.

Understanding Dog Incontinence and Veterinary Treatments

Urinary incontinence in dogs is a common medical condition that can significantly affect a pet’s quality of life. It typically presents as involuntary urination and can be caused by various issues, ranging from age-related muscle weakness to underlying diseases. Fortunately, veterinarians have several effective treatment options to manage and often resolve this problem.

What Is Dog Incontinence?

Dog incontinence refers to the involuntary leakage of urine, often noticed when a previously house-trained dog starts to urinate indoors or leaves wet spots where they sleep. It is most prevalent in older, spayed female dogs but can affect any breed, age, or gender. Common symptoms of canine incontinence include:
  • Dribbling urine without awareness
  • Wet patches on bedding or floor
  • Frequent licking of the genital area
  • Odor of urine on the dog’s coat

Causes of Incontinence in Dogs

Incontinence can result from various underlying causes. Identifying the root cause is essential for effective treatment. Primary causes include:
  • Hormonal imbalances – Especially in spayed female dogs due to reduced estrogen levels
  • Urinary tract infections – Can irritate and weaken bladder control
  • Aging – Muscle tone loss in the urethral sphincter
  • Neurological problems – Damage affecting nerve signals to the bladder
  • Congenital issues – Present from birth, often in younger dogs

Medications Vets Prescribe for Dog Incontinence

Veterinarians have several tried-and-tested prescriptions for treating dog incontinence. Based on the condition's underlying cause, a vet may prescribe one or a combination of the following medications:
  1. Phenylpropanolamine (PPA)
    This is one of the most commonly prescribed medications for urinary incontinence. It strengthens the urethral muscles, helping to control leakage. Dogs typically respond well to PPA, and it is often given orally once or twice daily.
  2. Diethylstilbestrol (DES)
    A synthetic estrogen hormone used in spayed females, DES helps restore muscle tone to the urethral sphincter. Dosage and frequency depend on the dog’s response and vet recommendations.
  3. Incurin (estriol)
    A veterinary-approved estrogen treatment designed specifically for dogs. Incurin is often preferred due to its success rate and safety profile.
  4. Testosterone therapy
    Used more commonly in male dogs with hormone-responsive incontinence. It helps increase muscle tone in the urinary tract.
  5. Antibiotics
    If the incontinence is caused by a urinary tract infection, a course of antibiotics may resolve the issue entirely.

Non-Medication Treatments for Incontinence

In some cases, medications may not fully resolve incontinence. Additional treatment strategies may include:
  • Dietary changes – Special urinary health diets can be beneficial
  • Surgical options – Such as colposuspension or artificial urethral sphincters
  • Acupuncture and holistic therapies – Alternative options that have helped some dogs
  • Behavioral management – Using doggy diapers or frequent outdoor breaks to manage symptoms

When to See a Vet

It’s important to consult a veterinarian at the first sign of incontinence. While manageable, it can be a symptom of a more serious condition. Early diagnosis increases the chances of effective treatment. Visit the vet immediately if you notice:
  • Sudden onset of symptoms
  • Blood in urine
  • Pain during urination
  • Unusual thirst or urination frequency

Living with an Incontinent Dog

While incontinence can be frustrating, many dogs live normal, happy lives with the right medical treatment and supportive care. Frequent checkups, adherence to the prescribed regimen, and a clean living environment make it manageable. Tips for managing incontinence at home:
  • Provide easy access to outdoor potty areas
  • Use washable dog bed covers
  • Provide absorbent pads or doggy diapers
  • Clean and groom the affected area regularly to prevent infections

Conclusion

Veterinarians have a range of medication options to help control urinary incontinence in dogs, with phenylpropanolamine and hormone replacement therapies being the most common. Timely veterinary consultation is crucial to ensure proper diagnosis and treatment, improving both pet and owner quality of life.

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