Incontinence?

I'm thinking that Sasha has developed some sort of incontinence. I have noticed wet spots in the house on occasion, with increasing frequency, that I figured was dog pee (I don't have a very good nose) and cleaned them up just in case it was, but I never really gave it much of a second thought. Until I decided to lay on the floor while watching a movie and... yeah.
For some reason I thought the perpetrator might have been Sasha, and I went to check the dogs to see if any of them had urinated recently. Juneau: clean. Conker: clean. Sasha: wet. So Sasha it is, my suspicions confirmed. But it didn't seem like a "normal" type of urination, the pee was spread around a bit, not just a small dribble on her lady spot. That seems more consistent with incontinence than regular urination.

I don't think it's a UTI. She's got no other symptoms that would suggest one, and it only seems to happen after she's been laying down for a while or asleep. She still goes outside to pee during the day and doesn't do so in a hurry, nor is it overly frequent or infrequent, and she drinks a normal amount. I have never noticed her to be in any sort of pain either.

Anywho, has anybody else dealt with this sort of thing before? I am going to keep a really close eye on Sasha for a while to see if it happens again, and if it does, I'll take her to the vet. But in the meantime, is there anything else I should be looking out for other than a puddle after rest or sleep?

If it is relevant, Sasha is a Border Collie X Labrador Retriever, 7 1/2 years old, was formerly overweight but is at a good weight now, I believe was spayed around 6 months old, and is moderately active.

Comments

  • Reilly's dirty little secret is that she is incontinent. She 'leaks' while asleep or laying down. The good news is that she is on a pretty inexpensive medicine called Proin that helps by hormonally toning the urethral sphincter so when she relaxes it stays closed. She has been on this forever and we did have to up her dose as she got older (Reilly will be 10 years old next month) and I have her wear dog shorts at bedtime because its a deep relaxation and a long one. I also take up the water bowl around 7pm and let her out one more time before bed so I know she hasnt tanked up and is as empty as possible before bed. Her shorts are still sometimes a little damp if I didnt make sure she peed on Last Outs, but almost always dry. Its very manageable. Sometimes I will see her cleaning herself up and just ask her if she wants to go outside. When she's at rest she seems to have no idea she;s leaking. Before the shorts, the other dogs - esp Sage- would notice and sniff her bed if she left a spot- Sage gets all out of sorts if she sleeps in HIS bed and leaves a spot and he will stare at his bed and talk to me with exasperation and sighing to wash it please.

    Now- in order to get Reilly the prescription, way back when, she had vet visits to r/u UTI and then an ultrasound to rule out ectopic ureter- which is when the tube from the bladder to the outside world is misplaced. Reilly has been leaky since she was 8 months old, which is unusual, thus they wanted to check for physical abnormalities. Leakiness is fairly common in adult spayed female dogs- nobody talks about it... in Reilly's case I believe it is because she was spayed too young - 9 weeks at the shelter!- which is why I gave Juno many months before spaying. Vets will tell you "there is no good science saying there are any side effects to early spay" that's party because in general the party line is never dissuade anyone from spay/neuter and partly because there isnt a lot of research or a huge sample size- the only study I could find back then was one done in europe, I hope the US wakes up to this issue.

    My sister's labrador also leaks sometimes- at rest- and was helped by the same medicine, But the difference was that her vet only checked for UTI and said "try Proin, if it helps then we know its spay incontinence" and she didnt have to go through excessive testing to get to the answer. It's common, treatable and you'll see not really much of a problem! Hugs to Sasha!
  • Sounds like older spayed female problem. Just like @WrylyBrindle said, easily treated with medication. I had an older female who had this problem years ago. She started the meds and it stopped.
  • Well, she's done it again. She's had a few small episodes since I first posted. But tonight Sasha peed twice within 45 minutes in my room while she was asleep, both times, and it was kindof a lot. I took her out afterwards and she still had some left.
    Mom doesn't seem to care...
    So, I'm going to see if we can get her to the vet soon to have it checked out. Like before I don't think it's a UTI, there are no other symptoms, but I'd rather that be the case than actual permanent incontinence.
  • My friend's border terrier does this sometimes. he's so asleep he just pees. She said it's happened when he's been sleeping so hard she can pick him up and he doesn't wake up. He's two, too, so it's not a puppy thing. It's kind of odd.
  • Nola leaks... But hers is actually from neurological deficiencies. When it first started happening, we thought it was due to UTI's (she has no immune system, so she gets infections quite frequently), but even after the UTI clears up, she still leaks. We tried Proin, but it did not work, so that ruled out spay incontinence.

    Then the vet and I (mostly me, but the vet helped) noticed a pattern with her leakage (it also happened while she was awake, not just when she was sleeping). It was much worse when she was having bad days (ataxia, stumbling, not able to get up without struggle, etc.). So, the vet feels that due to the brain tumour and multiple strokes, her nerves controlling her bladder (and not just her legs) are deficient.

    Hopefully Sasha's issue is nothing like Nola's. But I would definitely take her to the vet to rule out an UTI and to try the Proin to see if it works.
  • Regardless of what you'd rather it be, it is what it is, and giving Proin is an easy fix- Reilly eats it like a treat and doesnt leak unless I let her tank up with water before bed or am too lazy to let her out for one more pee before bed. Dont fear incontinence- yes it is chronic but its so easy to treat. What you want is to quit having to wash bedding, worrying about her and letting urine burn her girly bits, and to spare her the stress of leaking- Reilly seemed pretty embarrassed by it- shes a clean dog.
  • edited March 2013
    I am okay with Sasha having incontinence, wouldn't bother me at all. I wouldn't prefer it, but that's just how things work out sometimes. Mom on the other hand... She's getting ready to sell the house, and she's already mentioned "finding a good family" for the Girls when she moves, which I about blew a gasket over.
    Anywho, what I'm more concerned about is just getting Sasha to the vet. If Mom won't, I will, and I don't think Mom realizes (which I've explained several times) that the sooner Sasha goes to the vet, the sooner we know what's up and get it fixed, and the sooner the house won't keep getting dribbled on.

    Sasha seems to know when she's dribbled. She gets really timid (not exactly normal for her) and avoids the area where it happened.
  • :( I hope she doesnt have to rehome the girls. I know you care about those two very much. So do I understand correctly that mom doesnt want to take Sasha to the vet but shes not really your dog so you cant just take her? Its such an easy fix, and not expensive, im sure that is frustrating.
  • Well I convinced Mom to let me take her in. We've got a 3:40 appointment for this afternoon. Hopefully it'll be easy and we'll figure out the deal right away.
  • :) crossing my fingers its just a Proin fix! Good luck, Sasha!
  • Back from the vet. The urinalysis looked pretty normal, so we are going to try Proin for a month and see if it does anything. She's going to get 50mg a day (25mg twice a day) and if it helps then we'll see if we can get away with a lower dose. If not, then we'll up it or try another drug, that I forgot the name of.

    Anywho, I guess that's it! I hope it works.
  • Nola leaks... But hers is actually from neurological deficiencies. When it first started happening, we thought it was due to UTI's (she has no immune system, so she gets infections quite frequently), but even after the UTI clears up, she still leaks. We tried Proin, but it did not work, so that ruled out spay incontinence.

    Then the vet and I (mostly me, but the vet helped) noticed a pattern with her leakage (it also happened while she was awake, not just when she was sleeping). It was much worse when she was having bad days (ataxia, stumbling, not able to get up without struggle, etc.). So, the vet feels that due to the brain tumour and multiple strokes, her nerves controlling her bladder (and not just her legs) are deficient.

    Hopefully Sasha's issue is nothing like Nola's. But I would definitely take her to the vet to rule out an UTI and to try the Proin to see if it works.
    This happens to Bel a lot. When she's in her bad phases, she doesn't seem to notice that she's peeing, so she'll just lay in it. :( I don't know what it is with her. It often ties to when her kidney/liver problems flair up--she's not eating but drinking a lot and she's kind of out it. but she also sometimes does it after what I guess is seizure activity.



  • 50 mg isnt bad. Reilly (70 lbs) was on that for years. she is 10 now and takes 50mg 2x a day, so there's room to go up safely. For a time we did 25 in the AM and then 50mg before bed, so there's flexibility.

    The 'other drug' is DES- but we havent had to go there, and you may not with Sasha either. You have a lot of room to adjust Proin before you have to go to DES.
  • Glad to hear the update :-)
  • @shibamistress - It is frustrating, that is for sure. Nola gets so freaked out about it, she tries to clean it up! (eww!) I just calmly tell her to leave it, usher her outside, grab some towels and the Nature's Miracle, and clean it up. Poor thing looks horrified when it happens. Luckily, things have been going fairly well (knock on wood) with her lately... :)

    @Losech - Keep us updated on how the Proin works. Hopefully it will just take the 50mg and she will be leak free.
  • Dink our catahoula had this issue. :\

    I hope the proin works for her.
  • I hope the prion works for her! Poor girls (Sasha,bel, Nola and Reilly)
  • Sasha's been on the Proin for a dash over two weeks. So far she has not had any leakage, which is good.
    However, she's lost some weight. The vet is not concerned (yet) but I am a bit, I guess nervous? About that. She was 51 pounds when I took her in, she weighs closer to 48 now. According to this paper, Proin has a small chance of causing weight loss, amongst other things. I have not noticed anything other than the weight loss. No increased heart rate, irritability, lethargy, etc. She is not getting any additional exercise.

    Sasha has always needed less food than Juneau and Conker to maintain her weight. Now she gets almost twice as much, which is currently 2 cups of kibble, a very large hunk of meat/boney thing with some liver, and a bunch of leftovers, every day. I have not noticed any more weight loss since I upped her food, but I did that recently so I cannot be completely sure if she's stopped losing weight or what.
  • I got my present Akita about 6 months ago when she was almost 9; she'd been mostly an outdoor dog and was spayed when she was about 4. Previous owner didn't notice the leaking. I'd see saucer-sized wet spots that may have been more from her frantic licking to clean up herself and the carpet or dog bed. She didn't have a UTI, didn't drink an unusual amount, or have to pee the normal amount frequently; so my vet tried Proin, 50 mg BID, 73-lb dog. This has worked very well. My vet said a new and better estrogen formulation is supposed to come out, which may have fewer side effects than Proin. I may try that when it comes out.
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