4 Month Old Puppy Leaking Urine – [Should We Take Him To Vet?]

Dog owners often face a range of issues when it comes to their pet’s health. One such issue that can be concerning and frustrating is when a puppy starts to leak urine at just 4 months old.

This can be a sign of an underlying health problem that needs to be addressed promptly. Not only can it be uncomfortable for the puppy, but it can also lead to hygiene issues and potentially cause damage to furniture or flooring.

Here we will explore the reasons why 4 month old puppy leaking urine and provide possible solutions to help alleviate this issue. From urinary tract infections to behavioral issues, there can be several underlying causes that must be identified and addressed to ensure the puppy is healthy and happy.

4 Month Old Puppy Leaking Urine

What Are The Reasons For 4 Month Old Puppy Leaking Urine?

Reasons For A Puppy To Leak Urine

There can be several reasons why a 4-month-old puppy may be leaking urine. One possible cause is a urinary tract infection, which can cause frequent urination and accidents. Another possibility is bladder weakness or incontinence, which can occur in young puppies as their bladder muscles are still developing. Here are the passive reasons for 4 month old puppy leaking urine:

  1. Spay Incontinence
  2. UTI
  3. Birth Defect
  4. Terrified To Pee
  5. Nerve Damage

Below we discuss the possible reasons in detail.

1.Spay Incontinence

In medical terms, the name of spay incontinence is “Urinary Sphincter Mechanism Incompetence” or, in short- USMI. Experts consider this by far the main reason behind the incontinence issue. Many spayed dogs face this USMI issue. To put it in simpler terms, dogs have a muscular sphincter. You can consider it as a valve to understand the process better.

This valve keeps the urethra sealed so that Urine can’t come out until the bladder is full. When the bladder is complete, the dog will get a signal in her brain and know it’s time to pee. But if this incompetence (USMI) happens in a dog, she cannot keep her urethra shut. As a result, Urine leaking will start to happen.

Although USMI can happen to other dogs, even male dogs, we consider only spayed female dogs. Because the rate is very high among them, the other name of USMI is spay incontinence.


Another reason for your dog to leak Urine may be a UTI (Urinary Tract Infection). When UTI happens to any dog, she will have less control over urinating. The dog won’t even know that the incident happened. Or she will want to go out to pee more frequently (every 10 or 15 minutes).

3.Birth Defect

Incontinence may also happen to a dog due to a congenital disability. Simply put, the dog won’t have the standard connection between the bladder and the ureter. In medical terms, this is called an ectopic ureter.

The ectopic ureter won’t have a stable connection with the bladder. Instead of emptying the bladder, the ectopic ureter will open directly into the urethra. As a result, the dog won’t be able to store Urine, leading to continuous leaking.

4.Terrified To Pee

If your dog is scared for some reason, he will be terrified. For this reason, he won’t pee like normal dogs. Instead, he will try to store the Urine as long as possible, resulting in continuous leaking. It is essential to help your puppy feel comfortable and safe in these situations, as this can help reduce their anxiety and decrease the likelihood of accidents.

Positive reinforcement training can also help teach your puppy how to manage their emotions and control their bladder. If you are concerned about your puppy’s leaking behavior, it is always best to consult a veterinarian to rule out any underlying medical issues.

5.Nerve Damage

Your dog will lose its ability to store Urine for another reason. If your dog has any nerve damage, he won’t be able to pee normally. One potential reason for a puppy to leak Urine is nerve damage. Nerve damage can occur secondary to trauma, infection, or congenital abnormalities. When the nerves that control bladder function are damaged, the puppy may struggle to control their Urine and may experience leakage.

Other nerve damage symptoms may include weakness in the hind limbs or difficulty walking. Suppose you suspect your puppy has nerve damage. In that case, it is essential to have them evaluated by a veterinarian as soon as possible to determine the underlying cause and develop an appropriate treatment plan.

4 Month-Old Puppy Leaking Urine – What To Do

4 Month Old Puppy Leaking Urine What To Do

If you notice that your 4-month-old puppy is leaking urine, it is important to take action and address the issue. There could be several reasons why this is happening, such as a urinary tract infection or an anatomical issue. Here are some solutions you can take when a 4-month-old puppy is leaking urine:

  1. See Your Vet
  2. Over-The-Counter Meds
  3. Surgeries
  4. Hormonal Therapy

Below we discuss in detail on what to do when a 4 month-old puppy leaking urine.

1.See Your Vet

If your 4-month-old puppy is leaking urine, it is important to see your vet as soon as possible. This could be a sign of a urinary tract infection or another underlying medical condition that needs to be addressed. Your vet will be able to perform a thorough examination and run any necessary tests to determine the cause of the issue. They can then recommend the appropriate treatment plan to help your puppy feel better and prevent any further complications. It is always best to consult with a professional when it comes to your pet’s health and well-being.

2.Over-The-Counter Meds

There are over-the-counter meds to treat your dog if incontinence is the issue. But it would be best to be careful about these medicines as they need trusteth precautions. It would be best not to use these medicines without consulting your vet unless meeting your vet is tough. Coping with a 4-month-old puppy leaking urine can be frustrating and stressful for pet owners. While it is essential to consult with a veterinarian to determine the underlying cause of the issue, some over-the-counter meds may provide temporary relief.

a) PPA (Phenylpropanolamine): If you are sure of the fact that your dog’s incontinence problem is because of USMI (Urinary Sphincter Mechanism Incompetence), PPA is the way to deal with it.

This medicine will strengthen the sphincter and keep it shut to stop leaking. The precaution here is to watch out for heart and kidney diseases. As PPA increases the heart rate, you should be very careful and always consult your vet before considering this medicine.

b) Proin: We have found out that this medicine is beneficial in treating dogs with spayed incontinence. However, you should not give this medicine to your dog without consulting your vet.


If there is any congenital disability within the dog-like ectopic ureter, defective bladder, and defective urethra, surgery is the way to play. Ectopic ureter surgeries are less likely to come out as victorious for female dogs. But the success rate is very high among male dogs in this particular case. Getting rid of incontinence with surgeries is not easy. In most cases, you will find out that the dog still has the incontinence problem even with the additional medicines.

4.Hormonal Therapy

Even though hormonal therapy is very costly, you should consider it too. First, consult your vet whether it is okay to give hormonal treatment to your dog. If your vet gives a green signal, you should go for therapy.

In addition to hormonal therapy, other possible treatments, such as medication, surgery, or behaviour modification techniques, may be recommended depending on the underlying cause of your puppy’s urinary incontinence. With proper care and treatment, your puppy can live a happy and healthy life free from the discomfort and embarrassment of urinary leakage.

What To Do If Nothing Works

What To Do If Nothing Works

We are trying to provide the best solutions to your puppy’s problem. Sometimes, the solutions mentioned above may not work despite the low numbers. What would you do if nothing said in this article works for your dog?

There is an intelligent solution for this problem if that happens. You can use dog diapers to take care of your dog. It will also help you keep the environment clean and healthy. But diapers come with a cost. Maintenance. We know how hard it is to maintain diapers for a human baby.

And as time passes, it will be harder to maintain. The smell of the Urine of the dog will become stronger. You won’t be able to keep doing the maintenance. If that happens, it’s okay. It isn’t easy to keep the environment of your dog’s place clean day after day.

And if you miss a day, the situation will be even worse. Letting your dog go back won’t be a pleasant memory to store. But sometimes you may need to consider this option too.

How To Train Your 4-Month-Old Puppy To Stop Leaking Urine

Training a 4-month-old puppy to stop leaking urine can be a challenge, but with consistency and patience, it is possible to address this issue. Here are some tips to help you train your puppy. Remember, training takes time and consistency. Be patient with your puppy and continue reinforcing positive behaviours. If the issue persists or worsens, consult a veterinarian for further guidance.

  • Establish a consistent bathroom routine: Take your puppy outside regularly, especially after meals, naps, and playtime. Reward them when they eliminate outside.
  • Use positive reinforcement: When your puppy does urinate outside, praise and reward them with treats or verbal praise.
  • Limit water intake: Control the amount of water your puppy drinks to prevent excessive urination. Offer water at regular intervals throughout the day.
  • Monitor your puppy’s behavior: Watch for signs that they need to go outside, such as sniffing or circling. Take them out immediately when you notice these signs.
  • Clean up accidents properly: Use an enzymatic cleaner to remove any traces of urine scent from indoor accidents. This will help prevent your puppy from associating indoor spaces with elimination.

Final Thoughts

Whatever your puppy’s incontinence is, you should not wait momentarily to get her to a doctor. We mentioned ‘her’ as the pronoun of your dog, as, in most cases, the incontinence victims are female dogs. You should not worry much if your 4 month old puppy leaking Urine. Here we have tried to state what to do in that particular situation.

Try to follow the ‘Do’s, and your dog will be okay. Remember to be patient and understanding during this process, as accidents are a normal part of puppyhood. If you have any concerns about your puppy’s health or behaviour, don’t hesitate to seek the advice of a professional veterinarian.


1.How To Prevent Puppies From Peeing In Their Sleep?

Ans: The most accessible approach to stop a puppy from urinating in their sleep is to teach them how to use the bathroom. Potty training a puppy may take weeks, but if you still get up to discover him with a wet bed after that time, you need to alter your approach.

2.How Is Urinary Incontinence Diagnosed In Dogs?

Ans: Clinical symptoms, Urine, blood test, and medical history are used to identify urethral incontinence. Sometimes, X-rays or ultrasounds are also used to diagnose urinary incontinence.

3.What To Do If Your Dog Is Dripping Urine?

Ans: Here are many ways to deal with their condition, but the safest and most effective way is through antibiotics.

4.What Is The Prognosis For Urethral Incontinence?

Ans: Urinary incontinence might worsen without therapy. Urine causes skin irritation and skin deterioration when left exposed. Untreated skin conditions may cause pressure sores, ulcers, and secondary infections.

5.Why Is My Puppy Peeing So Much All Of A Sudden?

Ans: UTI, diabetes, liver or kidney problems, or incontinence may cause a dog to urinate more often. You should take your dog to the vet for an examination, and they may order some lab tests to determine the cause of the problem.

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