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

Seeing a pet in pain is never a pleasant thing for any pet owner. Especially, puppies look very helpless when they are in any kind of trouble. One of the common issues with puppies is leaking urine at an early age.

Spay incontinence is the main reason behind this incontinence issue. But we have also found out some other reasons that may also make this happen.

In this guide, we will discuss why a 4 month old puppy leaking urine and what to do in that particular event.

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4 Month Old Puppy Leaking Urine

Is It Common For Puppies To Leak Urine At This Age?

Frankly speaking, no. It is never a common thing among a healthy puppy. Let’s think logically.

What would happen if your water container is full of water? If the water container is of solid material, extra water will spill out of it.

And if the container is of something fragile, there will be holes in the container because of the water pressure, and water will leak.

This is the same case for dogs and even for humans. Dogs have a bladder to store urine. Whenever it fills, the bladder will send a signal to the brain. Thus, dogs will know when to pee.

For some reason, if a dog doesn’t pee in time, meaning the bladder is full, it will leak from the bladder.

To answer your question, no. It is not normal for puppies to leak at this early age. A healthy four-month-old puppy should not leak urine.

What Are The Reasons For A Puppy To Leak Urine?

Reasons For A Puppy To Leak Urine

As we have mentioned earlier, spay incontinence is regarded as the main reason dogs have this issue. However, there are other reasons too. Let’s have a look at the reasons why puppies may have the incontinence issue.

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 of the 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. The moment the bladder is full, the dog will get a signal in her brain and know that’s the time to pee.

But if this incompetence (USMI) happens in a dog, she will not be able to 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.

2. UTI

Another reason for your dog to leak urine may be the UTI (Urinary Tract Infection). When UTI happens to any dog, she will have less control over her urinating process.

The dog won’t even know that the incident happened. Or she will want to go out for peeing more frequently (every 10 or 15 minutes).

3. Birth Defect

The incontinence may also happen to a dog due to a birth defect. In simple words, the dog won’t have the normal connection between the bladder and the ureter.

In medical terms, this is called an ectopic ureter. The ectopic ureter won’t have a normal connection with the bladder. Instead of emptying in the bladder, the ectopic ureter will empty directly into the urethra.

As a result, the dog won’t have the ability 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, which will result in continuous leaking.

5. Nerve Damage

Your dog will lose its ability to store urine for another reason. If there is any nerve damage in your dog, he won’t be able to pee normally.

4 Month Old Puppy Leaking Urine – What To Do

4 Month Old Puppy Leaking Urine What To Do

1. Go See Your Vet

Who knows about your puppy’s health-related issues better than you? Your vet. Go to your vet if you see your teenage puppy is leaking urine as soon as possible. The vet will run some tests on the urine sample from your puppy.

After the tests, he will take appropriate measures depending on the issue.

2. Over-The-Counter Meds

There are some over-the-counter meds to treat your dog if incontinence is the issue. But you need to be very careful about these medicines as they need to deal with precautions.

You should not use these medicines without consulting your vet unless meeting your vet is tough.

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 make the sphincter stronger to 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 with your vet before taking this medicine into consideration.

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

3. Surgeries

If there is any birth defect 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 is still having the incontinence problem even with the additional medicines.

4. Hormonal Therapy

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

What To Do If Nothing Works

What To Do If Nothing Works


We are trying to provide the best possible solutions for your puppy’s problem. Sometimes, any of the above-mentioned solutions may not work even though the numbers are pretty low in this regard.

What would you do if nothing mentioned 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 for the moment.

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 even a human baby.

And as time will pass, 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 is very difficult 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.

We know, letting your dog go back won’t be a pleasant memory to store. But sometimes you may need to consider this option too.

Help for a Puppy Who Dribbles Urine

Help for a Puppy Who Dribbles Urine

Puppies are difficult to house because they’re still young and immature. However, teaching them to pee outside the house and stop urinating at home is possible. Follow these tips for preventing your puppy from urinating in your home:

  • Keep a schedule with meal times and potty times.
  • Provide lots of playtime outside of the yard.
  • Use dog diapers or an indoor potty pad if your puppy has an accident.
  • Praise and reward your pup with a treat or a favorite toy when he pees or poops outside.

You should also teach your puppy to stay off the furniture and resist chewing on your shoes and clothes. To prevent these behaviors, set up training boundaries using baby gates, crate training, and positive reinforcement techniques.

Do Puppies Pee in their Sleep?

Do Puppies Pee in their Sleep

Puppies can retain their Urine for three to four hours based on age, or one month longer if they’re older than three months.

Even if you believe your puppy doesn’t want to go outdoors, you should wake him up once a night and take him outside. Even if it may pee on the bed at some point, the two of you can sleep quietly knowing that your pet will either pee or not.

One study found that during REM sleep, dogs can stop producing Urine. This means your pup may not pee if they’re sleeping for just one cycle of REM but could pee a lot if they go deep sleep instead.

Reasons Why Your Dog Might Be Leaking Urine

Reasons Why Your Dog Might Be Leaking Urine

Your dog might be leaking Urine if he is going to the bathroom outside in various places when you are not home. Here are some of the possible reasons why your dog might be leaking Urine:

  • He may have a medical emergency, such as an infection or cancer, that could cause him to urinate more frequently and for longer periods than usual.
  • He may have worms in his system, which is a common cause of incontinence in older dogs and not house-trained.
  • He may have a urinary tract infection. A urinary tract infection can cause a dog to leak Urine because he has pain when urinating.
  • He might have anatomical issues, such as an enlarged prostate gland or small bladder capacity, which can lead to incontinence or an increased desire to urinate when your dog feels the urge.

Training to Stop Submissive Urination in Dogs

Training to Stop Submissive Urination in Dogs

Some dogs habitually urinate on items and in inappropriate places, such as furniture, carpets, and people’s belongings. This can cause significant problems for owners. Submissive urination is characterized by the dog squatting down to pee to show submission to the owner. Training to stop submissive urination is –

Obedience Training

Obedience training involves teaching your dog to listen to you. This is the foundation for all dog training. You can instruct your dog to stop submissive urination using basic commands such as ‘sit,’ ‘lie down, and ‘stay.’

Crate Training

You can teach your dog to stop submissive urination by confining it in a crate while teaching obedience commands or, more specifically, practicing ‘close control’ commands.

Final Thoughts

Whatever the reason for your puppy’s incontinence is, you should not wait for a single moment to get her to a doctor. We mentioned ‘her’ as the pronoun of your dog as in most of the cases, the victims of incontinence are female dogs.

You should not worry much if your 4 month old puppy leaking urine. We have tried to state in this article what to do in that particular situation. Try to follow the ‘Do’s and believe us, your dog is going to be fine.


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

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?

Clinical symptoms, Urine and 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?

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?

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?

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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