Experienced and professional animal trainer provide their insights in answering this question :
A. It can be also a neurological issue, inontinence, infection… Some further investigation is necessary to make a diagnosis. Contact a specialist if your vet is not able to help you

How to Identify Common Pet Problems ?

Our sources include academic articles, blog posts, and personal essays from experienced pet care professionals :

Overactive bladder is the most common cause of daytime wetting in children. Not drinking enough water, or drinking caffeine-‐ containing fluids such as cola will worsen overactivity and thus worsen wetting. previously been dry for an extended period (>3 months) and then begin to wet by day.
Common causes of incontinence in senior dogs include urinary tract infections, kidney disease, arthritis, and dementia. Supplements and medications can help treat incontinence in dogs, though if there is a root health issue causing it you can certainly treat that.
Several medical conditions can result in inappropriate urination or urinary incontinence in a dog: Urinary tract infection. Uroliths (urinary bladder stones) Excessive drinking of water (which can be caused by diabetes mellitus, hyperadrenocorticism or Cushing`s disease, diabetes insipidus, and kidney failure)
The first thing to do when a previously house trained dog begins urinating or defecating inside is to rule out any medical problems. Urinary tract infections, cystitis (bladder inflammation), bladder stones, kidney disease, or arthritis or age-related incontinence could all be causes of house soiling in dogs.
Bedwetting in this age group could be a sign of a urinary tract infection or other health problems, neurological issues (related to the brain), stress, or other issues.
The most common bladder condition in children and young people is called bladder overactivity. Children and young people with an overactive bladder often appear to leave it to the last minute to go to the toilet.
The last few days before your dog passes you may notice: extreme weight loss, a distant look in their eyes, a lack of interest in anything, restlessness or unusual stillness, a change in the way that your dog smells, and a changed temperament.
Treating urinary incontinence requires medications that strengthen the muscles and nerves that control urination, such as phenylpropanolamine. For spayed females, adding some hormones back (generally estrogen in the form of DES or diethylstilbestrol) may be the key.
German Shepherds are susceptible to urinary and bladder issues. Many of these problems are food-related, and there can be hereditary weaknesses in the bloodline.
The German Shepherd is an amazing dog with tons of excellent qualities. They have a lifespan of 9-13 years which is average for most dogs. There are several factors that can affect how long they live. It is important to recognize these factors and hopefully extend their lives as much as possible.
Dogs with UTIs generally attempt to urinate very frequently whenever they go outside. They also may strain to urinate, or cry out or whine when urinating if it is painful. Sometimes you might even see blood in their urine. Dripping urine, or frequent licking of the genitals, may also signal that a UTI is present.
Small dogs are considered senior citizens of the canine community when they reach 11-12 years of age. Their medium-sized friends become seniors at 10 years of age. Their larger-sized colleagues are seniors at 8 years of age. And, finally, their giant-breed counterparts are seniors at 7 years old.
Although most children have dry nights by the time they start school, there are plenty of nine to 12-year-olds who wet the bed, with around 2% of all kids continuing to do so right up to late teens. Bedwetting is more common in boys than girls.
Foods that are high in folate, fibre, vitamin B12 and Omega3 fatty acids are all recommended to help control or reduce bedwetting. Recommended food includes: Vegetables, legumes and beans. Fresh fish and seafood.
In most cases teenagers haven`t developed the appropriate brain control of bladder function at night. It is unlikely to be the result of a medical problem with their kidneys or bladder, but they should be checked by a doctor or specialist if this has not already been done.
Most children would be expected to toilet 4-7 times a day, so anything more than this may be a cause for concern. If a child is toileting 8 times or more a day there may be several reasons for this: A small bladder capacity for age. Having a twitchy (overactive bladder)
Some of the earliest signs of kidney disease in dogs may include subtle weight loss, urinating/peeing more often and drinking a lot more water. Therefore, if you notice your dog is peeing on the floor or asking to go out more, or if your dog is always thirsty, it`s time to visit your veterinarian.
Typically, green urine indicates late-stage kidney failure, cancer of the kidneys, or extremely severe urinary tract infection. Urine may turn green because bilirubin makes its way into the kidneys, where it is not supposed to be.
Answer: Fortunately for us, dogs do not understand they are going to be put down and what happens after they are given the injection that puts them to sleep.
Unless there`s an underlying problem, and if the incontinence isn`t especially pronounced, many vets will choose to treat the issue with medication or hormone supplements.
Medications that increase urethral sphincter tone such as phenylpropanolamine (PPA), or hormone replacements such as estrogen or diethylstilbestrol (DES), are commonly used alone and in combination. Many dogs that respond poorly to PPA alone will benefit from a combination of PPA and DES.
According to a 2017 study in Canine Genetics and Epidemiology, the leading cause of death for German shepherds is musculoskeletal disorders, followed by the inability to stand. Hip dysplasia and degenerative myelopathy are likely two common culprits for the latter, as they cause weakness and paralysis of the legs.
Have lots of patience and remember not to scold your dog when he goes in the house. Reward-based training is much more effective. Instead, calmly but firmly tell your dog “no” and have him watch you clean up the mess. Over time, your dog will learn not to pee in the house.
The Short Answer

On average, dogs need to go outside at least 3 to 5 times per day to have the opportunity to relieve themselves. Veterinarians recommend that adult dogs go no more than 6-8 hours between trips outdoors.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. My cat is excessively scrstching herself., to the point she has sores. She is strictly an indoor cat. Did have flees been treated for 2 months
ANSWER : A. For every flea you see on your pet, there are 100 more in the environment. Get your pet on a good topical or oral flea control through your vet. In flea control, you get what you pay for. Consider asking your vet for a dose of Capstar. It helps get the problem under control by killing the fleas on the pet starting in five minutes but only lasts for 24 hours.

You need to treat your home environment. If you use a pest control service, tell them you are having a flea problem and they can adjust their treatment. Use a premise spray that also contains an IGR, insect growth regulator. This keeps eggs and larvae from maturing into adults and helps break the life cycle. Also, vacuum EVERY DAY, throwing out the bag or emptying the canister every time into an outside receptacle and spraying the contents with insecticide to kill the fleas you’ve vacuumed up.

Treat your yard too, since fleas are opportunistic and will hop a ride into your home on your pant leg without you knowing it. Concentrate on areas under bushes, in the shade. Fleas are less likely to be located in open sunny areas where it gets hot.

If chemicals are a problem, you can use borax. Sprinkle it into rugs, into corners and under furniture, use a broom to work it into the fibers and let it sit for hours, days even. It won’t hurt you or your pet to have it present. Then vacuum it up, reapply as needed. Food grade diatomaceous earth can be gotten from a health food store and worked into the rugs and corners in the same way as borax. These treatments aren’t as fast and effective as chemical insecticides but they can help.

You might want to consider boarding your pet for the day at your vet, to give you the opportunity to flea bomb your house without having to worry about your pet being exposed. They can bathe your pet and give a dose of Capstar while you treat your home.

Be patient, you may have to repeat these steps multiple times 10-14 days apart to help break the flea life cycle.

Skin problems can have a variety of causes, sometimes more than one. It is important to have the problem checked by your vet to determine if there is a medical cause for your pet’s skin issues and treat accordingly.

In pets of all ages, fleas, food allergies and exposure to chemical irritants such as cleaners and soaps can be a cause. Any one of these may not be enough to trigger the breakouts, depending on how sensitive your pet is, but a combination can be enough to start the itch-scratch cycle. Finding out the cause and eliminating it is the best course of action. With flea allergies, if your pet is sensitive enough, a single bite can cause them to break out scratch enough to tear their skin.

Check for fleas with a flea comb. Look for fleas and/or tiny black granules, like coarse black pepper. This is flea feces, consisting of digested, dried blood. You may find tiny white particles, like salt, which are the flea eggs. Applying a good topical monthly flea treatment and aggressively treating your house and yard will help break the flea life cycle.

If you use plastic bowls, this is a possible cause for hair loss, though this tends to be on the chin, where their skin touches the bowl while they eat. If you suspect this to be the culprit, try changing the bowls to glass, metal or ceramic.

Food allergies are often caused by sensitivity to a protein in the food. Hill’s Science Diet offers some non-prescription options for sensitive skin as well as prescription hypoallergenic foods for more severe cases. Royal Canin carries limited protein diets that may also offer some relief. Your vet can recommend a specific diet that will help.

If there is no relief or not enough, consider getting your pet checked by a veterinary dermatologist and having allergy testing done.

Q. My 12 year old german Shepherdhas started wetting herself regularly .but my vet can find no problems with liver or kidneys.
ANSWER : A. If the urine sample has been tested and it is all clear it could be age related incontinence. There are medications available to help with this, speak to your vet and they can prescribe some.

Q. My 12 year old german Shepherdhas started wetting herself regularly .but my vet can find no problems with liver or kidneys.
ANSWER : A. It can be also a neurological issue, inontinence, infection… Some further investigation is necessary to make a diagnosis. Contact a specialist if your vet is not able to help you

Q. My dog has bad kidney problems from eating Dragon Train chicken jerky. We now know it was that product, but now it’s too late…Any suggestions?
ANSWER : A. I’m sorry to hear that a product caused kidney issues in your dog! If you are concerned about the product itself, it is best to contact the manufacturer to let them know the problem that was caused. Increasing awareness for products and manufacturers can always help others in the community. To look up any other recalled pet products, you can visit https://www.avma.org/News/Issues/recalls-alerts/Pages/default.aspx which is run by the American Veterinary Medical Association.

Working with your vet can also help to provide care for your dog to help him feel better and provide some relief. Many vets are now carrying kidney and urinary health foods that may help alleviate symptoms or reduce problems associated with kidney disease. Treats that are healthy or low in phosphorus and protein can also help by putting less work on the kidneys. Carrots, broccoli and lean meats such as chicken in moderation can be used. However, it is always best to let your vet know of any treats or diet changes prior to starting them.

Q. My 12 year old cat is constantly grooming and scratching to the extent that she is pulling her hair out in spots. She is also losing weight.
ANSWER : A. Weight loss in older cats, especially when coupled with continued or increased appetite can indicate diabetes or hyperthyroidism. I recommend getting your cat in to see your vet as soon as possible for an exam and comprehensive labwork.

Skin problems can have a variety of causes, sometimes more than one. It is important to have the problem checked by your vet to determine if there is a medical cause for your pet’s skin issues and treat accordingly.

In pets of all ages, fleas, food allergies and exposure to chemical irritants such as cleaners and soaps can be a cause. Any one of these may not be enough to trigger the breakouts, depending on how sensitive your pet is, but a combination can be enough to start the itch-scratch cycle. Finding out the cause and eliminating it is the best course of action. With flea allergies, if your pet is sensitive enough, a single bite can cause them to break out scratch enough to tear their skin.

Check for fleas with a flea comb. Look for fleas and/or tiny black granules, like coarse black pepper. This is flea feces, consisting of digested, dried blood. You may find tiny white particles, like salt, which are the flea eggs. Applying a good topical monthly flea treatment and aggressively treating your house and yard will help break the flea life cycle.

If you use plastic bowls, this is a possible cause for hair loss, though this tends to be on the chin, where their skin touches the bowl while they eat. If you suspect this to be the culprit, try changing the bowls to glass, metal or ceramic.

Food allergies are often caused by sensitivity to a protein in the food. Hill’s Science Diet offers some non-prescription options for sensitive skin as well as prescription hypoallergenic foods for more severe cases. Royal Canin carries limited protein diets that may also offer some relief. Your vet can recommend a specific diet that will help.

If there is no relief or not enough, consider getting your pet checked by a veterinary dermatologist and having allergy testing done.

Q. My a dod, a 10yrs old Maltese x shit-tsu, limps her right front leg. Being to vet, but physical found nothing. Now, muscles loss e shoulders bonny. Ts
ANSWER : A. Unfortunately many dogs are very stoic at the vet and don’t show pain (and thus, the location of the problem) during an exam. I think you’ll need to try again, either with your same vet or another vet, to diagnose the location of the problem. At 10 years of age she could have osteoarthritis in any of her forelimb joints, or could even have a systemic problem such as Lyme disease that’s causing joint pain. Clearly if you’re noticing atrophy in the shoulder muscles there’s a problem, so I’d urge you to find someone who can really help you diagnose this and treat it properly.

Read Full Q/A … : R

Q. I’ve been told my dog (11) may have liver disease and she’s had a seizure. What’s this mean for her future.
ANSWER : A. Well to be honest it really depends on the type of liver disease she has. If the liver disease and seizure are related then this sounds like a disease called Hepatic Encephalopathy, which is where the liver has a defect (i.e. cirrhosis, fibrosis or live shunt) that is not enabling the liver to filter the blood properly. Sometimes this can be managed with medications and/or surgery if there is a liver shunt. Discuss with your vet what medications are indicated for your particular pets liver disease, but a product called SAMe (Denamarin) is recommended for any liver insult.
The prognosis for liver disease really varies and depends on which of the underlying diseases I listed above is present in your pet.

Q. Our cat has enlarged kidneys. Antibiotics worked for awhile. He seems to be getting sick again. He tested negative for leukemia and feline aids.
ANSWER : A. At 1 year old I would be very anxious to find the cause of the kidney enlargement. Maybe you already know this, but kidney enlargement isn’t a disease on it’s own – it’s a sign of a disease. If FeLV and FIV have been ruled out I would recommend an ultrasound to actually visualize the kidneys and see if a cause for the enlargement can be determined. I’d be very worried about feline infectious peritonitis in this cat. It can be very difficult to diagnose, and if it’s not on your vet’s radar screen it should be.

Unfortunately this is a very concerning sign (the enlarged kidneys and returning illness) in a very young cat. FIP as well as congenital (present from birth) problems would be at the top of my list. If you want to consult more about exactly what’s been going on with him I’m available.