My senior dog pees inside. Is he in pain? What are my options?

At her age there are several things it can be. Your vet can collect a urine sample to check for a urinary tract infection. They can always draw some blood to check her kidneys and blood sugar and for Cushings disease. All these can cause an increase in drinking and urination which will lead to accidents. If all of that is normal, than she may be getting incontinent and they have medication for that also!

Yes, euthanasia may indeed be a very valid option given the severity of his signs and limitations to his lifestyle. A blood screen may provide information as to the underlying causes and possible management options also

I would recommend a full physical exam by your vet and a basic urine dipstick - some casues such as diabetes can be well managed with regular medication. If no treatbale causes are found you can discuss palliative care and euthanasia options with your vet. Although this can be a difficult decision, your vets will support you wjere it is the best course of action for Diamond

Sudden changes in behavior can sometimes signal a health issue, and accidents in an elderly dog can be caused by a number of things. Bladder infections can cause sudden accidents in the house, while changes to the muscles and nerves around the bladder may lead to incontinence-type accidents with dribbling or small puddles happening. Cognitive changes in elderly dogs (similar to human dementia) can also sometimes cause a pet to "forget" their training such as potty training, leading to accidents. It is a good idea to schedule a veterinary exam to see if any of these could be a possible cause and to find a treatment plan that helps.

Yes, euthanasia is definitely a very valid option here, it is quite likely that inflammation in and around her spinal nerves is contributing to both the paralysis and incontinence and severely impacting her quality of life

Thank you for contacting Petco Pet Education Center, formerly Petcoach with your question about Moose. He is a beautiful boy, I'm sorry he's doing so poorly. To be completely honest, if he is doing worse and now becoming incontinent, it may be best for him to let him go. He's 14, in a lot of pain, and is now incontinent. There is no guarantee that laser therapy will work, and he will continue to be in pain. There does come a point at which there is no more that can be done for your pet, and euthanasia is then the best option for the dog. I know it's not something you want to hear, but you do not want him to continue to suffer. If you would like to speak with me about this further, please feel free to request a consult with them. I'm sorry.

She is probably suffering from urinary incontinence, a common condition in old female dogs, take her to the vet and they will first rule out a urinary infection then they will start her on a medication for urinary incontinence.