Frequent Urination in Dogs
We are all familiar with the scene in Jurassic Park where Dr. Ian Malcolm famously states, “When you gotta go, you gotta go” right when Donald Gennaro bolts towards the bathroom after the T-Rex escapes her pen. Although none of us have quite been in that extreme realm of a situation, we can all relate to the pain-aching discomfort of having to “hold it in.” Just like you can’t cross your legs forever, your canine companion needs frequent walks to urinate. But, how much is too much? Is your dog urinating more frequently than he used to? There are numerous disease states which results in a dog drinking an abnormally large amount of water and, as a result, needing to urinate more frequently or in larger amounts. In the following article, we will discuss the causes of increased drinking and urination, as well as when it’s time to have your dog evaluated to see if one of these disease states is present.
The medical term for increased drinking and urinating in larger amounts is called “polyuria/polydipsia”. For a dog, excessive drinking is defined as consuming over 100 milliliters for every kilogram of weight per day. For a 22 lb dog, this would equal 1 liter of water per day. Since what comes in minus what is used must go out, this will also result in increased amounts of urination.
There are numerous medical causes that can result in polyuria/polydipsia. Because there are so many, perhaps it is helpful to break down the list by body system:
Endocrine diseases including Diabetes and Cushing’s disease are often thought of most commonly. The most common form of diabetes (mellitus), is caused by a pancreatic deficiency where too little insulin is produced, resulting in the inability to drive carbohydrates/sugars into the cells. When properly regulated with diet and insulin supplementation, excessive thirst and urination will improve and your dog will revert back to more normal levels. There is a less common form of diabetes (central/insipidus) where the body’s production of a hormone produced in a gland in the brain called anti-diuretic hormone is low, resulting in increased thirst and urination. With medication, this can also be controlled.
In addition to endocrine causes, diseases of the Liver or Kidney can cause increased thirst and drinking. When the kidneys or liver are not functioning normally, excessive body waste products or the inability to eliminate these waste products can drive the body to dilute them by signaling an increased demand for water.
Certain infectious causes can also cause increased thirst. A pyometra or uterine infection or an infection in the kidneys can also drive increased thirst and resulting urination. In addition, diseases causing increased calcium levels in the blood including hyperparathyroidism disease or certain cancers. Finally, other electrolyte disturbances resulting in lower potassium levels can be the inciting cause of increased thirst and urination.
There is another category of increased thirst referred to as Psychogenic Polydipsia. While this condition is not fully understood, dogs will have a psychological drive to drink excessive amounts of water.
A few important points. If you do suspect your dog is drinking excessively, do not limit his water intake. Their bodies demand for water can be crucial to preventing a disease related crisis. It is also important to make certain to let your dog out more frequently to accommodate the increased burden placed on their bladders while “holding in” their urine, waiting for you to let them out or take them for a walk so they can urinate. Finally, pollakiuria (urinating more frequently in smaller amounts) is a separate medical complaint and causes of pollakiuria will be discussed in a different article.
If you think your dog is drinking more and, as a result, urinating larger amounts, it is important to schedule an Appointment with one of our veterinary hospitals. During your appointment, our Veterinary Team will obtain a thorough history including how long the condition has been going on, any perceived weight loss, difficulty urinating, and the number of times urinating, as well as ask about other changes you may have noted at home. Bloodwork, urinalysis, and other tests may be recommended to investigate the cause of polyuria/polydipsia. Fortunately, some of the causes of increased thirst and urination are medically treatable when they are caught early.
Jeffrey Stupine, V.M.D
Medical Director, World of Animals Veterinary Hospitals