A. These can be tough cases to solve, but ultimately you have to figure out whether there's a neurologic problem causing the dog to have a loss of control, or another process that's causing the creation of excessive amounts of urine, and thus overflow incontinence. The workup starts with blood work and a urinalysis to look for things like diabetes, kidney disease, urinary tract infection, high calcium levels. A thorough neurologic evaluation should be done as well in order to determine if there is loss of neurologic function due to a bulging disk or other problems in the spinal cord.
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