Whole Dog Journal did an artilce about urinary incontinence back in September of this year.
They say to check with your vet and get a urinalysis done to check for a UTI first. They say that up to 20% of female dogs have urinary incontinence (most common factor is from spaying which can happen up to 10 years later). BUt since she was doing it before she was spayed it's probably from something else. The article says low estrogen levels and other things can lead to a weak bladder sphincter. Other reasons for incontinence are UTI, bladder stones, congential structural defects (e.g ectopic ureters), spinal cord disease, and excess water intake.
They mention PPA like my sister's dogs take or another medicine calle DES (diethylstilbestrol)/. They also talk about herb treatments, so if you have a holistic vet you can ask about those. Corn silk, raspeberry leaf, horsetail, saw palmetto, nettle root, couch grass, uva ursi, agrimony, marshmellwo, plantain...those are some they say have been used. I wouldn't use any of those without consulting a holistic vet though.
They also claim diet can make a difference if you remove *all* grains. Check out grain_free
, and that some peope found success with chiropractic ajustments and acupunture. And if nothing else works some people get surgery done for extreme cases.
But like I said, for my sister's dogs, they did very well on just PPA..a tiny bit every day.