What Causes Dog Diarrhea And Weak Back Legs?

If your dog has diarrhea and weak back legs, we outline the potential causes of dog diarrhea and weak back legs, as well as what to do and when to seek help. 

Here’s why dog diarrhea and weak back legs occurs

Dog diarrhea and weak back legs can occur together due to a number of underlying illnesses and health issues that cause these symptoms which include gastrointestinal infections, medication side effects, poisoning, neurological conditions, and other illnesses including  cancer, orthopedic problems and degenerative joint disease.

Dog diarrhea and weak back legs

Common Causes of Dog Diarrhea and Weak Back Legs

1. Gastrointestinal Infections

Infections caused by bacteria, viruses, or parasites can severely affect a dog’s digestive tract, leading to diarrhea. In cases where the infection becomes systemic, it may also impact the nervous system, resulting in muscle weakness or back leg instability.

Dog diarrhea and muscle weakness due to infections can be particularly severe with pathogens like:

  • Parvovirus: This virus targets the intestines and bone marrow, weakening the immune system and leading to lethargy and muscle weakness.

  • Salmonella and E. coli: Common bacterial culprits that can enter a dog’s system through contaminated food or water.

Symptoms include:

  • Profuse, sometimes bloody diarrhea

  • Fever and shaking

  • Loss of appetite

  • Hind limb weakness or collapse due to electrolyte imbalances

Severe dehydration from diarrhea reduces blood circulation to muscles, making dog diarrhea and weak back legs a vicious cycle that requires immediate veterinary intervention.


2. Medication Side Effects

Certain medications can upset a dog’s gastrointestinal and neurological balance. For instance, antibiotics can kill beneficial gut flora, leading to diarrhea, while drugs like corticosteroids or chemotherapy agents can cause muscle weakness.

Dog diarrhea and leg weakness after medication use are most common when:

  • Antibiotics disrupt gut health

  • Steroids cause muscle atrophy with prolonged use

  • Chemotherapy affects nerve function

If your dog recently started a new medication and you notice symptoms such as:

  • Loose stools or explosive diarrhea

  • Wobbling or dragging back legs

  • Sudden fatigue or collapse

…contact your veterinarian. Never discontinue medications on your own; instead, seek advice for alternative treatments that minimize side effects.


3. Poisoning

Dogs are curious by nature and may ingest toxic substances. Toxins can directly damage the gastrointestinal lining, causing diarrhea, and simultaneously impact the nervous system, causing weakness or paralysis of the hind legs.

Common poisons that lead to dog diarrhea and back leg weakness after poisoning include:

  • Chocolate (especially dark chocolate)

  • Grapes and raisins

  • Pesticides and rodenticides

  • Antifreeze (ethylene glycol)

Signs of poisoning can escalate rapidly:

  • Intense vomiting and diarrhea

  • Muscle tremors or seizures

  • Pale gums

  • Sudden inability to stand

If poisoning is suspected, do not wait. Seek emergency veterinary care. Treatments like activated charcoal, intravenous fluids, and antidotes can be lifesaving.


4. Neurological Disorders

Diseases impacting the spinal cord or peripheral nerves can simultaneously disrupt bowel control and limb movement.

Conditions leading to dog diarrhea and weak back legs neurological causes include:

  • Intervertebral Disc Disease (IVDD): Herniated discs press on spinal nerves.

  • Degenerative Myelopathy: A progressive disease of the spinal cord common in older German Shepherds, Boxers, and other breeds.

  • Spinal Tumors: Can compress nerves affecting both gastrointestinal and leg function.

Symptoms often start subtly:

  • Knuckling of the back paws

  • Loss of coordination (ataxia)

  • Inability to posture properly for defecation, leading to diarrhea

  • Tail dragging

Neurological disorders can sometimes be managed with surgery, steroids, or physical therapy. Early diagnosis significantly improves prognosis.


5. Cancer

Cancer, especially when it involves the abdomen, spinal cord, or nerves, can present with gastrointestinal issues and hind limb weakness simultaneously.

Dog diarrhea and weak legs caused by cancer may result from:

  • Direct invasion of cancer into the GI tract

  • Nerve compression by tumors

  • Paraneoplastic syndromes (immune responses triggered by cancer)

Warning signs include:

  • Weight loss despite eating

  • Bloody stools

  • Progressive weakness or paralysis of back legs

  • Swelling or palpable lumps

Veterinarians may recommend diagnostic imaging like ultrasound, CT scans, or biopsies to confirm a cancer diagnosis. Treatment options vary from surgery to chemotherapy, focusing on improving quality of life.


6. Orthopedic Problems

Structural issues with bones, joints, or muscles, especially in the hips and spine, can make mobility painful and exhausting. Chronic pain increases stress hormone levels, sometimes causing digestive disturbances like diarrhea.

Dog orthopedic problems causing diarrhea and weak back legs may be due to:

  • Hip Dysplasia: A genetic malformation of the hip socket.

  • Arthritis: Inflammation of joints that worsens with age or injury.

  • Spinal injuries: From accidents or excessive jumping.

Key signs include:

  • Hesitation to jump or climb stairs

  • Bunny hopping with back legs

  • Sudden or gradual diarrhea due to chronic stress or NSAID side effects

Management often includes weight control, joint supplements (like glucosamine and chondroitin), physical therapy, and in severe cases, surgical interventions.


7. Degenerative Joint Disease

Degenerative joint disease, particularly osteoarthritis, is common in older dogs and leads to senior dog diarrhea and back leg weakness. While joint deterioration impacts mobility, chronic discomfort can cause changes in bowel movements due to stress.

Signs of degenerative joint disease include:

  • Noticeable muscle wasting in the hindquarters

  • Difficulty rising or lying down

  • Accidents indoors (both fecal and urinary)

  • Increased sensitivity when touched near the hips or spine

Management involves:

  • Anti-inflammatory medications (like Rimadyl or Metacam)

  • Omega-3 fatty acid supplements

  • Gentle exercises like swimming or controlled leash walks

  • Specialized senior dog diets rich in fiber and easily digestible ingredients

Early detection and ongoing management can maintain your senior dog’s mobility and digestive health longer.


When to Seek Veterinary Care

Immediate veterinary attention is critical when dog diarrhea and weak back legs occur together, particularly if:

  • Diarrhea is severe, bloody, or persistent for more than 24 hours

  • The dog cannot stand or walk

  • Vomiting accompanies diarrhea

  • Behavioral changes (confusion, aggression, depression) are present

Delaying treatment can lead to irreversible damage, especially with conditions like poisoning or degenerative spinal diseases.


Diagnosing Dog Diarrhea and Weak Back Legs

A veterinarian will perform a thorough diagnostic workup, possibly including:

  • Blood tests for infections or organ dysfunction

  • Fecal exams for parasites

  • X-rays or MRI for spinal and orthopedic issues

  • Neurological assessments

  • Toxicology screenings if poisoning is suspected

Advanced diagnostics such as an endoscopy or biopsy may be necessary if gastrointestinal cancer is a concern.


Treatment and Management Options

Supportive Care

Immediate supportive measures may include:

  • IV fluids to address dehydration

  • High-fiber or easily digestible diets to stabilize the gut

  • Assisted mobility devices like harnesses or carts for weak legs

Specific Treatments

Depending on the diagnosis:

  • Infections: Antibiotics, antiparasitics, antivirals

  • Poisoning: Decontamination, antidotes, supportive therapy

  • Cancer: Surgery, chemotherapy, or palliative care

  • Neurological Disorders: Surgery (for IVDD), steroids, or physiotherapy

Home Care Strategies

For long-term support, home care for dog diarrhea and weak back legs should focus on:

  • Orthopedic beds to cushion joints

  • Ramps instead of stairs

  • Regular bowel movement monitoring

  • Gentle daily exercise to maintain muscle tone

Consistency in diet, medication, and exercise routines will significantly improve your dog’s quality of life.


Prevention Tips

Although not every illness can be prevented, you can reduce risks by:

  • Keeping your dog vaccinated and parasite-free

  • Regularly inspecting your environment for toxins

  • Maintaining a healthy diet and weight

  • Scheduling routine wellness exams

  • Addressing early signs of joint or digestive problems promptly

Taking preventive measures now can avoid heartache and serious illness later.


Conclusion

Seeing dog diarrhea and weak back legs together is frightening and can signal serious, sometimes life-threatening, health problems. Whether the root cause is an infection, poisoning, orthopedic disease, cancer, or a neurological disorder, the key is early intervention.

By being informed and proactive, you can ensure your beloved dog receives the timely care they deserve — giving them the best chance at a healthy, happy life.

If your dog is displaying these symptoms, contact your veterinarian immediately. Your dog’s future may depend on how quickly you respond.

Related: Understanding dog diarrhea and fatigue

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