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.

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.