Noticing your old dog drinking a lot of water can be worrying, especially when it seems excessive or out of the ordinary.
While dogs need hydration to stay healthy, sudden or persistent increases in thirst often signal an underlying health issue in senior pets.
We outline the common causes of excessive drinking in old dogs, what you can do at home, and when to seek veterinary help.
Old Dog Drinking a Lot of Water — Why It Happens
When an old dog starts drinking a lot of water, it may point to serious conditions like kidney disease, diabetes, Cushing’s disease, or liver problems. Sometimes it’s related to medications or changes in diet, while in other cases it can be linked to infections or hormonal imbalances.
Because senior dogs are more vulnerable to illness, changes in thirst should always be taken seriously.

Old Dog Drinking a Lot of Water: Common Causes
Kidney Disease
Kidney disease is one of the most common causes of excessive drinking in old dogs. As the kidneys lose their ability to filter waste properly, they become less efficient at conserving water.
This leads to increased urination, which in turn makes your dog feel constantly thirsty. Owners often notice their dog drinking bowl after bowl of water but still urinating frequently, sometimes even indoors.
Kidney disease is progressive and serious. Early detection and treatment can help manage symptoms and slow the progression, but without veterinary care, it can become life-threatening.
Read more: Old Dog Not Eating (What it means)
Diabetes Mellitus
Diabetes is another major reason for an old dog drinking a lot of water. When the body cannot regulate blood sugar properly, excess glucose spills into the urine. This pulls water along with it, causing frequent urination and extreme thirst.
You may also notice weight loss despite a good appetite, lethargy, or even vomiting. Left untreated, diabetes can lead to severe complications such as diabetic ketoacidosis, which is life-threatening.
Dogs with diabetes often require insulin injections and careful monitoring, but with proper care, many live comfortably for years.
Cushing’s Disease
Cushing’s disease, also known as hyperadrenocorticism, occurs when the adrenal glands produce too much cortisol. This hormone imbalance has widespread effects on the body, including excessive thirst and urination.
Owners often notice other changes too: increased hunger, panting, thinning hair, or a pot-bellied appearance. Because these signs appear gradually, they may be mistaken for normal aging at first.
Cushing’s disease requires lifelong management, but with treatment, many dogs enjoy a good quality of life.
Liver Disease
The liver plays a vital role in metabolism, detoxification, and digestion. When it becomes diseased, dogs often develop increased thirst as one of the early signs.
Liver disease may also cause symptoms like vomiting, diarrhea, jaundice (yellowing of the eyes or gums), or reduced appetite. Because the liver affects so many body systems, ongoing damage can be very serious.
Bloodwork and imaging tests are often needed to confirm liver disease, and treatment varies depending on the cause.
Infections (Urinary Tract or Systemic)
Urinary tract infections (UTIs) or other systemic infections can make an old dog drink more water. Infections cause inflammation, discomfort, and increased urination, prompting a cycle of thirst and drinking.
With a UTI, you may notice straining to urinate, blood in the urine, or accidents in the house. More severe infections, such as pyometra in unspayed females or systemic bacterial infections, may cause fever, lethargy, and loss of appetite alongside excessive drinking.
Prompt veterinary care is essential to prevent complications and provide relief.
Medications and Other Factors
Sometimes the reason behind an old dog drinking a lot of water isn’t a disease but a side effect of medication. Drugs like steroids and certain diuretics commonly increase thirst.
Dietary changes, especially switching to a higher-sodium food, may also cause your dog to drink more. Hot weather and increased exercise can contribute as well, though these causes usually come with obvious context and are temporary.
Still, when in doubt, it’s important to confirm that increased drinking is not tied to an underlying health issue.
What to Do If Your Old Dog Is Drinking a Lot of Water
If you notice your old dog drinking more water than usual, begin by monitoring closely. Track how often you refill the water bowl and whether your dog is also urinating more frequently.
Check for other changes, such as appetite shifts, vomiting, lethargy, or weight loss. These clues can help your veterinarian narrow down the cause.
Make sure your dog always has access to clean, fresh water. Do not restrict water, even if the drinking seems excessive, as dehydration can become dangerous quickly.
If your dog is on medication, consult your vet to see whether increased thirst is a known side effect. Never stop medication without veterinary guidance.
For mild, short-term increases linked to heat or activity, ensure your dog stays cool and hydrated. But if the increased drinking persists for more than a couple of days, schedule a veterinary exam.
When to Call or Visit Your Vet
Contact your vet if your old dog’s excessive drinking lasts longer than a few days, especially if it’s not linked to obvious factors like hot weather or exercise.
Seek immediate care if drinking is accompanied by vomiting, weight loss, loss of appetite, lethargy, blood in urine, or sudden changes in behavior. These signs often point to more serious conditions like kidney disease, diabetes, or infection.
Because many of the causes of excessive thirst in old dogs are chronic conditions, early diagnosis can make a major difference in treatment success and quality of life.
Read more: Old Dog Coughing (Here’s why and what to do)
Key Takeaway
An old dog drinking a lot of water is not something to ignore. While thirst is a normal part of staying healthy, excessive or sudden changes often signal serious issues like kidney disease, diabetes, liver problems, or Cushing’s disease.
Keep track of your dog’s drinking habits, watch for additional symptoms, and schedule a veterinary check-up if you’re concerned.
With prompt attention and proper care, many senior dogs with these conditions can continue to live comfortably and happily.