When an older dog suddenly starts pooping or peeing inside the house at night, it can be confusing, stressful, and concerning for dog owners.
Nighttime accidents often point to underlying medical or behavioral issues that need attention, especially in senior dogs.
We outline the common reasons for pooping and peeing in the house at night in old dogs, what you can do at home, and when to seek veterinary help.
Old Dog Pooping and Peeing in House at Night — Why It Happens
An old dog pooping and peeing in the house at night usually happens because of age-related changes in the body, medical problems, or behavioral shifts. Common causes include loss of bladder or bowel control due to incontinence, kidney disease, gastrointestinal upset, arthritis making it hard to reach the door, or cognitive decline affecting nighttime routines. In some cases, stress, anxiety, or dietary factors may also play a role.

Common Causes of Old Dog Pooping and Peeing in House at Night
Canine Cognitive Dysfunction (Dog Dementia)
As dogs age, some experience cognitive decline similar to dementia in humans. This can make it difficult for them to remember house-training routines, recognize where they are, or signal to go outside.
You may notice confusion, pacing at night, changes in sleep cycles, or accidents happening regularly in familiar spaces. Accidents linked to dementia often occur at night because dogs lose track of normal sleeping and bathroom patterns.
Cognitive dysfunction can be progressive and frustrating, but early intervention and management can improve quality of life.
Read more: Old Dog Walks and Poops at the Same Time (Here’s Why)
Urinary Incontinence
Urinary incontinence is one of the most common reasons senior dogs pee inside at night. The sphincter muscles that control the bladder weaken with age, leading to leaks or full urination during rest.
You may notice wet bedding in the morning, small puddles where your dog sleeps, or a strong urine odor in areas they rest. This is often not a behavior issue but a medical condition.
Urinary incontinence may also be linked to hormone changes, neurological issues, or spinal disease. Treatment options like medications can help restore some bladder control.
Kidney Disease
Kidney disease is more common in old dogs and can cause increased thirst and urination. When the kidneys aren’t filtering waste properly, dogs may need to urinate more frequently, including at night.
You may notice your dog drinking large amounts of water, needing to go out frequently, or having accidents overnight because they cannot hold it until morning.
Kidney disease can also cause weakness, weight loss, vomiting, or bad breath. Because it’s a progressive and serious illness, early veterinary care is crucial.
Gastrointestinal Problems
If an old dog is pooping in the house at night, gastrointestinal upset may be the reason. Conditions such as colitis, dietary intolerance, parasites, or inflammatory bowel disease can lead to sudden, urgent bowel movements.
You may also notice soft stool, diarrhea, straining, or gas accompanying the accidents. Sometimes these episodes are temporary, linked to food changes, but in senior dogs chronic issues should not be ignored.
Nighttime pooping is often a sign the digestive tract is struggling to regulate itself.
Arthritis and Mobility Issues
Arthritis and joint pain can make it difficult for old dogs to get up at night and reach the door in time. Even if they know they need to go out, the physical discomfort or stiffness may prevent them from alerting you or moving quickly enough.
You may notice your dog hesitating on stairs, moving stiffly in the morning, or showing reluctance to go outside when it’s cold or dark. Accidents may happen simply because they can’t move as quickly as they used to.
Mobility-related accidents are common in older dogs and should be addressed with both pain management and environmental support.
Anxiety or Stress
Some senior dogs develop separation anxiety or nighttime anxiety, which can lead to accidents indoors. Stress changes hormone balance, increases urgency, and disrupts normal routines.
Signs of anxiety may include pacing, whining, barking at night, or refusing to sleep alone. If your old dog is also pooping or peeing in the house at night during stressful periods, anxiety could be the trigger.
Behavioral causes can overlap with medical ones, making it important to rule out health issues first.
What to Do If Your Old Dog Is Pooping and Peeing in the House at Night
If your old dog has started having accidents at night, the first step is to schedule a veterinary checkup to rule out medical conditions. Many causes such as incontinence, kidney disease, or gastrointestinal issues can be treated or managed.
At home, keep a consistent nighttime routine with a potty break right before bed. Feeding your dog earlier in the evening can also help regulate bowel movements before nighttime rest.
Consider using waterproof bedding, washable pads, or dog diapers if accidents are frequent. These do not solve the root cause but help keep your dog comfortable and your home clean.
For dogs with arthritis, make it easier to reach the door by keeping them on one floor and using rugs or ramps. For dogs with cognitive issues, night lights and consistent schedules may help reduce confusion.
Always be patient and avoid punishment. Accidents are rarely intentional and usually linked to health or age-related changes.
When to Call or Visit Your Vet
If your old dog suddenly begins pooping or peeing in the house at night with no history of accidents, it’s important to call your vet. Sudden changes are often linked to underlying illness.
You should seek veterinary care immediately if your dog is also drinking excessive water, has diarrhea, shows signs of pain, or seems disoriented.
Chronic accidents that don’t improve with routine changes should also be checked. Conditions like kidney disease, urinary infections, or gastrointestinal disorders can worsen if left untreated.
If your dog is showing additional signs such as weight loss, vomiting, blood in urine or stool, or weakness, don’t wait—these can signal serious disease in older dogs.
Read more: Old Dog Pooping Blood and Mucus (Causes explained)
Key Takeaway
An old dog pooping and peeing in the house at night is a sign that something has changed, whether it’s a medical condition, mobility challenge, or behavioral shift. While it can be stressful for owners, there are steps you can take to support your dog and keep them comfortable.
The most important thing you can do is rule out serious illness with a veterinary visit and then adjust your home routine to reduce accidents.
With patience, understanding, and the right care, your old dog can continue to enjoy their senior years with dignity and comfort.