Leaking urine on bed.

Dear Dr. Marie:

My dog has had bladder problems since she was a puppy. She will often have accidents, especially when sleeping. I've been able to manage her accidents by giving her water only by the bowl and by taking her out every 2-3 hours. I usually take her out in conjunction with when she last drank.

Today, she seems to be having more trouble than usual with bladder control. I woke up to find that she'd had an accident on the bed at some point last night (which is unusual for her--usually once she goes potty before bed, she's fine because we don't give her any more water). She had another accident just now while lying on the couch, even though I had taken her out about 45-60 mins beforehand.

My question is whether I should be concerned about this or if I shoudl monitor her and see what happens. Her border collie ocd issue is definitely with water--she LOVES to drink it and will scratch the floor obsessively for it (even if her bowl is full!)--so I'm not necessarily troubled by what's happened because she enjoys drinking water so much.

She had a urine gravity test about 5 years ago when she was younger and the doctor said that her urine did concentrate when she went without water. I'm thinking I should get another one of those tests done, but I would like your input as to how to proceed.

Thank you in advance for your help--I always appreciate your responses!

Blessings,
Julie

Thank you for your response! I'm pretty used to her leaking problems, and would prefer not to put her on lifelong medication for it unless this issue poses a risk to her health. If I continue to manage her leaking by taking her out frequently enough and making sure she doesn't drink too much, is there anything else I need to worry about? Does this pose any type of risk (long-term or not) to her health?

Thanks! :)

Thanks again for your response. I am primarily concerned at this point with the level of incontinence she is exhibiting today. Since this morning, she seems to be unable to avoid peeing whenever she lies down. This is definitely worse than normal (before today, she hadn't had an accident in a few weeks). I'm definitely willing to take her to the vet to get this checked out, but I wanted to know what could possibly be aggravating this. Thanks!