Caring for a paralyzed or incontinent dog comes with challenges many pet parents aren’t prepared for, especially when it comes to hygiene. If your dog can’t potty standing up, you might be wondering: How do I keep them clean, dry, and comfortable? The good news is, with a little preparation and the right tools, it’s absolutely manageable. Don’t listen to the naysayers. There is no reason why a dog who needs help to stand or uses a wheelchair to get around can’t still live a normal and full life.
Understanding the Challenge
Dogs with limited mobility or incontinence may struggle to squat, lift a leg, or move away from their waste after going to the bathroom. This can lead to accidents, skin irritation, odor, and even infections if not carefully managed. But hygiene issues are not a sign that you’re failing your dog—they’re simply a part of adapting to a new normal.
Let’s explore what you can do to keep your pup clean, healthy, and happy.
Wheelchairs and Bathroom Breaks: How It Works
You might wonder how a dog in a wheelchair is supposed to relieve themselves. The answer? Very naturally!
Most wheelchairs are designed to support your dog’s body without blocking the backend, the support your dog generally sits under their hips allowing them to pee and poop while using the cart. In fact, many paralyzed dogs go more easily in their wheelchair because it gives them stability and a natural position for elimination.
Here’s why a wheelchair can encourage bathroom success:
- Posture support: Being in a standing position (even with help) can trigger the body’s normal processes.
- Exercise promotes movement: Motion stimulates the digestive and urinary systems, helping your dog go more regularly (and naturally). In some cases, even dogs that generally need to be expressed can relieve themselves naturally once in their cart.
That said, while wheelchairs help, they’re not magic. Dogs with paralysis or incontinence may still need extra help to stay clean.
Tips for Keeping Your Dog Clean
1. Create a Potty Routine
Regular bathroom breaks help reduce accidents. Take your dog out at the same times each day, ideally when they first get up in the morning, after meals and before bedtime. If your dog needs help urinating, your vet or rehab specialist can show you how to manually express their bladder.
2. Use Diapers or Belly Bands (When Needed)
For fully incontinent dogs, dog diapers or male belly bands can be a lifesaver—especially indoors or at night. Be sure to change them frequently to avoid skin irritation, and choose breathable, well-fitted styles. A male wrap or belly band is a great alternative for dogs who have urinary incontinence, but still have control of their bowels.
3. Clean-Up Supplies to Keep on Hand
Accidents happen. Keep these on hand to make cleanups easier:
- Hypoallergenic baby wipes or dog-specific wipes
- Dog-safe shampoo or no-rinse foam cleansers
- Soft washcloths and clean towels
- Cornstarch or anti-moisture powders (optional for skin protection)
4. Daily Hygiene Checks
Take a few minutes each day to check for:
- Redness or irritation around the tail, belly, or inner thighs
- Wet fur or lingering odors
- Pressure sores or hot spots (especially around the hind end or where diapers rest)
Regular baths (once or twice a week) help keep skin clean, but avoid over-bathing—this can strip natural oils and make irritation worse. Regular sanitary haircuts, that clean up around the dog’s butt and privates plays a key role in keeping your dog as clean as possible and to avoid matting.
Supporting Mobility and Regularity
One of the best things you can do for your dog’s hygiene? Get them moving.
Movement encourages digestion and regular bathroom habits. Even short walks in their cart stimulate the bowels and bladder. If your dog isn’t using a wheelchair yet, consider talking to your vet about fitting them for one—it can dramatically improve both their physical health and daily routine.
Don’t Forget: You’re Not Alone
Hygiene concerns are one of the most under-discussed parts of caring for a special needs dog, and yet they affect nearly every family with a mobility-impaired pet. Whether your dog uses a wheelchair, wears a diaper, or needs extra help at potty time—you’re doing something incredible.
Cleanups might not be glamorous, but they’re an act of love. And the wagging tails, grateful eyes, and joyful zoomies (yes, even on wheels!) make it all worthwhile.
The Dog Mobility Project is here to empower you with real-world tips, shared experiences, and the support you need to help your dog live life in motion—no matter what challenges they face.
If you’re navigating mobility issues with your dog, we’d love to hear your story. Have tips or tools that helped you? Share them with our community. Because every dog deserves a clean, comfortable, and joy-filled life.
The Dog Mobility Project 
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