You know your dog better than anyone so you are the only person who really knows if your dog is suffering in the home environment. The most important thing is that the dog has a fulfilling and quality life.
It sound like she may have urinary and faecal incontinence and this reduced control is sometimes apparent in geriatric animals
Incontinent dogs should be carefully examined by a vet to determine whether the problem is due to old age (lack of sphincter control) or a condition that can be treated. Urinary incontinence could be caused by conditions of the bladder and urethra. A relatively common cause in older spayed female dogs is reduced oestrogen levels. This type of condition may respond well to hormone treatments.
Faecal incontinence has been associated with damaged anal sphincter muscles, which perhaps can be surgically repaired, or injuries to the lumbar or pelvic area, with results from a nerve damage. Nerve disorders usually are difficult to treat. Where loose stools associated with improper feeding are a part of the problem, dietary adjustments may be helpful.
Measures can be taken with some minor adjustments may make things easier for you and your dog in this situation.
I hope this can help
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