There also behavioral issues that can interfere with successful training. Urine marking is a normal dog behavior in which the animal will hike their leg and mark a certain area or object. With separation anxiety, the puppy may have accidents inside when you leave them at home alone. Some puppies become nervous or upset when their owners are away. Other puppies have a submissive or excitement urination problem. This causes them to spontaneously urinate during certain activities. Discuss these possibilities with your veterinarian or trainer if you're not getting positive results.[20] 

You should always accompany your puppy outside for potty breaks. You’re there not only to ensure that he actually goes, you’re also there to reward your puppy with a treat for going in the proper spot. Wait until your puppy finishes eliminating and immediately give him a tasty reward for a job well done. If you wait until you get back in the house, your puppy won’t make the connection between his elimination and the reward.
There are several medical issues that can interfere with potty training. Dogs with a urinary tract infection (UTI) will urinate frequently in small amounts, and will not have much control. You may also notice excessive licking of their genital region. If you notice a change in the consistency of their stool, the cause could be a gastrointestinal issue. Some common causes in puppies are intestinal parasites, having eaten something not in their normal diet, or a sudden food change. If a food change is necessary, do it gradually over 5 to 7 days. If you suspect any of these issues could be a problem, you should consult with your veterinarian.[19]
The process is the exactly same for older dogs as it is for puppies; prevent accidents from happening by using baby gates and a crate if possible, create a predictable schedule, learn to recognize your dog’s potty signals, accompany your dog outside and immediately reward for all outdoor elimination, properly clean any accidents and supervise your dog until you’re sure that he understands the rules.
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