Caring for a Senior Dog or Cat: Bed Sores, Eating, Breathing, and Night Care

Last updated: August 9, 2026

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Three numbers are worth remembering: breathing under 40/minute at rest, repositioning every 2–3 hours (but not overnight), and start with raising the water bowl. Whenever you're unsure, see a vet first.

  • Count breaths for 15 seconds and multiply by 4. Over 40/minute at rest — don't wait, see a vet
  • Reposition thoroughly during the day; it's fine to cut back overnight. If you can't sleep, the caregiving stops being sustainable first
  • If they've stopped drinking, try in this order: bowl height → water temperature → scent. Some dogs start drinking again just from a higher bowl
  • Below, we go through seven areas one by one: bed sores, eating, toileting, water, breathing, legs and joints, and night watch

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Waking up over and over in the night to check on them. That's part of life with a senior dog or cat for some of us. What's hard about caregiving changes from day to day. Here we've broken it into seven areas — bed sores, eating, toileting, water, breathing, legs and joints, and night watch — with things you can try starting today. The goal of this page isn't "good care." It's arranging things so you can sleep at night and keep this up. If you're worried about your pet's condition, talk to a vet before trying anything written here.

① Bed sores

For dogs who are largely bedridden, turning them every 2–3 hours is often cited as a baseline. But you don't need to push through this overnight. It's fine not to keep going at the cost of your own sleep.

※These are general suggestions. If the skin is already red or broken, don't treat it yourself — talk to a vet.

What about repositioning at night?

You don't have to keep repositioning every 2 hours overnight.Doing it thoroughly during the day, and letting yourself get a solid stretch of sleep at night, is enough.

If you go through your days running on no sleep, the caregiving itself eventually becomes unsustainable. Cutting back on nighttime repositioning isn't cutting corners.

Every time someone helps them turn over, they may be a little more comfortable.

② Eating

The first thing to try is bowl height. Raising it onto a 10–15cm stand can sometimes reduce spilled food. That said, this may not apply for large dogs (there are reports looking at a possible link with stomach torsion). Read the large-dog page and check with your vet before applying this. Eating with the head lowered can be hard to swallow — often it's not that the food is unwanted, but that the posture itself is uncomfortable. Softening technique, switching foods, and narrowing down why a pet isn't eating are all covered on the when they stop eating page. Prescription diets after a diagnosis are also covered in the second half of that page.

③ Toileting

Steps for when accidents increase, how to choose between pee pads and diapers, and monthly cost are all covered on thetoileting care page. Rather than jumping straight to diapers, widening the area of pee pads around the sleeping spot often helps first. A diaper runs about ¥57.6 each, a thick pee pad about ¥12.4 — roughly a 4.6x difference.

④ Water

If your pet's water intake is dropping, try these in order.

  1. Raise the bowl to around head height (for dogs who find lowering their head uncomfortable, this alone can increase how much they drink)
  2. Try room temperature to lukewarm water
  3. Add a few drops of the water used to boil chicken breast, for scent

※If their water intake doesn't recover after trying these, or days go by without drinking, don't wait and see — go to a vet.

Why try them in this order?

Start with ① bowl height. For some dogs, just changing posture increases how much they drink.

If that doesn't help, try ② temperature. Room temperature to lukewarm water can change the mouthfeel and make drinking easier.

If ① and ② don't help, try ③ scenting the water with chicken-breast broth. Even dogs with a reduced appetite are sometimes drawn in by the smell.

⑤ Labored breathing

If your pet still seems to be struggling even after lowering the room temperature, look at the breathing itself rather than the room. Counting takes three steps.

  1. Pick a moment when they're asleep or resting quietly
  2. Watch their belly rise and fall — one rise-and-fall counts as one breath
  3. Count for 15 seconds and multiply by 4

If their resting breathing rate goes over 40 breaths a minute, that's a sign to be cautious. Don't get too hung up on the counting method or the exact number — if something seems off, see a vet without hesitating.

If breathing looks labored, seeing a vet is the first priority. From there, under a vet's guidance, home oxygen (such as a pet oxygen room rental service) may be offered as an option. This is something to consider only under a vet's judgment and guidance, not something to rely on with equipment alone based on your own decision. Rental prices and terms are covered in the oxygen room rental price comparison.

⑥ Legs and joints

Taking longer to stand up, avoiding steps — changes in a senior pet's legs and joints tend to come on gradually. The basics are avoiding slippery surfaces (mats or cork flooring) and reducing steps.

Some households use supplements with joint-support ingredients such as glucosamine and chondroitin. But supplements aren't medication, and they don't guarantee an effect. If your dog's gait looks different or they seem to be in pain, see a vet before trying a supplement.Browse joint-support supplements for dogs on Rakuten

Regular heart checkups also become more important in the senior years. If you notice more coughing or your dog tiring more easily, see a vet first. From there, on the nutrition side, some households add supplements containing things like coenzyme Q10 (supplements aren't medication).See Mainichi Kenshin, a heart-support supplement for dogs

⑦ Overnight monitoring and your own rest

Carrying overnight monitoring alone can wear you out before it wears out your pet. Create time when family or others nearby can take turns, and lean on convenience products like a monitoring camera to help you rest. Just being able to check in from another room or your phone makes a real difference to how tense the nights feel.See the Furbo dog camera

On the nights you feel like you're not doing enough, you've probably gone to check on them again and again. They likely hear those footsteps. Perfect care matters less than you not collapsing.

⑧ Dementia and night crying

What to do as day-night reversal or night crying increases, the DISHA(A) framework for checking on behavior changes, and what to watch for when choosing a "night-crying" product are covered on thedementia and night crying care page. The core response is increasing daytime exercise and reducing stimulation in the evening onward.

⑨ Mouth care

The truth behind the "80% of dogs over 3 have periodontal disease" figure, and how to keep up with tooth brushing, are covered on themouth care page. A measurement based on clinical records puts the figure at 12.52% (2021), and the number moves a lot depending on how it's measured.

⑩ Home setup

Why slippery floors are said to add stress on joints, how to reduce steps, and lighting adjustments for changes in eyesight are covered on thehome setup page. You don't need to redo every room — starting with just the paths your dog uses most is enough.

⑪ Walk support

Why you don't need to stop walks once your dog can't walk far, how to fit a mobility-support harness by actual measurement, and the differences between pet stroller options are covered on thewalk support page. Harnesses are chosen by measuring the waist and hind-leg circumference, not by weight.

Frequently asked questions

How can I prevent bed sores in a senior dog?

Turning your dog every 2–3 hours is often cited as a baseline (though you don’t need to push through the night for this). A memory-foam mat, plus a towel rolled into a donut shape placed under bony areas, often reduces the pressure. If bed sores have already formed, don’t try to treat them yourself — talk to your vet.

What if my senior dog’s breathing seems fast?

Count your dog’s breaths for 15 seconds while they’re resting, then multiply by 4. Watch for anything over about 40 breaths a minute. If labored breathing continues or gets worse, don’t wait and see — go straight to the vet.

What if the caregiving becomes too much?

Don’t carry it alone — share the load with family or others around you, and lean on convenience products so you can rest. On the days you feel like you’re not doing enough, you’re often doing more than you realize. Perfect care matters less than you not collapsing.

How do I count a senior dog’s breathing rate?

While your dog is asleep or resting quietly, count how many times their belly rises and falls in 15 seconds, then multiply by 4. Over about 40 breaths a minute at rest is a rough warning sign. Don’t get too fixated on the exact number — if something feels off, see a vet without hesitation.

Do I have to reposition my dog every 2 hours overnight?

No — you don’t need to push through repositioning every 2 hours overnight. Do it thoroughly during the day, and it’s fine for you to get a solid stretch of sleep at night too. Cutting into your own sleep to keep this up isn’t necessarily better care.

What if my senior dog won’t drink water at all?

Start by raising the bowl to around head height. If that doesn’t help, try room temperature to lukewarm water, then a few drops of the water used to boil chicken breast, for scent. If the amount they drink doesn’t recover after trying these, or days go by without drinking, don’t wait — see a vet.

Where do bed sores tend to form on senior dogs?

They tend to form where weight presses on bony areas. A memory-foam mat, plus a donut-shaped rolled towel placed on that spot, often eases the pressure. If the skin is already red or broken, don’t treat it yourself — talk to a vet.

What should I use for overnight monitoring?

The first priority is creating time when family or others nearby can take turns. A pet monitoring camera lets you check in from another room or your phone, which makes a real difference to how tense the nights feel. Bring in whatever helps you rest, without overdoing it.

Does my dog really need a joint supplement?

Some households use supplements with joint-support ingredients like glucosamine and chondroitin. But supplements aren’t medication, and they don’t guarantee results. If your dog’s gait looks different or they seem to be in pain, see a vet before trying a supplement.

When should heart checkups start for a senior dog?

There’s no set age, but regular heart checkups are said to matter more once a dog enters its senior years. If you notice more coughing or your dog tiring more easily, see a vet first. Some households also add nutritional supplements day to day, but these aren’t medication and don’t guarantee an effect.

When should I start using diapers for a senior dog?

There’s no fixed point. If they’re only occasionally not making it to the toilet in time, widening the area of pee pads around the sleeping spot often helps first. Once accidents start happening while they’re lying down, that’s usually the stage to consider diapers. Steps and costs are covered on the toileting care page.

Can I use a pet oxygen room on my own judgment?

No — this isn’t something to use on your own judgment. If breathing looks labored, seeing a vet comes first. From there, home oxygen therapy may be offered as an option, but only under a vet’s judgment and guidance.