Senior dog care · updated 2026-09-02

Senior Dog Checklist: Home, Vet and Monthly Routine

A practical checklist for senior dog care: what to change at home, what to ask the vet every six months, and the monthly checks that catch problems early.

Use this as a working list. Print it, tick it, bring it to the vet.

At home, once

  • Floors: runners or rugs on hard floors. Slipping is the most common cause of a senior dog stopping moving.
  • Access: a ramp for the car and sofa, a raised bowl if there is neck arthritis, night lights for dogs with failing eyesight.
  • Bed: thick orthopedic foam, away from drafts, in the room where the family is.
  • Food: move to a senior or lower-calorie diet if weight is creeping up; measure meals in grams. Feed two meals a day.
  • Water: several bowls around the house. Note how often you refill them; increased thirst is an early sign of kidney disease, diabetes and Cushing’s.
  • Insurance: check what is covered, and enroll before conditions appear if you have not. Pre-existing conditions are excluded.

Every month

  • Weigh the dog (bathroom scale: weigh yourself, then yourself holding the dog). A 5% change in a month is worth a call.
  • Run hands over the whole body for new lumps. Note size and location; photograph with a coin for scale.
  • Look in the mouth: red gums, brown teeth, bad breath, a broken tooth.
  • Nails: senior dogs walk less and nails overgrow, which changes the gait.
  • Watch one full walk: stiffness at the start that eases is classic arthritis. Stiffness that worsens is something else.
  • Count breaths while sleeping: over 30 per minute at rest, on several occasions, is a reason to have the heart checked.

Every six months, at the vet

  • Full exam, weight, body and muscle condition scores
  • Blood pressure
  • Blood count, chemistry with kidney values and thyroid
  • Urinalysis
  • Dental assessment and cleaning when advised
  • A direct question: “Is my dog in pain, and what are the options?”

Every year

  • Breed-specific screening (heart, eyes, joints) as listed on your breed’s page
  • Review vaccines with your vet; older dogs do not need every vaccine every year
  • Review all medications and supplements: seniors are on more of them and interactions add up

When to call the same day

Retching without producing vomit and a swollen belly (bloat). Collapse or fainting. Sudden inability to stand. Blue or white gums. Breathing with effort. A seizure lasting more than two minutes. Not eating for more than a day in a dog that normally eats well.

The single most useful thing an owner of a senior dog can do is keep the dog lean. Overweight dogs lived up to 2.5 years less in the largest study on the question, and in a senior the weight goes straight onto arthritic joints. Check with the ideal weight calculator.

This is general information

It cannot diagnose your dog. If your dog is unwell, in pain, or you are unsure, call your veterinarian. Emergencies do not wait for the morning.

Frequently asked questions

How often should a senior dog see the vet?

Every six months, with bloodwork and a urine test at least once a year. Dogs with a chronic condition such as kidney or heart disease usually need visits every three to four months.

What are the first signs of aging in dogs?

Slowing on walks, hesitating at stairs or the car, greying muzzle, cloudy eyes, drinking more, sleeping more in the day and less at night, and lumps under the skin. None of these are 'just old age' until your vet has ruled out treatable causes.

More senior care guides

Sources

  1. Creevy KE, Grady J, Little SE, et al. 2019 AAHA Canine Life Stage Guidelines. Journal of the American Animal Hospital Association. 2019;55(6):267-290. www.aaha.org/resources/life-stage-canine-2019/
  2. Salt C, Morris PJ, Wilson D, Lund EM, German AJ. Association between life span and body condition in neutered client-owned dogs. Journal of Veterinary Internal Medicine. 2019;33(1):89-99. doi.org/10.1111/jvim.15367