https://www.vetsurgeon.org/f/clinical-questions/29429/6-week-old-puppy-with-no-anal-tone 6 week old female Bull dog puppy presented for first vaccination but has no anal tone, owner has been expressing anus to express faeces and tends to leak some faeces if playing or when asleep. Also owner has not seen her urinate voluntarily but urinatesen-USTelligent Community 10https://www.vetsurgeon.org/thread/226087?ContentTypeID=1Wed, 21 Oct 2020 12:01:50 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:ec59777a-3385-46b1-af5e-24eabaf99604Mark Lowrie<p>Hi Nicola, not an easy one and it does sound like advanced imaging is necessary to gain a diagnosis. Having said that, the differential diagnoses you mention are all possible although tethered cords, cystic l&eacute;sions and other weird conditions could all cause this. The main message is the prognosis and I would struggle to make this something that could be easily fixed given That neurological causes for faecal incontinents rarely result in a reversal this sign. If the owners can persist and continue to nurse this dog then some improvement may occur but the owner would need to be very dedicated.</p><div style="clear:both;"></div>