We adopted him from a shelter when he was about 7 yrs old. I don't know much about his previous life, I don't think he was abused exactly, but I don't think he got a lot of love either. He didn't know any basic things like 'sit' when we got him and he's never been perfectly housetrained, there had been the odd weeing accident indoors, but we had hard floors so annoying but not a deal breaker. We love him, he's the sweetest dog who is extremely loyal, calm and kind. He's now around 16 ish. He has the beginnings of doggy dementia, and is anxious and paces a lot, he's also had a couple of terrifying episodes of behaving terrified of something that's not there that lasted around 20 minutes, followed by extreme anxiety for two hours. He has quite bad arthritis and one of his back knees is constantly slipping in and out of joint as he walks, he is on paracetamol for that but is in obvious pain all the time. The biggest problem is especially now the weather's colder and the doors are closed all the time he's weeing indoors up to 4 or 5 times a day, not showing any indication of wanting to go out, which he used to do by sitting by the door. This means he lives in the kitchen/diner because obviously we can't let him in the now carpeted rooms. There have been probably 4 incidents in the past week of defecation also. It's causing us all a lot of distress and even though we know he can't help it, it's really difficult not to get a bit upset with him. He's becoming a source of frustration more often than the joy he used to be. However, he is eating well. He enjoys his short walks. He's never played with toys but still begs for treats and wants to be loved, enjoys being brushed etc, so he's not unhappy. I'm beginning to think it's time to have difficult conversations but I'm feeling guilty that it would be because of the poor impact he's having on our lives now rather than for his best interests. WWYD?