Lots of puppies can feel vulnerable going outside when there are lots of sounds and other dogs. Finding a substrate preference is important (is it grass or concrete they normally go on?).
Some dogs won't go to the bathroom while they are on the lead.
Many dogs will sniff and circle the floor just before they do go to the bathroom
Things to do
Finding a private quiet area is a good idea so they don’t feel overwhelmed and so they are not disturbed when they do go.
Praise them a lot when they do go outside.
Things to remember
As the puppy spends more time outside and becomes habituated to sights and sounds they build confidence and it tends to stop.
Look out for body language signs that they are uncomfortable such as:
You can work on building their confidence when you note what they are feeling unsure of. Pop a note on your phone or write it down in a diary.
Make sure no one involved in your puppies life is scolding them if they go in the wrong place. Keep a note of how often they go so you can let the vet know of any changes.
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