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anonymous101100 Asked March 2012

How do you deal with urine retention/hesitation in your elderly mom with Alzheimer's and Dementia?

My Mom is in late stages of dementia/ Alzheimer's and holds her urine now the entire day. I have tried everything to get her to pee and she only does it during the night. She wakes up drenched even though she has an overnight diaper with a booster pad in it, we have had so many times sitting with no results. I tried 35 ozs of fluid and still nothing until in her sleep. She cannot speak barely and doesn't understand too much. She is on Amoxicillan for a possible UTI but no improvement so it doesn't appear to be that. Anyone else deal with this issue? I would love support or suggestions. I am giving her a couple of more days before I call the doctor, its a huge ordeal to try and get her into a car. Thank you

EXPERT Carol Bradley Bursack, CDSGF Mar 2012
I'm afraid the doctor is the only option. If she doesn't have a UTI, it's more likely her brain is not giving her bladder the right signals. You are right to get her to the toilet regularly, and she's drinking fluids. Her doctor may have another explanation, but since she is in later stages of AD, likely is brain related. Please check in to let us know what happens. My heart is with you about getting her to a doctor - it's a tough process. Take care,
Carol

julieann1995 Apr 2012
Years ago I worked with special needs adults with many challenges..one of the nurses taught us that if you let the client smell a certain smell, it relaxes the bladder, and every night we did this (helped with bed wetting)..but can't remember if it was peppermint..spearment..something like that. Maybe you can ask your druggist, but it worked every time.

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anonymous101100 Apr 2012
Hello everyone, I had a doctor appointment today and asked him about this issue. He told me as long as she DOES urinate, even if its at night, its ok! When they dont urinate, its a problem that needs lots of testing and then probably a catheter. So, I am glad to hear this, he even said because she does go at night, enjoy the no incontinence all day long and let her be, she is too old for lots of unnessary tests. Thanks for listening to me and I sure hope this helps others who have this problem.

anonymous101100 Mar 2012
Thank you for your answers, I appreciate it. Is it common in alz, by any means, that if it is brain-related, that she will have to have a catheter? Oh I hope not. Mom cant walk either but with two people we can get her to walk maybe 12 feet, I will also try that ! I will keep in touch after the doctors diagnosis too, thanks!

Mike70 Mar 2012
Hi Luvmom

I had the same experience looking after my Mum. I found that even after taking antibiotics for a suspected UTI, it didn't help much. Sometimes getting Mum to move a bit more, walking etc, helped. One thing that did make her go more was drinking tea, a natural diuretic. Hope this was some help. All the best.

anonymous101100 Apr 2012
Very interesting Juliann, if you think of it let me know please. Thanks

tinamaria99 Apr 2012
You may also try a distraction while she is on the toilet, such as a small cup of juice or anything so she relaxes and mind is off being on the toilet. Are there side rails for her on the toilet. It could be fear in some fashion.

anonymous101100 Apr 2012
Thank you, I do understand what you are saying and that used to work for her, it really did, if I was nice and calm she peed, lol. But, now she doesnt even know she is on a toilet , and even falls asleep. Thanks.

Djwr70 Nov 2016
Thanks for posting this question it helped me.

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