Anti incontinent tablets ?

Discussion in 'I care for a person with dementia' started by Frankieisblue, Jan 2, 2016.

  1. Frankieisblue

    Frankieisblue Registered User

    Dec 19, 2015
    58
    Just thinking ahead ....is incontinence a symptom of dementia or always due to an infection? Either way can the gp prescribe tablets that would slow up or stop in its tracks a case of loss of control of the bowels and urine ? It would certainly help lol
     
  2. BeckyJan

    BeckyJan Registered User

    Nov 28, 2005
    18,972
    Derbyshire
    AFAIK there are several reasons for incontinence. I would say the main one is loss of muscle which controls the bladder and this can happen to anyone.

    In my husband's case his brain just didn't alert him to needing the loo early enough, so by the time he reached the toilet it was too late. As the dementia worsened then he lost control altogether.

    I would doubt very much whether medication would help incontinence in the above cases. My husband did have something to help him with enlarged prostrate which did mean he was needing the toilet too much, especially at night.

    If it is a problem for you I suggest you discuss it with your GP.
     
  3. Beate

    Beate Registered User

    May 21, 2014
    11,485
    Female
    London
    Unfortunately there is no medication to specifically combat incontinence. OH takes Tamsulosin but that's for making urinating easier with an enlarged prostate.
     
  4. cat6214

    cat6214 Registered User

    Jan 2, 2016
    10
    Central New Jersey
    My doc prescribed a med for my mom

    I forget what it was called, but the pill side effects were more worrying than just putting her into disposable incontinence underwear.
     
  5. Frankieisblue

    Frankieisblue Registered User

    Dec 19, 2015
    58
    Thank you all very much

    X
     
  6. Scarborough

    Scarborough Registered User

    Oct 28, 2015
    1
    Tunbridge Wells
    My Mum used to be prescribed tablets called Oxybutynin hydrochloride 2.5mg which apparently works on the muscles, 2 a day.
    She took them for quite a few years & didn't seem to have any side effects.She is 93 now & was diagnosed with Alzheimers nearly 5 years ago & was doing quite well, but sadly she had a stroke last July & though she isn't too bad physically it took her sight on the right hand side & the Alzheimers has really deteriorated so her medication was re evaluated & she doesn't take them any more because she kept getting uti's. but is still continent so I don't really know if they worked or not!
     
  7. Spiro

    Spiro Registered User

    Mar 11, 2012
    522
    One of the side effects of Oxybutynin is constipation.

    Ask your Dad's GP to refer him to the local Continence Clinic. The nurses can prescribe incontinence pads (and give you pants which the pads fit into), then you just reorder them as necessary. This is on the assumption he will be discharged home.

    If he is incontinent now, then they will be using pads and pants in hospital.

    You can buy a selection of products in B.....s and this company sells them as well.
    http://www.incontinencechoice.co.uk/?gclid=CNfg-ai1jMoCFU-6GwodAyICDg
     
  8. Frankieisblue

    Frankieisblue Registered User

    Dec 19, 2015
    58
    Thank you very much

    Of great help
     
  9. Taximan

    Taximan Registered User

    Mar 31, 2015
    13
    Where to start with incontinence

    Although i realise that dementia affects both sexes equally,i find many answers on here relating to women looking after men.So i'm seeking help from a man's point of view,looking after a woman,in my case,my wife.
    Up until a couple of months ago,incontinence wasn't an issue,yes there had been a few accidents,sometimes brought about by alcohol consumption,that has now been dealt with,i try and make sure that she doesn't touch a drop,except on the odd occasion.But we went to the brother in laws for the weekend before xmas,and with no alcohol involved,she didn't make it to the bathroom,and the mattress was soaked.Fortunately i have an understanding sister-in-law,and she was very helpful.My wife,however,seemed to have no concerns,and just went about her routine as if nothing had happened.I offered to pay for a new mattress,which was rejected as of no consequence,but my sister-in-law advised me to get a waterproof mattress cover for home,which i've done,and has saved the day on four occasions now.But where do i go from here,even though i can wash a mattress cover,it takes some time to dry,and i wondered if someone could advise me as to what pads,or pants i could buy that would avoid this problem,or is that wishful thinking.What do i ask for?what size,are they too uncomfortable to wear in bed?During the day she seems to be ok,and manages to go to the toilet in time,or will that change/deteriorate?
    I'd also like to ask members what they do about going on holiday,i'd love to take her away somewhere sunny,but what would i do if she wet the mattress,i don't think i could cope with explaining to the hotel.Any thoughts on this would be appreciated,i must say that,at the moment this is not a double incontinence problem,or is this something i will have to contend with in the future.:confused:
     
  10. Kevinl

    Kevinl Registered User

    Aug 24, 2013
    4,665
    Salford
    Many of the prescribed medication cause constipation so it's a bit of different sides of the same coin (or should I say same colon). Urine incontinence is different but if you contact her doctor the will almost certainly be an specialist nurse who can come and give you some specific advice.
    From what you say it sounds like urine is the issue so pads and pants are the best option for now. Come back and tell us how it goes.
    K
     
  11. Amy in the US

    Amy in the US Registered User

    Feb 28, 2015
    4,624
    USA
    Taximan, I'm not an expert on this, but others here have plenty of experience and will be along with advice and suggestions. You might also have a search through TP and see what you turn up.

    Definitely get a referral to the Continence Clinic or Incontinence Nurse or whatever it's called in your area; I am guessing through the GP but perhaps others here know how to access this? They can give you good advice about pads, et cetera.

    I'm not a medial professional but my understanding is that in many cases, persons with dementia do eventually become doubly incontinent. However, just deal with what your current situation and try not to worry too much (easier said than done, I know!) about what the future may bring, because it's not here yet, and today is enough.

    I know some on here like Kylie sheets and have seen discussion of different types of mattress covers and pads. You may also want to invest in waterproof pillow covers and/or a duvet cover, depending on your situation and bedding preferences. I've also seen discussion of favored products to help with the urine odor left in clothing and bedding, but can't recall the names. Again, someone here will, I hope, come along soon with suggestions for you.

    Also, and you are probably aware of this and the Incontinence Clinic should discuss this with you, but once incontinence begins patients are at a higher risk for UTIs and some skin issues.

    I sound like the bearer of bad tidings here, and I'm sorry. Best wishes to you.
     
  12. hvml

    hvml Registered User

    Oct 10, 2015
    300
    North Cornwall
    Hi taxi man.

    It would be a good idea to ask the doctor to refer you to the continence service, who will provide pads and pants. Your wife may well accept pads as they work in the same way as sanitary pads, so the system won't be unfamiliar.

    Having said that, we find that shop bought pull up pants are the most comfortable option ( for my Dad ) and are more like actual pants. When you introduce them, it's an idea to remove all normal pants completely and replace with what you decide to use.

    I hope you find a workable solution.

    Best wishes, Heidi
     

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