• We're currently experiencing technical issues with our newsletter software, so our Dementia Talking Point monthly updates have been put on hold for now. We hope to restart the newsletter soon.

    Find out more >here<.

Urine retention

wilf

Registered User
Mar 19, 2014
30
Any ideas please? 92 yr old Mum with advanced vasc dementia getting regular water infections. Me and carers keep her very clean down below so I suspect urine retention is the culprit. When we sit Mum on the loo to pee the flow stops when she starts fidgeting with pants, socks, towels, tissue etc.Have tried removing pants etc as we sit her down but that starts aggression which prevents any flow at all. Also has anybody had home test dip read positive for leukocytes but negative for nitrites as I thought a positive nitrite reading confirmed the leukocyte ptresence was a u.t.i.. Finally I have to give Mum 5ml amoxicillan in liquid form 3 times a day but struggling to space the doses out as somedays wont get up until 12.00noon and nearly always in bed by 10pm. Is there a minimum time period between doses? Any suggestions would be appreciated. Thank you.
 

fizzie

Registered User
Jul 20, 2011
2,727
Any ideas please? 92 yr old Mum with advanced vasc dementia getting regular water infections. Me and carers keep her very clean down below so I suspect urine retention is the culprit. When we sit Mum on the loo to pee the flow stops when she starts fidgeting with pants, socks, towels, tissue etc.Have tried removing pants etc as we sit her down but that starts aggression which prevents any flow at all. Also has anybody had home test dip read positive for leukocytes but negative for nitrites as I thought a positive nitrite reading confirmed the leukocyte ptresence was a u.t.i.. Finally I have to give Mum 5ml amoxicillan in liquid form 3 times a day but struggling to space the doses out as somedays wont get up until 12.00noon and nearly always in bed by 10pm. Is there a minimum time period between doses? Any suggestions would be appreciated. Thank you.
When my mum got a lot of infections we asked for low dose amoxicillin once a day (once the infection had cleared) and this stopped any more urine infections. You will have to get rid of this one first and others can advise on doses but it is worth asking GP for the low dose to stop it happening again - mum just took hers with her morning tablets each day xx
 

Beate

Registered User
May 21, 2014
12,030
London
Yes, the package leaflet states at least 4 hours apart, so it's doable in a 10 hour period. You could give one dose at 12, one at 5pm and the last at 10pm.
 

Sue J

Registered User
Dec 9, 2009
8,035
When you sit her on the loo can you keep the tap running, it can often keep the flow going.:)
 

SATURNGIRL

Registered User
Jul 11, 2014
2
?cystitis not uti

Any ideas please? 92 yr old Mum with advanced vasc dementia getting regular water infections. Me and carers keep her very clean down below so I suspect urine retention is the culprit. When we sit Mum on the loo to pee the flow stops when she starts fidgeting with pants, socks, towels, tissue etc.Have tried removing pants etc as we sit her down but that starts aggression which prevents any flow at all. Also has anybody had home test dip read positive for leukocytes but negative for nitrites as I thought a positive nitrite reading confirmed the leukocyte ptresence was a u.t.i.. Finally I have to give Mum 5ml amoxicillan in liquid form 3 times a day but struggling to space the doses out as somedays wont get up until 12.00noon and nearly always in bed by 10pm. Is there a minimum time period between doses? Any suggestions would be appreciated. Thank you.
It doesn't sound like a urinary tract infection - she may have cystitis which is horribly uncomfortable and can cause problems with flow, most elderly ladies have + leukocytes in their urine and antibiotics aren't the answer. Is mum under the care of a District Nurse? Or does your local hospital have a urology nurse specialist / continence advisor ?? Who could review her?? And possibly bladder scan her after voiding
If she is retaining urine (like my mum) the problems are on going and mum had intermittent catheterisation which showed some residuals of 800mls!!! Even a 200ml residual can cause bladder irritability. She finally had a long term catheter sited last Thursday - by Friday had had atria and infection and this morning the catheter was out as the balloon failed (she had not tugged it) your poor mum and poor you. The amoxicillin normally had 8 hrs between doses but don't stress out over that as well - you can only do so much xxx
 

wilf

Registered User
Mar 19, 2014
30
When my mum got a lot of infections we asked for low dose amoxicillin once a day (once the infection had cleared) and this stopped any more urine infections. You will have to get rid of this one first and others can advise on doses but it is worth asking GP for the low dose to stop it happening again - mum just took hers with her morning tablets each day xx
Thank you Fizzie. The G.P. and I have discussed a low dose regular antibiotic but there are negatives due to Mums age. I am a great believer in dealing with Mums dementia in a cognitive technique and have quite an armoury of tricks that work but cant yet crack the fidgeting when having a pee. Thanks again for your suggestion.
 

wilf

Registered User
Mar 19, 2014
30
Yes, the package leaflet states at least 4 hours apart, so it's doable in a 10 hour period. You could give one dose at 12, one at 5pm and the last at 10pm.
Thanks Beate, no leaflet in the box and couldnt find anything on line. I guessed would be 4 hours so thanks, will confirm with gp when surgery re opens.
 

wilf

Registered User
Mar 19, 2014
30
It doesn't sound like a urinary tract infection - she may have cystitis which is horribly uncomfortable and can cause problems with flow, most elderly ladies have + leukocytes in their urine and antibiotics aren't the answer. Is mum under the care of a District Nurse? Or does your local hospital have a urology nurse specialist / continence advisor ?? Who could review her?? And possibly bladder scan her after voiding
If she is retaining urine (like my mum) the problems are on going and mum had intermittent catheterisation which showed some residuals of 800mls!!! Even a 200ml residual can cause bladder irritability. She finally had a long term catheter sited last Thursday - by Friday had had atria and infection and this morning the catheter was out as the balloon failed (she had not tugged it) your poor mum and poor you. The amoxicillin normally had 8 hrs between doses but don't stress out over that as well - you can only do so much xxx
Thank you Saturngirl, I have a couple of points to ask your help about but Mum just started a major sundown so will get back to you.
 

susanh13

Registered User
Oct 23, 2013
17
Hi Wilf, have you tried getting your mum to drink cranberry juice. Just a glass a day can help. We give mum the co- op unsweetened cranberry juice every day and in three years she has only had one infection which was caught early on. It's worth a go. Mum holds her urine all day too and still not a drop when she is on the commode in the evening some days. When she elapses in bed it happens then. Good luck.
 

Chaucer 1931

Registered User
Mar 30, 2014
226
This is the case with my mum too,she has had a Foley catheter for 3 or 4 years now-due to retention-and usually doesn't go during the day,it all happens at night... Nocturia I think is the term for it,but since she pulled her catheter out and caused herself some proper damage this time,it has been leaking around the catheter too..dementia and catheters are one of the worst combinations ever!