A bladder and bowel control check-up will include a physical check and questions about when, where and why problems happen. Carers are often the best people to provide the information needed to assess bladder and bowel control, such as:
- the time the person goes to the toilet and/or leaks
- how wet the person becomes
- when and how often they open their bowels (poo).
- Treat the cause of the problem. A doctor, continence nurse or men’s, women’s and pelvic health physiotherapist can help find the cause(s) and suggest treatment.
- Review medicines. Medicines may help, but they can also make people more confused and make bladder and bowel control problems worse.
- Encourage fluids. Make sure the person with dementia drinks 1.5 - 2 litres of fluid per day (unless a doctor recommends otherwise). Reduce drinks with caffeine (e.g. coffee, tea and cola) that can upset the bladder.
- Watch for signs they want to go to the toilet. Ask them to use the toilet at the times you think they most often go or are most often wet. If you note the time this happens you will be able to see if it gets better.
- Adapt clothing. If they have trouble with zips and buttons, change to tracksuits, trousers with elastic waists or use Velcro.
Keep the way to the toilet clear. Make the toilet door easy to see with good lighting and don’t leave things in the way that might make it hard to get to the toilet.
Get help. Think about using community resources to help with the load of caring for a person with dementia (such as laundry, shopping and respite care).
Contact the National Continence Helpline on 1800 33 00 66 for confidential advice and support. The National Continence Helpline is staffed by continence nurse specialists who offer free and confidential information, advice and support. They also provide a wide range of continence-related resources and referrals to local services.