UTIs Amplify Alzheimer's and Dementia Symptoms
November 14, 2023By: Suzanne Savage
Categories: Your Wellness
When a loved one with Alzheimer’s disease or dementia suddenly shows more heightened aggression, anxiety, depression or confusion, there is a good chance the culprit may be a urinary tract infection (UTI). While you observe your family member’s behavior has dramatically changed, he or she may not show the telltale signs typical of a UTI. They include pain, discomfort and more frequent urination.
This patient population is vulnerable because they often lack hydration. They also can experience incontinence, among other issues. Combine this with an inability to share their discomfort, and their risk of developing UTIs increases. Without treatment, the UTI makes one bound for an emergency room visit and possibly a hospitalization.
Up to 50% of people living with dementia present to the emergency room each year, compared to 30% of people without dementia. Of this 50%, their most frequent diagnosis on discharge from the ER is a UTI.
Prevention
It’s vital to help your family member follow this course of prevention:
- Drink plenty of water.
- Empty bladder often and after sexual intercourse. You may need to set a toileting routine.
- Follow infection prevention measures if using a catheter.
- Limit fluid intake two hours before bedtime.
- Maintain good hygiene.
- Refrain from drinking caffeinated beverages.
- Take showers instead of baths.
- Use extra absorbent adult briefs.
- Wipe from front to back after using the toilet (women).
Next Steps
If you’re concerned your loved one may have a UTI, contact your primary care doctor. He or she can recommend next steps, which may include an office visit and lab work. Connect with a Meritas Health primary care doctor to find the support you need.
