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He urinates fine all day, but wets the bed every night. I use 2 depends plus a pad and a towel. Any advice?

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I haven't yet seen suggestion to check for UTI. If this has been a gradual progression, definitely have him checked by a urologist. However, if this is something that recently started, do check for UTI.

My mother would have UTIs several times/year, but was able at that time to identify it and get tested/treated. After moving her to MC, her first UTI resulted in severe sun-downing. We had to use anti-anxiety meds along with antibiotic until it cleared.

When she moved there, she was still mobile and able to do most self care. It was mainly to ensure her safety and having better nutrition. It was a while before we switched to briefs (swapped out all underwear, no discussion!) Most of her "accidents" were due to being unable to get her clothes off/down fast enough so we were getting extra carpet cleaning charges. At about 2+ years, she started using a rollator, but was still okay.

The second UTI resulted in night time bed wetting! REALLY soaking the bed. She is also still pretty much "continent" during the day. She is now 97, and still will go if taken in time to the bathroom (she's now in a wheelchair, mainly due to lack of use she's no longer able/willing to stand or walk.) I believe she had a second one, which also resulted in bed-wetting. Once the UTIs were resolved, this subsided.

I would definitely check for UTI. It's easy enough, not expensive and can help avoid a lot of testing and other interventions! Anytime something changes suddenly, behavior, demeanor, eating, drinking, incontinence, i would recommend checking. UTIs show up oddly in elders and esp in those with dementia.

(NOTE: I was a HUGE skeptic when I first joined the forum and read all the comments suggesting UTIs. I am no longer a skeptic!!!)
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Beckymcd Oct 2020
Thanks I have him checked
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Waterproof mattress pad.
Absorbent under pad. Much more absorbent than a towel.
Make sure the pad you are putting in the incontinent brief is one that does not have a waterproof lining on the back And by using 2 incontinent briefs you are not getting the second one to absorb much since the one closest to him has a leakproof backing on it most of the fluid will leak around the second one and run out by the leg opening.
Have you tried getting him up a few hours after he goes to be do void again? If he goes to bed at 10 pm if you can get him up around midnight that might help. And getting him up early to go again.
A bedside urinal or commode will make it easier.
Cut back on fluids after about 7 or 8 pm.

I see several others have mentioned medications that may help, discuss these with his doctor.
A condom catheter might also work but only if he will leave it alone.
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As an RN, I would suggest a visit to his doctor first to identify the cause - which could be several things. Condom catheters, extra padding in depends and extra padding on the bed can all help. I like using pads on the bed that are plastic on one side (Chux) but find that puppy pads are cheaper.
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Beckymcd Oct 2020
Thanks I try
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I also have a waterproof quilted bed pad I found at Amazon for extra protection.

RMS Ultra Soft 4-Layer Washable and Reusable Incontinence Bed Pad - Waterproof Bed Pads, 24"X36"

Try reducing his fluids after dinnertime.
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There are medications that can help with overactive bladder(bladder spasms), like Oxybutynin, Vesicare. Trospium, and more. You can check with his Dr. to see what might be best for him. Also make sure you have a waterproof mattress pad on his bed, along with waterproof pads underneath him as well. That will prevent any urine from getting on his mattress. You may also have to get him up every 2 hours overnight, so he can use either the toilet or urinal, which ever is easier for you. Good luck.
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My husband had similar issues. After seeing a urologist it was determined that he had “lazy bladder”. The elasticity of the bladder was gone so even though he urinated during the day it never emptied and always retained a substantial amount of urine. Overnight, when it wasn’t enough to wake him, he would urinate in his sleep. The solution was catherization during the day to empty the bladder. Please have him see a urologist, if for no other reason than to rule this out. We did the cloth, quilted, full length water proof pads, which helped greatly with clean up but it was ignoring the real problem. Also, this was extremely embarrassing for him which takes its toll in other ways. Pray this helps and you’re able to get some solid answers.
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Beckymcd Oct 2020
Thanks
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There are Wearever briefs that are padded and are washable. If the padding is not sufficient add a depends or similiar. Also there are bed pads that are washable on line from Amazon. There are also throw away pads, in various sizes. Look at Amazon for all these items
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If you’ve ruled out any medical conditions (UTI) as the reason, you could try eliminating all liquids after 6 or 7pm. No fluids in....no fluids out. Works great for my 87 yr old mom.
Nana Val
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Imho, cut back on his intake of liquids much earlier than normal. Prayers sent.
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1. Are there any "Essential Oils" or Glade scented products within the home? "Essential oils," + other "scented" products neurologically irritate many humans etc. which results in loss of bladder control.
Remove ALL "Essential oil" products from his home.

2. Also please evaluate for a UTI.
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