Alzheimer’s Disease And Incontinence

阿尔茨海默病是最常见的痴呆症,是由大脑的一种物理疾病引起的。这是一种渐进性疾病,会导致记忆力、判断力和语言能力的丧失。60 - 70%的阿尔茨海默氏症患者将继续遭受失禁问题。尿失禁不应被认为是这种疾病不可避免的一部分;治疗可以帮助治疗这种情况,任何问题都应该由你的家庭医生进行调查,以排除任何可能影响这种情况的单独情况。

Symptoms Of Alzheimer’s Disease

In Alzheimer’s Disease proteins build up in the brain and form a ‘plaque’ which damages the nerve cells in the brain and destroys brain tissues. Over time more and more parts of the brain becomes damaged as the proteins build.

Early Stages Of Alzheimer’s Disease

Symptoms usually start off mild and include:

  • Memory loss (a person may forget where they have left items such as their keys)
  • May struggle with finding the right words during conversations, repeat themselves or forget people’s names
  • Get lost in a familiar place
  • Have difficulty with spacial awareness
  • Have difficulty making decisions or following a sequence of tasks

Later Stages Of Alzheimer’s Disease

  • Severe loss of memory, communication, reasoning and orientation
  • May become delusional and suffer from hallucinations
  • May become aggressive or agitated
  • Become generally less aware of what is happening around them, have difficulty eating, walking and become more frail

Why Might A Person With Alzheimer’s Disease Become Incontinent?

虽然失禁在阿尔茨海默氏症或痴呆症患者中很常见,但它不应该只是被接受。It could be caused by something that is easily treated such as:

  • A urinary tract infection
  • Constipation caused by a poor diet or dehydration
  • Problems with the prostate in men
  • Certain medications

In some the messages between the brain and the bladder and/or bowel may not function correctly and this can lead to incontinence, which may include:

  • Not being able to react to the sensation of needing the toilet
  • Mobility issues
  • Not being able to communicate their need for the toilet
  • Forgetting how to go to the toilet e.g. forgetting to remove clothing
  • Not making an attempt to find the toilet
  • Getting disorientated and forgetting where the toilet is

There are still ways of managing incontinence caused by Alzheimer’s by using conservative methods, which can be easily incorporated into a routine during the day.

Alzheimer’s Disease And Incontinence Treatments

There are some preventative measures that you can put in place to help avoid or improve incontinence symptoms. It is a good idea to establish the below methods into a daily routine so the person with Alzheimer’s Disease gets used to the pattern.


Diet And Lifestyle

In order to keep the bladder and bowel healthy it is important that the person concerned eats a healthy, balanced diet with plenty of fibre and consumes enough fluid (ideally water and around 6-8 glasses a day) in order to regulate the bowel and keep stools at the right consistency. It is best to limit or avoid caffeine, fizzy drinks and alcohol as these can irritate the bladder.

Establish Routines

Creating a routine can help to avoid accidents. It can help to take the person to the toilet after every meal and make sure they are eating and drinking at regular times. Limit drinks two hours before bedtime to avoid accidents overnight, it is important to make sure that they have had enough to drink during the day though.

Appropriate Clothing

Clothing that can be easily removed, elasticated waists without zips and buttons can help those who struggle with their dexterity and can be quickly removed by those who suffer from urge incontinence.

Continence Products

There are many products available that can help the person to feel more comfortable and will protect clothing and furniture.

  • Incontinence pads and pants – these are available in a variety of sizes and absorbencies and can help to draw fluid away from the skin
  • Male continence sheath – these can be worn over the penis and attached to a leg bag. These are particularly useful at night
  • Bed pads and mattress protectors – these can help to keep the bed clean and dry. There are also covers and pads available for chairs

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If a urinary tract infection is the cause of urinary incontinence then your GP will be able to prescribe an antibiotic treatment to clear the infection. In many cases this can help alleviate any incontinence issues once the infection is resolved. Your GP may prescribe a long term, low level dose if recurrent infections become a problem in order to prevent them.


To relieve short term constipation quickly, there are some over-the-counterlaxatives你可以购买。这些可以用来避免嵌塞肠道和任何溢出失禁的结果。有各种各样的泻药,作用方式各不相同。膨胀泻药,如Fybogel,其工作原理与增加饮食中的纤维相同;渗透性泻药的作用是软化粪便,使其更容易排出,以及刺激性泻药,如塞纳,它鼓励蠕动,刺激肠道排出粪便。一定要和当地的药剂师或全科医生讨论使用哪种泻药最好。

Further Information

Further information and downloads can be found in thehelp and informationsection. You may wish to view this article which is more aboutincontinence and dementia. Further still is an article on how best to help someone who isconfused at homeand may be experiencing continence issues.

World Alzheimer’s Month is the international campaign fromAlzheimer’s Disease Internationaland takes place every September – find out more on their website.

Living with a bladder or bowel condition or caring for someone who does, can affect you emotionally too; sometimes it can help to speak to others who understand your situation. TheBladder & Bowel Community Support Groupis available 24 hours a day via Facebook as a closed group monitored by admins, and will allow you to connect with those who share your condition. Start your own topic today or just follow one that interests you.