Tag Archives: dehydration

UTI: Know the symptoms!

If you have an elderly person in your life, it is imperative that you know the symptoms of a UTI (and don’t ignore them).

My first experience with a UTI in the elderly was several years ago. I went to my mom’s house and found her in bed in the middle of the day. Unusual behavior. Her speech was slurred. Unusual behavior. And she wasn’t making any sense. Unusual behavior. I thought she had had a stroke. I called 911. The paramedics thought the confusion was dementia. I knew differently.

UTI.

The next encounter was about 18 months ago. My mom, now diagnosed with Alzheimer’s but still living independently, fell four times in three days. Unusual behavior. The fourth time she fell was in the middle of the night. As my husband drove over to pick her up off the floor, I Googled “sudden frequent falls + Alzheimer’s.”

UTI.

She ended up in the ER the next day after seeing the doctor. She was sent home to our house with an aggressive antibiotic. Four days later, she literally slept all day. Unusual behavior. When I checked on her before I went to bed, her voice was childlike, speech was slurred and she wasn’t making much sense. Unusual behavior. I suspected the UTI had gone south and called 911.

She was septic. She spent 5 days in the hospital followed by 30 days of in-patient rehab to build up her strength.

Last year, my friend’s mother-in-law came for a visit. I had never met her, but my friend was talking about how much worse she was than they realized. She suffered from Parkinson’s related dementia, I believe,  but she  was hallucinating and was very confused. Unusual behavior. I asked my friend if it was possible she had a UTI. Upon her return home, it was confirmed. She ended up in a coma. Thankfully, she recovered.

And, last night. My sister-in-law sent me a text that my mother-in-law had been sitting on the bathroom floor for two hours. Unusual behavior. I called and talked to my MIL for less than 60 seconds. Her voice was lethargic and sad. Unusual behavior. Moments after I hung up the phone, my husband walked in the door from a business trip. I told him to kiss his kids and go to his mom’s house. Something wasn’t right. Maybe it’s a UTI.

She was admitted to the hospital for UTI and dehydration-which often accompanies a UTI.

I’m not a doctor or a nurse. I’m simply a caregiver with experience and the internet. If you Google “sypmtoms of UTI in elderly” you will find over 860,000 results. I urge you to read some of them. You will find things like:

“The best indication of a UTI in the elderly is a sudden change in behavior.

“And for people suffering from Parkinson’s disease, Alzheimer’s disease, or other dementia, “any kind of stress, physical or emotional, will often make dementia temporarily worse,” Forciea says”

“elders often don’t exhibit any of the common symptoms – or don’t express them to their caregivers”

When caught early, UTIs are highly treatable. Whether you are a caregiver or not, familiarize yourself with the myriad of ways a UTI can wreak havoc on your loved one.

“Knowing that a urinary tract infection in the elderly can be symptom-free is the first step in avoiding serious complications from untreated UTIs. Any time a change in behavior is noted in an elderly patient, a urinalysis should be performed to rule out a urinary tract infection.”