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He says if he’s not complaining then I shouldn’t worry about it.

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Can you tell us a bit more?
Does this come from poor control or from eating something that disagrees?
Is he going from a bit constipated to diarrhea?
Does he eat things that are very gas-producing like taking metamucil daily, or other laxative products?

Hard to say if this is now the norm for him due to poor sphincter control.
Does he handle this reliably with wearing an incontinent underwear, and able to clean up after it without soiling things in the home?

All of this is a question of "it just depends".
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Reply to AlvaDeer
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mommoo Dec 6, 2024
Thank you for your reply. I didn’t want to go into too much detail right away, so I apologize. He takes Metformin, my sister had been buying him Metamucil tablets. And I have switched him to benefiber to help bulk. He wasn’t consistent with the powder. He also drinks an average of three 10oz cups of coffee/day. He wears cotton briefs. He does what he can to help minimize the mess although he has an unconventional way of doing it. I clean whatever he missed. I have asked him to wear the depends when he goes out just to give him a little aid til he gets home. Yes he still drives. I’m not PoA, one of my sisters is. Family breakdown.
I appreciate all suggestions. So thank you for taking the time.
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It’s part of dementia. Does he sit in it or what?
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Reply to anonymous144448
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mommoo Dec 6, 2024
Well, sometimes. I don’t like to be too graphic but he puts toilet paper in his briefs. So he understands.

thank you for the comment. It kind of made me chuckle a little. I know it’s not a laughing matter, otherwise I wouldn’t have asked for advice. I want to make his years on earth a little bit better.
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The only way you can help him(other than placing him in the appropriate facility)would be to throw away all of his regular underwear and replace it with the Depends "underwear."
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mommoo Dec 6, 2024
Thank you so much for the advice. I appreciate all answers
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You say nothing about him having Dementia. And if your cleaning up the mess, yes you have someting to worry about. Time for Depends and a cognitive assessment for Denentia if not already done.
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mommoo Dec 6, 2024
thank you for responding. I know he has short term memory loss. He does what he can to minimize the mess i.e. rinsing, and kind of cleaning himself up. I clean whatever has been left behind. Since I am not PoA I have only spoken to him about wearing disposable briefs. Mostly to improve the quality of life. I have also suggested to my sister to talk to the Dr about changes in his diet or removing a medication that could be contributing to it only to have it fall on deaf ears. Lots of family denial. Thank you again.
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The fact that he has no empathy for the fact you have to live with it tells me he probably has dementia. By the time LOs and close family are seeing symptoms regularly, he is probably already at a moderate level.

Yes to getting him tested. Tell him Medicare gives him a free annual physical. Help him make the appointment if he can't/won't do it himself. Go with him and slip a pre-written note to the staff asking to give him a cognitive and memory exam due to the symptoms he's showing. They will be glad to accommodate this.

In the bigger picture though... are you his PoA? Does he have one? If so, this is the person who now must read the document and do what it says to activate the authority. If he doesn't have a PoA I would encourage him to assign one with the help of an elder law attorney. FYI if he refuses to assign you (since you live with him) this would be a deal breaker for me and I would not be living with him. It will become more and more difficult to manage him and his affairs legally as dementia robs more and more of his cognitive abilities.

Definitely remove all his cloth briefs and replace with disposables. Don't accept any argument from him over this. Walk away if you have to since he is obviously not "getting it". It may also be time to find someone to help him with his regular showering if this is also an issue...
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Reply to Geaton777
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mommoo Dec 6, 2024
Thank you for your suggestions. I am not his PoA. One of my sisters is. I have asked her to speak with his Dr.(she goes with him). They do short cognitive tests and that’s about it. He has a prostate issue too but I was told he’s just getting older. Hygiene has been an issue. Taking away his briefs is an excellent idea. I would have never thought of that. Huge family dynamic here.
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I cleaned up cow patties for almost 2 years, till we finally found a Fibercon tablet protocol that's enough to keep things moving without clogging things up. I give my DW one Fibercon tab on Tuesdays and Fridays. I also give her a good probiotic every day. That seems to keep her bowls balanced pretty well.

I also keep an assortment of gastrointestinal aids on hand to use as needed such as stool softener, anti-diarrhea and anti-acid tabs that I give at the earliest signs of distress.

And of course, she wears pull-ups most of the time and uses the bedside commode if she can't make it to the toilet.
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mommoo Dec 7, 2024
Thanks for the suggestions. Fibercon. He’s pretty stubborn. So giving him a probiotic may be an issue. He’s never had a problem with constipation. Unless this is all breakthrough. Anti acids? Interesting. Anti diarrheal I can maybe have on hand. Thank you again. I appreciate all advice.
Positive thoughts.
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If another sibling has POA, why aren’t they helping?
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Reply to LoopyLoo
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mommoo Dec 7, 2024
while he does visit the rest of the family, I feel they’re not willing to accept his declination. I moved in because of a financial setback a few years ago. Knowing he would need some sort of supervision. He had been known to leave candles burning when he left the house or forget a pot boiling on the stove until all water had evaporated. I do not have a relationship with the PoA anymore. (Sister). That’s a whole other thing.
thank you for showing a concern and everyone on the forum. It has been helpful so far.😊
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Metformin may be contributing to the problem. I had been on Metformin for many years (polycystic ovarian syndrome) and started having my own bowel "issues." In mentioning this to my primary care MD, she took me off the Metformin. My issue was resolved! Perhaps your dad can be switched to another medication. Good luck!!!
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Reply to MECLSW
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Both of my parents suffered from incontinence. If your dad isn't wearing briefs, he should be. Eventually, they aren't aware when they go any more. I hope that doesn't happen with your dad.
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Reply to Onlychild2024
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He's not complaining and doesn't want you to worry (sounds more like he doesn't want you calling attention to it).

What does that mean exactly? Is he going in his clothes? Does he clean himself up successfully?

You can help him by providing incontinence products, and even helping with the clean up if he is unable to do on his own. That means adult diapers, wipes, gloves, and it wouldn't hurt to buy some disposable pads to cover his chair and bed.

He may not feel comfortable with you wiping his behind. Or you may not want to do that. If so, then it is time to hire aides to help.
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Reply to CaringWifeAZ
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My MIL had the same problem with Metformin. When she went on hospice they discontinued that and it was a great relief for her. It really embarrassed her a lot and she wore disposable underwear all the time when she lived with us, even though she was still able to use the toilet with help.

His lack of care is a little concerning. I’d say you are well within your rights to insist on Depends considering you are the one cleaning the mess he misses. Caregiving has to work for the caregiver.
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Reply to iameli
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My husband had to stop all coffee. It caused him to have uncontrollable bowl movements. He couldn’t get to the toilet fast enough. Eliminating coffee helped.
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Reply to Justme0728
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are u ok?
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Reply to mikela
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mommoo: Perhaps he needs to see his gastroenterologist. He's not complaining about it as most likely he's not the one cleaning it up.
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Reply to Llamalover47
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Is your Dad cleaning himself up? It sounds like he might be, since you haven't said you are cleaning him up, and part of your question is can you even help him.
I agree with others that suggested Depends. Also the others that suggested this might be a reaction to medication.
My husband was briefly on iron pills. The doctor said it would probably cause constipation. Instead it caused daily explosive diarrhea. The doctor didn't believe the iron pills were the cause. My husband stopped the iron pills and the diarrhea stopped. Later on, he developed bowel and bladder urgency. He had to wear depends, and at times that would leak. He was horribly embarrassed and didn't want me to help him clean himself up.
Your Dad may be embarrassed to have you help him since you are his daughter.
Also, when my Mom got older and incontinent, she would rather have her aid help her clean up instead of me, saying "I never imagined my daughter would be wiping my butt". Men are usually even more private about such things.
Please find out if there is anything medical going on with your Dad and encourage him to wear Depends for now. Tell him it could be for the short term for now. That's how you can best help.
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Reply to JanPeck123
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mommoo,
I have read your responses. I'm so sorry you are the one taking care of this, while someone else has POA.

There a lot of great suggestions here, and great advice. I hope you get it worked out. Try and get the sister with POA involved and maybe hire an aide to come help at least once a week, if not more.

Unfortunately, many family member see their parent's money as their inheritance and are reluctant to spend it. Your parents worked hard and their money is to take care of their needs. There may be something left over when he dies, but meeting his needs now is the primary focus.

You could go to court to challenge your sister's POA role. But that would cost a lot of money, time, and emotional investment. You probably don't have that now. Figure out how to work with what you do have, and try and get your sister to relinquish money for your father's care.
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