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He seems to be acting out with feces perhaps to communicate bc he lacks the verbal communication skills. This could be it.
Perhaps he’s trying to communicate the constipation meds are not liked by him or he needs them depending on situation.
So if he needs constipation meds give him a tea instead. It’s not as horrid tasting. Herbal “Smooth Move” teas are warm, soothing and work better then some anti constipation meds given before bedtime.
Perhaps my recommendation isn’t related but it remains true to make an experience less medical. And teas are less expensive then laxative meds.
"Herbal Smooth Move" teas main ingredient is SENNA which is a stimulant laxative! Cloaking a stimulant laxative in a "soothing tea" is still a stimulant laxative only recommended for occasional use. It's no better, but in fact worse, than taking Milk of Magnesia Miralax or anything else. It's all a marketing gimmick apparently lots of people fall for.
Try a big glass of water with Metamucil EVERY day. Works like a charm. Laxatives & stool softeners can make the stool too soft for the body to "get the urge" and then constipation starts. Then it's a vicious circle - stool softeners, laxatives, diarrhea, etc. Just give him more fiber (Metamucil) with water. Must have water. See if that won't correct the problem. MIL sang the praises of Metamucil every day after suffering for years with constipation.
Or a cup of hot “Smooth Move” herbal tea in evening thst is a calming, positive, warming and better and less expensive alternative to avoid the medical nature of constipation and achieve more positive mental state.
You don’t really say the issue, but my mom would sit regardless she went yesterday…
for those saying what’s the harm… my mom ended up with a prolapsed rectum.. hours on the commode…the dr would tell her not to sit , she never listened…
I wish my mother would let me know sooner when she is not having regular movements. She became seriously constipated at one point and, after trips to first urgent care, then the ER (because the pain kept increasing), her dr (a wonderful, patient, geriatrician) came to her house and had to manually assist. Everyone else recommended laxatives but they weren’t working. A few weeks ago my mother finally admitted she was having problems again though fortunately she was finally able to pass it without help, just a lot of pain. She didn’t want to call her dr about it because she was embarrassed about the last time! Again the laxatives didn’t seem to do much, even miralax. If she wouldn’t wait for a number of days I could try to get her to take precautions. I am working on trying to get her to drink enough for starters. She says that she always has a glass of water near her, and that may be, but I very seldom see her actually drink it. She has been alternating between constipation and fecal incontinance, and I think she may be overcompensating for each, causing the swings. Her dr and I are trying to find a nice middle ground. Just a comment on the suggestion to try taking vitamin C, my mother has a free style libre sensor and vitamin C can throw off the readings. If I remember right 500 mgs is the maximum you can take and that includes from all sources, not just supplements.
Forget the expensive laxatives givrn in a negative medicinal way everyone. Herbal “Smooth move” type teas at night do the same but better with less fuss, more positive mentally, and calm and give peace to patient before bed. And teas are less expensive and a treat before bed.
The poop thing is real for many elderly. More than likely it comes from people who used to go daily, same time, very regular. Then the body slows down. When body slows down, gut slows down. Walking is one exercise that keeps the wheels in motion and he probably does more sitting these days that moving around.
Check his meds. Nearly all of them have a 'constipation' side effect. Doctors will recommend a fiber product like miralax or even a stool softener like colace. Try that with him. Then there are the old fashioned remedies like hot lemon juice each morning, papaya (a great mover), hot prune juice. Me, I would try the naturals before doing the miralax. Or even the colace - a couple of those a day. Just pick something and try it each day for about a week or so to see how it works. Don't start mixing them or you'll be dealing with the very loose bowel and that creates constipation for several days because you cleaned the gut out so well.
Yeah, it's like, will the doctor get a stool sample for the lab to test for occult cancer? You end up so obsessed trying to poo poo that your constipated and lucky to pass rock hard pieces on your part!
Don't forget that many medications cause constipation as a side effect.
How does his obsession end up harming him or you? How much of a problem is his complaining for you? Do you think he is overly anxious and upsetting himself for an unnecessary concern? Do you wish that you could keep him happy? What's his level of upset? What does he do if you don't distract him? Is he damaging himself by self medicating? What's his diet like? How much fluid does he ingest?
My grandmother had the same obsession. She used to dose us with milk of magnesia (which unlike most people I find delicious). Near the end of her life she came to live with us, overdosed on Tums and ended up sh*tting the bed. We were all too horrified to deal with the mess. But her daughter, my mother, who wasn't so fond of her, firmly got her to the bathroom, cleaned her up, changed the sheets. And soon had her moved to a nursing home where, so far as I know, she did not soil herself again. However, I doubt they allowed her access to self-medicate.
What if he COULD go poop every day? Would that solve the problem? Magnesium is associated with looser stool. Also high dose vitamin C that you can get from buffered powdered C will cause stool to be softer, looser, and easier to pass. I am 80. I am passing 2 or 3 well formed stool every day and really enjoying it.
As for the doses, start with 500 mg. of C and increase until the stool gets softer. With the magnesium, I guess you could do the same thing. I think powders are more effective than pills. I use a mineral supplement called Tri-Salts from Ecological formulas.
I don't think you can and frankly even if you could eventually you will have to keep to finding new ways to distract him. OCD behaviors are exhausting.
How does his obsession end up harming him or you? How much of a problem is his complaining for you? Do you think he is overly anxious and upsetting himself for an unnecessary concern? Do you wish that you could keep him happy? What's his level of upset? What does he do if you don't distract him? Is he damaging himself by self medicating? What's his diet like? How much fluid does he ingest?
My grandmother had the same obsession. She used to dose us with milk of magnesia (which unlike most people I find delicious). Near the end of her life she came to live with us, overdosed on Tums and ended up shitting the bed. We were all too horrified to deal with the mess. But her daughter, my mother, who wasn't so fond of her, firmly got her to the bathroom, cleaned her up, changed the sheets. And soon had her moved to a nursing home where, so far as I know, she did not soil herself again. However, I doubt they allowed her access to self-medicate.
What if he COULD go poop every day? Would that solve the problem? Magnesium is associated with looser stool. Also high dose vitamin C that you can get from buffered powdered C will cause stool to be softer, looser, and easier to pass. I am 80. I am passing 2 or 3 well formed stool every day and really enjoying it.
As for the doses, start with 500 mg. of C and increase until the stool gets softer. With the magnesium, I guess you could do the same thing. I think powders are more effective than pills. I use a mineral supplement called Tri-Salts from Ecological formulas.
If he is constipated that would be a good reason to complain. I have found extra-virgin olive oil helps with constipation and making the stools softer. Just a spoonful is all it takes. There are other oils as well like castor oil or flaxseed oil that are good. Make sure he is not getting dehydrated and is drinking enough as well.
First it doesn’t seem surprising to me that our bathroom needs/habits change as we age. When activity and exercise change our apatite usually does too, the more sedentary we become the less conscious we become of what we are eating and our taste buds often dull at the same time so sweet and salty, carbs are what many gravitate to more than ever. Less activity, less actual hunger, less fiber, less need for bowel movements. Thirst is the same problem. This is an over simplification of course but less good healthy food combined with less activity, movement creates less movement in the bathroom. Maybe men in particular but certainly the generation that’s in their 80’s+ and any farmers younger probably have locked themselves in the “reading room” at the same time every day to have a bowel movement all of their lives and breaking that habit as well as bodily function they have always counted on must be as foreign as anything about advancing in age. Your fathers obsession might be a good opportunity to stress the importance of adequate hydration (not just when he’s thirsty) plenty of walking and exercise as well as a balanced diet with fiber which might be harder for you than him if you are preparing the food. You also should take him to his doctor to talk about it in case there is some real issue going on, especially if he likes and trusts his doctor so that if there isn’t anything actually wrong the doctor can explain it to him and make suggestions. Personally I would caution about laxatives like Miralax and use fiber like Metamucil first, they work in different ways and long time use of laxatives can cause more problems. It’s best to use them only short term and in specific circumstances or need but that’s my experience and interpretation so of course use your own judgment. It’s easy to get the two confused since they can both treat, for lack of a better term, the same thing.
Good morning, you did not say if your father has cognitive issues or Alz. My father had early onset Alz and poop was an issue, but different than your fathers. I care for my husband who is bedridden. Though we do exercises in the bed he still does not get enough activity as a upright person would. Therefore, we keep track of his bm's on a board. Time and Date. That way we both know when he should be due for his next bm and I increase his fiber/vegetable if needed. Your father at age 90 probably does not move enough to make it happen every day. In the past I used Miralax for my husband but then realized if he ate enough fiber/vegis, drank enough fluids we did not need the Miralax.
I believe the average bm is 3 times a day to once every 3 days. So maybe your father will understand that his bm is normal if he falls within this range. Good luck!!
Your bowel movement is also a primal, natural, source of body control. "Losing" control of your bowels, psychologically, has an impact on the psyche. It can be very scary. Losing control, either way translates to losing control over anything, so they are not only losing control over their bowels, they have lost control of their lives in some manner. They'll want to hang on in any way they can. All the other answers are helpful. However, it is not necessary to have three bowel movements a day. The best to you and yours.
Everyone is giving you advice related to constipation, I don't know if that is at the root of your question but many people with dementia seem to have toileting related obsessions and compulsions that go well beyond simply adding a laxative. To quote verywellhealth:
"If the obsessions and compulsions interfere with safety or are causing the person emotional distress, they should be addressed and reported to the physician. Sometimes, verbal reassurances or distractions are helpful to people. Other people benefit from treatment with SSRIs, a class of antidepressants with fewer side effects that seems to be beneficial and provide some relief from OCD. " https://www.verywellhealth.com/coping-with-obsessive-compulsive-behavior-97616
My mom is the same! Due to slow mobility and other stomach issues, she gets constipated. We get her Miralax (every AM) and probiotics (key!) prunes and green tea. It helps a lot! The elderly hyper-focus on things. DO NOT give laxatives everyday. They further cause the body to rely on them.
Puzzled…you say “DO NOT give laxatives everyday.” However, you also say you give your mom “Miralax (every AM)”. Miralax is a laxative (I’ve heard it contains an ingredient found in antifreeze?). So you give your mom a laxative every day but tell others not to?
Magnesium. And maybe give him some credit. Maybe he feels like he needs to go and can't...which I would call self-care rather than an obsession. When I don't get enough magnesium I "obsess" about my bowels as well. Truly healthy people should poop three times a day.
Others have already given lots of practical suggestions so I just want to try and encourage you as his caregiver. My father was almost 91 when he died and he too was totally obsessed the last couple of years. Try to accept knowing it seems to be something we all may do if we live long enough and there may be nothing you can do to totally distract him. Even if he is regular, he may begin focusing on the one for tomorrow. I am wondering if it is because by then many have had more than a few bouts of severe constipation and it is something most people do not want to face again. In fact, I am the one who becomes concerned (not obsessed) when my husband goes a couple of days without going because I have seen what constipation can do to him. Fortunately, he has not seemed concerned yet.
Give him a Bowl of Oatmeal and a banana . A Banana in the Morning everyday is the best solution. Also a high fiber cereal with blue berries or strawberries . You should Poop Once a day . Rice Milk or Bolton House Chai Tea milk In the produce section does the trick .
Did know they have prune juice. Sometime juice warm of up snd let him or her drink it start out small it’s healthy . Google it!!!! U can drink it cold or warm . Warm he may go faster.
It’s not an obsession if you do your research we do suppose to go daily but no one is eating enough fiber. Leave him alone and tell him it’s ok . Ur right I will just give u fruits, veggies, beans. Kiwi fruits are really good. U don’t need medications. Just natural God given plant base foods. Trust be he has lived long for nothing. He knows what he’s talking about. If he can’t eat it make smoothies. U have the internet look up how to make healthy veggie and fruity drinks and google read up and stay woke and hd must still bd able to go for walks is not move body in the body daily movement helps the waste come out. God Bless and listen to him.
I take Trazadone for sleep every night, and constipation is one side effect. I eat a dried prune with it most nights that works. If I miss one day of bowel movement, my waste becomes so dense that it clogs the toilet. So yes, it depends on each individual's system.
My 96 yo MIL is the same way. Used to give herself hemeroids (sp?) trying to poop every morning. Geez, just let nature take it's course, will ya? You do NOT need to poop every day and you certainly can't force it. I HATE talking about it so I'm always like lalalalala. She's in a SNF now and after X number of days they start a protocol of prunes, miralax, etc. until the big event happens. But X = 3 or 4, not 1.
I guess all you can do is change the subject and refuse to engage. Maybe say "that's OK, maybe later" and then tell him about the weather!
Its because our health system tells them that. Every time my Mom was in the hospital and it was only 3 or 4 days, they would start her on laxatives and keep pumping them in until she went. My Mom did not go everyday. When I had my colonoscopy, of course I was asked about my bowel movement. He was not happy and told me to start on a laxative. I stayed on it for a month and saw no difference.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
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Perhaps he’s trying to communicate the constipation meds are not liked by him or he needs them depending on situation.
So if he needs constipation meds give him a tea instead. It’s not as horrid tasting. Herbal “Smooth Move” teas are warm, soothing and work better then some anti constipation meds given before bedtime.
Perhaps my recommendation isn’t related but it remains true to make an experience less medical. And teas are less expensive then laxative meds.
for those saying what’s the harm… my mom ended up with a prolapsed rectum.. hours on the commode…the dr would tell her not to sit , she never listened…
She has been alternating between constipation and fecal incontinance, and I think she may be overcompensating for each, causing the swings. Her dr and I are trying to find a nice middle ground.
Just a comment on the suggestion to try taking vitamin C, my mother has a free style libre sensor and vitamin C can throw off the readings. If I remember right 500 mgs is the maximum you can take and that includes from all sources, not just supplements.
Check his meds. Nearly all of them have a 'constipation' side effect. Doctors will recommend a fiber product like miralax or even a stool softener like colace. Try that with him. Then there are the old fashioned remedies like hot lemon juice each morning, papaya (a great mover), hot prune juice. Me, I would try the naturals before doing the miralax. Or even the colace - a couple of those a day. Just pick something and try it each day for about a week or so to see how it works. Don't start mixing them or you'll be dealing with the very loose bowel and that creates constipation for several days because you cleaned the gut out so well.
Been there, done all that!!
Yeah, it's like, will the doctor get a stool sample for the lab to test for occult cancer? You end up so obsessed trying to poo poo that your constipated and lucky to pass rock hard pieces on your part!
Don't forget that many medications cause constipation as a side effect.
My grandmother had the same obsession. She used to dose us with milk of magnesia (which unlike most people I find delicious). Near the end of her life she came to live with us, overdosed on Tums and ended up sh*tting the bed. We were all too horrified to deal with the mess. But her daughter, my mother, who wasn't so fond of her, firmly got her to the bathroom, cleaned her up, changed the sheets. And soon had her moved to a nursing home where, so far as I know, she did not soil herself again. However, I doubt they allowed her access to self-medicate.
What if he COULD go poop every day? Would that solve the problem? Magnesium is associated with looser stool. Also high dose vitamin C that you can get from buffered powdered C will cause stool to be softer, looser, and easier to pass. I am 80. I am passing 2 or 3 well formed stool every day and really enjoying it.
As for the doses, start with 500 mg. of C and increase until the stool gets softer. With the magnesium, I guess you could do the same thing. I think powders are more effective than pills. I use a mineral supplement called Tri-Salts from Ecological formulas.
My grandmother had the same obsession. She used to dose us with milk of magnesia (which unlike most people I find delicious). Near the end of her life she came to live with us, overdosed on Tums and ended up shitting the bed. We were all too horrified to deal with the mess. But her daughter, my mother, who wasn't so fond of her, firmly got her to the bathroom, cleaned her up, changed the sheets. And soon had her moved to a nursing home where, so far as I know, she did not soil herself again. However, I doubt they allowed her access to self-medicate.
What if he COULD go poop every day? Would that solve the problem? Magnesium is associated with looser stool. Also high dose vitamin C that you can get from buffered powdered C will cause stool to be softer, looser, and easier to pass. I am 80. I am passing 2 or 3 well formed stool every day and really enjoying it.
As for the doses, start with 500 mg. of C and increase until the stool gets softer. With the magnesium, I guess you could do the same thing. I think powders are more effective than pills. I use a mineral supplement called Tri-Salts from Ecological formulas.
I believe the average bm is 3 times a day to once every 3 days. So maybe your father will understand that his bm is normal if he falls within this range. Good luck!!
"If the obsessions and compulsions interfere with safety or are causing the person emotional distress, they should be addressed and reported to the physician. Sometimes, verbal reassurances or distractions are helpful to people. Other people benefit from treatment with SSRIs, a class of antidepressants with fewer side effects that seems to be beneficial and provide some relief from OCD. "
https://www.verywellhealth.com/coping-with-obsessive-compulsive-behavior-97616
I guess all you can do is change the subject and refuse to engage. Maybe say "that's OK, maybe later" and then tell him about the weather!