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We use Depends extra absorbent “heavy” pull ups for Dad. At night, he seldom wakes up to use the urinal at bedside.
Why do all the adult diapers leak? Baby diapers don’t leak. Is there an item that I just haven’t found yet? We’re desperate!

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There is a catalog called Gold Violin. My mother found some EXCELLENT diaper products for my father.
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i just switched to the tranquility smartcore diapers though the VA and have not had any issues
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I agree with the tranquility brand. Mom leaked thru depends and even Tena diapers, but not these. I will say that they run very small to size. She weighs 110 and I can barely get them up her. They do rip easily on the seams to get them off. I bought them on Amazon, worth not having to wash all the bedding when she would move the pads and leak thru.
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Hello: I had the same problems with my Mom, 90, she is urinary incontinent and now fecal. A few years ago I started putting two pull ups, plus a big pad on her. It works well, especially when we were out, and she wet pad and pull up, I ripped off wet ones and she had on back up! I added a pad to pull-up, “pullies”, and just pulled up her pants. Easy for both of us. The last few months she has prolapsed rectum problem with weak splincher muscle. Not life threatening. Now I put on three pullies and an extra large pad and works most of the time. I buy men’s extra large pull-ups, diapers, urine pads, at mostly Walmart, as they are cheaper. I buy any brand at stores with sales. I also frequent GoodWill for adult diapers, pull ups in all sizes. I modify small into pads.
I buy “pet” XX LARGE pee pads, cheaper, big, infused with odor control. I care for both parents.
So Dad wears smaller pull ups!
My Mom saw a Colo-Rectal Surgeon last week and will have a colonoscopy next week to determine treatments. My Mom is five years colon cancer free. I hope my post helped.
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I would use Amazon to purchase Abena adult pull-up diapers. They were a little more expensive than some, but really helped a lot with my dad. The ones you can find in retail stores don't see to do it. We did use pads in the bed (I ordered those from Amazon too) and my mom would put a shower curtain liner underneath the sheets as well.
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GaryWear diaper covers are the so-called "rubber pants" I mentioned above. (They are not rubber.) They make the difference between going out in public, or staying at home with fear of wet pants from leaking.

Do a search for them or for incontinence products. NorthShoreCare.com also has other less expensive diaper covers. Good luck searching and trying.
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We use washable panties by Wearever and a pad on her bed for my mother. They have help cut down on her soiling the bed and rugs. They can be resused. Here is the Web site wearever.com. Hope this works for you.
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Try a specialty store for the elderly.
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I had the same problem with my parents. I finally found a diaper that did not leak and could stay on for up to six hours. I use to wake up in the middle of the night to change both of them until I found North Shore Hospital supplies. They are great. they hold a ton of water and poop. I have been using them for at least a year now. They are expensive but to me they are well worth it. I tried so many kinds none worked but these do. the only time they had a leak was when they had really watery stool from some medicine and that was only one time. I think if you could afford them its well worth it.I also tried the insert pads and it didn't work for them either. go onto north shore hospital supplies and look up the size you need . they will send you some samples before you buy. cant hurt to try them.............good luck...
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I have tried every adult diaper for mom. I find that Tranquility Overnight brand works the best. Sometimes still leaks but less than others. More importantly, I found an overpant called GaryWear Active Briefs that are waterproof that I put OVER the adult diaper (at night or if we go out). Haven't had a leak since using those. Hope this helps. I understand your desperation.
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Yes, the ones made in Germany do not leak. I would special order them from our Medical Supply Store in San Diego.
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After several years of this and ruined mattress I found that the overnight tabbed work the best. I use HDIS Reassure products. But the absolute MUST is to be sure the penis is pushed down between the legs as far as it will go so the flow goes into the diaper.
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My babies had cloth diapers and rubber pants. I have had to add the "rubber pants" to whatever super absorbant diaper used, with or without booster pad. Expensive? Yes, but washable, reusable, and they work.
My own choice is northshorecare.com
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I have found that for nighttime Tranquility pull-ups with a booster pad and then Sani-pants work.
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The only one that doesn't leak is EXPENSIVE, but worth it for night. Abena Abri-flex M3 (M3 is the size-my DH is 185 lb). 100 oz capacity! Also, you can also use a booster pad (not a liner) in his Depends, but the leg openings aren't as good as Abena. Also, make sure the penis is directed down, not up or to the side.
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I have not had any issues with my mom leaking. Probably because we have to force her to drink. She has it in her head if she drinks too much she will have get up in the night, or pee her pant. When we do manage to get her to drink I do notice her diapers are wet, but she has never leaked. When she had uncontrollable diarrhea that is another issue. Any one have any suggestions there? I have not found an adult underwear to contain that. I have found Walmart brand which is much less expensive to contain urine as well as depends and always brands.
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My neighbor's DH is mostly paralyzed and she uses a "condom catheter" along with the depends at night. Also, I'm pretty sure he sleeps on a mat.
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Might want to check in with the HDIS company (home delivered incontinence supplies) they have a huge variety and know their stuff....probably can send some samples.
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Tranquility overnight premium undergarments. From North shore distribution. They are the best. They give closest cups under pressure to 8 fluid ounces. There are different styles. Mom is in pull up kind she is urinary incontinent. Day we go through 4 to 5 depends with proper tolieting. I don't use booster pads cause with mom's dementia she'll sling them around. She's even tried to wear a depend as a hat! Hahaha 😄! We actually did a adult diapers trial to find out which leaked least. We still do a double protection pad and mattress guard at night. Mom sleeps from 10pm till about 6am. Lastly they are expensive. 20 for 18 on Amazon. I buy almost all of these products myself, sometimes I get donations from her daycare or a Costco card for depends. But it's worth it to me because I was so tired of wet bedding daily.
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Srgsmg25, I am going to check on the diaper doublers! Right now I buy small briefs (generics brand) and turn them inside out, and place in front of husband’s diaper. It can be removed and replaced without having to do a complete change. It works better than anything else I tried and the aides at the MC seem to approve.
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The inserts are often called booster pads, you might not find them in stores but you can order them online from incontinence product suppliers. (unlike regular pads they are designed to flow through)
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My dad is in a brief from midnight to 8 am. I have found the brief with an insert is best. Night time doublers absorb an additional 21 0z. Less leakage. Don't use a daytime pad use the doubler. Once the fluid is absorbed in the doubler it continues down into the brief. He is on his back for the night. Hope it helps.
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In most places double diapering is not permitted.

There are liners that will sometimes work.
What I found with my Husband is...
He would, what I call, "re adjust" himself. (Boys and their toys they always want to play)
I also found that once he way laying down much of the urine would leak out between the folds of the skin between the belly and the leg so it would not be absorbed by the padding in the front and back of the brief. Did not matter if it was a tab brief or a pull up type.
I did find on the Costco website a product that worked great. Bed liners, and the company makes more incontinent products. the company is Conni it is an Australian company. The bed pads are LARGE, washable and they hold about 70 ounces or fluid.

Also the problem with leaking is often due to the amount of fluid. and how well the bladder is emptied routinely. If the bladder is not fully emptied much urine remains (also good source for UTI's but that is another subject). I found that changing position helps to empty the bladder more fully. If you can recline the person for a while a few times a day this helps get things going and helps the kidneys function better. (This was a hint I got from our Hospice CNA) It worked and he had wetter briefs more often and slightly less leaks. But it did not prevent all leaks.
If you think about it you should be changing a person about every 2 hours. We don't do that at night so more urine does accumulate.

One option that might work..if he does not "fiddle" with himself. There are external catheters sometimes called condom catheters that work well IF they are left alone.
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First babies are not urinating as much as an adult nor weigh the same. If your dad is taking any lasik (water pills) this contributes. Second, limit his fluid intake say after 6 pm. Put a nice bowl of hard candy for him to suck on to keep his mouth moist. If he has CHF he will be constantly thirsty and this needs to be addressed but creatively not liquids. Ice cream pops and hard candy, etc. For my mom, we use an extra large Kotex at night in her depends. Second, you need washable chucks and disposable chucks to keep bedding dry. We don't dress her from the bottom down at night so it's less wetness on her. It has to be addressed so as not to get bed sores. Urine eats flesh. Also, we have an alarm on her cell phone set every hour so she has to check herself to see if she is wet. This really helps as busy hands can lose track of time. Good luck.
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We use FitRight briefs with a pad insert.
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After trying other brands, finally found the holy grail of adult diapers: Abena flex M3.

The next thing though is that they gotta find a way to make odor free diapers.
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better suggestions look at diaper doublers or inserts like this northshorecare.com/diapers/boosters1/booster-pads-northshore
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OK, I don't know why this come up constantly because double diapering DOES NOT work. If you think about it, the pads, pullups and brief all have a moisture proof backing so nothing can get through to the second layer except by overflowing around the edges, and that generally means down the legs. Plus it isn't cost effective, you would be better off to pay for one more expensive brief than two cheaper ones.
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My mom is in a ALF and they put two diapers on her. When one gets soiled, they it tear on the side and remove the soil one, then they put pad in until that one is soiled. Two diapers may do it or extra pad. Of course, she has to be cleaned in between changes.
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Last week another caregiver asked the same question. I printed the answers (and have lost them!), but there is a cover that goes over the adult diaper. This cg used a depends + a pad + the cover. I'll look and see what I can find from last week and share it.

OK - I found it! Follow this link to some great suggestions: https://www.agingcare.com/questions/ncontinence-is-showing-more-for-my-father-over-night-433257.htm
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