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He needed help sitting up to get out of bed this morning, while urinating on himself. I got him to the bathroom and he had a bowel movement and cleaned himself with toilet tissue. When he tried to stand, he fell and called for me to help him up. I tried many times and had no success. He then reached in the toilet and started pulling his feces and tissue from the toilet and placing it on the floor. I am ashamed to say I gagged until I could heave no more. I put on some rubber gloves and continued trying to get him off the floor. He was covered in feces and I finally had to call the fire department to help me. They got him standing and left and I proceeded to clean him up, removing his clothes and putting him in clean underwear and tee shirt as he went back to bed. This us the first time I experienced such an episode. I asked him why he would pull his feces out if the toilet and all he could say was that he needed to. I intend to phone the doctor tomorrow to see if I can get this figured out. He sleeps about 18-20 hours a day and I know this is not normal.
Does this scenario sound familiar to anyone? Does anyone have any suggestions. About an hour ago he needed help getting up and out if bed while urinating himself. I'm at a loss and have no idea what to do. I lost both of my parents when they were in their 50's and have never experienced this bizarre behavior before.

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Thank you all. I am seeking advice from his primary and neurologist.
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With this kind of change in behavior it is essential to transport the loved one immediately to the ER. Without back history there is no way to give competent advice.
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Agree with the posters above that he needs an evaluation from a neurologist. He may have had a TIA. Does he have high blood pressure?
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Did the EMTS check him out as to BP and vitals while they were there?

My husband is 63. If this had happened to us, I would have insisted on transport to ER,

This is a sudden change in his mental status, yes? Please call his doctor now and take whatever advise s/he gives.
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I'm wondering if he was having a partial seizure during this whole episode. You should be contacting his neurologist and pushing to get to the bottom of this, 66 years old is much too young to have docs shrugging their shoulders and writing him off.
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I'd look for medical advice in order to get a diagnosis. He could have a UTI, stroke, dementia, or any number of problems. You can start with his Primary and ask if a Neurologist is required.

I know people who have similar behavior with their toileting, but, they have dementia. Of course, it could be something else with your husband. Apparently, something is going on with his reasoning and cognition.
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97yroldmom This is not usual behavior, in fact, totally out of character. He has not been diagnosed with Alzheimers or Dementia. He is acting normally now but has no memory of the incident.
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There has been no diagnosis as this is a new behavior. He is 66 years old, has suffered 4 seizures this last 12 months, but when he suffers a seizure, he loses two to three days. There has been no cause for his seizures except that his past motorcycle accident as a teenager.
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Is the part that's unusual the incontinence and the confusion about where the feces belongs?  Do you have someone to pick up some men's pull ups for you? Give us more information so we can help you sort this out. Good you knew to call the fire department. Have you had to do that before? 
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Does he have dementia? He may have had a stroke is my best guess. Sudden behavioral changes warrant a visit to the ER. Call the doctor now, what does the on call doctor tell you to do? If that does not satisfy you take him to the ER, a hospital that has a well reputed stroke unit.
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Could you tell us a bit more about your husband and what his diagnosis is?
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