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Dad lives in assisted living with moderate dementia. If I take him out for lunch and errands he tells me that he has to pee. We can be gone 3-4 hours and he will go to the bathroom about once an hour. I do not follow him into the bathroom to hear if he actually pees or not. He does not complain of any UTI symptoms. He is 86 and I do not think he drinks a lot of fluids unless prompted.

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Uti, or pressure on the bladder by prostate?
In the elderly, UTI does not have the same symptoms such as fever anymore. However, frequent urination is a symptom of UTI.
Have him seen, and fast. Don't let this go.
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Here's an aging care article:
www.agingcare.com/articles/What-Men-Need-to-Know-About-Bladder-Control-133145.htm
My first thought was about prostate issues?
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Frequent urination is a UTI symptom. Don't ignore it.
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The poor guy is probably afraid on having an accident while out in public. Let him go as often as he feels necessary - for his own peace of mind and sense of dignity.
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