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No medical issues. No UTI. Prostate okay. Water bill is twice normal. Uses excessive toilet paper! Any suggestions about what to do?

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All good answers here. . Prostate problems, urinary tract infections, etc. absolutely need to be ruled out first. Then proceed with getting him briefs that also guard against leaks.
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Reply to Hrmgrandcna
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With dementia at play, he gets to stop calling the shots now if he'd like to continue living at home. He wears incontinence briefs or incontinence underwear 24/7 now, and is accompanied to the toilet each time he goes. Put a small amount of tp in there just in case he sneaks past you.

Dementia causes OCD like repetitive behaviors and this is one of them. My mother was also fixated with the toilet, but lived in Memory Care so it was "her girls" problem to deal with. In Memory Care, residents are toileted every 2 hours, so that does cut down on visits to the bathroom. Calming medication can also help.

If DH won't comply with rules at home, he can go to Memory Care. "Won't wear Depends" changes today, dear.

Best of luck to you.
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Reply to lealonnie1
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My husband was doing this when he was in the hospital for a stroke, that is, before he was totally incapacitated. I learned it was just the first in a long pattern of repetitive behaviors which started as a result of his cognitive loss/dementia which set in.

I don't think there is anything you can or need to do about it. He feels this compulsive habit and you obviously can't convince him to change the habit or wear incontinence products. Having him cleared for any medical issues, UTI, and prostate is great! You have done all you can for now.

It's unfortunate that you are buying extra toilet paper and paying a larger water bill. If you are able to convince him that he does not need to flush the toilet every time, and limit the amount of toilet paper available to him in the bathroom, that could help ease your extra financial burden, but I don't think he will be able to stop these compulsive habits.

This too will pass. Eventually, he will be unable to control his bladder and will need to agree to use incontinence products. Assure him that there is nothing wrong with wearing absorbent briefs. He probably already has trouble controlling his bladder, which is why he is going to the toilet so often. Once he is comfortable using incontinence briefs, he will find a new compulsive repetitive habit, and you will be facing a whole new set of problems. Managing incontinence, buying adult diapers, which will cost as much as you are now paying for extra water usage and toilet paper. Covering the bed and furniture with absorbent pads, disposing soiled diapers, more soiled laundry, and cleaning more in general.
When this becomes more than you can manage effectively, it is time to consider moving him to a care home.
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Reply to CaringWifeAZ
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Buy him the men's underwear that include leak protection. Before my Dad accepted his issues I bought them for him and he liked them. Also get him checked too. (It protects and leaves them feeling like a man)
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Reply to MonicaG54
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Get him to a urologist. Medical issues with bladder and kidneys can arise quickly. He needs to be checked out to make sure it's not a physical issue, such as interstitial cystitis, which his symptoms could indicate. There's medicine for that and treatments that work as well.

If it's not a physical issue, and if he has cognitive decline, he could be stuck on an obsessive loop. In that case, anti-anxiety meds might help. Talk to his PCP about that.

Also, if he does have dementia, be aware that this could be the beginning of his urinating inappropriately all over the place. On purpose. That's a symptom that is very hard to live with, and it's when many spouses give up trying to keep their loved one at home.

I wish you the best of luck in dealing with this difficult problem. Been there and done that! Not fun.
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Reply to Fawnby
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You throw out all his cloth undies and replace them with only the disposables. You may need to lock the bathroom door from the outside, or you may need to purchase "adaptive clothing" called anti-strip jumpsuits for people with dementia which can be found online.

Or, you can turn off the water at the toilet and then only turn it on when you want to flush it.
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Reply to Geaton777
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Prostate problems will give them the urge but not be able to go. This can be serious. With my DH it was an enlarged prostate. Need to talk to his doctor.
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Reply to JoAnn29
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