Mom (94) is physically a strong woman for her age. Almost overnight (within a month) she is now completely incontinent. Is this a new stage?

Mine is a little different started wetting the bed and pants a few yrs ago.My wife and I discussed it and to keep things dry went into diapers but can still change myself.She being upbeat makes me wonder.Good luck

Incontinence comes along with dementia/Alz at different times for all who suffer. My mother was dx with vascular dementia in 2016 and became incontinent shortly thereafter. Yet her dementia just became moderate about a year ago. According to 'the charts', incontinence comes in Stage 6 which is Severe Decline...........so go figure, right? Everyone is different. What normally happens is that a person will go along at a certain level for quite some time, then take a step down in decline; stay there for a time, then decline again. You are likely noticing a step down/decline that your mother has taken in her journey now.

Wishing you both the best with this dreadful condition.

Thank you. I believe they checked the UTI

Has she been checked for a UTI? I'd start there to discount this. UTIs are extremely common and frequent in elderly females. It can have a definitive test and be treated with antibiotics. If not a UTI, it may just be a change in her anatomy or internal musculature, or the nerves/brain signals that control continence.