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She is aware that it is not "real" when we tell her. It is strange how she can be seeing things, yet be so aware. She usually sees children or an elderly person. She tries to laugh it off but it bothers her. Anyone else dealing with this?

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We are dealing with this too. My mother is 80 and has mild vascular dementia. We have had little help from her doctors. The hallucinations came on suddenly and have lasted 2 months. Two ER trips and 3 doctor visits have not helped or distinctly tied this to the dementia. She is on no medication except xanax when she is very upset. We are waiting for an appointment with a new neurologist. The current neurologist thought maybe she had a sleep disorder and was in a persistent sleep state. But he didn't order any tests or sleep studies. She cannot stay at home now because of the hallucinations or sleep walking, and often does not know my father. Otherwise her memory and function is good. We feel very let down by our medical community.
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Inthe hatch, how is your mom doing? I hope better!

My dad who has diabetic retinopathy and declared legally blind is starting to hallucinate I think. Doesn't sleep well, someone calls out his name to wake him up, sometimes they have a pig snout on. Strange and sad...goes to really bother him yet but really confuses him.
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Actually she does have cataracts. I had researched this syndrome and questioned the eye doctor, but he brushed it off. We are getting the cataracts removed however. Thanks!
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My aunt did not have dementia but she suddenly started seeing children that weren't there. Turns out she had a UTI. Elders don't have the usual symptoms for that, but they do have disturbed behavior. It is always worth checking out if these kinds of symptoms suddenly appear.

Hallucinations are common in some kinds of dementia. If you can comfort her and ensure her that she is safe no other treatment may be needed.
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It is important to recognize fatigue. My MIL went to a noisy toddler birthday party and after an hour of that she was put to bed. If you don't pick up on that, you are asking for outbursts, poopy pants, and hallucinations. Be alert, be ready to leave the festivities early.
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Does your mom have any vision problems like macular degeneration? If so Charles Bonnet syndrome could explain the visual hallucinations.
Either way you will just have to try your best to be supportive and help to make sure she gets adequate sleep.
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