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Please watch all the Teepa Snow Videos you can, and read all you can about dementia, so you understand that yes, delusions and paranoia and wrong "ideas" are all a part of it. My best out to you. Join a Facebook group if you are so inclined; there are many supportive groups dealing with issues of dementia. Also consider going online at Alz.org for informational support.
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Paranoia is a feature of dementia. Or, it could be a delusion. Only certain types of dementia include hallucinations (like Lewy Body dementia). A delusion is an untrue persistent thought someone has and a hallucination is when someone thinks they've actually seen something, so a subtle difference.

If this is suddenly odd behavior for her, please consider taking her to Urgent Care or the ER (or call 911 if she won't cooperate). Tell the EMTs only that you suspect she has a UTI due to her behavioral changes and needs to be taken there and doesn't want to go. If you tell them you think she has dementia, they will probably not do anything, since there's nothing that they can do about it (you can't cure dementia and it's not a life-threatening emergency) and that diagnosis requires more testing. A UTI can be life-threatening since it can result in sepsis.
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Or a urinary tract infection (UTI) can cause one to hallucinate or have dementia like symptoms.
‘Remember that if it is real to her she won’t be convinced otherwise. Watch for other symptoms. If this is sudden or unusual for her it would be good to have her checked for a UTI as this type infection can be toxic.
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Yes. Hallucinations and paranoia and delusions are quite common.
Do consider educating yourself as much as you are able.
Teepa Snow's videos are a good place to start.
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Making up stories can be common depending upon the type of dementia
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Can be mental illness as well.
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My husband, who has dementia, suddenly started having hallucinations. His specialist suspected a UTI and prescribed antibiotics which eliminated the hallucinations.
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Take her to her Primary care doctor and share your concerns and go to the appointment with her .
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Jesuzuniga: Unfortunately paranoia is a part of dementia.
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Yes my Dad thought the neighbor was stealing everything and would Blame him . His phone went Missing - It was in the freezer , His college ring went Missing , it was under the sink , His Laptop went Missing - that was in between Magazines . His charger would go Missing , His keys . Then the neighbor Moved out .
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