How can you spot the signs of a possible urinary tract infection and make your loved one comfortable if they have one?

Urinary tract infections (UTIs) are not only unpleasant – they can be particularly serious for people living with dementia. A UTI is caused by bacteria entering the urinary tract. It can be hard to identify in a person with dementia as they may be unable to tell you they are in pain. However, if the person is going to the toilet to pee more frequently and has pain or burning sensations when using the toilet, these are common symptoms.

The person is also likely to be more confused than usual, might be agitated and even delirious. Always get the person to see their GP if their behaviour changes very suddenly.

There are practical steps you can take to reduce the risk of your loved one getting a UTI. Here’s some things you can do to help…

Keep the person well hydrated

Drinking plenty of fluids is one of the best defences against UTIs. Water helps flush bacteria out of the urinary system. Try to encourage your loved one to drink 6–8 glasses of water a day. If they find water boring, herbal teas or diluted squash can also help.

Encourage regular bathroom trips

Holding in urine can give bacteria time to grow. Prompting regular visits to the toilet can make a big difference. Also, remind or help with proper wiping from front to back after using the toilet, as this helps prevent bacteria from spreading.

Choose breathable clothing

Tight-fitting clothes or synthetic fabrics can trap moisture and create a breeding ground for bacteria. Opt for loose, breathable cotton underwear and comfortable trousers or skirts to help keep the area dry and comfortable.

Look into probiotics

Probiotics help support healthy bacteria in the gut and urinary tract, which can crowd out the harmful bacteria that cause infections. Yoghurts with live cultures or probiotic supplements can be a gentle, natural support.

Support daily hygiene

Good hygiene is essential, but harsh soaps can irritate sensitive skin. Help your loved one wash daily with mild, unscented soap, and gently pat the area dry afterwards.

Ask the GP about prevention options

If UTIs keep coming back, it’s worth speaking to a doctor. They might suggest a low-dose antibiotic or another form of preventative treatment tailored to your loved one’s needs. If you’re ever unsure, your GP or community nurse can help you decide what’s best. Always consult the person’s GP immediately if there is a sudden change in the person’s behaviour.