Main Line: 305-644-2100
Fax: 305-644-2910
Email: info@mdthomehealth.com

UTIs and Dementia in Seniors

Urinary tract infections (UTIs) in seniors can become a complex issue. It is important for family caregivers to know the signs of UTI in the elderly. UTIs can cause serious side effects like delirium and possibly lead to kidney infections and sepsis.

The elderly experience different symptoms of UTI compared to middle aged adults or even younger people, and the symptoms can be much worse. Older adults, particularly those with dementia, may not realize they have an issue and often are unable to communicate their symptoms to their caregivers.

When seniors contract a UTI, they sometimes experience a sudden and unexplained change in behavior, such as confusion, agitation, or withdrawal.

Certain UTI symptoms are easier to recognize in seniors than others. Following are a few indicators that can accompany UTI in the elderly:
• Behavioral changes
• Confused or delirium-like state
• Falling
• Hallucinations

Some UTI symptoms may be present but are ignored by elderly individuals.
• Fever
• Cloudy or bloody urine
• Pain with urination
• Strong-smelling urine

There are a few simple steps to help avoid contracting a UTI, such as drinking plenty of water, emptying the bladder frequently, and encouraging urinary hygiene. 

Are Cranberry Pills Good For You?

Cranberries are small, tart, bright red berries that are a popular treat, as well as a holiday staple. They are packed with antioxidants and provide many health benefits. Cranberry juice has a reputation for preventing Urinary Tract Infections (UTIs), though research is inconsistent. Is there a benefit to taking cranberry pills?

What are cranberry pills? They are a small tablet or capsule made from dried, powered cranberries and may contain additional ingredients such as vitamin C or probiotics. One benefit of taking cranberry pills is that they may help prevent UTIs, however there have been conflicting research.

A study published in the Journal of the American Medical Association in November 2016, looked at 185 older women living in a nursing home. The group of women taking cranberry supplements saw a decrease in the number of bacteria in their urine in the first six months. The study did not show a decrease in UTI frequency in the first year.

According to Pennington Biomedical Research Center, cranberry pill health benefits include:
• May help with chronic disease
• May help treat stomach ailments
• High level of antioxidants

While cranberry pills are thought to be safe, there are a few mild side effects such as: 
• Stomach pain
• Potential to cause kidney stones (if you are susceptible to them)
• May increase affects of blood thinning with some medications

If you think you may have a UTI, contact your general practitioner.

Sources:

Juthani-Mehta M, Van Ness PH, Bianco L, et al. Effect of Cranberry Capsules on Bacteriuria Plus Pyuria Among Older Women in Nursing Homes: A Randomized Clinical Trial. JAMA. 2016;316(18):1879–1887.

Roy, Heli J. “Cranberries.” Pennington Nutrition Series. Pennington Biomedical Research Center LSU. 41(2014)