Toileting … wee wee

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Hi everyone 

my husband was diagnosed last august Glioblastoma G4. We have had all the emotional distress, the what where’s why’s etc, 
He had 3 weeks radiotherapy and oral trial drugs.in November and I must say he felt well directly after the treatment but 3 months on he’s showing more signs of left sided weakness in his left arm & leg.

oncology Dr increased his dex to 8 mg daily yesterday 

The toileting … wee wee is unbelievable, he and me as his carer are both exhausted by the amount of times he needs to go in a 24 hr day. It’s almost every 15-20mins. he wears pads to help soak up some spillage and to be honest apart from the leg & arm weakness we can really go out because of the toileting.

Can Someone give any advise here ? 
thanks  in advance 

  • Hi there, welcome to the group. So this is a coincidence because just yesterday we talked to my wife's oncologist about this. She has to go at least every hour and before we go out need to make sure she's been and that there are toilets. We got caught short last week on a coast path walk which was interesting....

    The oncologist said it's not uncommon with brain tumours and also happens with other conditions that cause brain injury like stroke.

    He said the GP may prescribe a drug called duloxeteine which is also an antidepressant. 

    I'll post back here once we've spoken to the GP tomorrow and let you know how we get on.

    Take care,

    Chris 

    Community Champion Badge

  • Thank you Chris for your advise.

    i will speak to GP and also await your update.

    It can be so debilitating for the patient and the carers to have to keep going, and the biggest issue is when needing to go out.

    My husband worries of an accident or not being able to get to a disabled facility and the pressure it puts on me to try care for his toilet needs.

    keep me posted 

    kind regards

  • HI Icare4you

    a warm welcome to the group. So sorry to hear about all you and your husband are going through.

    I'm supporting my husband through his GBM4 journey. He was first diagnosed in Sept 2020 and I know that incontinence is something he worries about. We've not reached that stage but I can empathise with the whole situation.

    I assume that someone has checked that your husband doesn't have an infection that contributing to this?

    Stress/anxiety may also be a contributing factor. I have IBS and if I get stressed or anxious I could wee for Scotland! It ends up a vicious circle that needs to be broken...easier said than done.

    I'd raise your concerns with your husband's medical team and see if there is something they can prescribe to assist here. 

    You can also reach out to Ask an Expert via the online community or you can reach out through the help line. The number is below.

    These GBM4 tumours really are the gift that just keeps giving. Please make sure you are taking time to care for yourself here too. This is an exhausting journey for you too so please make sure you're keeping your own wee batteries charged.

    Sending you love and light and hugs. Stay strong.

    love n hugs

    Wee Me xx

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Just an update on this. We spoke with the GP but they want to review new blood tests (oh joy!) and a urine sample (shouldn't be difficult Grinning). They also want my wife to see another GP who has a specialism in neurology. The GP did say that if she ever needs to go but can't repeatedly that could be very serious and to seek emergency treatment. 

    In the meantime if you haven't already it's worth trying different incontinence products. We tried several types of pads but she finds the Tena ones much more comfortable (I'm not on commission). She also uses metanium which we used to give the kids for nappy rash and I never thought I'd be buying again. This whole aspect is just so cruel, like having terminal cancer isn't bad enough.

    I'll post back when we get to see the other GP in 10 days.

    Community Champion Badge

  • Thank you Branoc.

    we are using pads by the bag load as there’s so much spillage before and after trying to pass wee.

    my husband has lost the use of his left side now and mobility to the bathroom is not an option for us.
    He wants to continue to wee standing up but he’s at risk of falling as he’s got difficulty standing he now got poor balance. So …. We try to pass most of it into a bottle with him standing up and the inevitable spillage or after drips go into the pads. Although sometimes we don’t make the bottle and it’s game over , start all over again.

    Your right it’s bad enough seeing our loved ones fighting this dreadful debilitating disease with out all the other obstacles thrown at us.

    i think I’ll stick to the current pads we are using (not tenna ladies) as they are provided for us.

    My husband had an assessment carried out by the incontinence clinic and was supported by our district nurse, we get the pads delivered to him every month now. At least it reduces the laundry a little.
    hope your wife gets some help also. 

    Btw , The district nurse is calling today to advise on a catheter as we are both so tired with the wee wee demands. 
    Keep posting & thanks Blush 

  • Hey Icare4you,

    He shouldn't be trying to pee into a bottle - most men can't do that reliably at the best of times!  Can you get a commode from OT? 

    Failing that it is catheter.  My wife lasted two days on incontinence pads before we had to give up.  It felt like a big step towards medicalising her (hence I put it off for two days) and mother-in-law was not happy (she always found each transition hard).  But then one night I had to wash the bed and bedding three times, including stripping it by myself and I realised I couldn't keep doing that.  Evidently your husband has more mobility than Fi did at that point - but nevertheless you reach a point where you just have to do it.

    Tough times.  But it sounds like you are keeping your wits about you.

    Big hugs...

    Pete

  • Hi Pete 

    thank you for your experiences.

    since writing my initial message things have gone down quite a lot for my husband.he now has to take all his care from the hospital bed which has been provided.

    he can no longer stand or maintain balance as he is falling to the left side even trying to sit.

    OT brought commode but transfering from bed - to commode for one carer me) is certainly not possible and such a risk for us both.

    Over the weekend DN tried to situ a catheter unsuccessfully and has caused a lot of discomfort and bleeding for him. i am using pads now and he is receiving community assistance with carers to keep him clean and ensuring pressure monitoring with slide sheets morning and evening but will be Increasing asap when the CHC assessment is done, which i hope will be soon.

    My goodness it’s so difficult seeing him in a hospital bed 24/7.

    I'm feeding him and giving all meds from the bed now.

    it’s so heartbreaking. 
    where has my man gone. Heart

    Keeping positive - T️

  • Hey...

    I'm so sorry to hear that.  I totally recognise the season you are in - it's amazing how quickly things can move.  We had pretty good success with the catheter - so I'm sorry that is proving troublesome.  I wonder whether it is harder to catheterise a man because of longer pipes.  CHC assessment should be very quick - pres for it if you need to.  Hopefully you have / will get carers in four times a day - you need to protect your back.  I was very resilient to carers coming in more than absolutely necessary and nearly broke myself.  Fortunately the professionals eventually learned how to deal with me and more or less told me what I needed and then arranged it before i could protest.

    It's ****ing brutal seeing your spouse in bed and having to hold them up straight and give them their meals and drinks.  The memories of that are one of the things that still make me angry and upset even now.  All I can say to encourage you, is that knowing that I did everything I could for Fi while she was alive is one of the things that really helped me to cope once she was no longer here.  It never feels like we can do enough - but we do all we can - but it never feels like enough.

    From your tone, it sounds like you are doing magnificently - but I'm sure that you are feeling pretty fragile.  I hope you have good people around you.  Take all the help you are offered.  My experience if that people really want to help.

    Virtual hugs... it's all I've got.

    Pete

  • It sounds like this might not be so useful to you now but I promised I'd post back here once we'd spoken to the GP about my wife's need to pee every 30 minutes. The GP has prescribed a drug called mirabegron which helps relax the bladder allowing it to fill more before the need to pee. For anyone else who might be reading this it's worth saying that this is for urge incontinence (needing to go a lot) as opposed to stress incontinence which is where you spring a leak when sneezing, laughing etc..

    My wife only started taking it today so I'll post back here again in a week to let you know whether it's effective.

    Take care all,

    Chris

    Community Champion Badge

  • This sounds so familiar, my brother succumbed to gbm last July aged 51 after a 14 month battle. He too lost mobility and was bed bound, we used the commode to little avail , constantly changing the sheets due to accidents and the pads didn’t really help , so for his dignity and comfort we opted for a catheter to which my brother agreed , he was on a catheter for about the last three weeks of life, but it did help , and made him so much more comfortable and relaxed. This gbm is an evil cruel disease that strikes and takes our loved ones. The decline in my brother was So rapid and difficult to watch. We cared for him at home as he didn’t want to go to a hospice, it was hard but also rewarding and we got ten weeks on palliative end of life care to talk, laugh, smile and make plans- albeit very difficult ones but he planned his whole funeral.

    my brother was on highest dose of steroids they do help but once they reduce them the

    decline is rapid. 
    stay strong