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My suggestion is to consider getting ready to put both folks into assisted living where they can be around more people and get the care they need. It sounds like you're doing a great job with your mom, but if they were both in assisted living, he could get some "attention" too and maybe that would lessen his apparent need for attention. He could go to activities and have more opportunities for socialization.
The thing is, they're both young in terms of senior care. My mom lived to 97 and my dad 92. So your mom and step-dad could be around another 20 years. I'd get them set up sooner rather than later with more care because their situations will only deteriorate. That's probably not what you want to hear but you and your husband have a right to live your own life without sacrificing your own happiness and/or health for your mom and her husband. They both sound like they need a lot of care.
What kind of doc has FIL been seeing? I think I would want him seen by a GI doc to explore the explosive diarrhea, the feeling of fullness and nausea. He could have gall bladder or liver issues, the latter springs to mind especially due to his drinking. Has he had a complete blood panel recently, with liver enzymes in particular being examined?
It sounds like a visit to a psychiatrist might also be in order if the GI exam shows no findings. It sounds as though there may be some cognitive decline, depression and/or long standing personality disorder in play. Meds might help. So might giving a name to what is going on with him mentally; it will help YOU cope better and understand when and how to set boundaries.
Looking back, it was really, really dysfunctional and I did not have a "good" marriage to base my own on. Also, I was called in to be the surrogate mom waaaaay too many times to younger sibs. Very confusing to all concerned.
If Mother had applied the psychiatric care she was forced into even ONE of the times she was admitted for psych reasons, I think it would have been an amazing change and for the good. Never once admitted she was wrong or even mentally unstable. (everyone knew she was!) She's 88 now and still faking multiple illnesses to get attention. (sigh)
Acknowledge that your stepdad is probably jealous....I'm having a hard time wrapping my brain around someone younger than my hubby acting out like this. What happened to your mom is so sad, and you are wonderful to step up--but it sounds like the care of mom is causing dad to act out--the suggestion to move both of them to ALF would make a lot of sense. Maybe dad would have more to do--and mom would get consistent care, and you'd be fresher and more able to help when you can.
It's a LOT to ask teens to step in and do this kind of care.
Next time dad messes the bathroom, hand him the cleaning supplies and wish him good luck.
If you are not going with him to the doctor, for all you know, doc has told him he is in liver failure, has cirrhosis or something serious like that. How would you know?
He is acting out the only way he knows how.
It sounds as though there is also some dementia possibly due to his drinking problem which may have also called liver problems which can also lead to mental issues
The doctor was right about not doing things for him that he can do for himself. My line with my father was "the more I help him the more helpless he gets". That is a hard thing to explain to others who think you are doing enough for the elder. But in your case your step father in law is not elderly. Is he of sound mind? Can you have a discussion with him and let him know that you know what he is doing and it will not work.
Hospital admission - for what?
Multiple meds - for what?
Increasing number of falls - caused by what?
Nausea on eating; constipation interspersed with explosive bowel movements; increasing frequency of bathroom accidents.
Alcoholic.
Smoker.
When you say the doctors "don't really" find much wrong with him other than constipation...
What has been investigated?
What support is the family getting with your mother's care?