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This may not be the problem, but it is easy enough to try it to see if it helps.
Wishing you peace in this journey.
It's very difficult with cognitive impairment but she may eventually settle down with Depends on and focus her anxiety on something else.
During my mother’s last years, she would go to the bathroom and turn around and have to go again. She had no control over her bladder.
Trying to make a bathroom schedule work was impossible. It only caused stress for her and for me.
Mom and I both decided that wearing depends all the time was the best solution.
If this person is female, get a medical appointment to check for urinary tract infection.
You have to ignore the constant, 'I have to go to the bathroom'.
No one can play the toilet game all day and night long. Enough is enough. Make sure there's no UTI's going on. Also check the person out to make sure there's no redness, rashes, fungal infections, and skin breakdown on their backsides and genitalia. This will also make a person with dementia keep asking for the bathroom.
Always make sure they're clean. Clean as in no crap left behind in the behind. This can cause itching and irritation.
Asking the doctor for some anti-anxiety medication won't hurt either.
Say "ok and move on to something else."
Often the repetitive requests or 'communications / conversations' require a person to leave or stop engaging or responding. Hold their hand, give them a hand massage or neck massage. Bring a magazine. Divert their attention.
You cannot 'listen' to this 24/7.
You must take breaks.
Find out if any meditation could help.
Gena / Touch Matters
Part of this is mental with toilet training being something that "sticks with us" in early stages of dementia, and there is fear of loss of control.
But there are also physical problems of bladders holding less before they begin to trigger the need to void, and with incomplete empty.
This urge can also happen in urinary tract infections. Keep dip sticks for urine testing, available on Amazon, and check urine frequently for any sign of nitrites or leukocytes, and take specimen in for Culture and Sensitivity testing to rule out signs of infection. See MD for this complain and get input, also.
UTI? Or constipation?