It sounds like you need to end the arrangement. My children are 6 and 4 and become wild when a grandparent arrives. It can be very annoying that a moment before we were doing something normal and structured.
If they are visiting then we just let them get it out of their system.
If they are babysitting the tone changes as they are the adults in charge.
If you are the only adult in charge then you should be controlling their behaviour.
But due to you being unwell you may not be able to do this.
If you can’t then they need to find someone else.
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