Doctor insights on:
Diabetes Insipidus And Urine Specific Gravity
Is it possible to have a normal urinalysis with central diabetes and normal urine specific gravity? If so, how?
Yes: When the question is central diabetes insipidus (you DO mean diabetes insipidus, right?), urine SG should be masured by hygrometer or something more precise than the urinalysis strip. "Normal" SG is 1.003 to 1.030 depending on the variables that life provides. If you can concentrate your urine above 1.020, I'm doubting it's diabetes insipidus. Best wishes.
Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more
Can partial central diabetes insipidus go away or improve? After 2yrs needing ddavp (desmopressin) to control, eventually urine started to concentrate without it.
I have seen: one patient in which this happened, but it is very uncommon if the diagnosis is made correctly. Check w/your doctor.
Does urine specific gravity increase or decrease in post-renal azotemia ? And what about pre renal ?
Depends : In pre renal azotemia if due dehydration or volume depletion, specific gravity should be high but depends on baseline kidney functions like any underlying kidney disease. I am not sure what you meant by post renal azotemia- in general someone passing lots of urine and is clear, specific gravity should be low as it is likely to be dilute urine; but are some exceptions.
Not enough to test: Qns translates to quantity not sufficient. It means there was not enough volume of the sample for the test to be run buy the method the lab uses to confirm the result.
Is urine specific gravity of 1.002-1.006 too low or indicative of anything? Creatinine .7, BUN 10, urinalysis normal/negative.
No concern.: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are normal. Low specific gravity, just means that you drank a lot of water.
Why post hypophysectomy via transphenoifal approach nurse should check urine specific gravity every 4 hrs?
Diabetes insipidus: After a transphenoidal surgery, you can have a disruption of the production of a pituitary hormone called vasopressin, which normally controls the amount of water that is filtered through the kidneys into your urine. This can result in losing too much water in your urine, a condition called "diabetes insipidus", resulting in diluted urine which can be measured by checking the specific gravity.
Urine specific gravity is 1.005 to 1.010 pH is 5 hemolyzed blood-moderate to large protein trace to 30
right flank pain for about a week.
Have had m?
Misdx of diabetes insipidus, diagnosis now is psychogenic polydipsia. Am on water restriction, how long until my urine frequency slows down. Currently every 2hr or so.
Why is the urine of patients with diabetes mellitus bright (almost neon) yellow? Also, what causes the pH spike with diabetes insipidus?
Dehydration, fillers: Bright urine most often comes from dehydration (too little fluid or excess loss of fluids), often seen in diabetes. It can also come from the fillers and buffers in pills, including vitamins. pH spiking is alkalosis or excessively alkaline state from abnormal fluid and electrolyte dynamics. See your PCP or Endocrinologist for electrolyte lab work, and more info and discussion.
If the cause disappe: The degree of recovery is largely dependent on the underlying cause of the disease. Complete resolution of symptoms may not be seen in individuals with severe disease. Chronic diabetes insipidus, although inconvenient, is not usually a dire medical condition. When properly treated, diabetes insipidus itself does not reduce life expectancy. The prognosis, therefore, depends on the underlying diseas.
It depeds on reason: One component of effective management of nephrogenic diabetes insipidus is the low sodium diet. Restricted sodium intake limits renal solute load and permits full effectiveness of chorothiazide. The usual sodium intake for persons in the us is about 5000 mg/day. From a medical perspective, the low sodium restriction for treatment of hypertension is 2400 mg/day.
Early = better: I can't tell you how often, but I can strongly urge you to see your provider ASAP to stop taking lithium and if this is a fairly new problem, it is more likely to reverse, but it can take time. The damage done is to the kidney - be sure to stay well hydrated and make an appointment. I hope you've caught it in time - good thinking to ask! Best wishes for a good result!
Unrelated conditions: Diabetes mellitus (dm) is a condition of excessively high sugars which can cause one to void large amounts of urine frequently. Type 1 dm is caused by pancreatic failure so Insulin is required. Type 2 dm is resistance to Insulin or inefficient use. Diabetes insipidus is voiding large amounts of urine frequently due to either kidney or brain disorder, both unrelated to sugar & insulin.
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