Doctor insights on:
How Long Should Diabetes Insipidus Last
I have diabetes insipidus. Is it unusual to drink between 20 up to 35 l per on a hot day. Any long term effects?
Yes, large amount: 20-35 liters is a large amount; the quantity retained is the important issue. If heart, liver, kidneys &brain control are intact &in comfortable environment, humans can often survive indefinitely on as little as 0.5 liters/day up to 25 liters/day. The 35 liters you quote is above this, but given diabetes insipidis (?ed pituitary output of antidiuretic hormone) kidneys will loose water ?? rapidly. ...Read moreSee 1 more doctor answer
Presistent increased frequency of emptying bladder, urinating, as a symptom of a disease state. 2 types: Mellitus (high blood glucose) & Insipidus (inadequate anti-diuretic hormone). In Diabetes mellitus, the far more common, glucose concentrations are ↑ed due to combination of 8 organ system changes referred to as the "ominous octet" & aggravated by intake of sugars (simple & complex ...Read more
Dx'd w/partial idiopathic central diabetes insipidus 20yrs ago by H20deprivation test. Put on DDAVP. No longer needed DDAVP after 2 yrs.Sx better.Why?
Central DI: Hard to answer. It was called "idiopathic", meaning no clear cause. In a 13 yr old, the causes could include a tumor, certain medications, trauma/surgery, meningitis, etc. It is possible that something happened back then but then resolved. Is it possible that you now still have partial DI? Under usual conditions, don't need DDAVP, but under water stress you may. See your Endocrinologist. ...Read more
Follow doc's advise: You need to find out the cause so you can be treated appropriately. Often time, diabetes insipidus is just a symptom, not the cause. The hormone involved is ADH (antidiuretic hormone). If the cause is in the brain, treatment is to give back ADH (ddavp) either in nasal spray or pill. If the problem is at the kidney, treatment is antiinflammatory (indomethacin) and diuretics (hctz and amiloride). ...Read moreSee 1 more doctor answer
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. ...Read more
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. ...Read more
Missing ADH: Anti diuretic hormone helps concentrate the urine to keep the body's sodium and water levels balanced. If the brain does not make enough ADH or of the kidney ignores the adh, a person can urinate too much dilute urine, becoming hypernatremic (high sodium) and dehydrated. Can be genetic, due to head trauma, brain tumor, infection, anorexia, idiopathic. ...Read moreSee 1 more doctor answer
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. ...Read more
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