Doctor insights on:
Psychogenic Polydipsia In Children
Variable: PP is usually a one-time episode. When it recurs, it is an indication that something has not been fully treated. ...Read more
Slowly reduce H2O in: Confirm that the diagnosiis. Incidental drug therapy is often the culprit, rare brain lesions can also masquerade as pp. See endo md, pp can be managed. ...Read more
Complications of psychogenic polydipsia include incontinence and enuresis, bladder dilation and hydronephrosis, renal and congestive heart failure, and osteoporosis and associated pathologic fractures.
Diagnosis is one of exclusion. Other medical causes of polydipsia, polyuria, and/or hyponatremia need to be ruled out. ...Read more
Drinking 2.5 liters overnight-noon and urinate a lot. I stop drinking water around noon and then concentrate heavily for 10hrs. Should i space my water out? I'm diagnosis psychogenic polydipsia.
Space it out: I would agree that spacing out water would affect your frequency of urination. If that doesn't change things, you may need to see a doctor to run other tests to make sure it is behavioral or psychogenic as you suggest. Also, make sure to avoid caffeine as this can affect your urination as well. ...Read more
I have HkPP & hypoglycemia. But I have excessive thirst & urination. I need water by my side up to 2 gallons a day. Secondary psychogenic polydipsia??
Possibly but largely: Unfamiliar territory for the vast majority of physicians, including myself, because HkPP is so rare. While thirst, voiding & body control are under brain control 24/7, the mechanisms remain poorly understood & many theories long promoted which do not fit many clinical situations. Thus, whether more psychological vs. neurological remains a largely inseparable distinction unless can test some way. ...Read more
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.
My teen has polyuria and polydipsia and I was wondering if that is all they used to diagnose him?
No. : Polyuria is the production of large amounts of dilute urine & polydipsia is elevated fluid intake; usually due to fluid losses from polyuria. These are just symptoms of a disorder & several disease processes can cause this, with diabetes a common & important one. Diabetes is diagnosed by testing blood sugar levels. Other more rare causes are diabetes insipidus & psychogenic polydipsia. ...Read more
In hospital w/supposed di. Currently on water depravation test. 4hrs in volume has lessened greatly and urine is concentrating. Dr suggests polydipsia?
H2O Depriv Test & DI: Yes. The ability to concentrate to that extent would be unheard-of w/ central or nephrogenic di. Are they/or have they done any other tests, besides the obligatory urine osmolality before the test? Did they ever do an ADH (vasopressin) serum level? They might not need to, depending on the outcome of your current tests. Let me know how it goes. Remember, if you haven't already, use my "secret code". ...Read more
A 50-year-old man always feels bitter taste .
Polydipsia due to dryness in his mouth . Also, a thick whitish layer on his tongue .
Mouth symptoms: Taste disturbances can be caused by medication or vitamin deficiencies. Polydipsia can be caused by many conditions, including diabetes or salivary gland problems including sjogren's syndrome and others. The thick white layer on your tongue is vague and nonspecific. If your symptoms persist, see your physician for evaluation. Good luck! ...Read more
After water dep test dr said I have polydipsia. Even after 1 day of water restriction still urinating every 2hrs. When will it stop? Afraid of dehydration.
How much urine: You may be urinating every 2 hours due to bladder spasms, small capacity, bladder infections, inability to empty well with overflow. None of these would be treated with fluid restriction and you would continu to have symptoms. It is possible you have washed out the solute in the kidney by drinking too much and this may take a week to normalize and you will continue to have large urine outputr. ...Read more
Can echos show pulmonary hypertension if you don't have it just because your body is full with fluid? I have polydipsia & changing pulmonary pressures
Interesting question: Elevation of pulmonary pressures can result from volume overload, particularly when there is left heart failure. A normal right heart, however, can compensate for increased volume for a period, preventing increases in pressure. When persistent stresses lead to structural changes in the cells of the right heart, it cannot compensate further and increased pressure results and by echo indices of PHT ...Read more
Can my heterozygotes status of congenital adrenal hyperplasia (21-Hydrolaxe deficiency, salt-wasting) explain hirsurtism & symptoms like polydipsia?
Maybe: Hydroxylase deficiency is actually a continuum, and there are many alleles. A workup is probably not worthwhile. Manage unwanted body hair with electrolysis or lasers -- you're doing yourself a favor. If your urinalysis (chemical, sediment), renal functions (BUN, creatinine) and concentrating ability (SG >1.020) while thirsty) are normal, I would not recommend further studies. ...Read more
Nausea, borking, worse after eating, just finished exams maybe anxiety? Should I see my gp, under an endrocologist testing for polyuria, polydipsia, hel
Is there an autoimmune disorder that would cause HTN, polydipsia, bone pain, low K+, renal stones, lethargy, palpitations, etc?
Not autoimmunity: Have you got Conn's? A renal tubulopathy? A genetic potassium wasting / Fanconi syndrome? Don't focus on autoimmunity just because of the huge amount of "pop" writing about it -- an immune interstitial nephritis is low on my list for you. Low potassium is a huge red flag. Has your vitamin D been checked -- it's a very common cause of bone pain though not the rest. Best wishes. ...Read more
I have too low LH and FSH, have been dealing with polydypsia and polyuria for several years. Any relation?
Hypopituitarism: Un under=active pituitary gland could be the cause. LH, FSH & anti-diuretic hormone are all produced in & by this gland. Best to consult with an endocrinologist ...Read more
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Syncope: Psychogenic syncope has no underlying cardiac or neurologic casues usually the result of a psychiatric issue. Neurogenic syncope can result from cardiac disease such as an arrythmia or the result of blood pressure instability. Cardiac eval and tilt table testing can often help diagnose the causes. ...Read more
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Fainting: Psychogenic shock is a physiologic response of the body to a perceived overwhelming emotional stress. The blood vessels dilate, reducing blood flow to the brain. Blood pressure then drops, resulting in dizziness, light headedness, and/or nausea. The skin becomes sweaty, and pulse rate increases. Recovery consists of lying flat or having head slightly lower than rest of the body. Hope this helps. ...Read more