When should a child be evaluated for diabetes insipidus?

Thirst,lots of urine. Diabetes insipidus is a disorder that impairs the body's ability to make concentrated urine. Common symptoms in childhood might include constant thirst and large amounts of urine. There is also often a family history of the disease that can prompt an evaluation by the child's pediatrician.
Excessive thirst. Although symptoms can overlap with other conditions, diabetes insipidud should be entertained if there is excessive thirst with frequent urination in the presence of high serum sodium and osmolarity concomitant with inappropriately diluted urine. Having family history for di, histiocytosis or recent head trauma can raise the index of suspicion even higher.

Related Questions

What's the most effective way to treat child with diabetes insipidus?

Depends. The answer depends on the cause of the diabetes insipidus. Often time, diabetes insipidus is just a symptom, not the cause. The hormone involved is ADH (vasopressin) (antidiuretic hormone). If the cause is in the brain, treatment is to give back ADH (vasopressin) (ddavp) either in nasal spray or pill. If the problem is at the kidney, treatment is antiinflammatory (indomethacin) and diuretics (hctz and amiloride). Read more...
DI. There are two types of diabetes insipidus: central (the hormone ADH is missing) and nephrogenic (adh does not work on the kidneys to concentrate urine). The former is treated by giving the patient the hormone ADH (vasopressin) and the latter with medications such as minocyclin. Ensuring adequate fluid intake is also part of therapy for both types (also see other answers on di). Read more...

Are there safe alternative therapies for child with diabetes insipidus?

Water. Di don't just occur out of no where. There is usually a cause. In the brain, it could be from past head injury, infection, tumor, ischemia to the hypothalamus/pituitary gland. At the kidney, it could be due medications (lithium, demeclocyline...), kidney disease, high calcium...I recommend finding the cause and treat it. However, in general, if you maintain adequate fluid intake, symptoms is less. Read more...
DI. Diabetes insipidus is due to lack of the hormone (adh), which helps concentrate the urine, accordingly these children tend to pass large amounts of urine that is very dilute. If the child can drink enough fluid to keep up with what she/he is losing, often she/he may be able to maintain adequate fluid and electrolyte balance without the need for the hormone adh=vasopressin. Read more...