If you frequently feel thirsty While drinking water all the time or go to the toilet to urinate frequently That could be a warning sign of diabetes insipidus, which is caused by the loss of water balance in the body. If left untreated for a long time without proper and appropriate treatment, it may have a negative effect on health in the long term. Hello doctor, I will bring everyone to know more about diabetes insipidus.
Getting to know Diabetes insipidus
Diabetes insipidus (Diabetes Insipidus) is caused by abnormal water balance in the body. The abnormality of the water balance in this body. As a result, the patient feels thirsty all the time. It also causes the body to produce large amounts of urine.
However, in severe patients it may result in patients urinating up to 20 liters/day, which is usually only 1-2 liters/day in average healthy people.
Causes of Diabetes Insipidus
The cause of diabetes insipidus occurs when the body is unable to properly balance the water in the body. There are different causes depending on the type of diabetes insipidus as follows:
Central diabetes insipidus
Caused by a malfunction of the pituitary gland. Therefore, the body cannot secrete enough of the hormone arginine vasopressin (AVP). As a result, the body comes out a lot of urine. which causes brain abnormalities may be caused by infection meningitis cerebrovascular disease, etc.
Nephrogenic diabetes insipidus
caused by kidney dysfunction Causing the kidneys to not reabsorb water Affects the efficiency of controlling the amount of water absorption. which leads to large amounts of water in the urine
Frequent urination, frequent drinking of water, a warning sign of diabetes insipidus
Most people with diabetes insipidus are thirsty all the time. even though drinking large amounts of water It also urinates frequently, especially at night. Including in young children with diabetes insipidus. Symptoms will be expressed as follows:
- often wet diapers
- bedwetting
- trouble sleeping
- have a fever
- vomit
- constipation
- body growth slower than normal
- unusual weight loss
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How to treat diabetes insipidus
Initially, the doctor will ask the patient’s history and symptoms. Treatment for diabetes insipidus depends on the cause and individual symptoms. It mainly focuses on changing the patient’s behavior to reduce the daily amount of urine. Including other treatment methods as follows
- diuretic drug Your doctor may prescribe desmopressin. (Desmopressin) to decrease urination Available in spray, tablet and nasal drops form. (The doctor will recommend as appropriate for the patient.)
- Treatment of patients with diabetes insipidus due to kidney disease Because diabetes insipidus in the kidneys is caused by the kidneys not responding to the brain’s secretion of the hormone arginine vasopressin (AVP), doctors are advised to drink plenty of fluids. to avoid dehydration In the case of patients with mild symptoms Your doctor will recommend reducing your salt and protein intake. to make the kidneys produce less urine
- If the patient’s symptoms are severe, the doctor may recommend a thiazide diuretic along with a non-steroidal anti-inflammatory drug. (Non-steroidal Anti-inflammatory drugs: NSAIDs) to help reduce the amount of urine produced by the kidneys.