Treatment of neurogenic diabetes insipidus
Common Questions and Answers about Treatment of neurogenic diabetes insipidus
diabetes
There are several forms of diabetes insipidus. Neurogenic or Central diabetes insipidus can be caused by pituitary tumors. The symptoms of Central DI are excessive urination and extreme thirst. It differs from diabetes mellitus it that glucose does not spill over into the urine.
You don't mention in your question what medication you were taking. Commonly central DI is treated with desmopressin. Desmopressin works by limiting the amount of water passed in the urine.
However increased frequency of urine is also seen in diabetis mellitus and diabetes insipidus. Small for size bladder is another cause and so also neurogenic bladder. Another possibility is a polyp or a growth inside the urethra. At times a hair too grows inwards and keeps tickling the urethra causing a need to urinate. A frenulum tag too can cause this type of sensation.
You must talk to your physician regarding all these possibilities.
I see you have the word 'diabetes' crossed. Diabetes is a Greek word meaning large amounts of urine. Both diabetes mellitus and diabetes insipidus fall into this realm but both are separate mechanisms.
This forum deals mostly with type 2 diabetes, people who have high blood sugar levels [mellitus]. Diabetes insipidus is kidney related. For best answers, the forum to post on is Kidney Disease & Disorders.
Diabetes insipidus(water diabetes) is due to a hormone lacking that helps us hold onto water, these children will urinate excessively, drink excessively, lose weight and be sick with high sodiums, there is a form due to the pituitary hormone lacking and that which is due to the kidney not responding to the normal hormone.
It does not sound like repeated fevers alone is diabetes insipidus.
I should add i was talking about hypothalamic (central) diabetes insipidus which is a deficiency of ADH hormone from the posterior pituitary. Nephrogenic diabetes insipidus is where the kidney is unable to respond to antidiuretic hormone.
The best test for diabetes insipidus is a water deprivation test. Urine production, blood electrolyte levels, and weight are measured regularly for a period of about 12 hours, during which you are not allowed to drink.
However increased frequency of urine is also seen in diabetis mellitus and diabetes insipidus. Small for size bladder is another cause and so also neurogenic bladder. Another possibility is a polyp or a growth inside the urethra. At times a hair too grows inwards and keeps tickling the urethra causing a need to urinate. A frenulum tag too can cause this type of sensation.
Do discuss this with your doctor and get yourself examined. Take care!
However increased frequency of urine is also seen in diabetis mellitus and diabetes insipidus. Small for size bladder is another cause and so also neurogenic bladder. Another possibility is a polyp or a growth inside the urethra. At times a hair too grows inwards and keeps tickling the urethra causing a need to urinate. A frenulum tag too can cause this type of sensation.
You must talk to your physician regarding all these possibilities.
I guess your vet is suggesting using the DDAVP (Desmopressin) inhaler as eyedrops. From what I can tell, this stuff runs about $78 a bottle (less if you get more than one bottle).
I am kind of confused as to why you are being prescribed DAVPP for nephrogenic diabetes insipidus, because that's usually prescribed for CENTRAL Diabetes Insipidus, caused when the pituitary gland doesn't secrete enough ADH.
I have been diagnosed with a fib, several years ago and am taking meds (beta blocker and antiarrhythmic, coumadin) I had a PVI 18 months ago and initially the frqency and duration of episodes diminished but never disappeared. recently, I was diagnosed with diabetes insipidus and have a fib episodes of increasing frequency (almost daily0 and duration (3-8 hours). Can there be a relationship between the tow (a fib and diabetes insipidus?
Commonest cause of increased frequency of urination is UTI, both due to a STD and non STD infection. However increased frequency of urine is also seen in diabetis mellitus and diabetes insipidus. Small for size bladder is another cause and so also neurogenic bladder. Another possibility is a polyp or a growth inside the urethra. At times a hair too grows inwards and keeps tickling the urethra causing a need to urinate. You must talk to your physician regarding all these possibilities.
Could both of these issues, Diabetes Insipidus and lack of growth, be something more and maybe I should bring something up at his 2 yr appt in a month? The doc does want to retest for the DS but it was hard enough not giving him anything to drink for 12 hours espcially at bedtime when he brings 2 sippy's to bed with him when he was first tested in the spring.
If the levels are so low and potassium levels are high maybe a creatinine clearance test should be done to test the condition of the kidney and rule out diabetes insipidus. CPK or creatinine phosphokinase and liver enzymes should be done if there is muscle wasting. Diabetes insipidus can also cause whole body edema. Please consult an endocrine specialist and a nephrologist. Take care!
This can also be the result of diseases like diabetes mellitus and diabetes insipidus. Heart, liver and kidney failure and also certain medications cause excessive thirst. Some people with severe acidity too develop a habit of drinking water to counteract the effect of acidity.
You can cut down your salt, spicy and fried food intake. Avoid too much exposure to sun. Take an antacid twice a day. Eat frequent small meals. Keep a record of the water you take—do not drink more than 8-10 glasses.
I am not sure I completely understand the symptoms or the EMG findings you describe above, nor what K/C/O means, but if there is weakness of the thumb, combined with evidence of a focal neuropathy evidenced on the EMG, one possibility is carpal tunnel syndrome, which is not uncommon in diabetics. The carpal tunnel is the area in the wrist that the median nerve passes through.
Does he seem to drink water constantly and cannot go anywhere without water? If so, it could be diabetes insipidus, which is VERY different than diabetes mellitis (Type 1 or Type 2).
If not, then it could be a number of things, such as an enlarged prostrate or something else impinging on the bladder and creating a sensation of needing to go, even if the bladder is empty. It could be a problem with the nerves or muscles that connect to and control the bladder.
It is very possible that your husband has a disease of the nervous system. Simmilar to what I have. HNPP, Charcot Marie, Tooth syndrome, Diabetes and MS can be the cause.
As of 2003 I had to end my career as a heavy duty mechanic and I have been on a permanent disability since. I have had more problems with numbness and loss of muscle strength, urological and gastro problems, as well as vision problems.
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