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Causes and Symptoms of Diabetes Insipidus
In approximately one third of all cases, the cause of diabetes insipidus is unknown. While hereditary factors may play a role in some cases. Damage to the pituitary gland from a head injury, a hypothalamic tumor, or inflammation, radiation therapy, or surgery may lead to diabetes insipidus. The most frequent cause of nephrogenic diabetes insipidus is therapy with lithium.
Symptoms
• Frequent and excessive urination. Output may be as high as 25 to 35 quarts within 24hours and may be as frequent as every 30 minutes, even at night.
• Extreme thirst.
• Dry skin.
• Constipation.
• Emergency symptoms of dehydration, including dizziness, weakness, and unconsciousness.
Diagnosis
Physical examination and patient history are needed. Diagnosis of diabetes insipidus is suspected when a patient reports unusually large and frequent urine output. A urinalysis is done to discover dilute urine (low specific gravity). A water deprivation test may be conducted. The patient consumes no fluids for eight hours while urine output and specific gravity are monitored. Patients with diabetes insipidus continue to produce large amounts of urine despite dehydration. An injection of vasopressin reduces urine volume and produces a concentrated urine in those with pituitary diabetes insipidus (but not nephrogenic diabetes insipidus. Blood test may be taken to Asses water and salt balance.
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PREVENTION AND TREATMENT FOR DIABETES INSIPIDUS
Diabetes insipidus, not to be confused with the more common diabetes mellitus, is a relatively rare disorder resulting from a failure to produce sufficient amounts of vasopressin, also known as antidiuretic hormone (ADH). Vasopressin, produced by the hypothalamus and secreted by the posterior pituitary gland, helps the kidneys to reabsorb water and maintain proper fluid balance. If the pituitary fails to produce enough ADH, water is not conserved bur simply passed through the kidneys and excreted, typically in very large quantities. More rarely, the kidneys fail to respond properly to ADH; this is known as nephrogenic diabetes insipidus. Dehydration is the primary health risk associated with either form. Diabetes insipidus affects both sexes equally. With proper treatment, overall prognosis is good.
Prevention
There is no known way to prevent diabetes insipidus from the traditional standpoint.
The treatment
Combining conventional and alternative therapy is one of the surest way in prevention and treatment for diabetes insipidus.
• Vasopressin (synthetic ADH) may be administered (either in a nasal spray, as a pill, or by injection) to replace or supplement the body’s ADH production. Such hormone therapy is usually necessary for a lifetime, although if diabetes insipidus is caused by a head injury or surgery, it may possible to discontinue treatment.
• To treat nephrogenic diabetes insipidus, your doctor may advise a low salt diet to reduce thirst and slow the excretion of water. Certain diuretics may also be prescribed. (Nephrogenic diabetes insipidus does not respond to ADH treatment.)
• Drink plenty of fluids to prevent dehydration.
• Consume plenty of high fiber foods and fruit juices to prevent or treat constipation.
• Herbs bean tea, made up of kidney white navy, Lima, and northern beans, detoxifies the pancreas.
• Bitter melon (Momordica charantia), gudmar (Gymnema sylvestre), and gulvel (Tinospora cordifo) are herbal remedies used in ayurvedic medicine to regulate blood sugar levels.
• Cedars berries are excellent nourishment of the pancreas.
• Dandelion root protects the liver, which converts nutrients into glucose. Note: if you suffer from gallbladder problems, avoid large quantities of dandelion.
• Huckleberry helps to promote insulin production.
• Other herbs that may be beneficial for diabetes include bilberry, buchu, dandelion root, and goldenseal and uva ursi. Caution: do not take goldenseal on a daily basis for more than one week at a time, and do not use it during pregnancy. If you have a history of cardiovascular disease, diabetes or glaucoma, use it only under a doctor’s supervision.
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