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Primary polydipsia may have physiological causes, such as autoimmune hepatitis. Since primary polydipsia is a diagnosis of exclusion, the diagnosis may be made for patients who have medically unexplained excessive thirst, and this is sometimes incorrectly referred to as psychogenic rather than primary polydipsia. [13]
Persons with nephrogenic diabetes insipidus must consume enough fluids to equal the amount of urine produced. Any underlying cause such as high blood calcium must be corrected to treat nephrogenic diabetes insipidus. The first line of treatment is hydrochlorothiazide and amiloride. [10] Patients may also consider a low-salt and low-protein diet.
Classified as a "conversion disorder" by the DSM-IV, a psychogenic disease is a condition in which mental stressors cause physical symptoms matching other disorders. The manifestation of physical symptoms without biologically identifiable cause results from disruptions in normal brain function due to psychological stress.
This includes both psychogenic primary polydipsia and non-psychogenic primary polydipsia, such as in patients with autoimmune chronic hepatitis with severely elevated globulin levels. [ 4 ] Psychogenic polydipsia is an excessive water intake [ 1 ] seen in some patients with mental illnesses such as schizophrenia , or with developmental ...
Psychogenic polydipsia is a psychiatric condition in which patients feel compelled to drink excessive quantities of water, thus putting them at risk of water intoxication. This condition can be especially dangerous if the patient also exhibits other psychiatric indications (as is often the case), as the caretakers might misinterpret the ...
Because psychogenic amnesia is defined by its lack of physical damage to the brain, [16] treatment by physical methods is difficult. [7] Nonetheless, distinguishing between organic and dissociative memory loss has been described as an essential first-step in effective treatments. [ 1 ]
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Dipsogenic DI or primary polydipsia results from excessive intake of fluids as opposed to deficiency of arginine vasopressin. It may be due to a defect or damage to the thirst mechanism, located in the hypothalamus, [11] or due to mental illness. Treatment with desmopressin may lead to water intoxication. [12]