DIABETES INSIPIDUS

DIABETES INSIPIDUS

DIABETES INSIPIDUS

Ques: 1           What is Diabetes Insipidus?           

Ans :               It is a disease which is characterized by the persistent excretion of excessive quantities of very dilute urine (free from sugar) of low specific gravity and also by constant thirst, due to impaired renal conservation of water as a result of defective secretion of ADH hormone.

Ques : 2          What is the Aetiology of Diabetes Insipidus?

Ans :               Commonly in males, under 40 year. – (1) Trauma or surgical injury, (2) Idiopathic. (3) Tumours e.g. craniopharyngioma, (4) Disturbances of the posterior lobe, stalk or hypothalamic centres, (5) Infections: typhoid, syphilis, influenza, encephalitis etc.

Ques :3           What are the sign and symptoms of Diabetes Insipidus?

Ans :               Symptoms-

  • Painless, watery diarrhea may be present, or constipation.
  • Interruption of normal daily routine and sleep, by frequent trips for water and

toilet (lavatory).

  • Polydipsia, preference for cold water.
  • Polyuria, daily output of urine usually over 4 liters. 
  •                         Sign :

  • Subnormal body temperature.
  • Tendency to dryness of skin.
  • In children, growth may be retarded.
  • Asthenia and emaciation in prolonged cases.
  •  

    Ques: 4           How can one investigate this disease?

    And :               Diagnosis (Investigations):

  • Water deprivation test – usually avoided, being very uncomfortable and same times dangerous, does not raise specific gravity above 1010 after 24 hours water deprivation.
  • Blood serology : After I.V. saline infusion, urine volume will not fall and in fact it may rise,
  • Pyelography (I.V. or retrograde) shows enlargement of uriters, kidneys, bladder,
  • Urine test – increased daily output (over 4 liters), low specific gravity and no sugar.
  •                          Differential Diagnosis :

  • Hypopotassemia
  • Psychogenic polydipsia,
  • Diabetes mellitus
  • Hypercalcaemia
  • Nephrogenic diabetes
  • Ques : 5          Which are the common allopathic treatment methods in this case?

    Ans :               Treatment :

  • Posterior Pituitary preparations, may, also helpful in some cases.
  • The Nephrogenic Diabetes Insipidus requires no specific treatment, but restriction of salt and thiazide diuretic therapy may be helpful,
  • X-ray therapy may be advised in case of tumour,
  • Low-protein and low salt diet. 
  • Ques : 6          Which Homoeopathic remedies are useful?

    Ans :               (1) IODUM – Polyuria, urine bright-yellow, thin watery, constant restlessness can neither sit nor sleep, thirsty, canine hunger, yet loose flesh, anorexia, coldness of hands and feet, rough and dry skin, often containing nodosities heaviness of legs.

                            (2) ACETIC ACID- Intense thirst, passes large quantities of light-coloured urine, violent pain and sensation of burning in region of chest and stomach, lassitude of limbs, emaciation and prostration, skin dry, pale and waxen, oedema of feet and legs.

                            (3) TARAXACUM – Frequent, profuse and pale urine. Tongue, covered with a white film, with a sensation of rawness, followed by peeling off of film in patches, leaving dark red, tender, very sensitive spots, thirst, sycotic skin better from walking.        

                            (4) ARSENICUM- Polyuria with bulimy and unquenchable thirst, emaciation and great weakness, watery diarrhea, paleness of skin, disposition to gangrene ; slight motion causes dyspnoea, with palpitation and fainting, dropsy.         

    Ques : 7          Which Biochemic medicines are advisable? 

    Ans :               Biochemic Remedies –

                            (1) CAL. PHOS. – Polyuria, with weakness, much thirst, dry mouth and tongue; flabby, sunken abdomen ; craves salt.          

                            (2) NATRUM MUR.

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                            (2) NATRUM MUR. – Polyuria ; unquenchable thirst ; emaciation loss of sleep and appetite ; great debility and despondency. Worse on alternate days, hammering type headache.

                           (3) KALI PHOS – Nervous prostration, weakness, sleeplessness and voracious hunger ; it establishes normal function of medulla oblongata and pneumogastric nerve, with latter acts on the digestion or stomach and on the lungs.

    .
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    Comments

    0 # Jayesh 2018-03-20
    Hii, plz tell me,Which tests can confirm syphilis in primary stage, also suggest name of good maternity hospitals in Gandhinagar ?
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    0 # Dr. Pooja 2018-03-21 Reply | Reply with quote | Quote
    0 # Priyansh 2018-03-20
    Hii can you plz tell me, Which fluids can cause or spread syphilis infection, alos give me the list of good gynec in East Kameng?
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    0 # Dr. Naresh 2018-03-21
    Infection from semen, blood or lactation milk can occur and cause syphilis, Infection from blood syringes is very common, Infected mothers can transmit it through their milk also, consult with good Gynecologist in East Kameng .
    Reply | Reply with quote | Quote
    0 # Vivaan 2018-03-09
    Hello I am from Central Delhi, My neighbour has been feeling redness and burning in urethral organs, can it be a disease, should she visit gynec?
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    0 # Dr. Naresh 2018-03-10
    It can be a simple infection also and a disease also, If after the examination, the presence of gram negative bacteria is seen ,gonorrhoea infection can be thought of, she should visit good women's specialist- find list of Gynecologist in Central Delhi
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    0 # Aarush 2018-02-06
    Hello, I am from Hardoi, PLz suggest some biochemic remedies for gonorrhoea .
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    0 # Dr. Pooja 2018-02-07
    Kali Mur, Natrum Mur, Natrum Sulph, and silicea are few important biochemic emedies in homoeopathy which can be used safely in this case, you can also take advise from gynecologist given here-Gynecologist in Hardoi.
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    0 # Jayesh 2018-02-06
    Hello I am from Kheri, My neighbour has been feeling redness and burning in urethral organs, can it be a disease, should she visit gynec?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2018-02-07
    It can be a simple infection also and a disease also, If after the examination, the presence of gram negative bacteria is seen ,gonorrhoea infection can be thought of, she should visit good women's specialist- find list of Gynecologist in Kheri
    Reply | Reply with quote | Quote
    0 # Rohan 2018-01-30
    Hi, plz let me know What is the incubation period of Syphilis, also give me the list of good female's specialist in Karur ?
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    0 # Dr. Pooja 2018-01-31
    Hii, The incubation period can be 10 to 90 days, plz find list of Gynecologist in Karur
    Reply | Reply with quote | Quote
    0 # Himmat 2018-01-23
    Hii, plz tell me,Which tests can confirm syphilis in primary stage, also suggest name of good maternity hospitals in Sundargarh ?
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    0 # Dr. Naresh 2018-01-24
    During the primary stage,DG illumination tests are very helpful, find good maternity hospitals-Vesaj Patel Hospital and Research Centre ; Akshaya Maternity And General Nursing Home ; Meher General and Eye Hospital.
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    0 # Tushar 2018-01-16
    Hello, plz tell me what are venereal diseases, can you plz suggest some good gynecologist in Tiruvarur ?
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    0 # Dr. Pooja 2018-01-17
    veneral diseases are those which can be spread through sexual contact, The spreading agents can bacteria ,viruses etc, The examples are syphilis and gonorrhoea can be can spread by sexual contact, you can also find list of Gynecologist in Tiruvarur.
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    0 # Aarush Older than three months
    Hii, plz tell me,Which tests can confirm syphilis in primary stage, also suggest name of good maternity hospitals in Bhiwani ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja Older than three months
    During the primary stage,DG illumination tests are very helpful, find good maternity hospitals-Anchal Maternity and Nursing Home - Bhiwani ; Dhir Hospital ; Vandna Maternity and Heart Hospital ; Dr Sanjeev Surgical and Maternity Hospital.
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    0 # Vaibhav Older than three months
    Hii, I am from Satara, I want to know can cigerrete sharing can lead to syphilis ?
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    0 # Dr. Pooja Older than three months
    yes,sharing cigerette,drinking cups,common spoons etc can also lead to syphilis, Generally whenever the fluid of a person who has syphilis is shared,the infection can occur, you should also consult with good Gynecologist in Satara
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