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 # Rohan 2017-11-02
    Hii, I am from West Siang, plz let me know What is gonorrhoea ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2017-11-03
    Hello, Gonorrhoea is a sexually transmitted disease caused by the Neisseria gonorrhoea,This disease is caused in the genitourinary tracts, for more details plz visit good gynec in West Siang, find list of Gynecologist in West Siang
    Reply | Reply with quote | Quote
    0 # Priyansh 2017-10-24
    Hii can you plz tell me, Which fluids can cause or spread syphilis infection, alos give me the list of good gynec in East Delhi?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2017-10-25
    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 Delhi .
    Reply | Reply with quote | Quote
    0 # Vivaan 2017-10-10
    My friend has been diagnosed with gonorrhoea, Please tell which tests will be advisable, also suggest gynec in Akola ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2017-10-11
    VDRL tests should be done every month for 3 consecutive months for detecting syphilis as well as other sexually transmitted diseases,These tests should be conducted at proper times, find good Gynecologist in Akola
    Reply | Reply with quote | Quote
    0 # Priyansh 2017-10-10
    Hii, I am from Banmore, I want to know can cigerrete sharing can lead to syphilis ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2017-10-11
    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 Banmore
    Reply | Reply with quote | Quote
    0 # Priyansh 2017-10-03
    Hello I am from North 24 Paragnas, 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. Naresh 2017-10-04
    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 North 24 Paragnas
    Reply | Reply with quote | Quote
    0 # Himmat 2017-09-26
    Hello I am from Ghaziabad, 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 2017-09-27
    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 Ghaziabad
    Reply | Reply with quote | Quote
    0 # Aarav 2017-09-05
    Hello, plz let me know Can gonorrhoea be transmitted to small children, should I consult with good maternity doctor in Tuensang
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2017-09-06
    yes,this can be transmitted by infected mothers to children, In this case it is called as ophthalmia neonatorum, find list of good doctor-.Obstetrician in Tuensang
    Reply | Reply with quote | Quote
    0 # Nishith 2017-08-22
    Hii can you plz tell me, Which fluids can cause or spread syphilis infection, alos give me the list of good gynec in Kullu?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2017-08-23
    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 Kullu .
    Reply | Reply with quote | Quote
    0 # Aarush Older than three months
    Hello, I am from North West Delhi, PLz suggest some biochemic remedies for gonorrhoea .
    Reply | Reply with quote | Quote
    0 # Dr. Naresh Older than three months
    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 North West Delhi.
    Reply | Reply with quote | Quote
    0 # Vivaan Older than three months
    Hii, I am from Khordha, plz let me know What is gonorrhoea ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh Older than three months
    Hello, Gonorrhoea is a sexually transmitted disease caused by the Neisseria gonorrhoea,This disease is caused in the genitourinary tracts, for more details plz visit good gynec in Khordha, find list of Gynecologist in Khordha
    Reply | Reply with quote | Quote