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Polydipsia and hyponatremia in psychiatric patients

1988; American Psychiatric Association; Volume: 145; Issue: 6 Linguagem: Inglês

10.1176/ajp.145.6.675

1535-7228

B P Illowsky, Darrell G. Kirch,

Electroconvulsive Therapy Studies

Back to table of contents Previous article Next article No AccessPolydipsia and hyponatremia in psychiatric patientsPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.145.6.675AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractMany psychiatric patients have polydipsia and polyuria without identifiable underlying medical causes. Hyponatremia develops in some polydipsic patients and can progress to water intoxication with such symptoms as confusion, lethargy, psychosis, and seizures or death. This syndrome is sometimes called "compulsive water drinking," "psychogenic polydipsia," and "self-induced water intoxication." Although the underlying pathophysiology of the syndrome is unclear, several factors have been implicated in producing polydipsia and symptomatic hyponatremia. These include a possible hypothalamic defect, the syndrome of inappropriate secretion of ADH (SIADH), and neuroleptic medication. Evaluation of psychiatric patients with polydipsia includes a search for other medical causes of polydipsia, polyuria, hyponatremia, and SIADH. Treatment modalities currently available include fluid restriction and medications. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. 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ERICKSON1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 3Controlling auditory hallucinations23 January 2015 | American Journal of Psychiatry, Vol. 146, No. 3DST response and pre-DST sodium levels1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 1More on Idiosyncratic Reaction to NaltrexoneROBERT MALCOLM, TERI GABEL, and ALEX MORTON1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 1Polydipsia, hyponatremia, and psychosis1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 1More on idiosyncratic reaction to naltrexone1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 1Journal of Behavior Therapy and Experimental Psychiatry, Vol. 20, No. 1Psychiatry and Clinical Neurosciences, Vol. 43, No. 2British Journal of Psychiatry, Vol. 155, No. 6International Journal of Neuroscience, Vol. 48, No. 3-4Long-term claustrophobia following magnetic resonance imaging1 April 2006 | American Journal of Psychiatry, Vol. 145, No. 8Laws on mandatory reporting of suspected child sexual abuse1 April 2006 | American Journal of Psychiatry, Vol. 145, No. 8New information on polydipsia and hyponatremia in psychiatric patients1 April 2006 | American Journal of Psychiatry, Vol. 145, No. 8 Volume 145Issue 6 June 1988Pages 675-683 Metrics PDF download History Published online 1 April 2006 Published in print 1 June 1988