Epistemis

Polyuria and polydipsia

Specialty: Nephrology and urology.

  • urinate a lot
  • excessive thirst
  • drink a lot

Why it occurs

  • Diabetes mellitus
  • Diabetes insipidus
  • Hypercalcemia
  • Hyperglycemia
  • Compulsive water intake

Initial workup

Glyceemia and HbA1c; ionogram, osmolarity and urinary density; rule out diabetes insipidus.

red flags

Polyuria with dehydration, intense hyperglycemia or altered consciousness → rule out diabetic decompensation.

Standard management

  • Insulin/antidiabetics — yes diabetes mellitus
  • Correct cause — ions, hormonal

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousSelective nocturnal polychyuria
Area
Nephrology and urology
Listed causes
5
Treatment options
2
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