Primary polydipsia Alcoholism may cause physiological thirst since ethanol inhibits vasopressin, the hormone primarily responsible for water retention in osmoregulation. The following conditions should also be excluded: DI, cerebral salt wasting, pseudohyponatraemia caused by hyperlipidemia or hyperparaproteinemia, SIADH, mineralcorticoid deficiency, salt-wasting nephropathy, nephrotic syndrome, chronic heart failure and cirrhosis. Tobacco smoking is an often overlooked factor linked to hyponatremia, due to the ADH-releasing effect of nicotine, although this is usually limited to heavy smokers. One study suggested that around 70% of patients with self-induced polydipsia were tobacco smokers. Diagnostic tests for primary polydipsia usually involves the fluid deprivation test to exclude ADH
Slow medicine practitioner of slow medicine sees the patient in the metaphor of a plant which needs to be nourished and for impediments to be removed in order to allow healing to occur. Slow medicine Slow medicine is a movement calling for change in medical practice which took inspiration from the wider slow food movement. Practitioners of slow medicine have published several different definitions, but the common emphasis is on the word "slow," meaning to allow the medical practitioner to have sufficient time with the patient. Like for the slow food movement, slow medicine is a call to balance over-emphasis on fast