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
Exercise is Medicine Exercise is Medicine Exercise is Medicine® (EIM) is a nonprofit initiative co-launched by the American College of Sports Medicine (ACSM) and the American Medical Association (AMA), with support from the Office of the Surgeon General and the 18th Surgeon General Regina Benjamin, on November 5, 2007. The Exercise is Medicine (EIM) initiative calls for physical activity to be included as a standard part of medical treatment and the patient care process. EIM urges healthcare providers to assess the physical activity levels of their patients at every visit, provide physically inactive patients with brief counseling, and to 'write' a basic exercise