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
Doctor–patient relationship staff are not performing sufficiently in what should be simple tasks, their ability to work effectively in critical conditions will also be impaired.While it is completely understandable that patients are going through an extremely tough time compounded by stress from other external and internal factors, it is important for the doctors and medical staff to be wary of the rude attitudes that may come their way. Doctor–patient relationship The doctor–patient relationship is a central part of health care and the practice of medicine. The doctor–patient relationship forms one of the foundations of contemporary medical ethics. A patient must have confidence