Treatment
The goal of treatment is to control the body’s fluid levels. Patients will be given a large amount of fluids. The amount of fluids given should be about equal to the amount of urine produced.
If the condition is due to a certain medication, stopping the medicine may improve symptoms. Never stop taking any medication without first talking to your doctor.
A medicine called hydrochlorothiazide may improve symptoms. This may be used alone or in combination with other medications, including indomethacin. Although this medication is a diuretic (these medications are usually used to increase urine output), in certain cases hydrochlorothiazide can actually reduce urine output for people with nephrogenic diabetes insipidus.
Prognosis (Expectations)
If a person drinks enough fluids, this condition has no significant effects on the fluid or electrolyte balance of the body.
If the person does not drink enough fluids, high urine output may cause dehydration and high levels of sodium in the blood.
Nephrogenic diabetes insipidus that is present at birth is a chronic condition requiring lifelong treatment.
Complications
- Dilation of the ureters and bladder
- High blood sodium (hypernatremia)
- Severe dehydration
- Shock
Calling Your Health Care Provider
Call your health care provider if you have symptoms of nephrogenic diabetes insipidus.
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Diabetes insipidus – nephrogenic : Overview, Causes, & Risk Factors
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Diabetes insipidus – nephrogenic : Symptoms & Signs, Diagnosis & Tests
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Diabetes insipidus – nephrogenic : Treatment
Review Date : 4/14/2008
Reviewed By : Parul Patel, MD, Private Practice specializing in Nephrology and Kidney and Pancreas Transplantation, Affiliated with California Pacific Medical Center, Department of Transplantation, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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