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[Polyuria and polydipsia in acute fatty liver of pregnancy. Discussion based on a case].

We report the case of a 25-year-old nullipara in whom polyuria and polydipsia occurred 8 weeks before the first symptoms of acute fatty liver of pregnancy and disappeared a few days after delivery. This time course suggests that polyuria and polydipsia were closely related to acute fatty liver of pregnancy. Thus, this diagnosis should be envisaged in any woman with normal blood levels of glucose and calcium, and complaining of polyuria and polydipsia in the third trimester of pregnancy.

Adult↗

Polydipsia and dopamine: behavioral effects of dopamine D1 and D2 receptor agonists and antagonists.

Substantial evidence implicates dopaminergic neural systems in the occurrence of polydipsia in both animals and humans. Two experiments were conducted in order to specify the behavioral mechanisms whereby manipulation of dopaminergic neural transmission can affect scheduled-induced polydipsia (SIP). The role of dopamine D1 and D2 receptors was investigated by comparing the behavioral effects of dopamine D1 agonists (SKF 38393 and SKF 82958) and antagonists (SCH 23390 and SKF 83566) to those of a dopamine D2 agonist (quinpirole) and antagonist (haloperidol) by using an animal model of excessive water consumption, drinking evoked in the SIP paradigm. Additionally, the behavioral effects of these relatively specific compounds were compared to those of the indirect agonist d-amphetamine sulfate and the nondopaminergic drug, diazepam. All of the drugs produced dose-related decreases in SIP. With the exception of SKF 38393 and SCH 23390, the decreased drinking appeared to be a behaviorally nonspecific drug effect in that changes in activity consistently preceded or accompanied reductions in water consumption. Some of the drugs tested, including quinpirole, haloperidol and SKF 83566, also produced changes in behavior consistent with decreased hunger, which may have also contributed to the reductions in SIP. These results are generally suggestive that dopamine neural systems are involved mainly in the motor or performance aspects of established SIP and that disruptions in established SIP produced by dopamine agonists or antagonists may result from a change in the balance of activation of dopamine D1 and D2 receptors. These results may be relevant to understanding the factors influencing polydipsia in humans.

2,3,4,5-Tetrahydro-7,8-dihydroxy-1-phenyl-1H-3-ben↗

Characteristics of ethanol drinking patterns under schedule-induced polydipsia.

Rats were induced to consume concentrations of ethanol between 5% and 10% (w/v) using the schedule-induced polydipsia technique. Although the substitution of ethanol solutions for water disrupted the usual post-pellet pattern of drinking, large amounts of ethanol were consumed and sound-induced convulsions were observed during ethanol withdrawal. In subsequent experiments, other rats chose 5% and sometimes 10% ethanol solutions over water where both water and ethanol were freely available during the first session of exposure to ethanol. Convulsions and wild running behavior could be observed in some of these rats after only 8 days of drinking, even though ethanol was freely available at all times. Use of the schedule-induced polydipsia technique served to bring the rats into early contact with the ethanol, but rats that received the same number of food pellets in a dish rather than by the schedule drank almost as much ethanol as did the rats receiving ethanol by the schedule. Rats with free access to food pellets drank very little ethanol.

Alcohol Drinking↗

Vulnerability of long-term neurotoxicity of chlorpyrifos: effect on schedule-induced polydipsia and a delay discounting task.

INTRODUCTION: Chlorpyrifos (CPF) is a common organophosphate (OP) insecticide that has been widely used in extensive agriculture as a pesticide. The primary mechanism of acute toxic action of OPs is inhibition of acetylcholinesterase (AChE). However, targets other than AChE have been proposed to contribute to the acute lethal action and side effects of short- or long-term exposure to these compounds. Bekkedal et al. (Sci Total Environ 274:119-123;2001) showed that chronic administration of the OP trimethylolpropane phosphate (TMPP) reduces the number of schedule-induced polydipsia (SIP) sessions necessary to induce asymptotic drinking level. MATERIALS AND METHODS: In the present work, rats were injected with 250 mg/kg CPF and 6 months later, its effect on schedule-induced polydipsia was evaluated. In addition, after stable levels of SIP, a pharmacological study was carried out to determine the implication of other systems in the long-term effects of OPs. Finally, these animals were evaluated in a delay discounting task, as a measure of impulsivity. RESULTS: Results indicate that the CPF group gives more licks to obtain the same amount of water than control rats (VHC). Moreover, the administration of diazepam produces an increased water intake in the CPF without any observable effect in VHC rats. Data of the delay discounting task show that CPF rats prefer an immediate reward and show a major impulsive choice. DISCUSSION: Taken together, our data confirm and extend the long-term behavioral effects of subcutaneous administration of CPF and point to a role for other systems that, besides AChE inhibition, contribute to the long-term neurotoxicity of CPF.

Acetylcholinesterase↗

Suppressed urinary excretion of aquaporin-2 in an infant with primary polydipsia.

We observed severe overhydration in an 18-month-old Japanese girl with primary polydipsia. The secretion of antidiuretic hormone (ADH) was decreased, and urinary excretion of aquaporin-2, a vasopressin-sensitive water channel protein, was suppressed under basal conditions, but the response of aquaporin-2 to ADH was essentially preserved. These findings suggest that the water channel itself was intact and that overhydration resulting from polydipsia was responsible for the decreased ADH secretion and suppression of the water channel protein.

Aquaporin 2↗

Acute psychosis, polydipsia, and inappropriate secretion of antidiuretic hormone.

A relationship between acute psychosis, water ingestion, and the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) has been reported. This syndrome was observed in a psychotic patient who ingested massive amounts of water and became symptomatically hyponatremic with seizures. Although he had been taking haloperidol, the SIADH responded to fluid restriction alone. SIADH was clearly established, and a temporal relationship to his acute exacerbation of psychosis and polydipsia could be shown. This case illustrates that psychosis, polydipsia, and SIADH are often associated as a triad, and that psychiatric history must be considered in the evaluation of this syndrome.

Drinking↗

Development and validation of a behavioral observation measure for the syndrome of psychosis, intermittent hyponatremia, and polydipsia.

A behavioral observation scale (Virginia Polydipsia Scale; VPS) for monitoring drinking patterns was developed and its reliability tested during 25 hours of tandem ratings among six patients with the syndrome of psychosis, intermittent hyponatremia, and polydipsia (PIPS). These ratings were compared to those collected from a control group of six psychiatric inpatients who were similarly observed for 25 hours. The scale was subsequently used to assess day-long drinking in a single PIPS patient. Results demonstrated that the VPS can be reliably administered by trained raters and that it clearly differentiates the drinking patterns of PIPS patients from controls. In addition, our findings highlight associations among drinking behaviors, psychiatric functioning and low serum sodium concentration. On balance, these results support using observational measures of drinking behaviors in future studies of PIPS patients.

Adult↗

Psychogenic polydipsia and water intoxication--concepts that have failed.

Ten patients (8 men, 2 women; mean age 38.7 +/- 8.1 years), 7 of whom had schizophrenic disorders and 3 of whom had bipolar disorder (manic-depressive illness), manifested psychosis, intermittent hyponatremia, and polydipsia (PIP syndrome). The relationship between serum sodium and urinary water excretion among the 10 PIP patients is described in detail. The success of lithium in improving serum sodium levels and in decreasing urinary water excretion among the three PIP patients with bipolar disorder and the failure of changes in urinary water excretion to explain changes in serum sodium levels among the 10 PIP patients argue against "psychogenesis" as the explanation for the polydipsia and excessive water intake as the sole explanation for hyponatremia or complications ascribed to water intoxication.

Adult↗

Effect of nutritive and bulk intake on the suppression of food-deprivation polydipsia in the gerbil.

Gerbils which become polydipsic when food-deprived, were refed with mixtures of Laboratory Chow and a non-nutritive material (Sterolit) after 2 days of food deprivation. Suppression of polydipsia was not related to bulk of material ingested. Instead, when the intake of Chow in the mixture reached 6 g, suppression appeared precipitously suggesting the existence of a threshold for suppression. It was concluded that nutritional, rather than stomach fill, factors were primary in suppressing polydipsia on the refeeding day.

Animals↗

Effects of variable and fixed second-order schedules on schedule-induced polydipsia in the rat.

Schedule-induced polydipsia was studied in rats on a variable second-order schedule in Experiments 1 and 2. Drinking occurred only following presentations of the pellet reinforcer and was not induced by a stimulus that was associated with pellet delivery. Moreover, it was shown that lever pressing for food was not competing with the opportunity to drink following the stimulus during non-reinforced intervals. In Experiment 3 a fixed second-order schedule was used, and only one animal drank following the presentation of the stimulus. A positive contrast effect was obtained with schedule-induced drinking in Experiments 1 and 2, and it was suggested that schedule-induced polydipsia shows behavioral interactions similar to those seen with food reinforced operants.

Animals↗

Schedule-induced polydipsia: the role of oral and plasma factors.

To appreciate the contribution of oral and post-absorptive factors in the control of schedule-induced polydipsia (SIP), body fluid balance was determined at various times into the 4 hr session. Although dehydrated at the start of the session, rats quickly returned to normal balance which was maintained, despite excessive intake, by a brisk water diuresis. Plasma, as measured via the T-1824 technique, was also normal. Gastric infusion of water following each pellet delivery failed to eliminate the polydipsia despite marked hemodilution, whereas, oral infusion of equivalent amounts of water completely abolished the phenomenon. Taken together, these results suggest that SIP is mediated by oropharyngeal rather than hydration controls.

Animals↗

Effects of bilateral and unilateral neocortical lesions on schedule-induced polydipsia in rats.

Fifteen adult female rats were subjected to one of the following surgical procedures: (1) bilateral neocortical ablation; (2) unilateral neocortical ablation; or (3) sham surgery. Following recovery, all rats were tested on a fixed-time 1-min food schedule for acquisition of schedule-induced polydipsia. Contrary to a previous report by Bigler, Fleming and Shearer [1], no attenuation of polydipsia was seen in either group of rats with neocortical damage.

Animals↗

A software package for the microcomputer control and analysis of research on schedule-induced polydipsia.

This manuscript describes a software package called POLY which offers a range of routines designed to allow the user to set up, run and analyze data for research on schedule-induced polydipsia. The three major routines described are SETUP, RUN and ANALYSIS. The routines are flexible and give the user efficient control over the parameters of the research and the collection and analysis of the data. Although designed for research on schedule-induced polydipsia, the software can be used for other research purposes, requiring only changes in the support hardware.

Animals↗

Diminution of schedule-induced polydipsia after a long rest period.

Schedule-induced polydipsia was established in four food-deprived rats given daily hourly sessions in which a food pellet was presented once each min. Sessions were then discontinued for approximately six months. After this rest period, the daily sessions were resumed. Relative to the water intake during the last five sessions prior to the rest period, water intake during the first five sessions after the rest period exhibited a 55.5%, 10.3%, 32.0% and 29.6% decrement for the four rats, respectively. These results are discussed in terms of a sensitization view of schedule-induced polydipsia.

Animals↗

Mammillary polydipsia and diabetes insipidus: a study of the rhythmicity of water intake.

Rats with polydipsia induced by electrolytic mammillary lesions show a normal daily rhythmicity of water intake compared with sham lesioned animals, when kept in a 12:12 hours light-dark cycle of illumination. Water is mainly consumed during the dark phase (approximately 80-90% of the total amount). On the other hand, rats with centrally induced diabetes insipidus by means of electrolytic lesions in the median eminence show a clear-cut alteration in this rhythmicity, drinking only 67% of the total amount during the dark phase. This effect could be due to the continuous necessity of these animals to drink water in order to maintain fluid homeostasis, and is not related to food rhythmicity alterations. Taken together, and on the basis of the daily rhythmicity of water intake, these results suggest that mammillary polydipsia may be different from that observed when diabetes insipidus is present.

Animals↗

Prior exposure to a running wheel and scheduled food attenuates polydipsia acquisition.

Groups of rats were given different histories before exposure to daily, 2-h fixed-interval (FI) 1-min food-schedule sessions with water available. In a previous study, a group with a history of chronic exposure to FI 1-min sessions without water subsequently had a reduced rate of acquisition and final level of schedule-induced polydipsia compared to a control group lacking this history. In the present study, groups with histories of chronic exposure to FI 1-min sessions and a concurrent running wheel were even more attenuated in their subsequent acquisition of polydipsia. Substitution of 5% ethanol for session water in the final phase produced a convergence in group intakes, except for a group which continued to have access to the running wheel. The ethanol intake of this group was relatively suppressed.

Animals↗

Schedule-induced polydipsia in rats with gastric fistulas.

We have investigated the development and maintenance of schedule-induced polydipsia (SIP) when ingested water (and food) was allowed to drain from the stomach. Fourteen male Long-Evans rats were prepared with permanent gastric cannulas and, after recovery, their body weight was reduced to 80%. Water intake was measured, with cannulas open or closed, during 42 daily 1-h sessions in which 45-mg food pellets were delivered one per minute. Allowing ingested material to drain from the stomach impaired the development of SIP and reduced the polydipsia in rats in which SIP had already been established. In contrast, opening the gastric fistulas increased drinking in these rats when all the food pellets were provided at once or after water deprivation. The opposite effects of gastric drainage on dehydration and schedule-induced drinking is consistent with the view that SIP is not a fluid-regulating phenomenon. It is not clear, however, how these unexpected findings fit current hypotheses to explain SIP that are based on oral, neural excitatory, or emotional mechanisms.

Animals↗