For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
0
views
15
references
 Top references
cited by
2
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      630
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Psychogenic Polydipsia Complicated to Hyponatremia Induced Seizure in Schizophrenia: A Case Report from Nepal

      case-report
      Author(s): 1 , , 1 , 2 , 2
      Publication date (Electronic):
      Journal: Case Reports in Psychiatry
      Publisher: Hindawi

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Psychogenic polydipsia is one of the common cooccurrences with Schizophrenia and if not addressed can lead to fatal consequences. There are some evidences for pharmacological management of this condition but nonpharmacological management starting from psycho-education to behavioural modification therapy involving family members can be a very effective strategy. We report a case from Nepal where psychogenic polydipsia was complicated to hyponatremia and lead to seizure episodes. We emphasize on asking a routine question about polydipsia in every patient of Schizophrenia in clinics.

          Related collections

          Most cited references15

          • Record: found
          • Abstract: found
          • Article: not found

          The syndrome of inappropriate antidiuretic hormone: prevalence, causes and consequences.

          Elaine C. Thompson, Robert M. Hannon (2010)
          Hyponatraemia is the commonest electrolyte abnormality found in hospital inpatients, and is associated with a greatly increased morbidity and mortality. The syndrome of inappropriate antidiuretic hormone (SIADH) is the most frequent cause of hyponatraemia in hospital inpatients. SIADH is the clinical and biochemical manifestation of a wide range of disease processes, and every case warrants investigation of the underlying cause. In this review, we will examine the prevalence, pathophysiology, clinical characteristics and clinical consequences of hyponatraemia due to SIADH.
          Article 0 comments Cited 41 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Polydipsia and water intoxication in psychiatric patients: a review of the epidemiological literature.

            José de León, Cherian Verghese, Joseph Tracy … (1994)
            Polydipsia among chronic psychiatric patients is poorly understood and underdiagnosed. It may have three stages: simple polydipsia, polydipsia with water intoxication, and physical complications. Epidemiological surveys have used staff reports and polyuria measures to identify polydipsic patients. Water intoxication has been screened by chart review, weight, or serum sodium data. According to these surveys, polydipsia, not explained by medically induced polyuria, may be present in more than 20% of chronic inpatients. Up to 5% of chronic inpatients had episodes of water intoxication although mild cases may have been missed. Single time point surveys show that 29% of polydipsic patients had presented water intoxication. Methodologically limited clinical studies suggest that polydipsia with water intoxication rather than simple polydipsia may be associated with poor prognosis in schizophrenia. Epidemiological surveys found polydipsia with water intoxication to be associated with chronicity, schizophrenia, smoking, some medications, male gender, and white race. New pathophysiological models need to elucidate these findings.
            Article 0 comments Cited 40 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Psychogenic polydipsia review: etiology, differential, and treatment.

              Brian Dundas, Melissa Harris, Meera Narasimhan (2007)
              Psychogenic polydipsia (PPD), a clinical disorder characterized by polyuria and polydipsia, is a common occurrence in inpatients with psychiatric disorders. The underlying pathophysiology of this syndrome is unclear, and multiple factors have been implicated, including a hypothalamic defect and adverse medication effects. Hyponatremia in PPD can progress to water intoxication and is characterized by symptoms of confusion, lethargy, and psychosis, and seizures or death. Evaluation of psychiatric patients with polydipsia warrants a comprehensive evaluation for other medical causes of polydipsia, polyuria, hyponatremia, and the syndrome of inappropriate secretion of antidiuretic hormone. The management strategy in psychiatric patients should include fluid restriction and behavioral and pharmacologic modalities.
              Article 0 comments Cited 35 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Pawan Sharma:
                ORCID: https://orcid.org/0000-0003-4983-7568
                Journal
                Journal ID (nlm-ta): Case Rep Psychiatry
                Journal ID (iso-abbrev): Case Rep Psychiatry
                Journal ID (publisher-id): CRIPS
                Title: Case Reports in Psychiatry
                Publisher: Hindawi
                ISSN (Print): 2090-682X
                ISSN (Electronic): 2090-6838
                Publication date Collection: 2019
                Publication date (Electronic): 16 November 2019
                Volume: 2019
                Electronic Location Identifier: 6021316
                Affiliations
                1Department of Psychiatry, Patan Academy of Health Sciences, School of Medicine, Lalitur, Nepal
                2Medical Officer, Arogin Health Care and Research Centre, Kathmandu, Nepal
                Author notes

                Academic Editor: Michael Kluge

                Author information
                https://orcid.org/0000-0003-4983-7568
                Article
                DOI: 10.1155/2019/6021316
                PMC ID: 6885238
                PubMed ID: 31827965
                SO-VID: 337b04c2-58a5-474d-9deb-7c37c61b3a98
                Copyright © Copyright © 2019 Pawan Sharma et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 29 May 2019
                Date accepted : 9 October 2019
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Clinical Psychology & Psychiatry
                Data availability:
                ScienceOpen disciplines: Clinical Psychology & Psychiatry

                Comments

                Comment on this article

                scite_

                Similar content630

                See all similar

                Cited by2

                See all cited by

                Most referenced authors122

                See all reference authors