Everyone pees every day
Some people say
From the distance and strength of the urine
You can see if the kidneys are good or not
Others say
From the color and smell of urine
You can see the state of physical health
generally
Adults and children alike
Urine is indeed one thing
Monitor good health
Important metrics
The first two days
A 10-year-old child
I really experienced it
How important it is to be able to pee well
one
"Urinary collapse"
Zhengzhou Central Hospital affiliated to Zhengzhou University
The office of Kang Zhiqiang, director of the Department of Endocrinology
Walked in a chubby little girl
Doctor, the child is always drinking water and going to the toilet at home, and we are worried that she is diabetic...
By question
Director Kang Zhiqiang found the child
Chapped lips
Due to fear of needles
The child has been repeating it
"Don't draw blood, drink water"
But the child's test results showed
Blood glucose and urine glucose are normal
What's going on?
I have been drinking water and my chapped lips
It attracted the attention of Kang Zhiqiang
After communicating with parents
Director Kang Zhiqiang found
Children should drink 5-10 L of water a day
Pee when you drink it
At a lesser point, you have to pee a dozen or twenty times a day
Is it related to "diabetes insipidus"?
Tested for water insulation
Your child should not urinate for 4 hours
Still up to 1200ml
Recheck for elevated serum sodium
To avoid danger to the child
Stop the test immediately
Drinking water and oral medicines are also given
The proportion of urine rises rapidly after taking the medicine
Luckily
MrI of your child's brain shows
No lesions occur in the pituitary gland
Hormones are also in the normal range
Your child is now treated with small doses of medication every day
Eat, sleep, live
All returned to normal
The height development is also all normal!
two
"How can the urine collapse?"
Director Kang Zhiqiang reminded
Diabetes insipidus refers to severe or partial deficiency of antidiuretic hormone (central diabetes insipidus), or insensitivity of the kidneys to antidiuretic hormone (renal diabetes insipidus), resulting in dysfunction of tubular water aspiration.
Patients with diabetes insipidus have symptoms of dry mouth, polydipsia, and polyuria that are more pronounced than other diseases, and some are accompanied by intermittent fever, excitement and other symptoms.
In general, the urine output is often greater than 4 liters/day
In severe cases, it can reach more than 10 liters
If the above symptoms occur
It is recommended to go to the hospital to check the specific gravity of urine
The proportion of urine in patients with diabetes insipidus is significantly reduced
Often below 1.006
Diabetes insipidus also passes
Water deprivation tests are supplemented by diagnostics
After a period of water ban, normal people will have a decrease in urine output, increase the proportion of urine, increase urine osmolality, and do not appear obvious dehydration.
However, patients with diabetes insipidus still have polyuria, low specific gravityuria, and hypotonia after being banned from water for a period of time.
If you drink a lot of water for a long time
Nor does it relieve thirst
In addition to being wary of diabetes insipidus
Also note
Whether the following diseases have occurred
diabetes
The most typical symptom in people with diabetes
It is to drink more and urinate
If there is excessive thirst and increased urination
and unexplained weight loss
Fatigue or irritability
A blood glucose test is required
to check if you have diabetes
And go to the endocrinology department in time
For children, parents should pay attention to observation
If your child drinks too much and has polyuria
Usually eat a lot, much more than their peers
However, the weight does not increase but decreases, and it is easy to fatigue
It is very likely to be a manifestation of diabetes
Especially if there is a family history of diabetes
Parents should be more vigilant
Sjogren's syndrome
Severe dry mouth may also be an autoimmune disease
Such as Sjogren's syndrome
This dry mouth is predominant
Because the glands that secrete saliva are destroyed by immune cells
Causes decreased saliva secretion
However, there is no lack of water in the patient's body
So it is often prefer to drink water in small quantities many times
Therefore, if in addition to dry mouth,
There is also discomfort of the oral mucosa and bitter bad breath
In the short term, caries increased significantly
Even difficulty swallowing, parotid gland enlargement
Symptoms such as foreign bodies or burning sensations are often felt in the eyes
A comprehensive examination can be done at the Rheumatology and Immunology Department
Hyperparathyroidism
If you have primary hyperparathyroidism
The parathyroid glands are in a state of "hyperexcitation"
Blood calcium levels in the body are elevated
Blood phosphorus levels are reduced
Triggers associated with an increase in blood calcium in the body
A range of clinical symptoms
For example, renal colic, bone and joint pain
Osteoporosis and unexplained
Psychoneurological symptoms such as thirst, polyuria, etc
Therefore, if polydipsia occurs
It is also accompanied by irritability and unexplained
The whole body is sore, tired and weak
Or recurrent urinary stones
Beware of abnormal parathyroid gland function
Can be seen in an endocrinologist or thyroid specialist
In particular,
Many people think that drinking more water and urinating more can "detoxify"
This is a complete misconception
As long as the amount of urine is within the normal range
It is enough to expel toxins from the body
There is no need to deliberately drink more water