Question

PLEASE READ THE BELOW STORY-LINE AND ANSWER THE QUESTIONS THAT FOLLOW

Over the last few months, Tanya has been getting up to go the bathroom once or twice a night. During the day, she usually goes every hour. At first, she thought it was part of aging. She also drinks a lot of water and coffee during the day. She was also experiencing extreme thirst. However, the symptoms were not going away, so she went to the doctor. The doctor first performed a urinalysis, which revealed nothing. The doctor then ordered an MRI and water deprivation test, and she was diagnosed with diabetes insipidus.

Was it incontinence or coincidence?

In your ANSWER,please think how Tanya might have confused the symptoms of diabetes insipidus with normal aging.

What causes diabetes insipidus?

Answer 1

• Urinary incontinence — the loss of bladder control — is a common and often embarrassing problem. The severity ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that's so sudden and strong you don't get to a toilet in time.
• It is known that high blood sugar can cause an increase in the amount of urine produced, resulting in urgency, frequent urination, and possibly incontinence.
• Urinary incontinence in the elderly is a prevalent, bothersome and costly problem, and is not necessarily a normal part of aging. Structural changes in the aging bladder and urethra may predispose the elderly to the development of urinary incontinence.
• Diabetes insipidus is caused by problems with a chemical called vasopressin (AVP), which is also known as antidiuretic hormone (ADH). AVP is produced by the hypothalamus and stored in the pituitary gland until needed.

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