Navigating the complexities of diabetes insipidus worsened by primary polydipsia: A case report

Background: Fluid-electrolyte balance is regulated within a narrow range in diabetes insipidus. Coexisting Polydipsia and the related phenomenon of hyponatremia cause considerable mortality and morbidity. Case presentation: this case report presents the detailed treatment of central diabetes insipidus aggravated by primary polydipsia in a 70-year-old woman after experiencing a stressful event. The patient's increased usage of Desmopressin led to hyponatremia and altered consciousness, prompting a comprehensive assessment. The individualized approach involved limiting fluid intake and providing psychiatric intervention. Monitoring showed successful resolution of hyponatremia, highlighting the importance of personalized strategies in managing the multifactorial aspects of diabetes insipidus and Primary polydipsia. Conclusion: this case underscores the complexities and potential remedies for handling DI in patients with underlying psychiatric conditions, emphasizing the necessity of a collaborative approach to optimize patient outcomes.