Talk:Primary polydipsia

Diabetes Insipidus Reference

While psychogenic polydipsia is usually not seen outside the population of those with serious mental disorders, it may occasionally be found among others in the absence of psychosis, although there is no extant research to document this other than anecdotal observations. Such persons typically prefer to possess bottled water that is ice cold, consume water and other fluids at excessive levels, and may be falsely diagnosed as suffering from diabetes insipidus, since the chronic ingestion of excessive water can produce symptoms and diagnostic results that mimic mild diabetes insipidus.

Can the author provide a reference for this? It seems to me that diabetes insipidus is NOT something that can be misdiagnosed or is rarely FALSELY diagnosed.

Not Diagnosed - Neglected

My experience over twenty years of struggling to get my raging, unquenchable thirst diagnosed, is that doctors consistently regarded it as due to diabetes, and so ordered fasting blood sugar tests. I protested that it could not possibly be diabetes, as I would already be dead, and that my sugar tests were invariably normal.

When their tests did indeed turn up normal blood sugar, the doctors lost all interest in diagnosing my condition. Note that while doctors are always trained in science, it is uncommon for them to actually be scientists.

My psychogenic polydipsia was finally diagnosed by an emergency room resident who had scene quite a severe case of it the night before. She and I never actually met, rather we are both members of Kuro5hin. 73.164.159.232 (talk) 16:08, 4 February 2015 (UTC) User_Talk:MichaelCrawford

Look at the following from the DI entry in wikipedia:

Habit drinking (in its severest form termed psychogenic polydipsia) is the most common imitator of diabetes insipidus at all ages. While many adult cases in the medical literature are associated with mental disorders, most patients with habit polydipsia have no other detectable disease. The distinction is made during the water deprivation test, as some degree of urinary concentration above isosmolar is usually obtained before the patient becomes dehydrated.

This seems to suggest that a water deprivation test is sufficient to quickly discover a case of psychogenic polydipsia.

--Reefpicker (talk) 05:15, 17 November 2007 (UTC)

Hasn't this been renamed Primary Polydipsia? I know that is another name for it at least. Mkayatta (talk) 18:18, 2 January 2009 (UTC)

Controversy

In August 2023, an hypothesis was published challenging the supposedly psychogenic basis of 'Primary Polydipsia', at least in a significant subset of patients. What is https://www.themythofprimarypolydipsia.com/home? This is breaking IDK how many wikipedia rules on inappropriate source citations. May I also write a site, have somebody write something then quote it here, just because?

Gamma1138 (talk) 12:09, 13 October 2023 (UTC)

It certainly looks that way. I came to the talk page with exactly the same concern. This section was added by user Epictetus22 who made 3 edits to this article in Sept 2023 as the only contributions. This account is named after a Greek Stoic philosopher. Curiously the author of 'The Myth of Primary Polydipsia' Patrick Ussher says in about the author that he wrote a book on Stoicism and Western Buddhism, and while a classics PhD student was a founder of the modern stoicism project. I suspect that Epictetus22 is either personally linked to or may well be Patrick Ussher. Born2clone (talk) 14:52, 27 December 2023 (UTC)

This section should probably be deleted as original research, in addition to an inappropriate source citation. If Epictetus22 is Patrick Ussher, the probably can be eliminated in the prior sentence. In this case, the whole section would appears to be present to describe the editor's original research on the topic. This is not allowed, no matter how insightful or accurate the original research may be. Born2clone (talk) 15:31, 27 December 2023 (UTC)

So Mr. Ussher goes by the name crussher22 on reddit and is very assertive in promoting his book. It seems quite likely that Epictetus22 is Patrick Ussher. This alone justifies deletion under no original research.

It is compounded by the fact that a quick read of his book and comparison to recent review articles and clinical guidelines suggests that his original research mischaracterizes not only current thinking regarding the etiology, physiology, and diagnosis of the condition, but also the clinical presentation of people with the condition. It's basically his attempt to shoehorn everyone with primary polydipsia into his model of POTS because some people with POTS develop excessive thirst. His model has never been subject to any peer review. However faulty peer review is, it beats the reliability of a self-published book about medicine and physiology written by a composer and student of stoic philosophy. Especially one that claims to not provide medical advice but makes very explicit medical recommendations.

Accordingly, I'm deleting this section. The self-promotion (regardless of motivation) and original research alone are enough to do so. The problems with the original research just makes things worse. I should also note that there are other places this article stumbles, some of these already identified and I will try to improve it as I have time to do so (I have a doctoral level background in medicine and neuroscience). Born2clone (talk) 21:48, 27 December 2023 (UTC)