18 years male H/O Excessive thirst from 4 months... CBG -86 .also H/O intermittent chest pain.Dx Rx

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Recently, we had success in treating a patient with psychogenic polydipsia with acetazolamide (carbonic anhydrase inhibitor). We found improvement in his compulsive fluid intake behavior and hyponatremia. In addition to medication, water restriction and daily weight monitoring were key tools in managing the PPD.

Advise endoscopy stomach Start with Omeprazole20mg bd Antacids 2tsf tds

Adv: HBA1C Rull out DM APD ECG

Hb1A & BSL - PP + Fasting Also it might be endocrinological ..so ADH level + Sr.Electrolyte Referring Endocrinologist & Neurologist will help to diagnose specifically

Rule out acid peptic disease / gerd

Thank you doctor
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