Plan B Forum

BoSoxGal wrote:Romans used urine as a mouth wash for its teeth whitening properties. It's my understanding that urine is sterile?

TPFKA@W wrote:You should be married to a nurse. My husband is steeled against what he may hear when he offers, "How was your day honey?"

Psychogenic
Polydipsia
(Exessive
Fluid Seeking
Behaviour)
donald “don”
hutcheon,
ed.d., C. Psychol.
(UK )., r. psych.
The Vice-President of the BC
Psychological Association.
sychogenic polydipsia is, on a
continuum, the compulsion to
seek out and over drink any/
all fluids and is a type of polydipsia
exhibited by patients with mental
illness and/or the developmentally
disabled. It is also present in a subset
of schizophrenics. These individuals,
often chronic schizophrenics
with a long history of mental
illness, frequently exhibit enlarged
ventricles and shrunken cortex on
MRI, making the physiological
mechanism difficult to isolate
from the psychogenic. Psychogenic
polydipsia is a serious disorder that
often leads to institutionalization
as it can be very difficult to manage
outside the inpatient setting. It should
be taken very seriously and can be
life-threatening, as serum sodium
is diluted to an extent that seizures
and cardiac arrest can occur. Those
individuals afflicted have been known
to seek fluids from any source possible.
The clinical presentation
is as follows: the client drinks
large amounts of any/all fluids,
which raises the pressure of the
extracellular medium. As a side effect,
the antidiuretic hormone level is
lowered. The urine produced by these
clients will have a low electrolyte
concentration, and it will be produced
in large quantities (i.e., polyuria). If
the individual is institutionalized,
close monitoring by staff is necessary
to control fluid intake. In extreme
episodes, the client’s kidneys will be
unable to deal with fluid overload and
weight gain will be noted (Gibson,
WikiDoc Resources, 2010).
Polydipsia is increased thirst
and excessive fluid intake, greater
than 3L per day. As many as 20%
of schizophrenics are polydipsic
P and approximately 3.5% – 5% of
all schizophrenic clients develop
a more serious symptom of selfinduced
water intoxication (i.e.,
SIWI). Individuals diagnosed with
”psychogenic polydipsia” — of which
80% are diagnosed with schizophrenia
— have a fluid intake that is usually
4 – 10L/day, some drink up to 22L/
day! Hyponatremia is a low serum
sodium level below 130mmol/L
(normal range 135 – 145 mmol/L).
Polyuria is urine output in excess of
3L/day. In the psychiatric population,
polyuria exists as a compensatory
mechanism for polydipsia; 25%
of polydipsia patients have acute
development of hyponatremia where
there is a precipitous drop in serum
sodium. This occurs sporadically
and unpredictably and results in the
syndrome of water intoxication (i.e.,
SIWI).
Clozapine is an atypical
antipsychotic medication, which,
in low doses, is the most common
pharmacological intervention
in the treatment of self-induced
water intoxication (i.e., SIWI). The
restriction of fluid intake appears
to have little or no influence on
the excessive urge to drink by
clients diagnosed with psychogenic
polydipsia. As a result, investigators
have turned to pharmacological
interventions to treat either the
polydipsia itself or the hyponatremia.
Of note: clozapine has well-known
side effects, including orthostatic
hypotension, lowering of seizure
threshold, anti-cholinergic
toxicity, and significant incidence
of agranulocytosis (1% – 2%).
Many clients with polydipsia or
hyponatremia may have multiple
physical illnesses that could preclude
the use of clozapine (Verghese, deLeon
& Josiassen, 1996).
Behavioural strategies include
limiting the daily water intake when
indicated, initiating fluid restriction
when there is a significant weight
increase, taking a “serum sodium
levels” count if signs and symptoms
of intoxication start to appear,
providing constant attention for the
patient which can include locking
the individual in seclusion for their
own safety. Behavioral management
programs should be mandatory.
Psychosocial rehabilitation
(PSR)

Lord Jim wrote:I can't even begin to tell you just how disgusting I find this discussion...

TPFKA@W wrote:Another thread run apunder. Piss on both of you.

TPFKA@W wrote: Piss on both of you.

BoSoxGal wrote:Romans used urine as a mouth wash for its teeth whitening properties. It's my understanding that urine is sterile?

TPFKA@W wrote:

BoSoxGal wrote:Romans used urine as a mouth wash for its teeth whitening properties. It's my understanding that urine is sterile?

That is the old saying but it's not really sterile. There is always bacteria present, even in healthy urine. A source on this topic.


Drinking urine is reintroducing things to your system that your body has just worked at getting out of it. It's not likely to kill you but it's pretty damned disgusting.

liberty wrote:

TPFKA@W wrote:

BoSoxGal wrote:Romans used urine as a mouth wash for its teeth whitening properties. It's my understanding that urine is sterile?

That is the old saying but it's not really sterile. There is always bacteria present, even in healthy urine. A source on this topic.


Drinking urine is reintroducing things to your system that your body has just worked at getting out of it. It's not likely to kill you but it's pretty damned disgusting.

I thought nurses were supposed to be tough.

Some people pay good money for that.

I was told in survival school that urine could be used to clean wounds