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Clinical Pediatrics
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Compulsive Water Drinking in Infants and Young Children

Zeev Horev

Pediatric Ambulatory Medical Center, Petah Tiqva, Israel

Avner H. Cohen

Pediatric Ambulatory Medical Center, Petah Tiqva, Israel

The management and follow-up of five patients with asymptomatic compulsive water drinking is described. Three out of the five patients were female and two were male. The age range was 6 to 20 months. All the patients presented with polyuria or polydipsia and urine osmolalities of 39 to 112 mOsm/L. The daily fluid intake ranged from 3.5 to 5 L, and the urine output was 11 to 14 mL/kg/hr. Significant improvement was noticed after a gradual weaning process. As fluid intake returned to normal, urine osmolalities reached values between 210 and 500 mOsm/L after 4 weeks, and between 630 and 800 mOsm/L after 8 weeks. No relapse was noted during the 6- to 24-month follow-up period. Pediatricians should be aware of this potentially dangerous — yet not uncommon — habit.

Clinical Pediatrics, Vol. 33, No. 4, 209-213 (1994)
DOI: 10.1177/000992289403300404
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