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Living with Nephrogenic syndrome of inappropriate antidiuresis

A condition in which the body holds on to too much water and blood sodium gets low; it is more common in older people.

Understanding Nephrogenic syndrome of inappropriate antidiuresis

Nephrogenic syndrome of inappropriate antidiuresis, also known as SIADH, occurs when too much antidiuretic hormone is released.

Too much antidiuretic hormone causes the body to hold on to water and sodium levels to fall. It is most common among older people. Pain, stress, exercise, low blood sugar, some heart, thyroid, kidney, or adrenal conditions, and some medicines can cause it. Lung disorders and certain cancers may raise the risk. GARD lists onset in childhood for the inherited form.

Signs & symptoms

GARD lists these among the most common:

  • Irritability
  • Seizures
  • Higher systolic blood pressure
  • Low renin levels in the blood

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in AVPR2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Kidney Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What is causing my antidiuretic hormone to be too high?
How often should my sodium levels be checked?
Which medicines should I avoid or review?

Quick facts

Symptoms usually startChild
InheritanceX-Linked
GenesAVPR2

It has many causes, including pain, stress, low blood sugar, certain conditions, and some medicines. GARD also lists changes in the AVPR2 gene, with X-linked inheritance.

GeneticKidney

Also known as: nephrogenic syndrome of inappropriate antidiuresis, x-linked recessive; nsiad; nsiad - nephrogenic syndrome of inappropriate antidiuresis

Patient organizations

Source: NIH GARD · Nephrogenic syndrome of inappropriate antidiuresisGARD ID 10306 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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