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OBJECTIVE: To determine the prevalence of syndrome of inappropriate antidiuretic hormone secretion (SIADH) among older hyponatremic patients in a subacute geriatric facility, to identify patients with no apparent cause for the SIADH (idiopathic SIADH), and to determine their clinical characteristics.
Early symptoms may be mild and include cramping and nausea. In severe cases, SIADH can cause confusion, seizures, and coma. A variety of conditions can trigger abnormal ADH production, but the main cause is cancer.