Sensing concentration and responding
Antidiuretic hormone (ADH, also called vasopressin) is the body's main short-term regulator of water balance. Osmoreceptors in the hypothalamus monitor the concentration of solutes in the blood. When plasma osmolality rises, signaling that the blood is too concentrated, these sensors trigger ADH release from the posterior pituitary.
ADH travels to the kidney and increases water reabsorption in the collecting ducts, so more water is returned to the blood and the urine becomes more concentrated. This dilutes the blood back toward its normal set point.
Closing the loop and what disrupts it
As osmolality falls back to normal, ADH secretion eases and the kidney lets more water leave as dilute urine, a negative feedback loop that keeps fluid balance within a narrow range. Thirst works alongside this hormonal response to restore water intake.
Imbalances in this system underlie conditions where ADH is too low, causing excessive dilute urination, or inappropriately high, causing water retention. This is general educational information about renal and endocrine physiology, not medical advice; consult a qualified professional about fluid or electrolyte concerns.