Pruritis

Question: Why is the control of pruritis so important in curing skin diseases?

Answer: Pruritis is medical speak for intense itching. There are at least a couple reasons why it so important to control/treat: 1) People can scratch themselves to distraction and actually have open wounds all over their body which are then open to more infection, and by extension, worse infections and diseases than the one they presented with. 2) Open skin sites can give further skin area for the presenting infection to spread and increase, so you can make the condition worse and bigger if you spread it by itching. 3) Human beings being what they are, if you itch an infectious skin condition and don't wash your hands well or at all (sigh), you can spread the condition to others. 4) You can also scratch and itch yourself so much that you can damage the tissues and create scar tissue that takes months and months to heal or may require skin grafting. Does that answer your question pretty comprehensively? Any other questions?

Question: What is psychopathology of psychogenic pruritis? how to manage it?

Answer: Pruritus has been classified into three major categories, which include dermatologic, systemic, and psychogenic. Pruritus Associated With Skin Disease Pruritus is a frequent symptom of numerous dermatologic diseases of varying etiology. The appearance of the primary skin changes is important in helping narrow the differential diagnosis. When pruritus occurs in the absence of skin pathology or an underlying medical disease, it can be classified as being primarily psychogenic in nature. Types of psychopathology that may be associated with this type of pruritus include individuals with compulsive or impulsive disorders, or delusional disorders such as delusions of parasitosis. Psychogenic pruritus may also occur in conjunction with pruritus due to primary skin disease or systemic illnesses. Literature suggests that 33% to 75% of dermatological patients have a significant psychological component to their cutaneous symptoms. Often there is a cycle of cutaneous trauma caused by excoriation that leads to skin lichenification, which in turn causes increased symptoms of pruritus. In some cases, it may be difficult to establish whether it is the sensation of itching that provokes the desire to scratch or whether the pruritus is a consequence of a compulsive scratching. Patients with psychogenic excoriation exhibit heterogeneous behavior that can span a "compulsivity-impulsivity continuum from purely obsessive-compulsive to purely impulsive, with mixed symptoms between these poles" The compulsive subtype of excoriation resembles obsessive-compulsive disorder in that patients often try to resist the behavior. This compulsion to excoriate is commonly a response to an obsession about an irregularity on the skin. By contrast, patients with the impulsive subtype respond to increased feelings of anxiety or tension and experience transient feelings of relief immediately after excoriation . In addition to treating the underlying skin disease, nonspecific symptomatic measures are often useful in alleviating pruritus associated with common dermatological conditions. Skin lubricants such as petroleum jelly or other bland emollients and topical antipruritic agents such as menthol, camphor, colloidal oatmeal, pramoxine, crotamiton, capsaicin cream, and calamine lotion may provide short-term relief. Systemic antihistamines such as diphenhydramine, hydroxyzine, and fexofenadine (a nonsedating antihistamine) are used in allergic and urticarial diseases. Antihistamines or medications with potent antihistamine effects, such as doxepin, are also useful adjuncts in the treatment of skin diseases like dermatitis that are not primarily caused by histamine release. Much of this benefit may be due to the sedating effect of these medications, as pruritus can cause significant sleep disturbance. Ultraviolet light phototherapy, either with UVB or psoralen and UVA, is an effective treatment for several generalized skin diseases and for pruritus associated with systemic illnesses such as cholestasis and uremia. Topical corticosteroids are also effective at relieving pruritus, acting through both direct and anti-inflammatory effects. Topical corticosteroids and the newer topical immune modulators (tacrolimus and pimecrolimus) are effective treatments for dermatitis, psoriasis, and other inflammatory skin diseases.

Question: Does anyone have Aquagenic Pruritis (itchy skin from any contact with water)? I have this condition and I don't know what to do about it. I have tried different meds from the doctor and nothing helps. Anyone have it also and how do you deal with it?

Answer: Treatments can include applying capsaicin cream on the affected areas, and filtered Ultraviolet-B Phototherapy in a hospital or health clinic, often using a vertical light cubicle in which the patient stands for the exposure duration. Some people utilize tanning beds to accomplish such treatment, but skin cancer can become a concern for frequent tanning due to the broader UV spectrum of the beds. Liberal applications of lanolin-free Aqueous cream, an emollient, on the affected areas after drying-off from a bath or shower can help to reduce the symptoms of the condition. Boots (The Chemist) UK supply such a product without presciption. Since pruritus is sometimes believed to be a result of histamine, H1 and H2 blockers such as Claritin or Cimetidine may be helpful. The symptoms may recur after each water exposure for years. Some sufferers control the itch by turning the shower water to hot for the last 5 minutes, and/or using heatpads or hairdryers on their skin immediately after showering. However, others find that excessive heat during bathing can actually worsen the pruritus, and limit the water temperature to tepid. The use of cotton clothes and bedding can prevent itch or provide relief to some sufferers. Many experts believe the existence of this condition is questionable, as life cannot be sustained without water.

Question: what are the causes for pruritis (intermitent itching) other than any allergic reactions?

Answer: liver and kidney disease

Question: Been told by my doctor I have aquatic pruritis.What's the treatment or cure? my skin itches when in contact with water

Answer: Very rare disease...If your doctor told you that you have aquatic pruritis, then he/she should have also told you what you can do to treat it. If he/she didn't, then I would suggest you go back and ask. Good luck!

Question: why does the people of liver disease like hepatitis suffer from pruritis,itching esp at night?

Answer: Because the path via the liver's systems are not working well - a-lot more toxins are eliminated out the skin instead, which breaks down the skins natural protections and then itches with water blisters, and is an easy target for yeast fungal bacterial infections due to one's weakened immune system. My understanding is that when a liver becomes hardened and/or severely diseased like from non-alcoholic fatty liver disease or hepatitis, instead of cleaning the blood of toxins as it is supposed to do - by mixing with fats & bile and then dumping them all into the stool via the biliary glands, these are all pushed out through the skin - like what happens to a smoker whose shirt smells like nicotine, because the blood stream sees all these as toxins, and tries to eliminate them asap through the skin. I have some serious liver/biliary problems myself - from a high-carb high-milk high-fat high-cholesterol diet for many years. I am also extremely allergic to petrolatum creams and antibiotics so my only recourse has become to make higher and more expensive nutritional choices - and pray that my system will heal itself as best as it is able at this point. I have high hopes and anyone that has this problem will only get healed from a liver transplant and then much better nutrition to continually heal the kidneys and liver as they continually try to deal with the anti-rejection drugs, or much better nutrition and no liver transplant and let the body heal naturally. It is a common sense decision to spend the money on organic super boiled vegetables. <>

Question: Does anybody have a remedy for brachioradial pruritis, apart from the usual prescription drugs.? I have tried capsicum cream and doxepin cream and tablets. None of them seem to work. The itching is now really bad and keeps me awake at night.

Answer: You poor thing. Treatment is a bit difficult since there are several causes of brachioradial pruritus, as you know... Try to avoid sunlight EVER touching the arm(s).Use sunscreens as well as protective long-sleeved clothing. And at night,use a cooling lotion that has menthol in it. Some people find that eucalyptus and tea tree oil help, but others find they are allergic to them. A good tablet to take is Elavil or Tryptanol (both contain Amitryptiline);25mg at night,with a Benzodiazepine. These are all prescription drugs so you might want to ask your doctor about them. All the best!

Question: generalised pruritis with papular eruption since six month? i visit sevral dermatologist but they the disease is not diagnosed. i use symptomatic treatment permanently

Answer: Skin diseases : These are not the diseases but symptoms showing lack of Vitamin C and indigestion due to sluggish liver, resulting in impure blood. Certain foods mixed and eaten together create poisonous substances in the body and if this poison is not removed from the body by the kidney, it comes out in the from of eruption on the skin, known as skin disease. It is, therefore, advisable not to eat cereals, fish, onions, garlic, cirtus fruits an d antibiotics along with unwarmed milk, curd and butter-milk. The first urine(self) in the morning can be applied on the affected parts to ensure early cure. Treatment on all Acupressure points together with with more Vitamin C (amla, lemon, fruit juice, raw vegetables) groundnuts and til (seasame) in diet will soon cure the disease and also remove the problem of dry skin. Also take health drink (Health Powder/Drink : In 300 grams of amla powder, add 1000 grams of dried ginger powder. Mix them. Take one teaspoonful of the powder along with water in the morning and evening. Otherwise, in 4 glasses of water add 2 tea spoonfuls of the above powder of amla and dried ginger (use fresh amla and ginger if available) and boil it and reduce it to 3 glasses. Filter the water and drink it during the day. If desired, honey can be added to it). Also take treatment to remove excess of heat (For removing excess heat from the body : (a) Take as first thing in the morning 1 tablespooful of haritki churna(harde powder-powder of terminalia chebula retz) + 1/2 teaspoon of sugar for 8 to 10 days continuously, then twice a week. this will also keep the bowels clean. (b) Soak powder of 15 black pepper (Kali Mori ) + 2 teaspoonful of (preferably crystal) sugar in 1 & 1/2 glass of water. Blend them and sip all as first thing in morning for 10 days. After 10 days, add 5 almonds to the blending and drink it for further 10 days ). pimples/Acne : These are due to scanty, irregular mense and excess of heat in the body. Acupressure treatment should be taken Points Nos. 11 to 15 and treatment for removing excess heat. Another natural method : You should drink at least 12 glasses of water daily to flush out the toxins from your system. Ensure that you don't suffer from constipation. Keep your skin oil-free at all times. Make a pack using sandalwood and rice powders mixed with rose water and apply it on your face. This will improve your complexion and will take care of the pimples as well. Boils : Press the Lymph gland Acupressure point No. 16 on the middle of the wrist and also take the treatment on point No. 26. Proper daily treatment will ensure that there are no boils and if there are any, they will soon dry.

Question: Is it unsanitary to use the cornstarch after it has been in the bathroom? I was wondering because I have a condition known as pruritis ani and I have to apply cornstarch to my crack. So the box is in the bathroom but when my husband bakes something that requires cornstarch he gets some from there. Are any germs killed off in the baking process?

Answer: I would not use an open box that is in the bath room . Cornstarch is not expensive. Have a box in the kitchen for him to use

Question: Any experience with pruritis? I have pruritis, and it is in my butt crack. i am absolutly miserable. i went to a colorectal dr first because i thouhg tthe itching was from hemmrrohids. he said i didn't have any and to use OTC cortizone or whatever, just something topically. I did for a while without any relief, and finally went to a dermatologist. She prescribed VUsion, which is a diaper rash cream/ antifungal, and a topical steroid. I am in insane pain. She also said i now do have hemorroids. I have the worst urges to scratch,a nd intense pain. I also have like a cramping that occurs in the area, She said if it keeps on i will have to have a colonoscopy, because it could mean i have colon cancer. i am 27 with no family history. she also suggested steroid injections directly into the affected areas. please any suggestions would help, even if you have had pruritis somewhere else. i can't concentrate, i am in constant pain, and it is affecting my work, school, and social life...

Answer: This is a very common problem. It could very likely be from some foods that you are allergic to. Nuts are NOTORIOUS for causing this problem. Also, spicy foods and chocolate and tomatoes. Try going on a very bland diet to find out if it helps. It may take a few days. People who are allergic to nuts often don't get symptoms on the first day--sometimes three or 4 days later. Just look at the foods you eat and try to do some guesswork as to what seems to make it better or worse. Also, have you been checked for pinworms? That is also a common cause in children, but it can also occur in adults. It is very important that you keep the area extremely clean--this will also help decrease the itching. You might want to get some books on food allergies and read up. Cut out any sugary foods and drinks--if yeast is involved, yeast thrive on sugar. Keep the area clean and dry.

Question: How do you treat Aquagenic Pruritis? I'm 13 years old, and I've had Aquagenic Pruritis since Hurricane Igor. I can still drink water and eat food containing water, but it has now come to the point where even my sweat can result in itchiness for over 10 minutes. However, it doesn't seem to affect my hands, face and toes. I try my best to keep the rest of my body dry, and I tend to keep it secret and only my very close friends know about this. but it's starting to drive me crazy. I went to the doctor, and he didn't know the cause of it, and what to; neither did my parents. I've been looking up ways to get this under control, but nothing has worked. I have read that applying baby oil or skin lotions can help calm it down, but it makes it worse. The only thing that really helps me is drying off as soon as I can when I get out of the shower or when I sweat. I also try to put on my clothes as quick as possible, to help circulation. This still does not help me a whole lot. IS there any thing that I can do to get this under control, or even cured? I would like to have answers from people that could possibly have this, as well.

Answer: Rx strength from an MD, for anti perspirant, or try non rx at home first. Drysol. Some people with Cystic Fibrosis have this condition. What's Hurrican Igor have to do with this?

Question: what is pruritis 1?

Answer: Pruritus is the main complaint in the medical care of the dermatology. Pruritus also occurs as systemic disease without skin lesion. Pruritus can be classified into the peripheral pruritus developed through various chemical mediators and the central pruritus involved in opioid. Since pruritus is the subjective sense, the evaluation is difficult, and it is very few to connect the primary disease only from the features for the diagnosis. The development of the qualitative and the quantitative evaluation methods of pruritus will be progressed in future, and it will be connected to the evaluation of the therapeutic effect, the differentiation of pruritic disease and the elucidation of mechanism of pathogenesis of pruritus.

Question: what else could be causing this problem? I have been to my gp today as I had pruritis ani or itchy bottom, bleeding and general discomfort. My doc said he saw nothing unusual at all with my bottom, and suggested it was irritation, or minor fungal type infection. What could cause this?

Answer: Just listen to the doctor and what he says is usually right, if your not happy with what he's said simply go back and ask for another check up.

Question: treatment after chemotherapy? i want to know the treatment after chemotherapy's.i finished chemotherapy of 6cycles, three years ago. My later symptoms are .pruritis,headaches,weakness ect.

Answer: You need to be reporting these symptoms to your doctor because they could be a sign that the cancer has returned or some other illness that you might have caught. There is no way to tell. Anyone who has been treated for cancer should keep in close contact with their doctor and report any new symptoms quickly.

Question: Hepatitis B vaccine side effects? My brother has received a hepatitis B vaccination 2 days ago, he developed localized fever in the injected arm and also generalized fever, around 38c (low grade fever), today the fever has subsided but the swelling has gotten worse involving the whole upper arm, he also has pruritis and redness, I am an anesthetist I am really concerned, should I worry? ( a pro answer is preferred, also if someone had the same experience before)

Answer: I recently had a Hepatitis B vaccination. I was told that low grade fever, swelling around the injection site, redness, and slight pain is normal. However, with that severe of swelling, I'd go talk to your doctor. Best of wishes, Andrew G.

Question: Has anyone used Hydrarex? I am very skeptical since there isn't much about it online, I would really like a review of it from someone with aquagenic pruritis.

Answer: no, haven't tried it.

Question: PLZ Read and give your opinion? Do you think marijuana should be legalized? Facts about marijuana it is not addictive ( if you want to prove me wrong give me one substance in marijuana that is addictive ) It makes people more relaxed It gives people better taste and smell It is the #1 medicine of all cultures ( including america ) It opens up your lungs to help you breath It doesn't destroy brain cells ( only one study has shown that and it was not backed up with scientific evidence, and other studies have been shown not to cause brain damage with scientific studies) You are actually less likely to get into a car accident while high( this is true because you are more cautious, you are just less likely to get to the right place you want to) If it hurts your lungs you may still get high from eating marijuana Helps with multiple sclerosis, cancer treatment, AIDS (and AIDS treatment), glaucoma, depression, epilepsy, migraine headaches, asthma, pruritis, sclerodoma, severe pain, dystonia. there a list of 1000

Answer: Besides the fact that some of your arguments are a little spurious (and the car one is a little dubious), I agree that it should be legalized. We as a country are wasting too much money trying to stop it. The drug war is killing this country, killing good people, killing cops, and draining the resources of this country. Does that mean we legalize every drug? Hardly. Most illegal drugs have absolutely no redeeming medical value. But for the drugs that make sense (like marijuana), legalization should be considered. The problem with legalization will be, like with alcohol, determining when you are too impaired to drive. A field sobriety test would indeed work, but there still needs to be an objective physical test (blood test or breath test) that measures and determines when you've had too much to drive. FSTs are subjective, and without an objective test to back it up, it would overwhelm the court system with unnecessary arguments. Until such a limit is found, we're not going to see legalization. That won't be done until some valid tests on marijuana are done, and THAT won't be done until the government admits that marijuana actually has some redeeming value. There NEVER has been a fully proven, scientific, double-blind placebo controlled study done on the effects of THC on certain diseases. But they still tell you how bad it is, and how much it's going to hurt you. Until they prove it scientifically, I'm afraid I won't believe them. They've gone through exhaustive tests with cigarettes, and they've proven that they have absolutely no redeeming health benefits. Similar tests have never been done for marijuana, or its active ingredient, THC. Haven't you stopped to ask yourself, why not? In some cases, marijuana is the only thing that can control the pain. Just ask Montel Williams. He uses liquid marijuana on his food at night because it is the only thing that can control his leg tremors and pain enough that he can actually sleep. And he has tried EVERY legal pain drug known to man, both in the US and overseas (and you know he has the monetary resources to do just that. Don't take my word for it, read his book). Those drugs either didn't work, or didn't work and really messed him up. And while a few drops on your food is enough to help the pain, you'd need to consume quite a lot to get high off of edible marijuana (unlike smoking). For those who use it medicinally, it's not about getting high, it's about controlling pain when nothing else will. So please don't pontificate about what's right and what's wrong, and that those who consume medical marijuana just "haven't tried hard enough to find a legal alternative." How pretentious! You think you're morally right because of a law? Show me a law that dictates morality, and I'll show you BAD LAW. In some cases, there is no legal alternative. You think people in this condition *want* to be criminals? Not on your life. But until it is legalized, those with chronic illness will do what they must, and if that means breaking the law, so be it. *************** I was just re-reading the other comments, and I gotta add more. We are so entirely hypocritical in this country. Marijuana is illegal, but cigarettes are legal? Smoking cigarettes causes lung cancer, emphysema, heart disease, and a myriad of other health problems too numerous to mention. It has NOT ONE medical benefit. It does not relieve pain for cataract sufferers, or stop the pain of Multiple Sclerosis. It does not help relieve the symptoms of chemotherapy. And yet, it's still legal. On the other hand, recent medical studies have shown no increased risk of lung cancer from marijuana usage in comparison to the general population who did not smoke (note: marijuana users who also smoked cigarettes were not counted). These studies are far from conclusive, but they are a step in the right direction. (Again, don't take my word for it, check the source link for the Washington Post article). So again, ask yourself: why are cigarettes legal and marijuana not? One word: MONEY. Big tobacco is in the hip pockets of legislators. As long as Phillip Morris puts up a website and pours millions of dollars into helping people STOP USING THEIR PRODUCT (which, by the way, gets my vote for the most HYPOCRITICAL thing ever), then they can keep making them and selling them, and people will keep dying from them. That same study that showed that even the heaviest marijuana smoker had no increased risk of lung cancer also showed that two-pack-a-dayers had a 20-fold increase in risk for lung cancer. As was already mentioned, they can't tax marijuana because it is so easily grown, so there's little money to be made by the government in taxes. There is some, because people want it now, they don't want to wait for a plant to grow. So companies will make it and sell it, and it will be taxed, and they can sell seeds as well, so there is indeed a market for it. Philip Morris should push the government for legalization so they can switch to that instead of tobacco (as long as they leave the additives out), or market both. We are in a sad state in this country.

Question: So why is Marijuana illegal? here are the health benefits: AIDS and Cancer: Marijuana reduces the nausea, vomiting and loss of appetite caused by both the ailment itself and as a side effect of treatment. Asthma: Several studies have shown that THC acts as a broncodilator and reverses bronchial constriction. Arthritis: In addition to its effectiveness in controlling the pain associated with arthritis, new evidence shows that marijuana is an autoimmune modulator. Depression and Other Mood Disorders: Marijuana has been shown to help dysphoria gently and naturally. Epilepsy: Marijuana is used as an adjunctive medicine to prevent epileptic seizures. Glaucoma: Marijuana can reduce intraocular pressure, alleviating pain and slowing the progress of the condition. Multiple Sclerosis: Marijuana limits the muscle pain and spasticity caused by the disease. Migraine Headaches: Marijuana not only relives pain, but also inhibits the release of serotonin during attacks. Paraplegia and Quadriplegia: Many paraplegic and quadriplegics have discovered that cannabis suppresses their muscle twitches and tremors. Pruritis: Marijuana can be used orally and topically and may be more effective than corticosteroids and antihistamines. Insomnia: Research shows pot can help people sleep without the side effects or tolerance problems of other hypnotics. and don't answer if your an idiot who listens to the anti-drug commercials, cuz marijuana isn't a drug. its a plant. smart answers only. ya i know what you mean, but thats the same with things that are legal like alcohol. and alcohol has no health benefits.

Answer: Hello :) You are right, it does have benefits, but surely people with these afflictions would rather try the currently legal options for treatment as opposed to Delta-9-Tetrahydrocannabinol (THS/Marijuana)? What if they hurt someone while their perceptions/problem solving ability was impaired? Or damaged something? Or became addicted (long-term use has been linked to schizophrenia and depression)? Even without addiction (or long-term use), the short term affects are impaired memory and suboptimal intellectual performance for up to a week after use :( Also, all of the purposes you listed are medicinal; surely you do not believe that if it where to be made legal only ill people would use it? ^_^ If it where legal for medicinal purposes only it might be different, but making it easy for the general public to access by legalizing it seems a mite pointless, if not downright dangerous :( Just some things to consider :) Peace :)

Question: 2 nursing care plan and 2 common medications for liver disease - cirrhosis? 2 nursing care plan and 2 common medications for liver disease - cirrhosis Health history Mr. K is a 45 year old Spanish male. Married with 3 children. He is currently unemployed. He has worked in the service industry for his entire life. He has been socially drinking since he was 13 year old. Past medical history Previous liver disease, hepatitis B immunization, no medications except cold remedies. Usual childhood illness, broken leg at age 16, no surgeries. He has been admitted to ICU on 3 previous occasions for liver disease. Presenting complaint 1.Fatigue 2.Weight changes 3.Digestive disturbances 4.Skin changes 5.Weakness 6.Pruritis 7.Dyspnea 8.Anorexia 9.Abdominal pain 10.Nausea and vomiting 11.Diarrhea 12.Bloody stools 13.Changes in urine or color 14.Numbness or tingling of extremities Physical exam Blood pressure: 160/90 mmHg hypertension Repiratory rate: 28 cpm Pulse rate: 96 bpm Height and weight 5ft 10in; 77kgs Skin: dryness, scratches, jaundice, bruises Eyes: scleral icterus Breast: gynecomastia Abdomen: distention, prominent veins Girth: 715cm, liver enlargement Give two nursing diagnoses Give two common medications.

Answer: Nursing dx: 1)Activity intolerance related to fatigue, general debility, muscle wasting and discomfort. 2)Altered nutrition, less than body requirements, related to chronic gastritis; decreased GI motility; anorexia; impaired protein, fat, glucose metabolism, and impaired storage of vitamins(A, C, K, D, E). 3)Risk for injury and bleeding related to altered clotting mechanism. 4)Impaired skin integrity related to compromised immunologic status, edema and poor nutrition. 5)Pain related to liver enlargement and ascites. 6)Diarrhea related to excessive secretion of fats in stool secondary to liver dysfunction. 7)Risk for injury related to decreased prothrombin production and synthesis of substances used in blood coagulation. 8)Discomfort: Pruritus related to accumulation of bilirubin pigment and bile salts on skin. 9)Excessive fluid volume related to portal hypertension, lowered plasma colloidal osmotic pressure, and sodium retention. 10)Risk for infection related to leukopenia secondary to enlarged, overactive spleen and hypoproteinemia. 11)Risk for ineffective therapeutic regimen management related to insufficient knowledge of pharmacologic contraindications, nutritional requirements, signs and symptoms of complications, and risks of alcohol ingestion. 12)Risk for disturbed self-concept related to appearance changes(jaundice, ascites). Medications: 1)Lactulose. 2)Spironolactone for patients with ascites. 3)Lasix.

Question: Anyone know about PG/PI reliability? I am having kidney problems and had pyelonephritis. I am having such sever uti symptoms (severe right flank pain, extreme pain when urinating, pruritis, renal and ureter colic after drinking fluids). My labs are normal but did not do alltewasst necessary to determine if there is obstruction. The doctor performed amniocentesis to determine fetal lung maturity PG/PI IR tests. He said at 36 weeks my PG was o and my PI was 15-16. He made a leap to no perform c-Section until 39 weeks. I told him That I can't take the pain anymore as I am becoming severely depressed because the pain makes me scream in agony. My perinatologist in the past delivered early and my other ob wanted to delivereWd in a few days. My current ob wants to do anothe r amnio this week or he will not deliver. The last test nurse left the amniotubes out for 1 hour or more before she sent it off. I have read that will invalidate the test because of degridation of lethicin. Can anyone explain?

Answer: I wouldn't let another amnio happen that's for sure. your doc is being an ass, exspecially since you are having kidney problems. do you know the risk of still birth after having an amnio? you should bring this up to your doctor, and tell him what you really feel. good luck to you