perspiring hands - kidneys

[Robyn]

Hi Andrew
Here is some info I have on this issue

Generally accepted causes of swelling of the eyelids:
from local causes - Inflammatory affections of the eyes, Hay fever,
Angio-neurotic oedema, urticaria, conjunctivitis etc.
from general causes - Dropsy, chronic and acute nephritis, anaemia, arsenical
poisining, and Iodism.

If this is associated with oedema of the limbs and trunk, it is part of a
generalised oedema. In the oedema of renal disease, the swelling is most
obivious in the loose cellular tissues around the eyelids. The puffiness of the
eyelids due to renal disease is however, greater in the morning than in the
evening, and in this way may be distinguished from a smiliar condition due to
arsenical poisoning or whooping-cough............(Further on ) re chronic
oedema around the eyelids,, transient exacerbations occur with fatigue and
liver derangement.

Periorbital oedema is due to the tissues in this area having a loose connective
tissue matrix. This is subcutaneous oedema. Oedema as a result of renal
dysfunction or nephrotic syndrome is generally more severe than cardiac oedema
and affects all parts of the body equally, but may initially manifest in the
periorbital area. The oedema is characteristically soft and pitting.

Pathophys: Heavy proteinuria caused by increased permeability to plasma
proteins of the glomerular capillary walls, leads to depletion of serum albumin
levels below the compensatory synthetic abilities of the liver, with consequent
hypoalbuminemia and a reversed albumin-globulin ratio. The generalised edema is
in turn, the consequence of the loss of colloid osmotic pressure of the blood
and the accumulation of fluid in the interstitial tissues.

It must be noted that liver dysfunction can also lead to a decrease in plasma
proteins - eg., cirrhosis of the liver

Also, it is possible that if the swelling is only under the eye, it could be
due to herniated fat. It pushes weakened fascia in the eyelids forward,
producing bulges that involve the lower lids, the inner third of the upper
ones, or both. These bulges appear more often in elderly people but may affect
younger ones.

It is important to distinguish between edema and fat by doing a simple physical
examination.

Hope this helps

Regards
Robyn

----------
educational benefit of its members. It makes no representations regarding the
individual suitability of the information contained in any document read or
advice or recommendation offered which appears on this website and/or email
postings for any purpose. The entire risk arising out of their use remains with
the recipient. In no event shall the minutus site or its individual members be
liable for any direct, consequential, incidental, special, punitive or other
damages whatsoever and howsoever caused.
subject of 'Digest' to ashahrdar@yahoo.com to receive a single daily digest.

[Arun]

Hi joy,
the rubric in kent is (chapter kidney)- weariness *region of*

it is not a rubric indicating function of the kidneys but rather a sensation
of "weariness" (weakness/tiredness) in the kidney region (back)

the drugs are arg nit,, cham cimic, helon, berb etc. if we look up helon
provings we find,

" Feeling of weariness and weight in the region of the kidneys (after fourth
dose, second day)"
" A great deal of weariness, and feeling of weight in the region of the
kidneys,ht in the region"
"Felt nothing but an unusual degree of languor, and weariness and weight in
region of kidneys."

regards,
Arun