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Lymphedema
treatments vary, depending on the stage and cause of the illness.
The most important aspect of treatment is learning how to
care for your health. Your doctor or nurse will teach you
and your family how to follow your prescribed treatment.
If the initial
signs and symptoms of swelling are caused by infection, antibiotics
may be prescribed. Other treatments may include bandaging,
proper skin care and diet, compression garments, exercises,
and manual lymphatic drainage, a gentle form of skin stretching/massage.
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Lymphedema
can be prevented or controlled (if it develops) by following
the recommendations below.
Maintain
good nutrition
Reduce
foods high in salt and fat.
- Include
at least two to four servings of fruits and three to five
servings of vegetables in your daily meal plan.
- Eat a variety
of foods to get all the nutrients you need.
- Use the
package label information to help you to make the best selections
for a healthy lifestyle.
- Eat foods
high in fiber such as whole-grain breads, cereals, pasta,
rice, fresh fruits and vegetables.
- Drink plenty
of water -- eight 8-ounce glasses of water a day.
- Maintain
your ideal body weight. (A registered dietitian or your
health-care provider can help calculate your ideal body
weight.)
- Avoid alcoholic
beverages.
Exercise
regularly
- Always check
with your physician first before starting a new exercise
program.
- To improve
cardiovascular fitness, you should perform aerobic activities
(including walking, swimming, low-impact aerobics or specially
prescribed exercises) for 20 to 30 minutes at least three
times a week.
- Take time
to include a five-minute warm-up, including stretching exercises,
before any aerobic activity and include a five to 10-minute
cool down after the activity.
- If your
normal exercise routine includes weight lifting with your
arms, check with your doctor about the best time to resume
this activity and if there are any weight restrictions.
- Discontinue
any exercise that causes unexpected pain. If your arm or
leg (on the side where you had surgery) becomes tired during
exercise, cool down, then rest and elevate it.
Avoid
infections
- Wear gloves
while doing housework or gardening.
- Avoid cutting
your cuticles when manicuring your nails. Use care when
cutting your toenails.
- Frequently
wash your hands with soap and warm water, especially before
preparing food, and after using the bathroom or after touching
soiled linens or clothes.
- Protect
your skin from scratches, sores, burns and other irritations
that might lead to infection. Use electric razors to remove
hair and replace the razor head frequently.
- Use insect
repellents to prevent bug bites.
- Immediately
report any signs of infection to your physician.
Stay
alert for signs of infection
- Fever over
100 degrees F (38 degrees C)
- Sweats or
chills
- Skin rash
- Pain, tenderness,
redness or swelling
- Wound or
cut that won't heal
- Red, warm
or draining sore
- Sore throat,
scratchy throat or pain when swallowing
- Sinus drainage,
nasal congestion, headaches or tenderness along upper cheekbones
- Persistent
dry or moist cough that lasts more than two days
- White patches
in your mouth or on your tongue
- Nausea,
vomiting or diarrhea
- Flu-like
symptoms (chills, aches, headache or fatigue) or generally
feeling "lousy"
- Trouble
urinating: pain or burning, constant urge or frequent urination
- Bloody,
cloudy or foul-smelling urine
Avoid
tight clothing, shoes or jewelry
Women should
wear well-fitted bras; bra straps should not be too tight,
avoid underwire styles, and wear pads under the bra straps
if necessary. Wear comfortable, closed-toe shoes and avoid
tight hosiery. Wear watches or jewelry loosely, if at all,
on the affected arm (surgical side).
Avoid
heavy lifting with the affected arm (even a purse or bag)
Also avoid
repetitive movements of the affected arm (such as scrubbing,
pushing or pulling). Do not carry a purse or bag on your shoulder
(the side where you had surgery).
Keep
your skin meticulously clean
Dry your skin
thoroughly (including creases and between fingers and toes)
and apply lotion.
Take
precautions during visits to your doctor
Ask to have
your blood pressure checked on the unaffected arm (nonsurgical
side). And avoid injections or blood drawing on the surgical
side if possible.
Inform
your doctor of any symptoms
Notify your
doctor if you have redness, swelling, a skin rash or blistering
on the side of your body where you had surgery, or if you
have a temperature over 100 degrees F (38 degrees C). These
warning signs of infection could be an early sign of lymphedema
and should be treated immediately.
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Lymphedema
cannot be cured. However, with proper care and treatment,
the affected limb can be restored to a normal size and shape.
In addition, lymphedema can be treated and controlled so that
it does not progress further.
If left untreated,
lymphedema can lead to increased swelling and a hardening
of the tissue, resulting in decreased function and mobility
in the affected limb. It can also lead to chronic infections
and other illnesses.
It is important
to receive treatment promptly if you recognize symptoms of
lymphedema.
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