What causes your LE flares?

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Comments

  • Suzybelle
    Suzybelle Member Posts: 920
    edited November 2011

    Tina, besides really hurting my feelings, I am pretty sure a muffin top  limits lymphatic flow. Yell

    I cannot stand for my clothes to touch me.  I have some jeans that create the muffin top and they make me nuts, which is why I'm trying to get some weight off.

    Grrrrrrrrr.

  • carol57
    carol57 Member Posts: 3,567
    edited November 2011

    I will say that since wearing shaper camisoles --learned that trick somewhere here, for compression to help with my mild truncal--I'm much less muffin-like, even in jeans.  Some days I wear the under armor shirt all day instead of the cami, and it has the same effect, smoothing the lumps and bumps out nicely.  That's the ONE benefit I have discovered to all this LE management!  I was never a spanx person before, but now I've come to really prefer wearing shapers/under armor to wearing a bra, and I look a lot better that way, too.  I'm not sure how I'll feel about that in the spring and summer when it's hot, however.

  • AnnetteS
    AnnetteS Member Posts: 180
    edited November 2011
    I've always heard to stay out of hot tubs because it could make LE flare.  However, I believe a warm (not hot) shower does the same thing to me.  I am finding this very disappointing, as I do like to showerFrown
  • kira66715
    kira66715 Member Posts: 4,681
    edited November 2011

    Annette, me too.

    We bought a house that came with a hot tub and a soaker jet tub: my husband uses the hot tub daily, and keeps it at 100 degrees, and the NLN just says to avoid prolonged exposure.

    But, I like my showers hot also, and have noticed that it can make my hand puffy. 

    So, I've never gone in the hot tub or soaker tub, but I may just cautiously try it. The hot tub has an ozone thing and uses little chemicals. 

    Annette, my shower is hydrotherapy for me...

    Here's from the NLN risk reduction papers:

    Extremes of Temperature1
    • Avoid exposure to extreme cold, which can be associated with rebound swelling,
    or chapping of skin
    • Avoid prolonged (greater than 15 minutes) exposure to heat, particularly hot tubs
    and saunas
    • Avoid placing limb in water temperatures above 102°Fahrenheit (38.9°Celsius)

     

    Kira

  • Leah_S
    Leah_S Member Posts: 8,458
    edited November 2011

    Kira, if the guidelines say to avoid placing your arm in a tub over 102* and your husband keeps the hot tub at 100* - well, go for it!

    OK, OK, maybe close but also maybe worth a try.

    I LOVE hot baths but since LE I don't make them as hot as I used to. Instead of getting in a very hot tub, murder mystery at my side, and soaking for an hour I get into a very warm tub, murder mystery at my side, and add hot water during my hour-long soak as it cools down.

    Leah

  • Nordy
    Nordy Member Posts: 2,106
    edited November 2011

    I actually took a hot bath the other night... In the past it has been something that has made me flare. Well, I was SO sore after a workout in karate, that I couldn't resist. So, I filled up my tub and folded a towel up on the side of the tub and soaked my entire body with the exception of my arm. It sat there on the side of the tub nice and chilly on the towel. Did it help? I think so because it didn't swell anymore than normal. Now, the massage 3 days later didn't do it any favors. I have told my MT in the past to NOT do my arm. Apparantly he forgot and started digging in. It didn't take me long to stop him... but h*lls bells... how many times do I have to tell someone??? Anyway, with wrapping and body brushing (yes, I am more consistent with that than MLD - go figure) I have gotten it back down. Now I just have to make it a point NOT to remove my sleeve for massages. Grrrrrrr...

  • carol57
    carol57 Member Posts: 3,567
    edited November 2011

    Nordy, I am so encouraged by that tub experience! I read somewhere that it may not help to keep the arm out of the water, because immersion in a hot bath elevates the temp of the entire body. Was it a truly hot, aaaaaahhhh kind of soak?  I haven't experimented with this yet, but now maybe I will!

  • Nordy
    Nordy Member Posts: 2,106
    edited November 2011
    Oh, Carol - it was indeed a truly hot, aaaaaaahhhh kind of soak. So relaxing that I fell asleep in there. I am certainly not encouraging anyone else to risk this. I am only saying that it didn't affect me this time... but next time I may not be so lucky. But... with me, I have a hard time compromising to LE... I should be better - especially since I know better, but I just am not.
  • lulubee
    lulubee Member Posts: 1,493
    edited November 2011

    What a helpful thread!

    Mine flared after my final reconstruction surgery.  Scared me straight, for sure.

    Temps in the 100's always make that arm feel heavier, as does direct hot sun.  I keep a couple of bandannas in the car and one in my purse, and if I feel like I'm getting in a jam I'll soak the bandannas in cold water and wrap the arm -- it's a stop-gap measure.  I also use the bandannas to shield my arm from direct sun, especially in the car or at my son's ballgames.  (I lay the bandanna on my arm with one corner pointing toward my shoulder and the opposite corner pointing toward my hand, and then I tie the other two corners under my arm -- it makes a sleeve to cover the arm.)

    Sleeping on the wrong side can make that arm feel sluggish, too... ugg, I get so tired of sleeping on my right side!  I have a Homedics Sqush pillow to hug to my chest which supports my upper arm when I'm lying on my side, and that seems to help a lot.  I never leave home without a Sqush in the car or in my suitcase. I get them at Bed Bath & Beyond:  

    http://www.bedbathandbeyond.com/product.asp?SKU=124823

    I have a lymphatic massage every month or two just to get things moving freely again, and I always feel so light and free afterward.  I wish I could afford to do that more.  Unfortunately, we have to buy groceries.  :-P

  • Moderators
    Moderators Member Posts: 25,912
    edited November 2011

    Carol, there's a long list of Do and Don't suggestions to prevent lymphedema triggers in the section called How to Avoid Lymphedema on the main Breastcancer.org site.

    Nothing about cleaning stovetops there, but thanks for the tips here!

    Judith and the Mods

  • kira66715
    kira66715 Member Posts: 4,681
    edited November 2011

    Judith, thanks for the suggestions: the women on this thread already have lymphedema, so odds are, they wouldn't look to avoidance to treat their lymphedema.

    I know we always sound like a bunch of complainers, but we'd sure like to see the bc.org lymphedema web pages updated.

    The women on these forums are incredibly knowledgable and advocate greatly and the threads are a great resource.

    As someone with lymphedema: I wouldn't look at an avoidance thread to help me manage the chronic condition I deal with every day.

    But thanks for reading! And supporting us.

    Kira

  • kira66715
    kira66715 Member Posts: 4,681
    edited November 2011

    Nordy: my LE therapist--who I adore--says to push the limits and figure out what you can tolerate.

    You're not bad, just testing the limits and living your life to the fullest. Including wonderful baths.

    Kira

  • BeckySharp
    BeckySharp Member Posts: 935
    edited November 2011

    Hi All--I have been in Indianapolis visiting my cousin (who is like one of my sisters).  She had a double lung transplant due to pulmonary fibrosis on Nov. 8.  I spent several days with her.  It sure put my LE in perspective.  She is still so swollen all over that I did not recognize her.  She was still on a ventilator and could not talk but now has a trach.  Anyway...I drove up alone.  This was my first trip alone.  I was worried about my arm with all of the driving.  It did become tired and heavy but no difference in measurements.  I pumped like mad at each stop.  I drank so much water it made for a lot of stops which made for more pumping.  Many deep breaths while driving.  I faithfully did my MLD and MLD exercises morning and evening before visiting.  I am still afraid to fly as I used to swell before LE when flying.  I am putting that off for awhile.  But now I feel I can hit the road more often alone.  It does take an extra suitcase to take all of the LE stuff with me.  I am not ready for a hot bath either!  Glad to be back on.  Happy Thanksgiving to all! Becky

    Oh I forgot to add.  I had to gown up and put on a mask to visit.  The nurse at first said I had to take off my sleeve and glove.  I was afraid it was going to be a short visit as I am supposed to wear them all of the time.  When she learned I was to wear it all day she relented and let me keep it on.  You have to constantly purell your hands and my hand was raw from taking glove on and off all day. 

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited November 2011

    Hmm, Becky, glad you saw your cousin, but the Purell thing, the point was to have your hand germ free. If you took off the glove off your glove wasn't sterile! Your hand underneath was probably still sterile from the last Purell, it would be the point to get your glove sterile! I'm surprised they let you go in with your glove to be honest. It's your glove that had touched everything in the outside world, not your hand! Good for you on doing it alone!! More road trips in the future???

  • BeckySharp
    BeckySharp Member Posts: 935
    edited November 2011

    Barbe--I was surprised too.  I did tell her I had washed the glove the night before.  I had driven over with a gauntlet and changed to clean glove.  I only  held her hand with my glove free hand. I always feel like my glove or gauntlet are contaminated.  Wish there was a way to purell them!  Yes,  more road trips.  It felt great to be free on the road again.  Eventually flying again to go further distances.  Becky

  • Leah_S
    Leah_S Member Posts: 8,458
    edited November 2011

    Becky, if you visit again ask the nurse for a sterile examining glove to cover your LE glove. That would take care of the sterility problem.

    Hope your cousin is doing well and healing with minimal pain.

    Leah

  • Suzybelle
    Suzybelle Member Posts: 920
    edited November 2011

    I am not positive, but I think that the Twilight saga, Justin Bieber, and all things Kardashian make me flare.

     As well as Gerardo Rivera and bananas.  Just sayin'.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited November 2011

    OOhhhh, the lady who wrote Twilight... Stephanie someone writes SO well!!! I didn't expect to like the books and only read them this year. I didn't get into an alternative life syle or anything over it, but she is an EXCELLENT writer!! For that alone, I read all her books. FABULOUS writer!!! I can't say it enough.

  • Nordy
    Nordy Member Posts: 2,106
    edited November 2011

    Suzy... I totally stood in the rain for an hour and a half for the midnight showing on Thursday... LOL. Oh, yes, guilty as charged. Do I think the movies are fabulous? No... but I go with extremely low expectations (expecting them to completely suck) so that when they only kind of suck, I can be pleasantly surprised!

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited November 2011

    The movies were fairly accurate to the books, but of course, in the movies you aren't "inside" Bella's head. (huh, just remembered her name as I typed it!) I would read anything that Stephanie, whoever she is, writes! Am I going to see the final movie (I rented the other ones)...when it comes out on DVD.

  • carol57
    carol57 Member Posts: 3,567
    edited November 2011

    Becky, just a thought, but how about one of those UV light wands for sterilizing the outer surface of your sleeve/glove?  Ten or fifteen seconds of exposure, meaning you have to hold it in a position above the glove for ten seconds, then move to cover another section, then flip the glove...well might take 2 or 3 minutes total to do the job.  They make them in pretty portable models, not too expensive depending on where you look.  --Carol

  • BeckySharp
    BeckySharp Member Posts: 935
    edited November 2011

    Carol--Interesting idea.  Anyone else try it.  I won't see my cousin again except on Skype until she is home.  But she will always have the rejection factor to watch out for.  I probably could have gone without the glove but not the sleeve.  Becky

  • carol57
    carol57 Member Posts: 3,567
    edited November 2011

    Becky, after my reconstruction, I had a good bit of skin die on each breast. Healing was long and messy, and I was unhappy with the way the gauze looked stuffed in my bra. I decided to use a thin layer of sterile gauze against my skin, and then top that with some round circles I cut from T-shirt material--round for a more natural fit in the bra, doubled-up and sewn together.  I washed these pads but was not comfortable with them not being sterile, even though they did not touch my skin, so I used a UV wand to sterilize them before inserting.  I cannot say for sure that the things were absolutely sterile, but I followed directions so I think they probably were. All healed fabulously so something must have worked!  Carol

  • kira66715
    kira66715 Member Posts: 4,681
    edited November 2011

    Becky,

    When you go into an isolation room, they don't make you strip off your clothes, right? Just put the yellow gown on to cover it up.

    I do agree that hand washing is ideal, but a sterile glove over your glove should be fine.

    My mother had a liver transplant, and we never had to gown up--she came home 6 days post op. (And is doing fine 17 years later.) She did have a few stormy months--with CMV and rejection--but it all worked out.

    Hope your cousin improves quickly.

    Suzy: I had no clue who Justin Bieber was and he was on the Daily Show as a cameo, and I kept asking why that kid combed his hair forward....Then I probably had a flare...

    Kira

  • Nordy
    Nordy Member Posts: 2,106
    edited November 2011

    Kira & Suzy... The Justin Bieber comments... LOLOLOL

    Yes, I agree - Becky - did they not have you gown up? If you have to take off your sleeve, then you should also have to take off your clothes. Isolation gowns work both ways - to protect the patient (in a case such as your cousin) and to protect the health care worker or visitor (in the case of highly infectious pathogen) - and there are different types of isolation protocol (air, droplet, contact). Did you ask the nurse if she was wearing sterile clothes in the room? If she bothered to change her clothes as she comes in and out of other patients' rooms? And her shoes? And is she doing her handwashing like she/he is supposed to? Sorry! I am probably sounding on a rant - but I am sitting here with absolutely zero malice, I am chuckling and just kind of think it is comical because I worked in a hospital for many, many, years... And I can totally see how your scenario played out! And yes, you could have totally asked for a pair of sterile gloves... although I would bet that they are using "clean" gloves from the box, not sterile ones that are completely wrapped separately and require the use of sterile technique to put them on. (It is pointless to put on a sterile glove if you have not been instructed in sterile technique as once you touch the outside of them, they are no longer sterile). Yes, I agree about removal of the glove - because your hands are touching everything and the glove can't really be washed like your hands with regular hand washing. The sleeve however, I think is so silly. People wear clothes with long sleeves - they don't make them remove their shirts, and yes, that is what the yellow gown is for - to provide a barrier between you/your clothes and the patient. I hope your cousin does well. I am glad you got to see her and proud of you that you made the trip alone and have been able to overcome that hurdle! You are a great cousin and she is so lucky to have you by her side. 

  • Trishia
    Trishia Member Posts: 572
    edited November 2011

    Sitting and working at a computer for more than 20-25 hours a week is what causes me the most pain.  And that's what my main source of income relies on. Sucks.  

    Too much salt, not going to yoga, humidity, too much repetitive movement....this can be tricky when I am learning a new BodyJam routine, so I have to modify when I practice.  I also find that when I am on vacation and walking for miles and hours daily, I flare.  

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