Treatment FAQ

when fluid gathers in arms because of cancer treatment

by Lori Mills Published 3 years ago Updated 2 years ago

Why does lymph fluid build up after cancer treatment?

Surgery to remove cancer may also remove lymph nodes or some of the vessels that carry the lymph fluid. This can cause the fluid to build up in surrounding tissues. Radiation treatment can damage the lymph vessels, resulting in too much lymph fluid in the tissues.

What does it mean to find cancer cells in fluid?

Finding cancer cells in the fluid confirms a diagnosis of malignant ascites as opposed to liver damage or other causes. How Do We Treat Ascites in Patients With Cancer?

What should I do if my legs swell with cancer?

Feet and lower legs get larger (swell), usually when you sit in a chair, stand, or walk Limit your salt intake. Avoid using salt in cooking, and don’t eat foods that are very high in sodium (check food labels). Talk with your cancer team about this. Eat as well as you can (see Eating Problems ). Take medicines as prescribed.

What causes fluid in the blood?

However, there are many other causes including cancer. In normal situations, protein can help to keep fluid in the blood. However, if a patient has liver disease this body function is affected and the number of proteins made drops. This causes water to leak into the tissues around the region. There can also be fluid increases in both body regions.

What does it mean when a cancer patient fills up with fluid?

Ascites is excess fluid buildup in the belly (abdomen) because of pressure from tumors. It can make the belly hard and swollen (distended). Patients with ascites may also have nausea, vomiting, and fatigue. Sometimes the fluid also pushes on lungs which can cause difficulty breathing.

Why does cancer treatment cause swelling?

Chemotherapy-related, or cancer swelling: It is a vascular reaction that causes an increased ability for fluid in the cells to "leak" into the layers of the skin, resulting in swelling. This happens much less often than hives alone. The fluid retention causes swelling generally in the tongue, lips, or eyelids.

How long after cancer treatment can you get lymphedema?

A mild type of lymphedema can occur within a few days after surgery and usually lasts a short time. Lymphedema can also occur about 4 to 6 weeks after surgery or radiation and then go away over time. The most common type of lymphedema is painless and may slowly develop 18 to 24 months or more after surgery.

Why does your arm swell when you have cancer?

But when the lymph nodes are removed or damaged, lymphatic fluid collects in the surrounding tissues and makes them swell. Lymphedema may develop immediately after surgery or radiation therapy. Or, it may occur months or even years after cancer treatment has ended. Most often, lymphedema affects the arms and legs.

How do you get rid of fluid after chemo?

The following tips can help you manage fluid retention after chemotherapy:Avoid tight clothing. Wearing loose clothing will make you feel comfortable and help to improve circulation.Reduce intake of salty foods. ... Elevate the affected area. ... Exercise. ... Wear compression stockings.

Is lymphedema life threatening?

Though lymphedema isn't generally life-threatening, it's a life-long condition. Controlling swelling and preventing infection in swollen areas is essential to good health. With the help of lymphedema specialists you can better manage your symptoms.

How do you treat lymphedema in the arm?

Treatment options may include:Exercise. Exercise helps to restore flexibility and strength, and it improves drainage. ... Bandage. Wearing a customized compression sleeve or elastic bandage may help to prevent an accumulation of fluid.Arm pump. ... Diet. ... Keep the arm raised. ... Infection Prevention.

What are the four stages of lymphedema?

Stages of LymphedemaStage 0: Latent or Subclinical Stage. In stage 0, the edema is not visible or even evident using limb measurements despite impaired lymph transport. ... Stage 1: Mild Stage. In stage 1, fluid starts to collect in the affected area and causes swelling. ... Stage 2: Moderate Stage. ... Stage 3: Severe stage.

What happens if lymphedema goes untreated?

In some people with very severe lymphedema, the skin of the affected limb can thicken and harden so it resembles the skin of an elephant. Cancer. A rare form of soft tissue cancer can result from the most-severe cases of untreated lymphedema.

What are the symptoms of last stage of cancer?

Signs that death has occurredBreathing stops.Blood pressure cannot be heard.Pulse stops.Eyes stop moving and may stay open.Pupils of the eyes stay large, even in bright light.Control of bowels or bladder may be lost as the muscles relax.

What does fluid in the arm mean?

Lymphedema is the buildup of fluid called lymph in the tissues under your skin when something blocks its normal flow. This causes swelling, most commonly in an arm or leg. Lymph normally does an important job for your body.

How long can you live with lymphedema?

Keep in mind that any acute illness, such as lymphedema, can have dire consequences if ignored. As untreated lymphedema prolongs, it can develop into lymphangiosarcoma – a lymph-related cancer that limits a patient's life expectancy from a few months to two years.

How to get fluids back from a swollen heart?

Walk or do other exercises, which helps pump fluids back to your heart. Raise the affected area when sitting or lying down. Avoid standing for long periods or sitting with your legs crossed. Wear compression stockings or elastic sleeves to help push fluids back into your circulation system.

How to treat edema?

Managing edema focuses on treating the underlying cause of fluid buildup. Edema caused by drugs or poor nutrition can be fixed in some people. Edema caused by cancer or by kidney, heart, or liver problems may be more difficult to treat. In these situations, edema may be permanent. The following suggestions may help reduce swelling and relieve symptoms: 1 Ask your doctor about prescription diuretics. These medicines help get rid of extra fluid from the body by increasing urination. 2 Eat a well-balanced diet. 3 Lower the amount of salt in your diet. 4 Walk or do other exercises, which helps pump fluids back to your heart. 5 Raise the affected area when sitting or lying down. 6 Avoid standing for long periods or sitting with your legs crossed. 7 Wear compression stockings or elastic sleeves to help push fluids back into your circulation system. 8 Do not reduce the amount of water or other fluids you drink without talking to your doctor. 9 Talk with your doctor about whether physical therapy or occupational therapy may be helpful.

What are the causes of edema?

Causes of edema. The following factors may cause edema: Cancer, especially kidney, liver, or ovarian cancers. Some types of chemotherapy, including cisplatin (available as a generic drug) and docetaxel (Taxotere) Other medications, including the following: Corticosteroids, which are drugs that reduce swelling. Hormone replacement medications.

What is the best way to treat edema?

Managing edema. Relieving side effects is an important part of cancer care and treatment. This is called palliative care or supportive care. Talk with your health care team about any symptoms you experience, including any new symptoms or a change in symptoms.

What are the drugs that reduce swelling?

Corticosteroids, which are drugs that reduce swelling. Hormone replacement medications. Nonsteroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen (multiple brand names) or naproxen (multiple brand names) Some blood pressure drugs. Low levels of protein in the blood, caused by poor nutrition. Inactivity, which can cause fluid ...

Is edema permanent or temporary?

Edema caused by cancer or by kidney, heart, or liver problems may be more difficult to treat. In these situations, edema may be permanent.

How to treat swollen arm?

The goal of treatment is to reduce the swelling or keep it from getting worse, and to relieve symptoms. Your doctor can help you figure out which treatments are best for you. Lymphedema can be treated with—. Exercise. Moving your swollen arm or leg may help the lymph fluid to drain, thus reducing the swelling.

What does it mean when your arm is swollen?

Usually, if your swollen arm or leg is 2cm (about 4/5 of an inch) bigger than your other arm or leg, you have lymphedema. Your doctor may also suggest other tests to find out if you have lymphedema and if so, what is causing it.

What is the test to see if lymph vessels are blocked?

Lymphoscintigraphy is a test that uses radioactive material to see if the lymph vessels are blocked. Computed tomography (CT) scans and magnetic resonance imaging (MRI) can take pictures of the swollen area to find out why the lymph vessels are blocked. This photo shows a person with lymphedema in the left leg.

How does a lymphedema machine work?

A machine inflates a sleeve that you place on your swollen arm or leg, helping lymph fluid flow out. Weight loss. In patients who are overweight, lymphedema related to breast cancer may improve with weight loss. Surgery. If your lymphedema is severe, your doctor may suggest that you get an operation.

What is lymphedema in the body?

Lymphedema is swelling due to build-up of lymph fluid in the body. Lymph nodes act like a drain in your sink. If the drain is clogged, the fluid cannot drain. It usually happens in the arms or legs, but can occur in other parts of the body.

What does it feel like to have lymphedema on your arm?

The arm or leg with lymphedema feels heavy . Clothing and jewelry fit more tightly on the affected area. The skin looks thicker or leathery. If you notice any swelling after cancer treatment, talk to your doctor about what is causing it and how best to treat it.

How do you know if you have lymphedema?

The symptoms of lymphedema may include—. Your arm, leg, or other part of your body has a little swelling at first, but gets bigger over time. The skin in that area feels tight, and sometimes has a tingling sensation. The arm or leg with lymphedema feels heavy. Clothing and jewelry fit more tightly on the affected area.

What is the name of the swelling caused by cancer?

Swelling, Edema, and Ascites. Cancer and its treatment may cause swelling which also can be called edema or ascites, depending on the area affected.

How long does a paracentesis last?

More often, a procedure is done to drain the fluid, called a paracentesis. A paracentesis gives temporary relief that may last days or weeks, but fluid often comes back. Sometimes a catheter (tube) is placed and left in the belly, allowing fluid to drain out as needed.

What is the treatment for ascites?

Sometimes chemotherapy or surgery might help manage ascites . More often, a procedure is done to drain the fluid, called a paracentesis. A paracentesis gives temporary relief ...

What to do when a patient has a swollen face?

Watch for any new symptoms, especially shortness of breath or swelling in the face. Encourage the patient to keep the swollen body part propped up as high as is comfortable when sitting or lying down.

How to get rid of a large abdomen?

Large, puffy, hard, or blown-up abdomen (belly) Difficulty putting on pants or an outfit. Limit your salt intake. Avoid using salt in cooking, and don’t eat foods that are very high in sodium (check food labels). Talk with your cancer team about this. Eat as well as you can (see Eating Problems ).

Can diuretics cause edema?

But diuretics can have possible dangerous side effects. Talk to your doctor to learn more about this if you are prescribed diuretics for swelling or edema.

What causes ascites?

Malignant ascites is caused by cancer that has spread to the lining of the organs inside your abdomen. It can also happen when cancer spreads to the liver. You are more likely to develop ascites if you have one of these cancers:

What are symptoms of ascites?

Ascites often causes a lot of discomfort. People with ascites may have the following symptoms:

How is ascites diagnosed?

Your doctor may use one or more of the following tests to locate, diagnose, or plan treatment for ascites:

How is ascites managed and treated?

The goal of treatment is to provide relief from uncomfortable symptoms. You may not need treatment if your ascites is not causing discomfort. Ascites treatment may have unpleasant side effects. Talk with your doctor about the benefits and risks of each option before deciding on a treatment plan. The treatment options for ascites include:

What is the procedure called when you remove fluid from a patient?

A needle and syringe may be used to remove some of the fluid in a procedure called a paracentesis. Checking this fluid for white blood cells, blood, cancer cells, and bacteria can help determine the cause and diagnose an infection, if present.

How long does it take for a paracentesis to remove fluid?

If patients have severe tightness in the abdomen or shortness of breath, a paracentesis can remove several liters of fluid in minutes. A hollow needle is inserted into the fluid and connected to a bottle via tubing. This can provide immediate relief, though fluid can return, often in days to weeks.

What is a scite in the abdomen?

A scites (uh-SIGH-tees) refers to excess fluid in the abdomen. This fluid collects in the space within the walls of the abdomen, between the abdominal organs. It is common in patients with liver disease and cirrhosis, though patients with cancer can also develop ascites.

What is the treatment for liver damage?

If liver damage is the cause, patients may be prescribed a diuretic (water pill) to increase water in the urine or asked to cut down the amount of salt in their food.

Can cancer cause ascites?

Second, cancer can spread to the liver and cause increased pressure in the liver. Certain cancers, such as ovarian, pancreatic, liver, and colon cancers, are more likely to cause ascites.

How to keep fluids down?

If you can’t keep fluids down, try ice or little sips of liquids. Sucking on small pieces of ice works can help improve your fluid intake. The downside is that it takes a lot of ice to make an impact. “You also may find that taking small, frequent sips is easier than drinking large amounts at a time,” Snyder says.

How to know if you're losing fluid?

Little or no urine output. Dark urine. Headache. Dizziness. 2. Keep track of your fluid intake and output. It’s not easy to tell how much fluid you’re losing unless you measure it. “Rather than measuring the amount of your output, keep track of how many times you’re having diarrhea or vomiting ,” Snyder says.

What are the symptoms of a syringe?

Snyder strongly encourages you to talk with your healthcare professional about your specific medical condition and treatments. But in general, it’s time to call the doctor’s office if you experience: 1 Difficulty keeping fluids down. 2 Uncontrolled symptoms. 3 Fever greater than 100.4 o F. 4 Excessive sleepiness. 5 Signs of confusion.

What is the problem with cancer treatment?

If you’re undergoing cancer treatment, one issue you need to keep at the forefront of your mind is dehydration . Dehydration is an excessive loss of body fluids and occurs when your body’s fluid output exceeds its fluid intake. Cleveland Clinic is a non-profit academic medical center.

How to stop dehydration?

You should talk with your doctor or nurse for advice about managing these symptoms. The second step is to continue drinking fluids to replace those you’ve lost.

Can cancer cause diarrhea?

When you’re undergoing cancer treatment, side effects like vomiting or diarrhea can lead to de hydration. Infections, high fever, bleeding or merely not drinking enough fluids also can lead to dehydration. Dehydration is a serious condition and can be life-threatening if left untreated.

Why do people with cancer lose muscle?

Factors released from tumors can block muscle repair, according to a new study. The finding partly explains why people with cancer often lose muscle. It also suggests a new avenue for treating the condition. Cancer wasting, also called cancer cachexia, is marked by weakness and the progressive loss of body weight, fat, and muscle.

What is the mechanism of muscle loss in cancer?

The Mechanism of Muscle Loss in Cancer. Cross-sections of muscle fibers from someone without cancer (left) and someone with pancreatic cancer (right). The damage from cancer is visible under the microscope. Guttridge lab, courtesy of JCI. Factors released from tumors can block muscle repair, according to a new study.

What is cancer wasting?

Cancer wasting, also called cancer cachexia, is marked by weakness and the progressive loss of body weight, fat, and muscle. The condition is responsible for 20-30% of cancer deaths and is currently untreatable. Knowing how tumors cause muscle loss could lead to life-saving treatments. Lost muscle normally regenerates from a pool ...

Does Pax7 overexpression affect muscle cells?

They found that overexpression of Pax7, which regulates muscle stem cell proliferation, impairs the stem cells’ differentiation to muscle cells in mice with cachexia. Further experiments showed that Pax7 overexpression is controlled by NF-κB, a factor known to regulate formation of skeletal muscle. When mice with tumors received a treatment ...

Where does fluid build up in the body?

There can also be fluid increases in both body regions. This includes areas like the legs, feet, and chest/lungs. The actual symptoms the patient experiences vary based on where the fluid buildup happens.

Why does my abdomen have more fluid?

In fact, the forming of ascites can vary based on various diseases. Some causes can involve a buildup of salt/water within the body. In other cases, the fluid buildup results from fluid leaks.

How does knowing your stage of cancer help you?

Knowing your cancer’s stage can help to determine what outcomes are possible based on the situation. If you have late-stage cancer with ascites you might want to consider treatments developed by researchers.

What are the stages of cancer?

It’s also caused by various other conditions like liver disease and heart failure. There are usually four cancer stages used in the medical world. Stage 1 is the first one and Stage 4 is the most serious one. When cancer patients are first diagnosed their doctors inform them about which stage they’re in.

Why do doctors use the data from cancer test results?

Doctors use the data from your test results or the cancer tumor to help determine your stage. There are different stage systems that are used.

Can cancer cause ascites?

This will help to determine whether certain diseases like cancer produce a high risk of experiencing ascites. There are certain conditions and body parts like some kinds of cancer that can include this condition. In some cases, cancer has formed or spread to a region of the body like the liver. In some cases, this health condition can also involve ...

Can you use a tube for stage 4 cancer?

You don’t have to worry about pain due to the local anesthetic used. This procedure can be used again if the fluid buildup happens again. The doctors might use a tube that stays in the abdomen to drain fluid. Stage 4 is generally considered to be cancer’s fourth stage.

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