Announcement

Collapse
No announcement yet.

Swelling / edema? what is normal?

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

    Swelling / edema? what is normal?

    Hi all.

    How much swelling or edema is "normal" for you, or in general for people who spend a good number of hours daily in a wheelchair?

    I was injured at age 20, and for about the first 15 years, swelling in my feet and ankles was extremely rare. Basically nonexistent, no matter how much salt I ate.

    In the last couple years, swelling has been an off-and-on thing, but now almost halfway into my 18th year paralyzed, my feet and ankles seem to be swelling with more regularity.

    I average 12-15 hours per day in my chair - but that's not new. I have averaged those hours pretty much ever since I came home from rehab. And I weightshift regularly, usually tilting and reclining back fully for at least a few minutes every 30 minutes.

    I have started to limit my sodium intake a bit, and am wearing compression socks with more regularity. I am given Lasix as needed. My daily water input/output probably averages about 3 L.

    Really the primary variable that has changed is my age. At 39, maybe my body is not eliminating the fluid as efficiently?

    Bill
    Wheelchair users -- even high-level quads... WANNA BOWL?

    I'm a C1-2 with a legit 255 high bowling game.

    #2
    Does the swelling in your legs go down at night? If it does then that is a good thing. When the swelling in your legs do no go down at night then that is concerning regarding your heart or circulation. Do you have a heart condition? or heart failure? or circulation issues?

    Sitting in the same position all day can cause swelling in your legs. The best thing you can do is wear compression stockings during the day. Lasix is a temporary resolution for lower extremity edema and over time can be hard on your kidneys

    pbr
    Last edited by SCI-Nurse; 27 Mar 2017, 10:23 PM.
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

    Comment


      #3
      If you have been prescribed Lasix, your doctor should have prescribed oral potassium chloride tablets to accompany each dose and should monitor your electrolytes, including potassium levels. Three liters of water a day is quite a bit. My nephrologist (kidney specialist) suggests no more than 2 liters of water a day, anything more is too much of a load for your kidneys and you need to monitor blood sodium levels. I've been following that regimen for about a year and haven't experienced an increase in urinary tract infections, sediment in the urine, or cloudy urine.

      All the best,
      GJ

      Comment


        #4
        Originally posted by SCI-Nurse View Post
        Does the swelling in your legs go down at night? If it does then that is a good thing. When the swelling in your legs do no go down at night then that is concerning regarding your heart or circulation. Do you have a heart condition? or heart failure? or circulation issues?

        Sitting in the same position all day can cause swelling in your legs. The best thing you can do is wear compression stockings during the day. Lasix is a temporary resolution for lower extremity edema and over time can be hard on your kidneys.

        pbr
        I hate to piggyback on this thread, but I have much the same issue, but only in my right foot, my left foot is fine. I've been a C-3 quadriplegic since June of 1986. I see my primary care doctor regularly. Is there any specific test. I should have done?
        Last edited by SCI-Nurse; 27 Mar 2017, 10:24 PM.

        Comment


          #5
          Originally posted by shamrock View Post
          I hate to piggyback on this thread, but I have much the same issue, but only in my right foot, my left foot is fine. I've been a C-3 quadriplegic since June of 1986. I see my primary care doctor regularly. Is there any specific test. I should have done?
          Doppler Ultrasound exams of the large veins and arteries in the legs will help rule out Arteriosclerosis, blood clots and venous insufficiency. This test can be ordered by your primary care physician and performed at the ultrasound department of radiology clinics.

          All the best,
          GJ

          Comment


            #6
            Originally posted by SCI-Nurse View Post
            Does the swelling in your legs go down at night? If it does then that is a good thing. When the swelling in your legs do no go down at night then that is concerning regarding your heart or circulation. Do you have a heart condition? or heart failure? or circulation issues?

            Sitting in the same position all day can cause swelling in your legs. The best thing you can do is wear compression stockings during the day. Lasix is a temporary resolution for lower extremity edema and over time can be hard on your kidneys.

            pbr
            Thank you pbr

            Yes, the swelling does go down over the course of my time in bed, but sometimes Lasix provides an assist. When the puffiness is moderate, I skip Lasix, but when it is more severe (what my nurse calls sausage toes) then I take Lasix. Moderate swelling is typically present every day, and I take Lasix may be a 2-3 times a week at most, and some weeks not at all.

            I do wear compression socks pretty much full-time now (when dressed and in my chair).

            Bill
            Last edited by SCI-Nurse; 27 Mar 2017, 10:25 PM.
            Wheelchair users -- even high-level quads... WANNA BOWL?

            I'm a C1-2 with a legit 255 high bowling game.

            Comment


              #7
              Originally posted by gjnl View Post
              If you have been prescribed Lasix, your doctor should have prescribed oral potassium chloride tablets to accompany each dose and should monitor your electrolytes, including potassium levels. Three liters of water a day is quite a bit. My nephrologist (kidney specialist) suggests no more than 2 liters of water a day, anything more is too much of a load for your kidneys and you need to monitor blood sodium levels. I've been following that regimen for about a year and haven't experienced an increase in urinary tract infections, sediment in the urine, or cloudy urine.

              All the best,
              GJ
              Thank you GJ.

              Yes, I also take potassium when I take Lasix.

              That's interesting about limiting water intake to 2 L. I did not realize 3 L might be too much. Fortunately I have been blessed to have not had hardly any UTIs, etc. or really any issues to prompt my PCP to refer me to a nephrologist. Perhaps I should now. Thanks.
              Wheelchair users -- even high-level quads... WANNA BOWL?

              I'm a C1-2 with a legit 255 high bowling game.

              Comment


                #8
                I'm having more swelling in my hands and feet. I'm in my wheelchair atleast 12 hrs a day. The feet go down some during the night. My left side seems to be worse than the right. My left side is my weaker side. Anyone try compression gloves or sleeves for the hands?

                Comment


                  #9
                  My doc and nurse really stress elevating legs at night and whenever possible as well. It does seem to get worse with age just one more thing...

                  Comment


                    #10
                    Elevation and compression hose and sleeves/gloves for the upper extremities.
                    CWO
                    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                    Comment

                    Working...
                    X