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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Choking Sensation With Swelling, Appears After Overworking With Arm. Done Mastectomy Last Year. Cause And Remedy?

I had a mastectomy last year with 18 lymph nodes removed and have suffered from lymphedema since. I have a choking sensation with swelling that appears when I have overworked my arm. Is this normal? I have been examined and there's no knot, just puffiness and choking sensation at times. What is causing this and what can I do to help ease it? The swelling is in the clavicular area.
Wed, 31 Jul 2013
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Allergist and Immunologist,  's  Response
Thanks for your query. After the Mastectomy and extraction of Lymph nodes the lymphatic system is compromised due to distortion, and lymphatic and venous flow is restricted which may lead to the development of lymph-edema. This is the usual outcome after surgery.
Though it’s not normal but can be help by
1.     Physiotherapy of the arms and affected areas
2.     You are also advised to do light exercises of both arms periodically which just involve the movement of the arms, closing and opening of your fist, which is easy and can be performed during working as well.
3.     Restrict your salt and take some mild diuretics like one tablet Spironolactone in the morning.
I think with this your problem will be relieved, If you don’t get relief,plz let me know on pakheim@gmail.com pakheim@yahoo.com
Hoping that you will get benefit from my advice.
My prayers are with you.
Thanks and best regards.
Dr. IjazNasir
Chest Specialist and Head of Chest Department
Gulab Devi Chest Hospital Lahore
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General & Family Physician,  Dr. Het Ram Bishnoi 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Mastectomy , but for which side and why?
If , due to tumor , type of tumor as this is very important , benign or malignant ?
If malignant , type of cancer ?
The swelling in the arm due to overwork is not normal , particularly in an operated case of mastectomy.
Consult your operating surgeon and get his opinion.
M R I will reveal some cause of swelling.
Good luck.
Dr. HET
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Choking Sensation With Swelling, Appears After Overworking With Arm. Done Mastectomy Last Year. Cause And Remedy?

Thanks for your query. After the Mastectomy and extraction of Lymph nodes the lymphatic system is compromised due to distortion, and lymphatic and venous flow is restricted which may lead to the development of lymph-edema. This is the usual outcome after surgery. Though it’s not normal but can be help by 1. Physiotherapy of the arms and affected areas 2. You are also advised to do light exercises of both arms periodically which just involve the movement of the arms, closing and opening of your fist, which is easy and can be performed during working as well. 3. Restrict your salt and take some mild diuretics like one tablet Spironolactone in the morning. I think with this your problem will be relieved, If you don’t get relief,plz let me know on pakheim@gmail.com pakheim@yahoo.com Hoping that you will get benefit from my advice. My prayers are with you. Thanks and best regards. Dr. IjazNasir Chest Specialist and Head of Chest Department Gulab Devi Chest Hospital Lahore