Can somebody help me? I tried Desitin with Zinc - not good

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Can somebody help me? I tried Desitin with Zinc - not good

Postby mommby » Fri Oct 13, 2006 4:08 pm

Hello,

I have lymphedema concentrated in my legs particularly my left one.

It is constantly wet from weeping sores and I did try Desitin with Zinc for about 2 weeks now and I really don't see a difference at all. Leg is still weeping pretty heavily and I do bandage it and wrap it every other day.

Is there any other ideas out there for me? I appreciate any help.

Thank you.
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I wonder if I am wrapping my legs the proper way?

Postby mommby » Fri Oct 13, 2006 5:05 pm

Hello again everyone,

I was reading this site and found this information:

"...For example a limb should be supported with appropriate bandaging e.g. Multi Layer Lymph edema Bandaging (MLLB) with short stretch compression bandages. This normally stops the flow of leakage within 24-48 hours. Bandages may have to be replaced frequently during this period of time to remove wet bandages/ dressings and to prevent further skin breakdown."

At the present time this is what I am doing:

I put Desitin with Zinc on my leg (it's not stopping the leakage) and then cover it with heavy absorbant gauze pads and then Kerlix gauze wrap and then on top of this, I cover it with elastic wrap stretch bandage. Still the weeping is coming through so I was wondering if I am doing this the way I am supposed to be doing because it says this normally stops the flow of leakage within 24-48 hours.

Thanks again for your help and support in this.
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Postby patoco » Fri Oct 13, 2006 6:43 pm

Hi Mommby :)

Super welcome to our family!!!!

You read my mind, I was going to ask exactly how you were wrapping.

The kerlix pads and gauze sound good, but I am wondering if the eleastic wrap strech bandages are providing the proper amount of compression.

This is critical to keeping the selling down and in help the wound to heal.

Short stretch bandages are very important as they don't have the elasticity that regular bandages do. They firmly hold the leg.

Also, to help keep the bandage sable and help the compression factor, I wrap in a figure "8" method.

Very small or slight open areas should close in a day or so. Larger ones will take longer.

Is this a spot that just opened up? Or is it an injury site.

Look forward to hearing from you!

Pat
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Postby Lynora » Sat Oct 14, 2006 1:47 am

When I have 'wrapped' legs with lymphorrhea, I have found that it doesn't seem to make a difference whether I apply cream or not. As long as the leg is clean - I bathe it prior to wrapping in a simple saline solution, and dry the unaffected area gently with paper towel. Then I apply stockinette to protect the skin - then a layer of padding (or absorbant pads if the lymphorrhea is very bad) then the short stretch bandage.

Lynora xx
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Postby coyote » Sun Oct 15, 2006 2:15 pm

mommby,

the zinc oxide soothes the wound and is helpful in the healing process, but I agree, as long as there is a lot of lymphorrhea, it isn't as effective...its like the lymph fluid prevents the zinc from making contact with the wound.

Like Pat said, short stretch bandages for compression are key to stopping the lymphorrhea and also wound healing. The worst your case is, the longer it takes to heal and for the swelling to go down enough for the lymphorrhea to stop or not be so bad. So, be patient and make sure you are using short stretch bandages!



Good luck!

Julie E.
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To Pat here is more information

Postby mommby » Mon Oct 16, 2006 6:40 pm

Hi Pat,

Thank you very much for the warm welcome.

Here is a link to the bandages I am using now. Please explain what you mean by "short stretch bandages."

http://www.muellersportsmed.com/retailtapeandwrap.htm

It is the second wrap from the top.

I am using this one: 350104 6" Elastic Bandages

I've had open wounds for a few months now. Some are deeper than others. I am very frustrated as to why they won't close.

Again thank you for your help. You are very nice.
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To Lynora

Postby mommby » Mon Oct 16, 2006 6:47 pm

Hi Lynora,

Sorry to hear you have lymphorrhea as well. You are like me - the cream doesn't help. A shame.

What kind of absorbant padding do you use? I've been thinking of using the kind of padding that a person would lie on like this disposable incontinent underpad:

http://www.samsclub.com/shopping/naviga ... tem=153840

Thank you for sharing with me what you do for yourself. It helps to know that I am not alone.
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To Julie E.

Postby mommby » Mon Oct 16, 2006 6:52 pm

Hi Julie,

Yes I sure found that out and it disappointed me because I had high hopes that it would stop or at least slow down the weeping. Oh well.

So the short stretch bandages work for you? Do you put gauze pads under them as well?

What's also upsetting me is that my foot gets wet in my shoe. Does this ever happen to you?

Thanks a lot for relating and I'm sorry that you too have this problem.
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Postby patoco » Mon Oct 16, 2006 10:24 pm

Hi Mommby

Here's a page on short-stretch bandages:

Lymphedema Short Stretch Bandages

http://www.lymphedemapeople.com/thesite ... ndages.htm

But....ifyou are saying you have had these for months and some are deeper then others, I really think it is time for you to step things up abit.

Please give a referral to a wound clinic as soon as possible.

The desitin/zinc oxide does work well on superficial draining lymphedema wounds. It is not meant to be used on deep or long standing wounds, these really need medical care.

Thnx

Pat O
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Postby coyote » Tue Oct 17, 2006 4:03 am

Hi mommby,

Yes, the short stretch bandages are definately the way to go for lymphedema. I use a combination of KT Medical's "KomprimED" and BSN Jobst's "Comprilan" short stretch bandages which can be found at: www.bandagesplus.com. You can find them on a lot of different websites, I just found that the one I listed is one of the cheaper sites to get them at. I use the komprimED first instead of Artiflex, which is the roll of padding that many LE patients use. It is easier to use, more comfortable (IMHO) and washable. Then I use 1-3 layers of comprimed over that, wrapping in a figure 8 (or basketweave/crisscross) sort of pattern, as Pat suggested. The bandages stay up better on odd-shaped limbs with that pattern.

I use gauze under my bandages now, but when I had a lot of weeping, I used menstrual pads or diapers. One or the other, depending on how big of an area you are trying to cover, would stop the fluid from dripping on the floor or going into your shoe.

Forgive me if I have missed a previous post about what you have done so far in seeking treatment, so if I repeat something you have already done or have been told before, please bear with me... So, here goes: If you can see a lymphedema therapist and have her or him teach you how to bandage yourself and do manual lymph drainage that would be a great help to you, I know.

And, Pat is right about a wound care clinic. You are at such risk of developing fibrotic tissue and I can tell you, you do not want a lot of that. I have one wound that refuses to heal fully, I have had it for 4+ years and I have been told by a wound specialist that it may never heal because of the ridge of fibrotic tissue surrounding the wound...the fibrotic tissue just keeps pulling the wound open over and over again. Also, as time goes on it is more and more difficult to treat the lymphedema and have your legs go back to their original state. I tell my story so you understand what you are up against. It's really worth the effort to push to get treatment now rather than later.

The treatment that worked on me to heal most of my wounds was "unna boots". It is basically gauze impregnated with zinc oxide and sometimes calamine lotion. The gauze becomes a semi-hard cast-like material once it hardens and is kept on your legs for a week and then is reapplied. If someone decides to try it on you, just be real aware of it becoming tight anywhere, particularly at the top of the unna boots. I had some swelling that occurred at the top and had to make some adjustments to compensate.

Hope this helps!

Julie E.
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leg weeping

Postby Teddi » Wed Oct 25, 2006 10:13 am

Hello Mommby - My name is teddi and I have been battling lymphedema for several years now. My problem is massive localized lymphedema but it all started with the kind of weeping legs that you describe. I thought they were never going to dry up until someone came up with the idea of Silvadean cream which my husband rubs on my legs, then gauze to cover it, and then wrapping with the compression bandages. My legs are still ugly - but they are dry! And actually a lot of the granulation has gotten smaller over time.
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