Lymphedema and Diet
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Sodium: High sodium intake causes the body to retain fluid. People with lymphedema already have edema (fluid retention) to their extremities, so consuming large amounts of sodium could make the swelling worse. Following a low sodium diet isn’t going to cure the fluid retention caused by the lymphedema, but at least you won’t have extra swelling due to high salt intake. Keep your daily sodium intake below 2,300 mg, or less than 1,500 mg per day if you have high blood pressure.
Fluid: Another misconception is to reduce fluid intake, in hopes of reducing the fluid retention. There is no correlation between the two, and adequate hydration is essential for basic cell function and especially important for the body to remove waste products after lymphedema treatments.
Vitamins & Minerals: Getting the recommended intake of all vitamins & minerals is essential for good health. Lymphedema patients may focus on Vitamin C for collagen formation, Vitamin A for increased cell development, and zinc for wound healing and correcting yellow nail syndrome associated with chronic lymphedema.
Balanced Diet: A balanced diet with whole grains, fruits, vegetables, lean protein, and healthy fats will help promote overall health.
Lymphedema occurs when a blockage develops in the lymph system, causing a backup of fluid, which leads to swelling as lymph leaks into the tissue. Swelling normally affects the extremities (one or both arms or legs). Primary lymphedema is a rare inherited lymphedema that commonly affects women. Secondary lymphedema usually occurs after a lymph node damage or removal. Lymph node removal to treat cancer is very common.
There is no “lymphedema diet” per say, but there are some things to keep in mind…
Protein:
Lymph fluid contains large amounts of protein; so a common misconception is to reduce dietary protein intake and hopefully this will decrease lymph fluid and swelling.  There is no correlation between dietary protein intake and the amount of protein-rich lymph fluid in your extremities. The fact is this.  Protein helps keep the body healthy, and repair skin that breaks down when tissue swells. It also keeps connective tissues in your body strong. Therefore, increasing your daily protein intake to 1.2 grams-2.0 grams per kilogram of body weight would be beneficial for lymphedema patients. (Check with your MD first when making diet changes. He or she will want to make sure your kidneys are functioning efficiently when increasing protein intake).
Nutritional interventions: sodium
The following are just a few common foods naturally high in sodium:
Cottage cheese
Bread
Baking soda
Shellfish
Deli meat
BBQ sauce
Cheese
Strategies to decrease sodium intake
Dramatically cutting out salt in the diet will generally result in less palatable foods. However, taste buds adapt to the taste of less salt over time. To increase compliance, it is recommended to reduce total daily salt intake by ¼ tsp or 600 mg at a time until optimal daily intake levels are reached.
Strategies to help reduce sodium intake
Eat more fresh, single ingredient foods
Eat more homemade foods
Buy fresh/frozen meat with no added sodium
Buy whole grain rice/pasta plain without seasonings and add your own!
Make soups on your own; use extra onion, carrots, and celery for flavor
Replace salt in recipes with other herbs and spices
Rinse canned foods
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