What to do if fluid is leaking from your leg. Lymph flows from the leg treatment. Removal of serous fluid

Lymphorrhea of ​​the legs is a pathological discharge of lymph from the lymphatic vessels due to their damage. The infiltrate can be released for different times with different intensity depending on the size of the vessel and the nature of its damage. Intense discharge of lymph (several liters) can be fatal and requires urgent medical attention.

Lymphorrhea of ​​the legs is characterized by the fact that lymphatic fluid accumulates in the tissues of the lower extremities, and lymph outflow does not occur. Lymphorrhea often affects people suffering from:

  • diseases of the cardiovascular system;
  • renal failure;
  • vascular diseases.

Most often, lymphorrhea occurs as a complication of lymphostasis of the lower extremities.

Lymphostasis is changes in the subcutaneous fat tissue, as a result of which lymph stagnates in it, and the patient develops constant swelling of the legs. The legs of a patient with lymphostasis change greatly: due to constant swelling, they resemble logs, since the ankle and lower leg are the most swollen. Lymphostasis of the lower extremities can be congenital or may appear during life. The second option for the development of the disease is more common.

Stages of the disease

There are several stages of disease development

  1. At the initial stage, lymphorrhea is almost invisible and manifests itself in the form of mild edema, which either appears or disappears. Most people do not attach importance to these symptoms, which leads to the fact that the infiltrate accumulates, the disease progresses, and its signs become more obvious.
  2. The second stage of the disease is also called the lymphedema stage. At this stage, the infiltrate is already actively released from the lymphatic vessels, the fluid accumulates mainly in the area of ​​the ankles and feet. Swelling does not cause any particular discomfort to the patient and, as a rule, disappears on its own after a long rest. Treatment of the disease at this stage usually has a positive result.
  3. The third stage of the disease or the stage of fibroedema, unlike the first two, is characterized by irreversible changes in the human body. The patient's legs become very thick in all areas, and the swelling does not subside on its own. It becomes difficult for a person to move. It is at this stage that warts and ulcers appear on the skin of the sore leg, through which fluid (lymph) oozes out through the skin. Due to the proliferation of connective tissue, the skin becomes hard. If you press on it with your finger, the depression will remain for some time.
  4. The fourth stage of the disease, or the stage of elephantiasis, is very difficult to treat. The legs at this stage are constantly massive, lose their usual contours, and the skin of the legs is very rough. The patient is practically unable to move independently. All legs are covered with warts and ulcers, and an infiltrate flows out through the skin.

Wounds on the legs, if nothing is done and the disease is not treated, can become infected.

Diagnosis and treatment

As already noted, with lymphorrhea of ​​the lower extremities in the initial stages of the disease, the patient does not experience any particular discomfort, so he often prescribes “treatment” for himself: he uses elastic leg bandages and various folk remedies to relieve swelling. This is fundamentally wrong, since treatment without professional adjustment can even worsen the situation. How to treat lymphorrhea and what to do if the first symptoms appear?

A qualified specialist, a phlebologist, when treating lymphorrhea of ​​the lower extremities at the initial stage, will most likely recommend tight bandaging or wearing compression hosiery, therapeutic massage to contract the lymph nodes, and will also select drugs that tonify blood vessels and relieve swelling, benzopyrones. The prescription of antifungal agents and antibiotics is mandatory. If the treatment is comprehensive and consistent, a complete recovery of the patient is possible.

If the disease is in an advanced stage, the swelling is very strong and there is an infiltration, treatment can take a very long period. Perhaps the treatment will be lifelong and recovery will never occur. Treatment in this case will consist of preventing further progression of the disease and preserving the patient’s ability to move independently. Treatment of lymphorrhea, starting from the second stage, should include physiotherapeutic procedures.

Method Advantages
Physiotherapy. Allows you to tone the vessels of the legs, due to which the lymph begins to move and does not stagnate in the tissues. This means that the infiltrate is released in smaller quantities. Among physiotherapeutic procedures, the best effect is achieved by variable pneumatic compression and electrical stimulation of blood vessels.
Cryotherapy. Exposure of affected vessels to low temperatures has a positive effect.
Laser. The use of minimally invasive techniques such as cryotherapy and laser exposure is less traumatic and quite effective.
Surgery. As for direct surgical intervention, it is performed extremely rarely and in the most advanced cases, primarily at the stage of elephantiasis, when erysipelas is associated.

Traditional methods of treating lymphorrhea (the use of various infusions, decoctions and ointments based on natural products and herbs) are ineffective and can only be used as an auxiliary therapy.

The lymphatic system is very important for humans. It is responsible for the protection and penetration of various types of infections into the body. And if it is violated, then various kinds of swelling and cracks and ulcers appear on the body, which begin to secrete fluid in the form of lymph (ichor). Lymph discharge is, of course, a completely unpleasant sight. However, such diseases can be fought.

Causes of lymph discharge from a wound

Blood poisoning as a cause of lymph secretion

Transfer of various kinds of diseases that are associated with diseases of the skin and circulatory system.

Ecology.

Bad habits.

Work in enterprises that are associated with the chemical industry or harmful effects on the body.

Frequent overload of the body as a cause of lymph secretion.

Injuries suffered.

Symptoms of lymph discharge from a wound

As for the symptoms, you can talk about this here.

  • Swelling of the limbs and the appearance of wounds.
  • Discharge of fluid from wounds.
  • Pain.
  • Joint mobility disorders.
  • Initial redness in areas of cracks or wounds.
  • Weakness.
  • Feeling of heaviness and as if bursting.

How to stop ichor and lymph?

Naturally, with this type of illness, it is necessary to contact a good specialist to assist in treatment. Treatment methods depend on the origin of the lymph itself. If there is lymphatic discharge or edema associated with heart disease, then in such cases the doctor will prescribe diuretics for you. They will help in the outflow of accumulated fluid and normalize the functioning of the heart and blood vessels.

Doctors also prescribe drugs to stop lymph, which strengthen the walls of blood vessels and improve their elasticity. Troxevasin ointment has an excellent effect when used every day.

For more complex diseases, such as trophic ulcers, lymphomas, ulcers of lymph nodes and lymph nodes, surgical intervention is necessary. You cannot cure this kind of disease at home.

In any case, if there is lymph discharge, consult a doctor immediately. The disease should not be neglected, as more complex forms can lead to tragic consequences, even death. Always be careful and don’t try to do everything yourself. Do not constantly listen to the advice of friends and family on how to stop lymph. Qualified specialists know much better what needs to be done.

How to stop lymph flow at home?

Of course, mild forms of lymphatic discharge can be treated at home. You just need to follow the rules that will help you.

To stop lymph, you will need the following means: manganese solution, elastic bandage, calendula tincture and alcohol solutions (preferably diluted with boiled water).

If the discharge of lymph is due to edema, in such cases it is necessary to moisten the bandage with a solution of manganese and bandage the affected area. Keep the bandage on until it dries completely. And continue this procedure until the wounds dry out.

If you cannot buy potassium permanganate, you can use alcohol solutions based on calendula or simply alcohol. However, it must be diluted with boiled water.

If you need to reduce swelling of the lower extremities, you need to use an elastic bandage.

When lying on a bed or sitting on a chair, place your feet as high as possible to prevent fluid from flowing downwards. And on the bed, to stop the lymph, place a cushion under your feet. And in general, try not to put too much strain on your legs and body. Heavy weights and long walking are contraindicated in treatment.

When injured, as everyone knows, scratches, bruises, abrasions, bruises, and wounds appear. Some of them quickly resolve without causing much trouble, but with open wounds it is somewhat more difficult.

What kind of fluid is released from the wound?

Here it is advisable not to let everything take its course, but to treat wounds and bandage them to counteract infection. However, the risk of infection is present even if the wound has healed. In this case, lymph begins to flow from it - a transparent liquid in which there are no red blood cells, but there are lymphocytes. Lymph flowing from small wounds is called ichor.

Lymph moves from the tips of the fingers and toes to the chest. Usually, when injured, not much lymph is released from the wound; it may not appear at all. However, in some cases, lymph flows out quite actively, which should not cause much concern, but it is worth taking care to stop this flow.

Lymph is designed to remove poisons from the body, especially those secreted by protozoa. In addition, the role of lymph in creating and maintaining immunity and protecting against pathogenic bacteria and viruses is also important. The leakage of lymph occurs against the background of edema.

Lymph flowing from the wound dries, and the resulting crust protects the wound from infection.

Sometimes, along with the ichor, a yellowish purulent or bloody fluid is released from the wound, which occurs when the wound is already infected.

The rather complex lymphatic system is designed to return substances from tissues to the blood. The body contains approximately one and a half liters of lymphatic fluid.

Excessive discharge of lymph is called lymphorrhea. It represents the flow of lymph not only onto the surface of the body, but also into its cavity. This condition can be initiated by a wound, other injury, or vascular disease. For example, lymphorrhea often appears when a large amount of subcutaneous tissue is removed during surgery. This is a serious pathology that can be difficult to cope with. Sometimes a second operation is even necessary, but for lymphorrhea. Lymphorrhea also develops when a large lymphatic vessel is destroyed, again, during surgery or medical procedures that affect lymph, and the predisposing factor here is lymphostasis (impaired lymphatic drainage).

How to treat lymphorrhea?

Lymphorrhea caused by injury to the lymphatic vessels is treated by applying a pressure bandage. Blunt wound tamponade is also possible. Then the purulent wound heals and lymphorrhea stops. There are also cases of persistent lymphorrhea, the treatment of which requires stitching or coagulation of the lymph outflow zone.

Thus, lymphostasis is treated with compression therapy, bandages, lymphatic drainage massage, and medications. To reduce the volume of secreted lymph, special “knee socks” are also used.

When the wound suppurates, antibiotic drugs are prescribed, but only those to which there is no resistance from the microorganisms present in the wound. The wound is also treated with some solutions - hydrogen peroxide, fucorcin and crushed streptocide tablets. This powder should be sprinkled on the wound several times a day. Medical glue, brilliant green, dioxidin, and sea buckthorn oil are also used. and any similar drying and healing agents.

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Chronic diseases: not specified

Good afternoon After the fall, a deep abrasion formed on the bottom of the knee; it was only possible to treat it with brilliant green after a few hours. About a day later, yellow liquid began to ooze from the wound, flowing slowly but constantly, while the wound did not dry out. After another 2 days, itching began to appear around the wound, and yellow liquid also flowed. I started applying levomekol and Vishnevsky ointment - to no avail. For the second week now, the wound has not healed, a crust has formed, but it is also constantly leaking. The itching began already on the lower part of the leg, and even there the same yellow liquid flows from the scratched wound. Tell me, what could it be? And how to heal these wounds?
Thank you in advance.

Tags: yellow liquid flows from the wound, the wound becomes wet and some liquid flows, yellow liquid from the wound

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5 answers

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Apparently you are already irritated by the ointment; you need to show up and decide on the choice of drug for dressings

Joseph 2014-11-13 02:00

Hello! More than 5 months ago I had surgery in the hospital with a diagnosis of diabetic foot, after which I am receiving further treatment in the clinic. The wound has not completely healed; brownish liquid is flowing from the wound. The surgeon says that it’s not pus, but fiber, and it won’t heal for me, but it will. I can go to him for dressings, I can not go, it won’t do any good, and in order for the wound to possibly heal, I need to not walk at all and not step on my foot. And it’s not a fact that this will help. I can’t go through life without walking at all. What to do?

If possible, you should contact a diabetic foot center. Diabetic foot syndrome, which develops against the background of diabetes, requires long-term treatment, long-term dressings, and drug therapy. Sometimes it takes a long time to select drugs for dressings.

Evgeny 2014-12-25 09:48

If the presented methods of dealing with excessive leakage of lymph do not bring any results, you should immediately contact a medical institution to receive qualified help. There are simply no other effective measures. Be healthy!

Hello curious readers. Each of us has fallen or been injured at least once in our lives. And we all know the consequences of such awkward moments. Most often abrasions, bruises, bruises, wounds. And if abrasions resolve quite quickly and do not cause much trouble, then open wounds are more serious. It is necessary to make dressings and treat wounds to avoid infection. But even after the wound has healed, there is a risk of infection, and then a clear liquid - lymph - begins to flow from the wound. And when lymph flows, not many people know what to do.

Lymph is a viscous, colorless liquid. There are no red blood cells, but enough lymphocytes. Lymph that flows from small wounds is called ichor. It moves from top to bottom - from the tips of the toes and hands to the chest. When a person is injured, in most cases little lymph flows out of the wound, and sometimes it is completely absent. But there are times when it begins to flow profusely and then the question arises: lymph flows, what should I do?

Here are several mandatory procedures for lymphatic leakage: bandaging the legs with an elastic bandage with a low degree of extensibility, hardware and manual lymphatic drainage massage, and especially drug therapy, as well as wearing therapeutic compression socks will help to gradually reduce the amount of fluid. This must be done because lymph causes erosion and irritation to the skin.

Now, dear readers, you already know what to do when lymph flows.

What does it mean if the wound does not heal and yellowish liquid flows from it? And most importantly, what should be done in such cases?

As a rule, during the healing period of the wound surface, the so-called ichor begins to be released from the wound. Ichor is a colorless liquid that is released from a wound and turns into a film after some time. This film tightens the surface of the wound, thereby protecting it from infection. This translucent yellowish liquid is lymph.

But at the same time, ichor can also be called another liquid - purulent or bloody, which is also released from the wound. Purulent liquid is yellow in color and appears when the wound is already infected, just like bloody liquid.

A few words about lymph

Treatment of lymphorrhea for injuries of lymphatic vessels is the application of a pressure bandage or blunt tamponade of the wound. During the healing process of a purulent wound, lymphorrhea usually stops, and only persistent lymphorrhea requires stitching or coagulation of the site of lymph flow.

Treatment of lymphostasis consists of compression therapy, lymphatic drainage massage, bandaging, taking medications, and using special “golf” to reduce the amount of leaking lymph.

Infected wounds

Flowing from the wound indicates infection of the wound. In addition to the presence of purulent discharge from the wound, other signs usually indicate an inflammatory process - pain, increased temperature - local or widespread, redness.

Regular dressings and antibiotic medications are required. But not everyone can help - it is necessary to determine the resistance of microorganisms from the wound to specific antibiotics. In addition, you can treat the wound with some solutions - fucorcin, crushed streptocide tablets (sprinkle on the wound several times a day). You can also use medical glue, dioxidin, brilliant green, sea buckthorn oil, as well as any other healing and drying agent.

Weeping trophic ulcers are a typical complication when a patient has a prolonged course of varicose veins. Especially if the disease did not respond to qualified drug therapy, or the treatment was performed incorrectly using medications, the use of which at this stage of development of vascular pathology was not relevant. With extensive wound damage to the epithelial surface of the leg, lymphatic fluid is released from the ulcer as an element of the body’s protective reaction. Certain centers of the cerebral cortex, having received information about the presence of an ulcerative formation with a violation of the integrity of the lower limb, send a signal to provide the area of ​​trophic skin lesions with an additional influx of lymph. Thus, the body creates an artificial mucous membrane on the open area of ​​the wound surface and at the same time cleans it from the penetration of infectious microorganisms deep into the tissues of the leg. This avoids serious bacterial infection with profuse suppuration and the risk of amputation.

Causes of lymph discharge from a trophic ulcer on the leg

In addition to the body’s protective reaction to a violation of the integrity of the skin, leakage of lymphatic fluid from a trophic type ulcer is possible in the presence of other pathological factors. There are the following reasons for the constant outflow of lymph from the surface of an open wound resulting from a severe form of vascular disease.

Progressive trophic dermatitis

In most patients who are faced with the appearance of ulcerative formations on their lower extremities with trophic destruction of the epithelium, only one main vessel is affected, which does not provide a normal outflow of venous blood. Simply put, the vein running deep in the tissues of the leg does not cope with the function assigned to it by nature of pumping the bloodstream.

If the patient has extensive vascular pathology and the disease affects a large number of vessels of various types, which are localized in one segment of the leg, then it develops, associated with the formation of several foci of trophic ulcers at once. In the presence of such a clinical picture, the release of lymph from wounds is inevitable, since the integrity of not only the epidermis, but also the lymphatic channels through which the fluid itself circulates is compromised. Discharge from the lower limb is systematic and does not stop day or night.

Bacterial infection

In 73% of cases, if the wound surface of an ulcer is not properly cared for, a secondary infection from the environment occurs. In this case, the secretion of lymph is the body’s reaction aimed at washing out microbes from the damaged area of ​​​​the skin by irrigating it abundantly. This method of getting rid of pathogenic microflora on your own is really effective, but only in the first few days of bacterial infection. Subsequently, excess moisture in the wound tissue benefits pathogens and the pathological process of suppuration begins with further necrosis of the surrounding epithelium. As soon as the patient takes measures aimed at and achieves a positive result, the abundant discharge of lymphatic fluid immediately stops.

Deep trophic ulcer

It is necessary to understand that the wound surface on the leg tends to expand its boundaries not only into a diametrical circle, but also deep into the patient’s leg. When the degree of damage is critical and a significant violation of the integrity of the dilated veins occurs, chronic lymph secretion begins, which only increases in volume as the patient’s health deteriorates.

All of the above reasons for the appearance of copious leakage of lymphatic fluid from an open wound on the leg are associated with the presence. Only the circumstances of the development of the disease and the symptoms of the clinical picture of the disease change. Also, a prerequisite for chronic hydration of the ulcer with lymph is the involvement of large lymphatic channels located in the lower limb in the inflammatory process.

Symptoms

Signs of an already existing lymph leakage or the primary stage of the onset of this process have their own special characteristics and pronounced clinical manifestations, the manifestation of which is the presence of the following symptoms in the patient:


In the absence of adequate drug therapy, which must be used with the appearance of the first symptoms of the disease, more and more new ulcers begin to appear, and the volume of secreted lymph constantly increases. This ends with the fact that a person cannot leave the confines of his home without having a leg that constantly absorbs a large amount of biological fluid.

How and with what to treat weeping trophic ulcers and stop the fluid?

The therapy method, aimed at stopping the process of lymph leakage from an open wound on the leg, consists of a whole complex of therapeutic measures and the use of special medications that simultaneously dry out the ulcer formation, improve the trophism of venous blood, and absorb excess moisture. In order to achieve the most positive results in a short period of time, it is necessary to use the following types of medications.

Absorbent dressings

They are sterile tissue pieces with a dense structure, which are impregnated with antibacterial and anti-inflammatory agents. Their edges are equipped with convenient fasteners that are attached to the surface of the leg and prevent the bandage from sliding down during active movement. In addition, the components of the fabric are selected by the manufacturer in such a proportional ratio that the therapeutic bandage acts like a sponge and if the patient’s wound flows abundantly, it absorbs it perfectly, maintaining a stable balance of moisture on the surface of the ulcer. The best-proven drugs in this group are Biaten, Cetuvit, and PAM-T.

Compression underwear

These are unique elements of therapeutic clothing, which are presented in the form of stockings and golf. If a patient has trophic ulcers, then wearing compression garments eliminates the very essence of the pathological problem. Due to the compression effect, there is no stagnation of lymph and venous blood. Thanks to this, the lymphostasis of the trophic ulcer is stabilized and the volume of biological fluid secretions is significantly reduced. The patient begins to feel much better, and the constantly weeping wound formation gradually dries out.

Collagen hydrogel

It is used for the most complicated forms of trophic skin lesions of the lower limb, when lymph flows profusely and most medications have not brought the expected therapeutic effect. The hydrogel is applied directly to the surface of the open wound and evenly covers the entire affected area. After 10-15 minutes, the gravity of the lymphatic fluid is completely blocked and the inflammatory process is relieved. The collagen-based hydrogel called Emalan has proven itself to be the best.

Medicines in this category also have an excellent healing effect.

Consequences and complications in the absence or improper treatment

The development of the disease in the complete absence of its therapy, or insufficiently provided medical care, is quite difficult to predict, because each clinical case is individual. The following negative consequences are identified, the occurrence of which is directly related to excessive lymph leakage:

  • acute inflammation of an ulcerative neoplasm involving in the pathological process the circumferential epithelium and bone tissue of the lower limb, which previously remained healthy;
  • suppuration of the wound surface with its complete filling with purulent exudate, the removal of which is possible only by performing;
  • a sharp increase in the population of bacterial microflora due to the presence of a constantly humid environment (this complication always entails the development of an even greater inflammatory process);
  • the occurrence of necrosis, critical damage to leg tissue with further amputation.

No matter how the patient’s well-being deteriorates due to the lack of treatment for a trophic ulcer and relief of lymph leakage, any consequences associated with this process are extremely negative and can lead to disability of the patient.

anonymous, Female, 26 years old

Good afternoon My grandmother was born in 1948. After chemotherapy, ulcers opened on my legs in the shins and ankles. For 5 years we maintained them in minimal condition; there were moments when they almost disappeared. This year in the summer, during a period of intense heat, the wounds became larger and clear liquid began to flow out of them. At first there was not enough of it at all, the doctor answered - don’t worry, bandage it with elastic bandages. But now the situation is very critical. The liquid began to flow out with such abundance that the bandage lasted for 15-20 minutes, and when the bandage was completely wet, the wounds began to burn. The wounds are getting bigger. Doctors at the reception do not look at the wounds, but only say in response - you yourself know what to do.. I beg you, tell me what needs to be done. I don’t know... Grandma even more so. Very urgent and very important, please!

Photo attached to the question

Hello! Unfortunately. There is no universal recipe here. It is necessary to assess the state of lymphatic drainage (lymph nodes) and venous drainage (Dopplerography of veins) from the lower extremities - this will allow us to predict the possibility of at least some remission. Caring for a trophic ulcer will not be easy either. Excess moisture must be removed. On the wound, judging by the photo, for a couple of weeks "", then - "Dermazin". And observation of a purulent surgeon in dynamics. Radical treatment most likely will not work. Continue taking polyvalent phlebotonics - venosmin is suitable, but dioflan is better. Sincerely, V. Yatsun

anonymously

Good afternoon Vladislav, thank you for your answer! I would like to consult one more thing about this... Three days ago, when we saw such a severe exacerbation, I immediately scoured the Internet in search of help or tips, and my parents ran to pharmacies. Unfortunately, we have no hope of counting on the help of doctors in our clinic. Therefore, taking full responsibility upon myself, I found a review from one woman to whom one of the online consultants recommended “Baneocin” - an antibiotic ointment. And we have microflora cultures from wounds on our hands. The pharmacist confirmed that this medicine acts on the identified active microbe. Three days have passed; according to the instructions, we change the dressings three times a day. The wounds began to tighten and lymph flowed out less. Today we did an ultrasound of all organs. According to the conclusion, the spleen is enlarged, there is a stone in the left kidney, flakes in the gall bladder, and cerosis of the liver. What to do now? What can you take? Now he is taking Cyclo3forte, Magnicor, Baneocin ointment and washing his wounds with Decasan. An FGD is scheduled for Thursday to assess the condition of the liver veins. Another very important question is how long can you use baneocin ointment? According to the instructions, 7 days, and then? What should I replace it with? Can we use baneocin again after a while? Thank you in advance for your quick response!



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