Some signs of lymphedema may include:

• Swelling in the breast, chest, shoulder, arm, or hand
• Area feels full or heavy
• Skin changes texture, feels tight or hard, or looks red
• New aching or discomfort in the area
• Less movement or flexibility in nearby joints, such as your shoulder, hand, or wrist
• Trouble fitting your arm into jacket or shirt sleeves
• Bra doesn't fit the same
• Ring, watch, and/or bracelet feels tight but you have not gained weight

Early on, the swelling may be relieved by raising the affected limb and the skin usually stays soft. But over time, the swollen area may become hot and red and the skin hard and stiff.

If you have had any type of breast surgery, lymph nodes removed, or radiation treatment, look at your upper body in front of a mirror. Compare both sides of your body and look for changes in size, shape, or skin color.

When to call your doctor or nurse

• If any part of your affected arm, chest, breast, or underarm area (axilla) feels hot, looks red, or swells suddenly. These could be a sign of infection and you may need antibiotics.
• If you have a temperature of 100.5°F or higher (taken by mouth) that is not related to a cold or flu
• If you have any new pain in the affected area with no known cause