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कंजेस्टिव हार्ट फेल्योर के लक्षण क्या हैं और मैं अपने लक्षणों को कैसे मैनेज कर सकता हूँ?
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Cardiac & Vascular Health
Question #29852
41 days ago
118

कंजेस्टिव हार्ट फेल्योर के लक्षण क्या हैं और मैं अपने लक्षणों को कैसे मैनेज कर सकता हूँ?

Client_1aec69

पिछले कुछ सालों से मुझे कई लक्षण हो रहे हैं और मुझे लगता है कि यह CHF हो सकता है। मैं रात में 2 या 3 बार पेशाब करने के लिए उठता हूँ, मेरा भूख ज्यादातर समय कम रहता है, मेरे हाथ हर सुबह सूजे हुए होते हैं, और मुझे हफ्ते में कई बार दिल की धड़कन तेज होने का अनुभव होता है।

How long have you been experiencing these symptoms?:

- 6 months to 1 year

How would you rate the severity of your heart palpitations?:

- Frequent and distressing

Have you noticed any patterns related to your appetite loss?:

- Always poor appetite

Do you experience any other symptoms along with swelling in your hands?:

- Swelling in other body parts

When do you typically wake up to urinate at night?:

- Twice

How would you describe your energy levels during the day?:

- Moderate but manageable

Have you had any previous heart-related issues or diagnoses?:

- Diagnosed with hypertension
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Doctors' responses

Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
40 days ago
5

Hello, thank you for sharing your concern. Your symptoms could possibly be related to heart failure or another cardiovascular condition, but they are not specific enough to confirm CHF (congestive heart failure) through chat alone. Symptoms that can occur in CHF include: Swelling of hands/feet/legs Breathlessness Fatigue Reduced appetite Frequent urination at night Palpitations Since you already have hypertension and are now experiencing swelling plus frequent palpitations, it is important to get evaluated properly rather than self-diagnosing. Other conditions can also cause similar symptoms, including: Kidney problems Thyroid disorders Medication side effects Anxiety/arrhythmias Liver disease Recommended evaluation: Blood pressure check ECG Echocardiography (Echo) Kidney function tests Thyroid profile CBC and electrolytes For now: Reduce excess salt intake Avoid smoking/alcohol if applicable Monitor BP regularly Avoid excessive caffeine if palpitations worsen with it Seek urgent care if: Shortness of breath worsens Chest pain develops Severe swelling occurs Fainting or severe dizziness happens Final Prescription (Temporary Symptomatic Advice): Continue prescribed BP medications regularly Salt-restricted diet and adequate hydration Avoid self-starting diuretics or heart medicines without examination Advice: A cardiology/physician evaluation with ECG and Echo is recommended to properly rule out CHF or rhythm-related problems.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
40 days ago
5

Hello

Congestive Heart Failure can cause symptoms such as swelling in the hands, legs, or abdomen, waking at night to urinate, fatigue, shortness of breath, reduced appetite, and palpitations. However, these symptoms can also happen with kidney disease, medication side effects, thyroid problems, arrhythmias, or uncontrolled high blood pressure, so you should not assume it is definitely CHF without testing.

Because you already have hypertension and are having swelling plus frequent palpitations, you should schedule a medical evaluation soon. A doctor may recommend blood tests, ECG, echocardiogram, chest imaging, and kidney function testing.

In the meantime, reduce salt intake, monitor swelling and weight changes, avoid excess alcohol, take blood pressure medicines as prescribed, and seek urgent care if you develop chest pain, severe shortness of breath, fainting, or rapidly worsening swelling.

Take care Feel free to talk dear

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
40 days ago
5

Hello Thanks for sharing your symptoms—they’re definitely concerning and deserve attention. Waking up at night to pee (nocturia), morning hand swelling, loss of appetite, and frequent heart palpitations can be seen in several conditions, including congestive heart failure (CHF), but also in kidney problems, hormonal imbalances, or even side effects from certain medications.

Let’s break it down: - Nocturia (nighttime urination): Common in CHF, but also in diabetes, prostate issues (in men), or high fluid intake before bed. - Morning hand swelling: Can be due to fluid retention (seen in CHF, kidney/liver issues), but also arthritis or other causes. - Loss of appetite: Seen in CHF, but also in chronic infections, thyroid problems, depression, or digestive issues. - Heart palpitations: Can be from arrhythmias, anxiety, thyroid issues, anemia, or heart disease.

What you should do next: - See a doctor soon (preferably a cardiologist or internal medicine specialist) for a full check-up. CHF is serious but treatable, and early diagnosis is important. - Tests likely needed: ECG, echocardiogram (heart ultrasound), kidney and liver function tests, thyroid profile, CBC, and urine analysis. - Track your symptoms: Note any shortness of breath (especially when lying down), swelling in feet/legs, sudden weight gain, chest pain, or severe fatigue.

When to seek urgent help:
If you develop sudden shortness of breath, chest pain, fainting, or severe swelling, go to the emergency room immediately.

You’re right to be proactive—these symptoms are not normal and should be checked soon.

Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
40 days ago
5

Hello dear See presence of hypertension makes individual more susceptible to systemic condition like respiratory issues and cardiac arrest Iam suggesting some tests for confirmation. Please share the result with cardiologist in person for better clarity and for safety please donot take any medication without consulting the concerned Serum troponin Serum tsh Serum ferritin Serum LDH Chest x ray ECG echo Serum CRP Serum LDH Serum cpk mb Hopefully you recover soon Regards

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
40 days ago
5

Your symptoms — swelling, nighttime urination, appetite loss, palpitations, and a history of hypertension — could be related to heart problems such as Congestive Heart Failure, but kidney disease, medication effects, thyroid disorders, sleep apnea, or other conditions can also cause similar symptoms. Because the symptoms have been ongoing and involve swelling and palpitations, you should schedule a medical evaluation soon for examination, blood pressure review, ECG, blood tests, and possibly an echocardiogram to assess heart function. Seek urgent care immediately if you develop chest pain, severe shortness of breath, fainting, rapid worsening swelling, or difficulty breathing while lying flat.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
40 days ago
5

Your symptoms — swelling in the hands/body, nighttime urination, appetite loss, palpitations, and a history of hypertension — could be related to Congestive Heart Failure or another heart, kidney, thyroid, or circulation problem, so they deserve proper medical evaluation rather than self-diagnosis alone. A doctor would usually assess this with examination, blood pressure review, ECG, blood tests, and often an echocardiogram to check heart function and fluid status. Please arrange a medical appointment soon, and seek urgent care if you develop chest pain, severe breathlessness, fainting, rapidly worsening swelling, or trouble breathing when lying down.

1265 answered questions
48% best answers

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Based on the symptoms you’ve described, it’s possible that they could be related to congestive heart failure (CHF), but it’s essential to conduct a thorough evaluation to determine the exact cause. Nocturia—or waking up frequently at night to urinate—along with swelling in the hands, appetite changes, and palpitations can be associated with CHF, but they also occur in other conditions. CHF symptoms often include breathlessness, especially during or after physical activities, fluid retention causing swelling in lower limbs, persistent coughing or wheezing due to fluid accumulation in the lungs, and general fatigue.

To manage potential CHF or to address these symptoms, start with a medical consultation. Your physician might conduct tests such as echocardiogram, blood tests, or EKG to ascertain heart function and rule out other possible conditions. Lifestyle adjustments can play a significant role; limit salt intake to help reduce fluid retention, engage in moderate physical activity tailored to your capacity, and monitor your weight regularly as sudden weight changes can indicate fluid retention. Avoid alcohol and smoking because they can exacerbate symptoms.

If you’re experiencing shortness of breath suddenly or chest pain, seek immediate attention as these can be urgent. Alongside medical advice, managing stress and ensuring adequate rest are crucial, as they help reduce strain on the heart. For appetite issues, eat smaller, frequent meals that are nutrient-rich rather than large, heavy ones. However, self-diagnosing or avoiding a professional assessment based on symptoms alone can be risky, so visiting a healthcare provider promptly is the key first step. Remember, addressing the potential root causes early can significantly impact prognosis and quality of life.

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