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What are the signs of congestive heart failure and how can I manage my symptoms?
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Cardiac & Vascular Health
Question #29852
21 hours ago
22

What are the signs of congestive heart failure and how can I manage my symptoms? - #29852

Client_1aec69

I am having many symptoms over the last few years and I think it might be CHF. I wake up 2 or 3 times overnight to pee, I've lost my appetite most of the time, my hands are swollen every morning, and I have heart palpitations several times a week.

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. 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.
6 hours 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

2704 answered questions
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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.
4 hours 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

826 answered questions
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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.
4 hours 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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