Congestive Heart Failure

Congestive Heart Failure (CHF) is a chronic cardiac condition, where the heart is unable to pump sufficient blood to fulfill the needs of your body. There is fluid build up around the heart, which makes the pumping of the heart insufficient. The symptoms are lung congestion, wheezing, water retention, bloating, swollen ankles, fainting, etc.

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Why is there swelling in the ankles after a flight travel?

Query: Hello doctor, I just had a flight and have swollen ankles on both legs. I have attached the photos. The swelling is tender and no pain or redness. I just had a check-up one week ago, and all my blood reports are normal. My standard medications are: For HP, Irbesartan 150 mg a day and Metoprolol 50 m...  Read Full »


Dr. Babu Lal Meena

Child Health Specialist, Family Physician, General Practitioner, Medical Gastroenterologist, Paediatrician

Answer: Hello, Welcome to icliniq.com. I have seen the photos. (attachment removed to protect patient identity). This is a common problem not only after the flight but also after prolonged traveling. It occurs due to prolonged immobilization, and due to increased blood circulation and decreased venous re...  Read Full »

Is kidney transplant advisable in a patient with diabetic nephropathy and congestive heart failure?

Query: Hello doctor, I want to ask about the kidney transplant that if it is safe to do for my mother. My mother is 60 years old and has diabetic nephropathy, chronic kidney disease, GFR is 6. Creatinine is 543. Potassium is 5. She had congestive heart failure, severe mitral regurgitation. The ejection fr...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. I passed carefully through your question and would explain that kidney transplant would be a perfect solution for her low kidney function, but it could be at high risk because of her heart function. You should know that heart failure has a reserved life-expectancy. You...  Read Full »

Why do I have tachycardia and dyspnea at night?

Query: Hi doctor, I have tachycardia, and dyspnea at night. It causes sleep disturbance. Please help.  Read Full »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. High tachycardia and dyspnea at night are also called paroxysmal nocturnal dyspnea. These are indicators of cardiac disease. Few basic tests of cardiology should be done to rule out coronary artery disease or congestive cardiac failure or arrhythmia. 2 D echocardiogram ...  Read Full »

I am having chest pain with low BP. Do I need any heart checkup?

Query: Hi doctor, I am 70 years old. I have intermittent chest pain. For the past three months, I could not walk fast and climb stairs. But, I was doing it before normally. I suffer from shortness of breath with palpation and when the chest pain persist the breathing problem is severe. I underwent ECG and ...  Read Full »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. I have noted all your details. Your symptoms can be most likely because of congestive cardiac failure. Cardiac failure is not an indicative of a defect in the heart, but it is a situation when the heart pumps weaker than what is deemed as natural. Therefore, the...  Read Full »

There is no improvement in my father's cough. What to do?

Query: Hi doctor, My father is 67 years old. His past history included pneumonia several years ago, leg cramps once in every two weeks or so and vitamin B helps with it and minor daily coughing of unsure cause. He never smoked and does not drink alcohol. Three and a half weeks ago, he went to the ER due to...  Read Full »


Dr. Aditi Gupta Jha

General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. It is good to hear that you are concerned and participating in treating your father's health issues. From your description, it looks like he has congestive heart failure. It means the fluid around his heart is causing the Atrial fibrillation and the cough. This is typ...  Read Full »

What are the causes of swollen ankles and legs?

Query: Hi doctor, I am having extreme swelling from under the breast to the belly. My legs and feet are also very swollen and painful. I have gained 40 pounds in two years with no change in diet or activity. My lower legs and ankles were swollen about a year ago. I went through all the horrible heart test...  Read Full »


Dr. Geeta Priyadarsini Kamminana

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Swelling of feet and ankle is known as pedal edema. Edema occurs due to the accumulation of fluid in the tissues. There are many causes of edema. One is congestive cardiac failure or right heart disease. As this progress, it appears in abdominal wall too. Is ...  Read Full »

I have congestive heart failure with EF at 42. Will this get normal with healthy diet?

Query: Hello doctor, I am a healthy 50 year old man who worked out six days a week. About six weeks ago, I had chest pain and went to a hospital. I was admitted after having three blocked arteries, at 99, 93 and 88 percent, and successfully had three stents put in. Since released, I have turned to a vegan...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. I would explain that heart failure is a clinical syndrome. EF (ejection fraction) is not the only element indicative of heart failure. It may differ based on the clinical situation and other parameters. I agree with your current therapy. I agree with your doctor tha...  Read Full »

My dad's creatinine and urea levels are high due to a congestive heart disease. Please help.

Query: Hello doctor, My father is 42 years of age, and he has a congestive and congenital heart disease by birth. He visited many doctors, but all of them suggested that there is no need for any immediate treatment and that he can live with it. He is now under medications, and he is doing well. The reason...  Read Full »


Dr. Isaac Gana

Cardiologist

Answer: Hello, Welcome to icliniq.com. Sorry to hear about your dad's health issues. Your dad seems to be suffering from Eisenmenger's syndrome. This is a long-term complication of congenital heart disease. It is the cause of his kidney problems. In my practice, I usually suggest diuretics for my patients j...  Read Full »

What does my baby's echocardiogram report indicate?

Query: Hi doctor, My baby's heart rate is 110 beats per minute. During examination, the echocardiogram shows S1 normal, S2 split 3/6 and continuous murmur at left infraclavicular region. What does the information indicate?  Read Full »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. I have seen the reports of echocardiogram (attachment removed to protect patient identity). The patient has a condition called patent ductus arteriosus. Usually ductus arteriosus closes at birth of a baby, but sometimes, it remains patent and does not close naturally....  Read Full »

My dad's feet are so puffy. Why?

Query: Hi doctor, My dad is 83 years old. He keeps coughing up phlegm and sleeping all the time. He is cold and his feet are very swollen. His feet are so puffy and he feels difficult to wear shoes or walk. He weighs about 300 lbs. He is suffering from congestive heart failure. Currently, he is on Lisinop...  Read Full »


Dr. Sadaf Mustafa

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I am worried about depressed cardiac function, kidney dysfunction or liver disease. If the swelling is increasing; after he saw his doctor, then he should be seen again sooner rather than later. He would need further testing and evaluation for the swelling. It is not n...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.