Common "Heart Failure" queries answered by top doctors | iCliniq

Heart Failure

When the heart fails to pump blood as well as it is supposed to, it is called heart failure. Certain conditions that can lead to heart failure are heart attack, high blood pressure, heart valve problems, inflammation of the heart muscles, and heart arrhythmias. The symptoms include shortness of breath, weakness, irregular heartbeat, chest pain, etc.

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Kindly share details about my suggested drug for heart failure.

Query: Hello doctor,I have been on medication for heart failure for some time, and my doctor is suggesting a trial with the tablet Entresto. Can you provide information on what to expect during the transition to Entresto, including any potential side effects or adjustments to my daily routine? How quickly ...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. I appreciate the confidence that you place in me for your healthcare consultation. The tablet Sacubitril and Valsartan (Entresto) is a relatively new drug. It has more mortality benefits than Enalapril. If you are taking an angiotensin-converting enzyme (AC...  Read Full »

I suffer from stomach flutter and sleep trouble. Please help.

Query: Hello doctor, I am disturbed by persistent butterflies in my stomach, which keeps me awake at night. I often worry about potential heart failure, but I cannot pinpoint any specific symptoms. Please help. Thank you.  Read Full »


Dr. Rajesh Jain

Answer: Hello, Welcome to icliniq.com. I have read your query and can understand your concern. There is no need to worry. Could you share your health symptoms, blood pressure, and pulse rate details? Do you have abdominal ultrasound and ECG (echocardiogram) reports? Please reply with details for accurate...  Read Full »

My pregnant daughter has extreme ankle edema. Kindly help.

Query: Hello doctor,My daughter was pregnant and had extreme edema. The doctors said it was normal. As it turned out she was sent by ambulance to another hospital as she went into heart failure, her BNP levels were extremely high and the baby had to be induced. She is now back to her original hospital. The...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. If the BNP (B-type natriuretic peptide) levels were high, it is probably due to heart failure as you said. For the ankle edema, she needs to be given diuretics (drugs which decrease waterlogging) in the body and fluid restriction should be adhered to. Daily intake shoul...  Read Full »

My mother's hemoglobin is very low. Please suggest.

Query: Hello doctor, My mother's hemoglobin is 5 g/dL. Her feet and face are swollen, what do I do?  Read Full »


Dr. Anshul Varshney

Answer: Hi,Welcome to icliniq.com. Hemoglobin of 5 g% is very low and an indication for blood transfusion. As you are saying her face is swollen, she might be landing into a heart failure. There are multiple causes of severe anemia. She requires admission and evaluation. Consult a general medi...  Read Full »

What is cardiac dysfunction? Please explain.

Query: Hello doctor,I need to know about cardiac dysfunction. I was told it was found on venous Doppler looking at DVT. What all information can you tell me about the blood vessels having a pulse and it being a cardiac dysfunction? That is all I was left with until the cardiologist consult.  Read Full »


Dr. Talapatra Ritendra Nath

Answer: Hello, Welcome to icliniq.com. DVT or deep vein thrombosis is a condition where blood clot accumulates in lower limb veins due to prolonged bedridden state, reduced physical activity, after a major surgery or fracture of bones. These blood clots can often dislodge and go through the right heart to b...  Read Full »

Is my ankle swelling a sign of heart failure?

Query: Hello doctor, Since yesterday, I have been so tired, and I have a swelling in my ankles. It looks like a mild swelling, but I am scared. I have attached pictures of the swelling. Is this starting edema because of heart failure? I had some cardiac enlargement on MRI, but I had normal ejection fract...  Read Full »


Dr. Jaydeep Tripathy

Answer: Hello, Welcome to icliniq.com. I have seen and reviewed the images which you have attached (attachment removed to protect patient identity). It looks like you have mild edema around your ankle. In the absence of any respiratory symptoms such as difficulty in breathing, or other cardiac symptoms su...  Read Full »

Why are my dad's feet so puffy?

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 Lisinopr...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. I understand your concerns regarding your father's health. Given the symptoms of increased swelling and cough, it is important to consider the possibility of depressed cardiac function, kidney dysfunction, or liver disease. If the swelling is increasing; even after h...  Read Full »

Why does my father have breathing issue and fainting?

Query: Hi doctor, My father has diabetes for the past 15 years and he is suffering from heart problem for the past four years. Recently he was admitted to the hospital due to severe breathing problem, sudden fainting, loss of appetite and water accumulation in the stomach and legs. After taking treatment i...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. After careful review, I can appreciate well the sensitivity of the issues you and your family is suffering from. Your father seems to have left heart failure (attachment removed to protect patient identity) that landed him twice in the hospital. He is having the valve i...  Read Full »

What is the treatment for oliguria in my husband?

Query: Hello doctor, My husband has not urinated in almost 24 hours. He has a pain in his right shoulder and chest with a severe headache. Also, his kidneys hurt.  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your query. A urine output of fewer than 400 mL per day is referred to as oligouria. And no urine output means anuria. Both the conditions need urgent ER (emergency room) care to prevent a renal shutdown. The cause could be an infection, renal failure,...  Read Full »

How long does it take to recover from the aortic valve replacement surgery?

Query: Hi doctor, After aortic valve and mitral valve replacement surgery for heart failure and long-term pulmonary artery hypertension (50 to 60), weakened kidney function (100 to 200 ml of urine per day), a hemofiltration machine is used. The question is, can the patient be moved outside ICU?  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. I am taking into consideration both valves are functioning normally, and the patient was on proper oral anticoagulation (e.g., vitamin K antagonists) to prevent clots. Right now, the patient is in heart failure with low urine output - After electrolyte correction, norma...  Read Full »

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