In heart failure, the body often retains fluid, leading to: • (as advised by your doctor)increased blood pressure (more work for the heart) • difficulty breathing and shortness of breath (due to fluid in your lungs) • swelling on ankles, hands and face • nausea and bloating. heart failure? There's no cure for CHF, but there are steps you can take to minimize the strain on your heart. Congestive heart failure (CHF) means your heart can longer pump blood effectively, which may result in the buildup of fluid in your body.
Fluid restriction has long been considered one of the cornerstones in self-care management of patients with heart failure. Why do I have to limit fluid? However, the evidence base to support this is not that clear. Fluid restriction is usually recommended in chronic heart failure. Heart failure (HF) is one of the most common reasons for admission to hospital. A fluid restriction is used as a way to avoid overloading your heart if you have heart failure, as more fluid in your bloodstream makes it harder for your heart to pump. It is associated with long in-patient stays, and has a high in-hospital and post-discharge morbidity and mortality, whether left ventricular ejection fraction (LVEF) is reduced (HFREF) or normal (HeFNEF). Searching in Epistemonikos database, which is maintained by screening multiple databases, we identified five systematic reviews evaluating 11 studies addressing the question of this article, including seven randomized trials. 1,2 Congestion, or fluid overload, is a classic clinical feature of patients presenting with HF. However, the evidence base to support this is not that clear. Too much fluid in your body can make . Fluid restriction is usually recommended in chronic heart failure. Problem Chronic heart failure is a morbidity that impairs quality of life, requires frequent hospitalization and increases mortality. For the same reason, your doctor may prescribe a medicine known as a diuretic , or water tablet, to help get rid of excess fluid. your heart failure even worse and, can cause shortness of breath, weight gain, swelling of the feet and legs, lack of energy, a swollen or tender abdomen, a cough, and difficulty sleeping at night. We concluded fluid restriction probably decreases hospital readmission in chronic heart failure and might decrease mortality, but the certainty of the evidence for the latter is low. These include dietary modifications and fluid intake restrictions. Controlling fluid intake in heart failure . The aim of this discussion paper is to discuss fluid restriction in heart failure and propose advice about fluid intake in heart failure patients. When you drink too much fluid, your heart has to work very hard to pump the excess fluid around your body.