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Main enemy of heart failure is fluid retention, also known as edema. Edema can occur in various parts of the body, including ankles, legs, small of back, tummy area, and within the lungs. Episodes of fluid retention are called decompensation. Sudden weight increase can be the first indication of fluid retention. Gradual swelling in ankles, legs, tummy area may leave an indent when pushed with a finger. Edema in the legs can affect walking, lifting legs, putting on shoes. It can feel heavy. Edema in the lungs results in sudden breathlessness, especially when lying down. Cough, clear sputum may also occur. Reporting sudden weight gain or symptoms changes to heart failure specialist nurse is crucial for early and effective treatment. This can prevent worsening symptoms or emergency hospital admission.