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Fluid retention, also known as edema, is the main enemy of heart failure. Edema can occur in various parts of the body such as ankles, legs, small of the back, tummy area, and even within the lungs. Decompensation episodes are a result of fluid retention. The first signs of fluid retention may include sudden weight increase or gradual swelling in ankles, legs, and tummy. This swelling can leave an indent when pressed with a finger. Edema in the legs can impact daily activities like walking and putting on shoes. Edema in the lungs can cause sudden breathlessness, especially when lying down. Other symptoms may include cough and clear sputum. It's crucial to report any sudden weight gain or symptoms changes to your heart failure specialist nurse for early and effective treatment to prevent worsening symptoms or emergency hospital admission.