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how can problems with your heart cause swelling in your legs iamp;#39;m dr nicole didick and iamp;#39;m a geriatrician iamp;#39;ve looked after older adults and their families for about 20 years congestive heart failure is a condition where the heart is pumping less effectively it can affect the right side of the heart or the left side and sometimes both leg swelling is a common symptom of congestive heart failure because of the ineffective pumping there can be congestion in the veins leading to edema but there can also be effects on the kidneys and disruption of normal water excretion and reabsorption this combines to create leg swelling which usually gets better with a water pill water pills are also called diuretics and they can include things like furosemide or spironolactone treatment of congestive heart failure usually requires the supervision of a doctor and a nurse pharmacist sometimes a whole team but the leg swelling doesnamp;#39;t cause the heart problem itamp;#39;s usu