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we know that the main enemy of heart failure is fluid retention this is also called edema edema can occur in ankles legs Small of Back tummy area and within the lungs these episodes are called decompensation first indication of fluid retention can be a sudden weight increase notice in a gradual swelling of ankles legs tummy area which often leaves an indent when you push a finger into the area of swelling edema in the legs can affect walking lifting your legs into bed putting your shoes on and can feel heavy edema can occur within the lungs resulting in sudden increase in breathlessness which can also result in breathlessness when you are laid down waking up Suddenly because you are Breathless symptoms of a cough and or clear sputum can also occur its really important to report any sudden weight gain or symptoms changes to your heart failure specialist nurse so we can treat this early and effectively to prevent worsening symptoms and or emergency hospital admission take a look at our