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The main enemy of heart failure is fluid retention (edema), which can occur in various areas of the body such as ankles, legs, small of back, tummy area, and within the lungs. These episodes are called decompensation. The first indication can be a sudden weight increase or gradual swelling in ankles, legs, tummy area. Edema can affect walking, lifting legs, putting on shoes, and feel heavy. It can also occur in the lungs, resulting in sudden breathlessness, cough, and clear sputum. It is important 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.