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heart failure causes fluid retention or congestion in your body and lungs which is responsible for many of the symptoms associated with heart failure such as shortness of breath ankle swelling and loss of appetite diuretics are used to reduce fluid retention and congestion they act on the kidneys causing them to eliminate more water and salt and increase the volume of urine by removing excess fluid diuretics reduce the volume of blood circulating which lowers your blood pressure lowers resistance and reduces congestion this makes it easier for your heart to pump blood around your body and improves your symptoms especially shortness of breath and the other symptoms of congestion