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patients with heart failure often hold onto too much fluid in their bodies this extra fluid can cause shortness of breath and swelling of the ankles and feet if you have heart failure how do you know whether you have too much fluid one way is to notice how much swelling you have at your ankles and another is how much you weigh if at the end of the day you have more than a trace of fluid at the ankle you may be holding on to excess fluid if you have just a trace of swelling of the ankle at the end of the day then you probably have the right amount of fluid another way to tell is by following your weight if your weight goes up more than two or three pounds in a day or by five pounds over seven days your body may be holding onto too much fluid your doctor prescribes two things to help you keep your fluid in balance when you have heart failure first he or she recommends a low sodium diet containing only 2 to 3 grams of sodium a day an average diet has a lot more sodium upto 8 to 10 grams
