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the symptoms of heart failure the symptoms of heart failure vary from person to person some people have no or mild symptoms other people experience severe symptoms these symptoms may be breathlessness fatigue and tiredness and not being able to do as much as you used to sometimes symptoms suddenly worsen and this often can be because of a sudden buildup of fluid a buildup of fluid often causes swelling in your ankles feet or legs sometimes in the small of your back or in your tummy area another area of fluid buildup is in the lungs this often causes sudden increase in breathlessness and people find that they cannot lay flat or they want to rise the head of the bed to stop breathlessness when they lay down fluid in the lungs can also cause people to suddenly wake up in the night because they are breathless the symptoms of swelling increasing breathlessness are called red flags and it is vital to identify these changes early in order to change your treatment improve your symptoms and to