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when you have heart failure the amount of blood being pumped through your heart and around your body is reduced this reduced blood flow makes your kidneys behave as if there is not enough blood circulating as though you have experienced docHub blood loss therefore your kidneys reduce you in production and retain more fluid this extra fluid increases the volume of blood in circulation however your weakened heart then struggles to keep pumping this additional fluid around your body the blood backs up in the blood vessels causing fluid to leak out into other parts of your body where it accumulates this fluid accumulation is known as congestion and causes the main symptoms of heart failure this accumulated fluid reduces the lungs ability to take up oxygen and so causes breathlessness and tiredness blood naturally pools in the ankles so fluid also accumulates here causing swelling in the ankles and legs fluid accumulation in your liver and digestive organs reduces your appetite finally
