Patients with heart disease should alert the marked disparity between the amount of fluid entering the body with drinks and food and the amount of liquid allocated with urine, and then it leads to increase strain on the heart and leads to edema.
Edema in heart failure first appear on the feet and gradually "climb" up. First swelling look like pasty – when pressed on the skin of the lower extremities of the hole very quickly, almost instantly disappears. With the progression of congestive heart failure edemas are permanent and when pressing traces remain for a very long time.
To determine the inclination of the body swelling can be conducted with test water load under the supervision of a physician subcutaneously on the inner surface of the forearm is introduced 2-3 ml of saline and the doctor observes the disappearance of the papules. In the absence of the tendency to edema fluid disappears completely from the site of injection not earlier than 30-40 minutes.
With the progression of heart failure, patients begin to note the appearance of unpleasant sensations of the internal organs and systems. Patients report dyspnea, palpitations, cough occurs while in a horizontal position, the appearance of heaviness in the abdomen, reduction of tolerance to physical load. In this first difficult activity that requires considerable physical effort (this is manifested by blueness of the skin and mucous membranes, bluish discoloration of the fingertips, nose and ears, rapid heart rate, feeling short of breath), and then it becomes impossible for the appliance load.
In advanced stages of heart failure violated the processes of digestion and absorption of food in the intestines, there trophic disorders and nonhealing wounds on the legs, there is fluid in the abdomen (ascites), the pleural cavity (pleural effusion).