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Is There Fluid Restriction In Patients With Congestive Heart Failure?

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Posted on Mon, 19 May 2014
Question: My mother has congestive heart failure for five years now. She is constantly drinking coffee (three carafs) and water day and night. Is there such a thing as drinking too much liquid? Her stomach is swollen and recently she has been vomiting and complaining for stomach aches.
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Answered by Dr. Dr. Prasad J (6 hours later)
Brief Answer:
Fluid restriction applies...

Detailed Answer:
Hi,

Yes, fluid restriction is must in a patient with congestive heart failure. Her heart will not be able to circulate blood normally and any excess fluids gets pooled in the peripheries, abdomen and lungs leading to swelling of feet, abdomen and worse breathing difficulties.

She needs to restrict fluid consumption depending on her ejection fraction percentage. In general I wouldn't recommend my patients to take more than 500ml to a litre of water. In addition she may need water pills (diuretic) to prevent fluid pooling. You should also discuss with her cardiologist and keep her away from fluids.

Hope this helps. Let me know if you need clarifications.

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3708 Questions

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Is There Fluid Restriction In Patients With Congestive Heart Failure?

Brief Answer: Fluid restriction applies... Detailed Answer: Hi, Yes, fluid restriction is must in a patient with congestive heart failure. Her heart will not be able to circulate blood normally and any excess fluids gets pooled in the peripheries, abdomen and lungs leading to swelling of feet, abdomen and worse breathing difficulties. She needs to restrict fluid consumption depending on her ejection fraction percentage. In general I wouldn't recommend my patients to take more than 500ml to a litre of water. In addition she may need water pills (diuretic) to prevent fluid pooling. You should also discuss with her cardiologist and keep her away from fluids. Hope this helps. Let me know if you need clarifications. Regards