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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Heart Failure. Lower Body Keep Retaining The Water, In Feet, Scrotum. How To Reduce The Fluid?

My father is 84 years old. He has been suffering by heart failure for many years. Now his condition is getting more serious. Besides around his heart, his lower body keep retaining the water (fluid), including his feet, legs, even his scrotum. What would be the effective way to reduce the retained fluid in scotum and around the heart, besides keep taking the diuretic?
Wed, 21 Aug 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
It may be congestive heart failure as there is accumulation of fluid in dependent parts.
However fluid retention may be due to anemia or hypo-proteinaemia .
One most important cause at the age of 84 is involvement of kidney.
Since you mentioned that he is taking diuretics but no relief .
Upload the reports of anemia, protein , kidney function test, blood pressure and HEART RATE / minute with features are very important.
After getting these reports diagnosis could be assessed.
Thanks .
Dr. HET
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Cardiologist,  Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Fluid accumulates at the dependent areas... in lower limbs when erect; in the back when lying.
No treatment need be directed at it alone – aggressive management of the heart failure alone can alter the situation.... Aggravating factors should be searched for and treated... More than one diuretic, each in maximum doses may improve. Reducing the vasodilators may help... ACEI or ARB are useful...
The treating doctor alone can suggest further based on his assessment of the situation.

Take care     
Wishing speedy recovery
God blessGood luck
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Suffering From Heart Failure. Lower Body Keep Retaining The Water, In Feet, Scrotum. How To Reduce The Fluid?

Hello, Thanks for the query to H.C.M. Forum. It may be congestive heart failure as there is accumulation of fluid in dependent parts. However fluid retention may be due to anemia or hypo-proteinaemia . One most important cause at the age of 84 is involvement of kidney. Since you mentioned that he is taking diuretics but no relief . Upload the reports of anemia, protein , kidney function test, blood pressure and HEART RATE / minute with features are very important. After getting these reports diagnosis could be assessed. Thanks . Dr. HET