Symptom 9. Swelling of the Abdomen: An Unexpected Manifestation
Swelling of the abdomen, medically referred to as ascites, is a lesser-known but significant symptom of ADHF. This symptom arises due to fluid accumulation in the abdominal cavity, a phenomenon closely linked to the failing heart’s diminished pumping capacity.
The path to ascites starts with the heart’s compromised ability to pump blood efficiently. This inefficiency leads to congestion in the venous system, causing the pressure within the veins to rise. The heightened pressure, in turn, pushes fluid into the spaces between tissues, which can eventually find its way into the abdominal cavity.
Patients experiencing ascites may notice their abdomen becoming increasingly swollen or distended. They might also feel discomfort or pain in the abdominal region, accompanied by a sense of fullness or bloating. The presence of these symptoms is indicative of the body’s struggle to manage the fluid balance due to ADHF.
Ascites is a clear example of how ADHF’s impact goes beyond the heart. It’s a vivid illustration of the ripple effects caused by a failing heart, affecting various parts of the body. Recognizing ascites as a potential symptom of ADHF can pave the way for early intervention, potentially mitigating further complications. (9)
