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NHS Flags Leg Swelling as Warning Sign of Heart Failure

The health service urges GP assessment for persistent swelling, with emergency care for sudden severe deterioration.

Overview

  • Leg swelling, or oedema, can involve the ankles, feet or legs, may make walking difficult, and often eases in the morning before worsening later in the day.
  • Heart failure arises when the heart is too weak or stiff to pump blood effectively, increasing vessel pressure and pushing fluid into surrounding tissues.
  • Typical oedema signs include puffy limbs, shiny or stretched skin, changes in skin colour, stiffness, and a visible dent after pressing on the area.
  • Similar swelling can also result from prolonged sitting or standing, high salt intake, pregnancy, certain medications, injuries or insect stings, kidney or liver problems, infection, or a blood clot.
  • Other heart failure symptoms can include breathlessness, fatigue, a persistent nighttime cough or wheeze, abdominal bloating, appetite or weight changes, confusion, palpitations, or a rapid heartbeat.