21. Abdominal Bloating or Discomfort
Abdominal bloating is a symptom many people don’t usually connect to heart failure. It happens when fluid builds up in the abdomen or when blood flow to the digestive system is reduced. Patients often describe it as a feeling of heaviness, tightness, or swelling in the belly. Some say, “I feel like I’ve eaten too much, even if I haven’t.”
Bloating makes eating uncomfortable, and clothes may feel tighter around the waist. Some patients feel a dull ache or pressure in the stomach area. This discomfort can reduce appetite, leading to further weakness.
For example, Mr. Jeffrey, a 64-year-old retired government worker, noticed that after every meal, his stomach felt unusually heavy. He thought it was due to spicy food. Over time, his belly became swollen, and he had trouble bending down to tie his shoes. When doctors examined him, they discovered he had fluid buildup (ascites) from right-sided heart failure. With medication and diet changes, his bloating reduced.
Abdominal bloating in heart failure is often mistaken for gastritis or simple indigestion. But if it occurs along with swelling in the legs or breathlessness, it’s a strong sign of heart problems. Patients should report these changes to their doctor, as proper treatment can bring quick relief and improve eating comfort.