8. Swelling of the Abdomen (Ascites)
In some patients, fluid collects not only in the legs but also in the abdomen, a condition called ascites. This makes the belly appear larger, firm, and stretched. Patients often complain of discomfort, bloating, or a feeling of heaviness. Eating becomes difficult because even small meals cause fullness.
Ascites usually develops in right-sided heart failure, where blood backs up in the veins of the liver and abdomen. Over time, this congestion causes fluid to leak into the abdominal cavity. It can also lead to pain and liver problems.
Consider the story of Mr. David, a 67-year-old retired policeman. He thought he was gaining weight around the stomach. But strangely, his arms and face were getting thinner, while only his belly was expanding. He also felt uncomfortable after meals and struggled to bend forward. When he finally went to the hospital, doctors drained liters of fluid from his abdomen and diagnosed heart failure.
Ascites is distressing not only physically but also emotionally. Many patients feel embarrassed about their appearance and avoid social activities. Treatment usually involves diuretics, reducing salt intake, and sometimes procedures to remove the fluid. Ignoring this symptom can make eating, sleeping, and moving very difficult, so early care is important.