Patient: He has been coughing a lot since before the diagnosis but lately it’s like he is choking and when the coughing episode is over he is completely worn out. To the point of going to bed and sleeping. Is this to be expected with heart failure? Can we expect it to get worse?
Doctor: Thank you for your question. Congestive heart failure occurs when the heart is unable to adequately pump blood effective ly throughout the body. As a result, fluid can build up within the heart and subsequently into the pulmonary circulation (lungs). This build up of fluid into the pulmonary circulation can first lead to shortness of breath (dyspnea) and coughing. This condition can get worse if he is not adequately being treated with diuretics to remove excess fluid from his lungs. Please have the patient follow up with their cardiologist to be examined and have their medication adjusted accordingly.Thank you for consulting AskTheDoctor.com