Hi,
After going through your case I want to know -
1) Your age and gender.
2) What is cause of CCF, any
heart attack in past
3) Associated conditions like
Diabetes, blood pressure or
cholesterol problem..
4) Current medication are you on.
5) Earlier 2DEcho report if available.
6) Habits like smoking and alcohol.
7) Any current symptoms like puffiness of face, swelling over body, breathing difficulties.
8) In night you are not able to sleep it is because of breathing difficulties and inability to lie down flat on bed or some other causes.
Anemia (low
hemoglobin), kidney problem or new heart damage, undue exertion, febrile illnesses may aggravate the
heart failure.
I will advise you to
consult cardiologist and get done clinical Examination.
Following investigation may be advisable that can help in management.
1) ECG.
2) 2DEcho to know pumping capacity of heart.
3) Blood tests for heart like cardiac enzymes (troponin I/T, CPK-MB), Pro - BNP.
3) Kidney, liver function test, urine Examination.
4)
Complete blood count.
5) Chest xray.
Following may be helpful for you -
1) Restrict salt and water intake.
2) Strict compliance with your medicines.
3) May need increased dose of diuretic medicine if already on or otherwise needs to start it.