My 91 year old grandma has had cardiomegaly, hypertension, atrial fibrillation,left bundle branck block, mitral insufficiency-severe, LVEF 30-35% for several years. Since 7-05, edema of legs and feet, especially after a lot of salt. She was on lasix 40 mg b.i.d., triamterene 35.5 mg every other day, potassium, toprol, ditiazem, coumadin, and synthroid. Her 9-08 cardiologist appt. summary stated she was well controlled, even the edema was better, since triamterene 4-07 was added. In12-08, suddenly, after eating alot more salt and not taking any triamterene, she swelled up, including in the abdominal region for the 1st time, which even she noted, becamed fatigued, had a marked increase in shortness of breath and a raspy wheezing sound when she breathed which wasn't there before. Also, she wonders why she feels so full even though she's eating less. I assume the symptoms are from fluid builup in the peritineal cavity and possibly the lungs, consistent with CHF. Am I right? An ECHO on 3-4 revealed essentially no change, the heart rhythym is the same, and chest x-ray 3-7 said lung fields appear clear. Her doctor increased the lasix to 60mg A.M and 40 mg P.M., and triamterene to daily. Her potassium was low, and the potassium dosage was increased. Still, she has the same symptoms, and now the fatigue and shortness of breath is worse, and the abdominal swelling looks even worse, 3 new water blisters on legs from edema, but she ate more salt, and the doctor does not emphasize low salt, though I see her do so much worse when she eats it. She hates going to the bathroom all the time and she' s now drinking less water to avoid that. Shouldn't she be advised to keep sodium under 1500mg? Her Dr. said restricting her will affect her quality of life because she likes salty food and not to count mg. I think her quality of life would be better if she had less fluid retention, and that low salt could help. What do you think?(her pulse runs in the 60,s and b.p. runs 120/70, though seeming to go lower lately). Thanks!