Contemporary Examples. 1  Biden is such a straight shooter that pundits say he needs a muzzle. 2  Suddenly, the darkness came alive with muzzle flashes and tracer rounds. 3  The result of the back-and-forth was guaranteed national publicity for the very ideas the politicians wanted to muzzle.
Early symptoms of fluid around the heart include feeling out of breath, even when lying down. Breathing often becomes easier when you sit up or lean forward. Other signs include feeling lightheaded or dizzy, chest pain that is sharp and stabbing, chest tightness and a dry, chronic cough.
Fluid overload, which causes swollen legs like these, happens with both heart failure and kidney disease. Fluid overload is most frequently caused by heart failure. As the heart weakens, blood flow returning to the heart slows, backs up in the veins and causes fluid buildup in the tissues. Heart failure also affects the kidneys, resulting in less efficient elimination of sodium and water. The retained water increases the fluid congestion.