What does abdominal distention indicate in right-sided CHF?

Abdominal distention in the context of right-sided congestive heart failure (CHF) is indicative of fluid accumulation. In right-sided CHF, the heart is unable to effectively pump blood, leading to increased pressure in the venous system. This causes fluid to leak out of blood vessels and accumulate in various tissues, including the abdomen. As fluid builds up, it can lead to swelling, which is perceived as abdominal distention.

This symptom is an important clinical sign in CHF patients as it may indicate worsening heart failure or fluid overload. Monitoring for changes in abdominal size can help healthcare providers assess the effectiveness of treatment interventions, such as diuretics, aimed at reducing excess fluid.

The other options, which include indications of a healthy digestive system, weight loss and dehydration, and normal bowel function, do not align with the physiological changes occurring in right-sided CHF. These options do not address the primary concern of fluid retention associated with the condition.