<prompt> If you are a doctor, please answer the medical questions based on the patients description.My blood pressure is up, nausea, heavy in center of chest, stiff neck, i do have copd, i take diovan 160 mg plus 12.5 hct, i ache all over, fluid retention, but i still can eat and drink, urine out put is low, could you help me with could be going on?  <response>: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would like to explain that you that your symptoms could be related to possible heart failure. You should know that COPD in its later stages leads to heart failure. I recommend you to consult with the cardiologist for a careful physical examination, a resting ECG and cardiac ultrasound, a chest x-ray study and some blood lab tests: - complete blood count-kidney and liver function tests-blood electrolytes- blood osmolarity. A diuretic like lasixmay be needed. You should discuss with your doctor on the above issues. Hope to have been helpful! Best regards! 