What symptom may present along with hepatomegaly in right-sided heart failure?

In right-sided heart failure, the heart's inability to effectively pump blood leads to a backlog of blood in the venous system, resulting in venous congestion. This congestion can affect various organs, particularly the liver, leading to hepatomegaly. With hepatomegaly, patients may experience right upper quadrant pain due to the distension of the liver capsule as the organ enlarges.

Right upper quadrant pain is a classic symptom that can accompany liver distention, as the liver is located in that area of the abdomen. Patients may describe the discomfort as a dull ache, which is often exacerbated by the enlargement of the liver as a result of congestion.

The other symptoms listed are not typically associated with hepatomegaly in the context of right-sided heart failure. For instance, hemoptysis relates primarily to pulmonary issues, while severe headaches and increased thirst don't have a direct connection to the condition arising from liver congestion associated with heart failure. Thus, right upper quadrant pain is the most relevant symptom that can present alongside hepatomegaly in this scenario.