I am 21 years old, I was suffering from heart disease in 15 years old due to which my heart valve replace by procedure, * DVR (A# 19 SJM, M# 25 SJM with PML presentation) with LAA ligation with blood transfusion was performed on 18/09/2012. Post op. Echo: MV max. PG 10mmHg, mean 4mmHg, MVA 2.6 cm square, no paravalvular leakage. AV max. PG 16mmHg, mean 7 mmHg, no paravalvular leakage. Mild to moderate TR with mild PAH. Doctor advised to me take acitrom 2 mg daily and pt/inr everything month for whole life. But till now sometime I am suffering from shortness of breath and I consult every month to doctor they told it's not heart problem it's physiological problem. So please suggest me what will I do and please tell me the age of this vuelve and diet chart also. Can I spend my married life happily and sexual life.

Dr. Paramjeet SinghCardiologist10yrs exp

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. It will take 4 to 6 weeks to heal completely after surgery. During this time, it is normal to: Have some pain in your chest around your incision. Have a poor appetite for 2 to 4 weeks. Have mood swings and feel depressed. Feel itchy, numb, or tingly around your incisions. This may last 6 months or more. Be constipated from pain medicines. Have mild trouble with short-term memory or feel confused. Feel tired or have little energy. Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath. Have weakness in your arms for the first month. The following are general recommendations. You may get specific directions from your surgical team. Be sure to follow the advice your health care provider gives you. Have a person who can help you stay in your home for at least the first 1 to 2 weeks. Stay active during your recovery. Be sure to start slowly and increase your activity little by little. DO NOT stand or sit in the same spot for too long. Move around a little bit. Walking is a good exercise for the lungs and heart. Take it slowly at first. Climb stairs carefully because balance may be a problem. Hold onto the railing. Rest part way up the stairs if you need to. Begin with someone walking with you. It is OK to do light household chores, such as setting the table or folding clothes. Stop your activity if you feel short of breath, dizzy, or have any pain in your chest. DO NOT do any activity or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.) DO NOT drive for at least 4 to 6 weeks after your surgery. The twisting movements needed to turn the steering wheel may pull on your incision. Expect to take 6 to 8 weeks off work. Ask your provider when you may return to work. DO NOT travel for at least 2 to 4 weeks. Ask your provider when you can travel again. Return to sexual activity gradually. Talk openly with your partner about it. Most of the time, it is ok to start sexual activity after 4 weeks, or when you can easily climb 2 flights of stairs or walk a half-mile (800 meters). Keep in mind that anxiety, and some medicines, may change sexual response for both men and women. Men should not use medicines for impotence (Viagra, Cialis, or Levitra) until the provider says it is OK.  

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