sex after cardiac surgery

high incidence of cardiac surgery in younger patients  now a days.

so like life on the whole is affected , the sex life of the individual takes a hit too. change in positions where in the patient is not exerting weight over his both arms can  be a preferred option.

patients need to take opinion of operating surgeon regarding onset of exercises .doctor will advice regarding gradual resumption of activity after the sternum ?chest bone is healed completely usually at the end of 25 days.

post operative chest pain

chest pain is integral part of post operative symptoms which a patient who has undergone cardiac surgery.pain killers can relieve the pain to some extent but patient will have to choose his pain killer tablets consciously . if the pain persists in spite of guidance from the doctor , he should get in touch with the surgeon or one of his team members to get relief.pain lasts for one to week after the surgery.afterwards the patient will have drawing in sensation in his chest, which is normal.

if there is a click sound on walking or getting up from sitting position , it should be brought in notice of the cardiac surgeon . it is recommended not to walk with hands swaying , that is fold the hands at the back while walking .and in some cases the surgeon will prescribe chest binder for the patient .

sleep is affected after the surgery and patient do not get enough sleep.patient will have to take sleeping tablets for the same .still some patients will have concerns about sleeping.

diet plan continued

there are various outlined plans in the market. before embarking on any single type of plan, we should evaluate our body and assess the requirement of the body.

diet

diet forms an integral part of our life.there is sudden surge of various diet to follow to avoid or to prevent complications of modern life style. our old men did not require any diet plan. their only plan was to work ,work and enjoy life as it comes. every new day is a discovery for them.


in modern lifestyle it is no longer a discovery. we can 'plan' our day ,months and years.in short we take life for granted and sleep with the thought that tomorrow morning'' i am going to stick to new routine for weight reduction!''.similar to our fast forward lives we also take diet for granted and assimilate protein ,carbs,fats(oops) into our diet.diet is no longer a way to satisfy hunger. it is a means of loading our stomach .it seems loading stomach is a way to fill our bloated ego.

modern man has passed his limitations and in his urge to show'' i have a bigger car than your 's ''  is turning him into a maniac .he is implementing the same rules to his diet.he keeps on eating without understanding what that food will finally do to his being.when the situation does come for the diet to manifest into a sign or symptom it is too late.the disease has struck!



our ability to process the need for diet can be understood if we carefully evaluate the anatomy and build up.physiology.

human body is made up of skeletal system which has a large network of bones and cartilages. upon this frame muscles are attached with give the movement to the body.there is a control center in the brain and spinal cord also bring about these movements through coordination with brain.like any machine there needs to be a efficient fuel to run the engine and storage of that energy in the body. this is provided by food we eat which when assimilated and processed forms into minute elemental nature of food and unrequired waste products are eliminated from the body. our body is basically herbivorous and has a small stomach and long intestines where this assimilation or absorption occurs.the storage of final end products takes place in liver and excess is stored in the body as fat.proteins are required for body building and fat is required for providing lubrication and also protection against cold weather.



hence carbohydrates ,proteins and fat are essential for proper maintaining body building as well as repair. so also micronutrients are required for assisting various other function in the body.

body is made up of 70% water ,hence we must take care to hydrate ourselves always. any dehydration will cause mental obtundation.

warfarin heart surgery are put on warfarin .

Patients who are on warfarin need to be aware of the effects of warfarin . 

Patients undergoing valve replacement with a mechanical valve will need tobe put on warfarin lifelong . 

Foods containing vitamin k can affect how warfarin works . 

They include green leafy vegetables 

Brocoli spinach and lettuce 

Chickpeas 

Liver 

Egg yolks 

Mature cheese 

Avocado 

Olive oil 

Eating in moderation is recommended .

Cranberry and grapefruit avoided . 

Dosage .depends on body weight to be taken in evening . Start with 10 mg and then reduce gradually . Daily inr is a must . Different indication have varied dosage . 

Effect of warfarin to manifest takes 48 hours . So patients are put on heparin to bridge the gap . 

Regular blood test of inr is needed to titrate dosage of warfarin . High inr suggests the time taken to clot as compared to normal. 

Every day inr level is required till the target is reached . Then inr will be needed every 12 weekly .

Warfarin interacts with other medications too . 

Medicines such as amiodarone and quinidine for heart . 

Non steroidal anti inflammatory like ibuprofen ,aspirin 

Cholesterol lowering agents benzafibrate, clofibrate 

Antibiotics such as erythromycin , cotrimoxazole , norfloxacin 

Miconiazole 

It is safe to take paracetamol. 

Warfarin is not reccomended during pregnancy . If required then it has to be taken under supervision if doctor says baby is healthy then it is ok to take warfarin . Cause of concern if baby bleeds or bruise easily . Baby is not feeding well  then go to doctor . 

health in your hands

it seems that medical science is getting more and more complicated with onset of syndrome and dis-eases.is it possible to put patients health in his own hand?

a lot can be done if the patients are educated about their disease process .

awareness on health aspect takes a last straw in our lifestyle and we do not care about it till it stops us in our daily routine.
cessation of smoking is the first goal .
starting muscle stretching in form of half an hour exercise will benefit in long run .
change of diet pattern accepting more vegeterian diet ,
stopping or avoiding the processed foods 
taking up a hobby in form of swimming or cycling activity 
taking mindful breathe in and out has shown to be of much help . 

EARLY DETECTION: nip in budd

early detection in heart matters is the corner stone of any disease.most of the diseases are missed because of the lack of this one quality-early detection.




the chunk of the problem world wide is waiting to be called upon the services of a good physician to do early detection there by reducing the work load in future.
if the prompt action are taken at the right time and moment , a lot of issues can be saved from making appearnaces later on and cause worry to the patient.
God does send the warningh signals to us in the form of mild symptoms .He gives lot of opportunities to the patient as well as the attending physician to detect the demonous rise of heart disease.
it can be compared to the rise of cancer and other diseases,when detected early can stop a lot of saving for the patient. similarly same applies to heart disease.
repeated chest pain, episodes of syncopal attack ,vertigo can hide the underlying disease process. even a simple thing like repeated acidity not relieved with anto acid drugs can be disastrous for the patient.when the patient finally approaches his physician it can be very late and lot of precious time is lost .
easrly detection of rheumatic heart disease symptom is one such issue. also degerative valve disease will take time as long as few decades to years to manifest s themselves.

yearly check up by physician and regular lab investigations can become the cornor stone for early diagnosis of heart disease.

the aortic stenosis is another such disease.the window given by god is pretty long enough approximately 2 years before the disease becomes severe enough.the idea is to do a thorough check up of the patient and operate him earlier to prevent the progression of the disease.patient can also die in later stages if the decision to operate is post poned.
high index of suspicion and a watchful eye on look out for underlying disease is a must.
http://link.springer.com/article/10.1186%2F1532-429X-15-72

The only effective treatment for severe aortic stenosis is to replace the diseased aortic valve.2  

- See more at: http://newheartvalve.com/hcp/treatment-options#sthash.TVtYGqGE.dpuf