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2 weeks post surgery-is coughing normal?

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  • 2 weeks post surgery-is coughing normal?

    Hi everyone,
    I had a successful AVR surgery with a bovine valve on Jan 19th and I have now been home a week. I feel great and am getting stronger every day. I saw my cardiologist yesterday and he is please with my progress. He did say I still have some fluid in my lungs. I mentioned my cough and he did not seem concerned. It seems to occur more when I wake up in the morning, after my walk, or if I haven't talked in a while. I know it is due to the extra fluid in my lungs, but should I be concerned? Any suggestions to help? I must say, the recovery has been far better than I expected. I am only taking an occaisonal Tylenol for my discomfort.
    Thanks for listening,
    Barb
    BTW for the women, how long did it take until your breasts were not black and blue?
    Sapiens-Edwards bovine aortic valve, 1/19/12, UCSF.

  • #2
    Glad things are ging so well. Are you still doing your breathing exercises thru out the day?
    Lyn
    Mom to Justin 25 TGA,VSDs, pulmonary atresia/stenosis ect, post/Rastelli, 5 OHS, pacer in and out ... and surgery w/muscle flap for post op infection (sternal osteomyelitis with mediastinitis) [url]www.caringbridge.org/nj/justinw[/url]

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    • #3
      I am...but I probably should do more
      Sapiens-Edwards bovine aortic valve, 1/19/12, UCSF.

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      • #4
        the coughing will help clear the lungs of phlem and mucus....so do more breathing exercises walk rest and walk some more.......eat a healthy balanced diet and try to keep fluid intake to 1.5 litres/day
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        • #5
          It is likely due to the fluid retention as you mentioned. I had the same issue for the first four weeks-felt like bronchitis. THe coughing was awful (use your pillow). Lasix and cough drops helped a lot.
          1997: At 33 yo, diagnosed Bicuspid Aortic Valve w/ Severe Aortic Stenosis (1.0cm2)
          2010: BAV w/ SAS (.7 cm2), mean Pressure gradiant: 42mm HG.
          2011: Mechnical valve, On-X, AVR Scheduled Jan 13, w/ Dr. J Alan Wolfe at NorthEast Georgia Medical Center
          [url]http://www.caringbridge.org/visit/tracylynnphillips[/url]
          "Breathe in, breathe out, move on." Jimmy Buffett

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          • #6
            Wait a minute. What's this with black & blue boobs? No one ever said anything about that. Talk about surprises !!! LOL
            Ummmm. Care TO ELABORATE ? thx. Nancy Jane. AVR 2-9.

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            • #7
              My breasts were not black and blue after surgery, but I am not exactly blessed in the boob department. My arms were purple from canulas and from being bled every day for my INR. That bruising went down after a few weeks.
              Born with marfan syndrome
              BAV and aneurysm replaced with ATS mechanical valve and graft 29 November 2011 - age 39
              Medtronic dual lead pacemaker inserted 6 December 2011

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              • #8
                Originally posted by Greg a View Post
                the coughing will help clear the lungs of phlem and mucus....so do more breathing exercises walk rest and walk some more.......eat a healthy balanced diet and try to keep fluid intake to 1.5 litres/day
                You talk about fluid intake. Is this forever or a certain amount of time? I drink tons of water every day.

                Also how does this fluid eventually get out of your lungs?
                Aortic Valve Replacement. February 23, 2012.
                Dr. Harold Burkhart, Mayo Clinic, Rochester Minnesota. St. Jude Valve.
                "Be the light for those that walk in darkness"

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                • #9
                  Barb62 - I, too, had a consistent cough for several weeks after surgery. In my case, that was the single most painful after-effect during those first few weeks. My cardio prescribed a cough syrup, but it didn't do much. They also prescribed (if I can spell it correctly) Tussalon Pearls, which are little pearl-shaped capsules of a cough suppressant. These helped some, but the real solution was simply giving myself more time to heal. After about 4 to 6 weeks, the cough seemed to just dwindle away.
                  Go Class of 2011!

                  Steve Epstein
                  9 Years in The Waiting Room, then on February 28, 2011,
                  AVR with 23mm Edwards Bovine Pericardial Tissue Valve, Model 3300TFX, Pacemaker - Boston Scientific Altrua 60 DDDR IS-1 and CABG (LIMA-LAD) at Northwestern Memorial Hospital, Chicago by Dr. Patrick McCarthy and the most wonderful team of professionals I could ask for.

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                  • #10
                    same for me Barb62...my BAVR was a day before yours - still cough occassionally...had chest x-ray yesterday that does show some fluid in my left lung...my cardiologist said it was pretty common after surgery and that time would heal it...in other words, no concerns at this point...so I think we both are back on track - the fast track :thumbup:

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                    • #11
                      Thanks everyone.
                      Sapiens-Edwards bovine aortic valve, 1/19/12, UCSF.

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                      • #12
                        Skyler’s cardiologist and people in the hospital said that the best way to get the fluid out of his lungs was to cough it out… Also, the best way to do that was anything that got you to expand your lungs – breathing exercises, exercise, and the necessary rest that goes along with. Decreasing fluid probably helps remove it too.

                        It’s a tough concept to swallow – that what hurts most is actually what’s healing you, but on the other hand it makes sense that your body is trying to expel the fluid… by coughing.

                        So keep your pillow nearby, cough away, and that will decrease the amount of coughing that you will have to do later…


                        Ovie,

                        Water retention throughout your body is usually a bi-product of the heart surgery and being on by-pass. Skyler was so thirsty for days afterwards. Many people gain lots of water weight that needs to be lost, and the best way to do that is diuretics and decreasing water consumption for a while (your body already has plenty). Depending on the person, limiting water intake seems to be anywhere from 2 days to a couple weeks.

                        For Skyler they monitored is liquid “in/out” ratio for as long as he was in the hospital. Not a big deal but they want to make sure that you are getting rid of as much as you are taking in… or more if you already gained a bunch of water weight. Some people have gained as much as 20lbs of just water…

                        Bodies are so amazing in what they can deal with!

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                        • #13
                          Originally posted by Madsometimes View Post
                          My breasts were not black and blue after surgery, but I am not exactly blessed in the boob department. My arms were purple from canulas and from being bled every day for my INR. That bruising went down after a few weeks.
                          I've had 4 lots of OHS-2 when i actually had summet there LOL and i've never ever had bruising there, like you my arms and neck where covered and my actual scar had a nice bruise on but never my boobs!
                          Love Sarah xxx
                          18; CHD'er, Truncus arteriosus type 2, large VSD, pulmonary stenosis, dialated ventricles, aortic & tricuspid valve regurgation, sinus tachicardia, 4 lots of OHS; 1.Replumb of heart 2. Conduit replacement 3 & 4. Aortic valve replacements 5 & 6 PPVR, stents.

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                          • #14
                            I had lots of bruising across my chest and it was all shades of blue, green and yellow. It really didn't concern me particularly and faded away on its own within about 2 weeks.

                            It isn't uncommon to gain 15+ pounds during OHS. They use so much water and the body holds it. Lasix is commonly prescribed and often a limit on fluids immediately post op.

                            Mass General did not let me go home either surgery until I had lost the water weight and was back to my admittance weight. That happened very quickly.

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                            • #15
                              Black and Blue? only my belly from the lovenox shots before my MVR after my TIA. Don't take those things standing up.

                              I was, however, orange and yellow from the betadine and all the sticky electrode pads. Took weeks to get rid of that.

                              I was in Class IV CHF before my MVR. I coughed constantly from the fluid in my lungs. I put on 20 lbs of fluid with 2 surgeries in 7 days. Thank G*d for lasix.
                              It took a month to stop coughing and get my lungs back.
                              Laurie
                              MVR & maze & pacemaker-2006
                              ICD-2007;
                              AVR & tricuspid repair w/ ring 8/11/2010
                              home testing since 2006

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