### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
HI, Im am 46,5 5 , F, 10 years ago I had taken care of some 22 pigs in an old barn, for approximately 4 months..I was in the best shape I had ever been in all my life...about a month later at a CNA class we found my blood pressure to be so high and out of control I had to leave my class and seek med attn, I never thought of the pigs..time passes the dr prescribe this and that, blah, blah...no answers and most times the meds wouldn t work at all...2005 my accending aorta popped and open heart surgery fixed up that and my torn valve...I felt great just like 5 years before. Short lived...5 months later I gained wieght back, fatigued, massive nose bleeds, uncontrolled HBP, hard stool, dizzy, eye sights blurry, migraines. Ive had 4 children and have never been this heavy pregnant...my tubes are tied and I have no sex desire anyhows. My body feels like its injected witChatDoctorent. Nobody listens...can working with the pigs in all their feces, urine, in the moldy barn brought something on?

### output:

Hello, I would like to tell you that heart emergency isn't popped in because of pigs that were an only cardiac emergency which never gave you any symptoms of its existence.  Now you are facing all post-surgery complications in which you are not that physically active person as you were.  You have to cope up with all these with a healthy diet, regular follow-ups with your cardiologist and medications. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 