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

### input:
How can the intake of 5 mg daily intake of Acitrom due to Aortic valve replacement in Jan. 2000 by a 63 years old can be co-related to the problem of sensory nerves weekness, including the problem of ED. Also pl. let me know if there is any more safe alternative to Acitrom or lesser dose of Acitrom, for maintaining INR at +2 level in the increasing age. I also start feeling numbness from knee till ankle and medium level pain in left foot after standing for 15 -20 minutes or walking for about 1.5 - 2.0 Km., which presently disappears after a rest of 5 minutes and i can walk another Km or so only. How can i lead a reasonably comfortable retired life with an hour+ of Yoga and Pranayam daily in the morning, followed by a walk of 1.5 to 2 Kms.? I am otherwise a tea totaller and pure vegetarian, not even eggs or fish and non consumer of alcohol or beer etc.

### output:

Hi! Welcome to ChatDoctorAcitrom is an anticoagulant that helps in prevention of formation of any blood clot so minimizes the risk of stroke or anywhere arterial occlusion by any thrombus. The present problem of numbness feeling of foot is the peripheral neuropathy where your peripheral nerves are affected. You are telling after a long walk of 1.5 to 2 km you get the numbness feeling. So it means when you walk for a long time your legs muscles require more blood circulation and also there is muscular contraction during a constant walking. So the muscular contraction and little feeble circulation due to weakness of arterial wall of aging process combined put some stress on your peripheral nerves, so you feel numbness. If you have diabetic history that also another cause of peripheral neuropathy. Those are the expected cause of your neropathyNow regarding its treatment if you are following the below-mentioned things will be very helpful1) Do the yoga regularly for 30 minutes. It will help to keep active all your hormonal system. It will also help to give some mobility support to all muscles, tendons, cartilages. Furthermore, it will help to maintain a normal blood circulation to all parts which is very much required2) Add more fruits and raw vegetables with your daily diet menu. Take all seasonal fruits. It will help to provide all natural micronutrients to your body. Avoid all sorts of artificial, fast, junk foods. Avoid all types of nicotine or alcohol. Avoid taking raw coffee or strong coffee if taking. You can take green tea. Take your meals in time.  Chat Doctor.  3) daily 30 to 45 minutes morning walk. Do the Panama daily which will help to proper oxygenation of all your cells by stretching your lungs alveoli. 4) Take homeopathic treatment for your numbness of foot complain. Homeopathy will help to relieve the symptoms in a short days' duration. Here is homeopathy medicine you can take for the peripheral neuropathy symptoms. Chamomilla-CM - Take one dose just before walking for constant 4 days then give a gap 3 days, again take 4 days. Then stop and can communicate with me further. No more reputation. 5) You can continue citron. Hope it will be helpfulThank you