Hypertrophic Obstructive Cardiomyopathy

Hypertrophic Obstructive Cardiomyopathy
I am S.Padmanabhan,B.E, and my date of birth is 25.02.1964 .44 years old.Residing at 75(69),Chidambara nager,Gandhi Nivas,Kottor,NAGERCOIL-629002,kanyakumari district,Tamil Nadu,INDIA.Mob:[phone].
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When I was admitted for a Hydrocelle Operation in 1993,The duty doctors found a murmur sound from my heart and I was adviced to take a Echo.I have done my forst Echo at M/S.PRS Hospital by Dr.Tiny Nair and the report says that "Mild Asymetric Septal Hypertrophy,ANT Motion of AML in Systole,Mild MR,Mild Ivot Gradient amd Systolic Flutter of Ar Valve and Suggest to Mild Hypertrophic Obstructive Cardiomyopathy and suggested me Inderal 40 1-1-1 and Trika 0.25 at night 0-0-1.
Sebsequently I was do echo every year.Then I had a chance to do my Check up With Amirtha Insitute of Medical Sciences,Ernakulam,Cochin on 03.11.2006 and I had taken Echo where the descriptive report as follows.
Amirtha Insitute of Medical Sciences,Ernakulam ECHO Report.
5 mm fossa ovalis atrial septal defect  with left and right flow.Normal pulmonary venous drainage.Normal  left ventricular size. Hypertrophy of the basal anterior septum (22 mm).Severe hypertrophy of mid inferior.anterior and lateral walls.Mild midcavity resting obstruction (25 mm Hg).Grade III SAM.Significant resting LVOT gradient (85-110 mm Hg).Overall good LV systolic function(good radial,mildly impaired long axis function).The estimated left ventricular ejection fraction is 55%.No regional wall motion abnormality.E/Ve=12.The left atrium is moderately dilated.PV 'a' duration is 52 ms more than mitral 'A' indicating elevated LVEDP.The aortic valve is normal.No coarctation.
The Pulmonic  valve is normal.
The Pulmonary artery is mildly dilated.the right artial size is normal.
The right ventricle is normal in size and function.
The tricuspid valve is normal.
RVSP=50 mm Hg.The Pericardium is normal.
Hypertropic obstructive cardiomyopathy/significant resting LVOT obstruction/ Mild mid cavity obstruction/moderate mitral regurgitation/Small fossa ovalis atrial septal defect with left to right flow/Moderate PAH/Good RV function.

Again ECHO was done on 19.6.2008.at JK Hospital,Nagercoil by Dr.N.Jayaseelan.
ECHO Report Exteacts
The Doctors Impressions are as follows.
Hypertrophic Obstructive Cardiomyopathy.
Asmmetric Hypertrophy of Septal Antero Septal & Anterior walls at base & mild LV levels and also Lateral wall at Apical Level.
Dilated Left Atrium.
Systolic Anterior Motion of Mitral valve.
Severe Left ventricular outflow obstruction.(Peak Gradient  89.8 mmHg).
Mitral Regurgitation – Mild.
Normal Left Ventricular systolic Function (EF 87%).
Mild left Ventricular Diastolic Dysfunction.
Occasional Ventricular Premature Beats+.

My Present Problems
1.                Unable to walk ,and Sleep in flat bed position.Become very tired frequently and feeling chest heaviness when ever I take full Break fast/Lunch/Supper.Heaviness starts after 15 to 20 mts of food intake.Severe pain in hand shouldes.This continues for a hour and I become to normal.Very difficult to walk in up hill areas/gradients.Just 3 months back my Blood sugar level started to 155.Now Iam able to maintain to 105.
2.  Just 2 months back, Low lipido also started.So I contacted my Cardiologist.He informed that this may due to the Intake of Inderal Tablet from 1993.I was very comfortable if I take Inderal tablet,but this has  Low lipido Side effect.I also browsed got this message from web sites.Now ,my Dr changed my tab from INDERAL 40  to DILSEM 30 at 1-1-1.

Now I am taking Calaptin 120 SR, at 1-1-1 , Ditide 0.5-0-0,Ubi Q Plus at 1-0-0,Flavedon MR at 1-0-0,Aspicat 80 at 0-1-0.And Amaryl 1 mg at 1-0-0 for Sugar.
I require your valuable advice to make my life easier.Is there any surgery recommended to this problem.Any case study is available.What is the reason for having tired when I take food.