Timbrt/Liver-Text-OA huggingface dataset:
Question: my wife has been mixing alchohol celexa and xanax in the evenings to deal with stress and anxiety. can anyone help me?
Answer: you are describing an extremely dangerous situation whereyour wife is placing herself at serious medical risk. whoever is prescribingthis medication for her must be made aware of what she is doing. taking alcohol with these medications causes the liverto process the medications less slowly and all of it builds up something whichcould have consequences that would place her at serious risk and send her tothe er. alcohol has the effect of potentiating xanax meaning it causesit to act as though you had had an even higher amount of the drug. i can onlysuspect that this will not have a good result unless she stops. it would seem that since she does this when she gets home inthe evening she must have a very demanding stressful day time job oractivity. often persons who abuse medications and alcohol are trying to copewith this excessive stress. it's understandable that she's seeking relief butshe is doing it in an extremely dangerous way. i don't know if she will agree to speak to her prescriberabout this but i do know that she needs help and her prescriber shouldconsider all options.
Tags: anxiety, stress
Question: what tests are common during the third trimester of pregnancy?
Answer: these tests are common in the third trimester of pregnancy: group b streptococcus screening : vaginal and rectal swabs are taken at 35 to 37 weeks of pregnancy to detect group b strep bacteria. although group b strep can be present in up to 30% of all healthy women it's the leading cause of life-threatening infections in newborns and can also cause mental retardation impaired vision and hearing loss. women who test positive are treated with antibiotics during delivery to protect the baby from contracting the infection at birth. as an alternative your physician or midwife may choose not to test for strep but to treat you in labor if certain risk factors develop. electronic fetal heart monitoring : electronic fetal heart monitoring is done during pregnancy labor and delivery to monitor the heart rate of the fetus. the fetal heart rate can indicate whether the fetus is doing well or is in trouble and can be done any time after 20 weeks. nonstress test : done weekly in many high-risk pregnancies such as women with twins diabetes or high blood pressure this test involves using a fetal monitor strapped across the mother's abdomen to measure the baby's heart rate as it moves. it's also used for monitoring overdue babies. contraction stress test : also done in high-risk pregnancies a fetal monitor measures the baby's heart rate in response to contractions stimulated either by oxytocin (pitocin) or nipple stimulation. doctors use the measurements to predict how well the baby will cope with the stress of labor. biophysical profile : combines a nonstress test with an ultrasound for a more accurate evaluation of the baby.
Tags: pregnancy, third trimester
Question: what can i expect during week 37 of my pregnancy?
Answer: baby : your baby is about 21 inches from head to toe and weighs almost 6. 5 pounds. baby is getting rounder every day and skin is getting pinker and losing its wrinkly appearance. baby's head is usually positioned down into the pelvis by now. mom-to-be : your uterus may stay the same size as it was for the last week or two. your weight gain should be about as high as it will go about 25 to 35 pounds. about this time your doctor might perform a pelvic exam to help judge the progress of your pregnancy. tip of the week : just in case you deliver early consider packing two bags for the hospital. pack one bag for you with warm socks a robe lip balm and everything you'll want during labor. pack the other bag with the newborn items you'll want after your baby is born.
Tags: pregnancy
Question: what can i expect during week 35 of my pregnancy?
Answer: baby : your baby measures about 20. 25 inches from head to toe and weighs more than 5. 5 pounds. lungs are almost fully developed but if born now the baby would probably be put in an incubator. it still doesn't have enough fat deposits beneath its skin to keep warm outside your womb. mom-to-be : your uterus is about six inches above your navel. by now your weight gain is probably between 24 and 29 pounds. your doctor will test you for group b streptococcus bacteria between now and 37 weeks. you may be getting more uncomfortable and not sleeping very well. you also may be getting more anxious about the labor and delivery and you may even be moodier and more irritable. tip for the week : be sure you've collected the necessary baby clothes equipment -- especially a car seat -- and furniture to get you through the first few weeks at least.
Tags: pregnancy
Question: i have or think i have rh sensitization during pregnancy when should i contact my doctor?
Answer: if you are already rh-sensitized and are pregnant your pregnancy will be closely monitored. discuss possible symptoms early in pregnancy with your health professional. repeated diagnostic testing will be necessary to monitor the fetus. call your health professional immediately if you note a decrease in your fetus's movement after 24 to 26 weeks of pregnancy. if you are rh-negative call your health professional immediately if you: think you may have been pregnant and miscarried. are pregnant and have had an accident that may have injured your abdomen. regular prenatal visits are essential. you will need an rh immune globulin shot at 24 to 28 weeks and again after delivery if your baby has rh-positive blood. this is the only way you can prevent rh sensitization. watchful waiting watchful waiting is not appropriate for rh sensitization. it is important to keep all prenatal appointments so that your developing fetus can be closely monitored throughout your pregnancy. who to see a woman who may have problems with rh incompatibility or sensitization can be treated by: a family medicine doctor for mild fetal rh disease. an obstetrician for mild to moderate rh disease. a perinatologist for moderate to severe fetal rh disease ( hydrops ). if you test positive for rh sensitization your health care system or health professional may want you to be followed and treated by a perinatologist or an obstetrician who can easily call in a perinatologist. to prepare for your appointment see the topic making the most of your appointment. webmd medical reference from healthwise this information is not intended to replace the advice of a doctor. healthwise disclaims any liability for the decisions you make based on this information. © 1995-2011 healthwise incorporated. healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated.
Tags: pregnancy
Question: what if i become pregnant while using mirena?
Answer: call your health care provider right away if you think you are pregnant. if you get pregnant while using mirena you may have an ectopic pregnancy. this means that the pregnancy is not in the uterus. unusual vaginal bleeding or abdominal pain may be a sign of ectopic pregnancy. ectopic pregnancy is a medical emergency that often requires surgery. ectopic pregnancy can cause internal bleeding infertility and even death. there are also risks if you get pregnant while using mirena and the pregnancy is in the uterus. severe infection miscarriage premature delivery and even death can occur with pregnancies that continue with an intrauterine device (iud). because of this your health care provider may try to remove mirena even though removing it may cause a miscarriage. if mirena cannot be removed talk with your health care provider about the benefits and risks of continuing the pregnancy. if you continue your pregnancy see your health care provider regularly. call your health care provider right away if you get flu-like symptoms fever chills cramping pain bleeding vaginal discharge or fluid leaking from your vagina. these may be signs of infection. it is not known if mirena can cause long-term effects on the fetus if it stays in place during a pregnancy.
Tags: pregnancy
Question: what increases the risk of getting rh sensitization during pregnancy?
Answer: rh sensitization can occur when a person with rh-negative blood is exposed to rh-positive blood. during pregnancy an rh-negative woman can become sensitized if she is carrying an rh-positive fetus. factors that increase the risk of blood mixing and sensitization during pregnancy include: 2 delivery. abdominal trauma such as from a car accident. abdominal surgery such as a cesarean section. placenta abruptio or placenta previa both of which can cause placental bleeding. external cephalic version for a breech fetus. obstetric procedures such as amniocentesis fetal blood sampling or chorionic villus sampling (cvs). miscarriage (spontaneous abortion ) ectopic pregnancy or elective abortion (medical or surgical abortion) after 8 weeks of fetal age (when fetal blood cell production begins). partial molar pregnancy involving fetal growth beyond 8 weeks. although rare rh sensitization has been known to occur after needle sharing between intravenous drug users. transfusing rh-positive blood in an rh-negative person can also trigger sensitization. but this is extremely rare because blood is always tested prior to transfusion. webmd medical reference from healthwise this information is not intended to replace the advice of a doctor. healthwise disclaims any liability for the decisions you make based on this information. © 1995-2011 healthwise incorporated. healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated.
Tags: pregnancy
Question: how can rh sensitization during pregnancy be prevented?
Answer: if you are rh-negative and pregnant if you are an rh-negative woman and you have conceived with an rh-negative partner you are not at risk of rh sensitization during pregnancy. (most health professionals treat all rh-negative pregnant women as though the father might be rh-positive. ) if you are already sensitized to the rh factor your pregnancy will need to be closely monitored to prevent fetal harm. for more information on fetal and newborn treatment see the treatment overview section of this topic. if you are unsensitized rh-negative treatment focuses on preventing rh sensitization during pregnancy and childbirth. rh immune globulin (such as rhogam) is a highly effective treatment for preventing sensitization. to prevent sensitization from occurring late in the pregnancy or during delivery you must have a shot of rh immune globulin around week 28 of your pregnancy. this treatment prevents your immune system from making antibodies against your fetus's rh-positive red blood cells. rh immune globulin injection is also necessary if you have had any vaginal bleeding or an obstetric procedure such as amniocentesis or external cephalic version. if your newborn is rh-positive you are given rh immune globulin again within 72 hours of delivery. by preventing rh sensitization from delivery you are protecting your next rh-positive fetus. if your newborn is rh-negative sensitization cannot happen and no treatment is necessary. rh immune globulin is also necessary after a miscarriage partial molar pregnancy ectopic pregnancy or abortion. webmd medical reference from healthwise this information is not intended to replace the advice of a doctor. healthwise disclaims any liability for the decisions you make based on this information. © 1995-2011 healthwise incorporated. healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated.
Tags: pregnancy
Question: how is rh sensitization during pregnancy treated?
Answer: if you are sensitized to the rh factor if your blood is rh-negative and you have been sensitized to rh-positive blood you now have antibodies to rh-positive blood. the antibodies kill rh-positive red blood cells. if you become pregnant with an rh-positive baby ( fetus ) the antibodies can destroy your fetus's red blood cells. this can cause anemia. if you are already rh-sensitized and are pregnant your treatment will focus on preventing or minimizing fetal harm and on avoiding early (preterm) delivery. treatment options depend on how well or poorly the fetus is doing. if testing shows that your fetus is rh-positive but is only mildly affected by your rh factor antibodies you will be closely monitored until your pregnancy reaches term. your fetus will be delivered early only if his or her condition worsens. if testing shows that your fetus is moderately affected by your rh antibodies your fetus's condition will be closely monitored until his or her lungs are mature enough for a preterm delivery. a cesarean section may be used to deliver the baby quickly or to avoid the difficulty of inducing labor before term. a moderately affected newborn sometimes requires a blood transfusion immediately after birth. if testing shows that your fetus is severely affected by your rh factor antibodies a blood transfusion may be given before birth ( intrauterine fetal blood transfusion ). this can be done through the fetus's abdomen or directly into the fetus's umbilical cord. a preterm delivery is likely to be needed. multiple blood transfusions are sometimes needed to keep a fetus healthy until the fetal lungs mature enough to function after birth. often a cesarean section is done to deliver the baby quickly. a blood transfusion is sometimes needed immediately after birth. webmd medical reference from healthwise this information is not intended to replace the advice of a doctor. healthwise disclaims any liability for the decisions you make based on this information. © 1995-2011 healthwise incorporated. healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated.
Tags: pregnancy
Question: what is the second trimester (week 13 to week 2<positive_smiley> of pregnancy?
Answer: most women find the second trimester of pregnancy easier than the first. but it is just as important to stay informed about your pregnancy during these months. you might notice that symptoms like nausea and fatigue are going away. but other new more noticeable changes to your body are now happening. your abdomen will expand as the baby continues to grow. and before this trimester is over you will feel your baby beginning to move! as your body changes to make room for your growing baby you may have: body aches such as back abdomen groin or thigh pain. stretch marks on your abdomen breasts thighs or buttocks. darkening of the skin around your nipples. a line on the skin running from belly button to pubic hairline. patches of darker skin usually over the cheeks forehead nose or upper lip. patches often match on both sides of the face. this is sometimes called the mask of pregnancy. numb or tingling hands called carpal tunnel syndrome. itching on the abdomen palms and soles of the feet. (call your doctor if you have nausea loss of appetite vomiting jaundice or fatigue combined with itching. these can be signs of a serious liver problem. ) swelling of the ankles fingers and face. (if you notice any sudden or extreme swelling or if you gain a lot of weight really quickly call your doctor right away. this could be a sign of preeclampsia. )
Tags: pregnancy, second trimester
Question: why is it important to have a healthy weight before i get pregnant?
Answer: according to the iom (institute of medicine) the ideal situation is conceiving at a healthy weight and gaining the right number of pounds for the subsequent nine months. starting pregnancy at a healthy weight provides a baby with better odds of developing normally and minimizes complications including high blood pressure and cesarean delivery in mom. once you're pregnant the horse is out of the barn as far as your body weight goes. however it's never too early to plan for the next pregnancy. there's no need to rush but make an effort to return to your prepregnancy weight or a healthy weight within a year of delivering your baby.
Tags: pregnancy, weight
Question: does a person get a high from capsule medical marijuana? does it dull pain or just make the pain tolerable? . could this help a 95 year old who is in severe pain from spinal stenosis and arthritis? does it really have any long term effects on memory?
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Tags: marijuana, pain, spinal stenosis, arthritis, long-term effect
Question: what happens if i gain too much or too little during pregnancy?
Answer: in the short term gaining the suggested amount of weight reduces the risk of preterm birth (birth before 37 weeks of gestation) and promotes a baby that isn't too big or too small at delivery. in the long run research suggests that the greater the weight gain during pregnancy the higher the risk of having an overweight child and one with higher blood pressure. children who are born too small which can result from inadequate weight gain during pregnancy are more prone to certain chronic conditions including heart disease and diabetes during adulthood. what if you miss the mark for recommended weight gain? if you're off by just a few pounds either way it probably won't make much of a difference. the iom (institute of medicine) guidelines provide a range in each bmi category suggesting that good outcomes are achieved with all different weight gains. listen to the advice of your doctor or nurse-midwife about weight gain but if you have doubts ask what's right for you.
Tags: pregnancy
Question: when should you abstain from sex during pregnancy?
Answer: your doctor may advise you not to have intercourse if you have any of the following types of high-risk pregnancy: risk of miscarriage or history of past miscarriages. risk of preterm labor (contractions before 37 weeks of pregnancy) which puts you at risk of delivering a premature baby. vaginal bleeding discharge or cramping without a known cause. ruptured membranes and leakage of fluid from the amniotic sac. incompetent cervix (a damaged cervix that has opened too early in pregnancy). placenta previa (the placenta is positioned abnormally low in the uterus near the cervix). twins triplets or other "multiples. " keep in mind if your doctor says "no sex " that may include anything that causes sexual arousal and orgasm. for example nipple stimulation and oral sex would be off limits.
Tags: sexual intercourse, pregnancy
Question: can a pregnant woman pass h1n1 swine flu to her unborn baby?
Answer: while it's too soon to know much about how swine flu affects a fetus women with swine flu do seem to be at a higher risk for premature delivery. in past pandemics pregnant women with flu had higher rates of stillbirth spontaneous abortion and premature birth. also flu comes with fever. studies have shown that a fever during the first trimester doubles the risk of neural tube defects and may be associated with other adverse outcomes. the risk for birth defects associated with fever may be mitigated by the use of anti-fever medications and/or a multivitamin that contains folic acid but data are limited.
Tags: swine flu, pregnancy, baby
Question: what causes bleeding in the second and third trimesters of pregnancy?
Answer: abnormal bleeding in late pregnancy may be more serious because it can signal a problem with the mother or baby. call your doctor as soon as possible if you experience any bleeding in your second or third trimester. possible causes of bleeding in late pregnancy include: placenta previa. this condition occurs when the placenta sits low in the uterus and partially or completely covers the opening of the birth canal. although placenta previa is very rare occurring in only one in 200 pregnancies it is an emergency requiring immediate medical attention. bleeding from placenta previa can often occur without any pain. placental abruption. in about 1% of pregnancies the placenta detaches from the wall of the uterus before or during labor and blood pools between the placenta and uterus. placental abruption can be very dangerous to both the mother and baby. other symptoms of placental abruption are abdominal pain clots from the vagina tender uterus and back pain. uterine rupture. in rare cases a scar from a previous c-section can tear open during pregnancy. uterine rupture can be life-threatening and requires an emergency c-section. other symptoms of uterine rupture are pain and tenderness in the abdomen. vasa previa. in this very rare condition the developing baby's blood vessels in the umbilical cord or placenta cross the opening to the birth canal. vasa previa can be very dangerous to the baby because the blood vessels can tear open causing the baby to bleed severely and lose oxygen. other symptoms of vasa previa include abnormal fetal heart rate and excessive bleeding. premature labor. vaginal bleeding late in pregnancy may just be a sign that your body is getting ready to deliver. a few days or weeks before labor begins the mucus plug that covers the opening of the uterus will pass out of the vagina and it will usually have small amounts of blood in it (this is known as "bloody show"). if bleeding and symptoms of labor begin before the 37th week of pregnancy contact your doctor right away because you might be in preterm labor. other symptoms of preterm labor include contractions vaginal discharge abdominal pressure and ache in the lower back. additional causes of bleeding in late pregnancy are: injury to the cervix or vagina polyps cancer.
Tags: pregnancy, third trimester
Question: what happens if i get pregnant? can i take my medicine for essential tremor?
Answer: tremor severity may fluctuate during pregnancy and after delivery. discuss the use of et medications with your doctor before getting pregnant as some medications put the developing baby at risk.
Tags: pregnancy, essential tremor, drug
Question: how common is depression during and after pregnancy?
Answer: depression that occurs during pregnancy or within a year after delivery is called perinatal depression. the exact number of women with depression during this time is unknown. but researchers believe that depression is one of the most common complications during and after pregnancy. often the depression is not recognized or treated because some normal pregnancy changes cause similar symptoms and are happening at the same time. tiredness problems sleeping stronger emotional reactions and changes in body weight may occur during pregnancy and after pregnancy. but these symptoms may also be signs of depression.
Tags: depression, pregnancy
Question: can i have intercourse during pregnancy?
Answer: intercourse during pregnancy is safe for most women. special situations in which women might be advised to avoid intercourse include prior preterm labor multiple miscarriages infection bleeding amniotic fluid leak and a condition called placenta previa or low placenta. (a placenta previa is when the placenta is implanted near the outlet of the uterus so that at the time of delivery the placenta precedes the baby. placenta previa can cause painless bleeding in the last trimester of pregnancy and may be a reason for a c-section). all women are advised to avoid sexual intercourse that could put them at risk of exposure to sexually transmitted diseases.
Tags: sexual intercourse, pregnancy