Timbrt/Liver-Text-OA huggingface dataset:
Question: a cat scan showed that i have a fatty liver. what can i do to change my lifestyle to resolve the situation? . i know that the right side under my right lower ribs has been painful (like pressure against the ribs) for the last year i am overweight (i'm 200 lbs at 5'6") and 62 years old female. i really want to lose weight learn to eat healthier and try to stop the fat from accumulating. is this possible and what kind of diet should i be following? i also have hypothyroidism and am on synthyroid. . thank you. carol
Answer: a fatty liver is reversible. being overweight is one of the many causes for this condition. lose some weight and lose some liver fat. hypothyroidism should not interfere with your losing weight objective. in order to maintain a weight of 200 pounds you're consuming about 1844 calories per day. to reduce your weight by one (1) pound per week reduce your daily calories to about 1344. here is my abbreviated version of a plan that will enable you to eat better and lose some of the excess weight. : - begin by seeing your family doctor and obtain approval to start a reduced calorie diet. eliminating 500 calories from your daily diet can be challenging but will also prove to be rewarding and is achievable. - search the web for free 1300 daily printable diet plans. look for one that includes at least seven (7) days of planning covering three (3) meals per day and snacks. some of these diet plans may even include a printable shopping list and recipes to complete the main courses for each meal. look for diets that use a safe breakdown of calories (55% carbs -15% protein- 30% fats). - drink at least 64 oz. of water each day. - with your doctor's approval start a modest exercise program. a brisk walk will burn about 100 calories per mile while gardening will burn an additional 100 calories in 30 minutes. - take steps to learn dieting do's and do not's. do not skip meals but do learn how to substitute one food for another and how to order a meal at the restaurant while not sabotaging your diet. - keep a diary of foods and beverages consumed along with a record of your weight losses. - reward yourself for accomplishing diet goal objectives (have your nails manicured and painted get a new hair style or purchase a new handbag). - consider joining a dieting support group. you'll hear success stories make new friends and will learn additional tips to making dieting a positive self-improvement venture. best wishes for your success.
Tags: fatty liver disease, pressure, corpulence, weight, diet
Question: my dad has stage 4 colon cancer with mets to the liver. he stopped chemo 8 mo ago. now having severe constipation prob. he quit chemo because his body couldnt take it anymore. my dad was taking milk of mag for 2 years as well as 4 stool softners a day! . his major complaint is a constant "urge to have a bm" and severe cramping all the time! we have recently started on miralax. he was taking a capfull a night. then he got diareah. we backed off. we just started taking the miralax every 3rd day. we just started that last night. he is on a huge dose of pain meds but he has been on the same meds for 2 years. help!
Answer: i'm sorry to hear about your dad's cancer but how lucky he is to have you to help him through this! it sounds like you've been doing a great job managing your dad's constipation. as you know opioid (narcotic) pain medications can cause constipation. the stool softeners were a good idea as was the miralax. if the miralax was working but then caused diarrhea you may need to keep playing with how much and how often to use it in order to achieve the desired result. if your dad is experiencing constipation you can give him the miralax even if it means you're "off schedule" with it. don't get stuck in a schedule if it's not working. because your dad has colon cancer specifically and he's now experiencing problems with bowel movements it would be a good idea to make an appointment to see his health care provider. this increase in constipation along with the cramping. could be related to the disease progression and should be evaluated by his primary care provider or oncologist. i wish you all the very best as you go through this journey. hang in there!
Tags: constipation, liver, pain, milk, colon cancer
Question: i have a question about what happened to my dad. he died on 11/7 from a gangrene infection. . he had colon cancer (stage iv)with a small tumor in the intestine (no blockage) and several metastases on his liver. he had been taking chemo with avastin. we took him to the hospital because he had shortness of breath turned out he had fluid in his lungs and abdomen. how did the gangrene occur? does the fluid block circulation? and why didn't the hospital notice a severe infection like that? how does a person who had no wounds get gangrene and why they would just let him languish?
Answer: i'm so sorry you lost your dad. i lost my dad a couple of years ago. i completely understand your wanting answers about how he died. perhaps the best answer is this: medicine doesn't know everything. we can't keep people from dying. it's no comfort to know that but it's true. from a pathophysiology standpoint i can tell you this: if your dad had metastases (spread of the cancer) on his liver the chances are good he had them elsewhere including the lungs. a doctor once described cancer to me this way: it's similar to starting a row of dominoes tumbling. once cells turn cancerous in one place they begin to turn cancerous in many other places in a domino effect. that means your dad may have had metastases to his lungs and other vital organs as well as his liver. how did the gangrene occur? well i can't tell you that exactly. gangrene is an infection and infections definitely can occur without any wounds. fluid build-up can cause an infection. gangrene may have been the cause of your father's death but another likely culprit is sepsis. sepsis occurs when an infection overwhelms the body's immune system and shuts down all the organs. sepsis frequently is the cause of death in people with pneumonia and other conditions. i'm sorry you feel the hospital allowed your father to languish. i'm sorry he passed away. i hope you are proud that he fought until the very end. i wish i had answers for you. i wish i could take the pain away. i hope you know i sincerely share your pain over this loss. my sympathy to you and your family.
Tags: intestine, liver, lung, circulation, colon cancer
Question: what happens to someone when they get colorectal cancer?
Answer: cancer is the growth of abnormal cells in the body. these extra cells grow together and form masses called tumors. in colorectal cancer these growths usually start as polyps in the large intestine ( colon or rectum). colon polyps are quite common and most do not cause problems. but if they are not detected and removed some of them can turn into cancer. cancers in the colon or rectum usually grow very slowly. it takes most of them years to become large enough to cause symptoms. if the cancer is allowed to grow it eventually will invade and destroy nearby tissues and then spread farther. colorectal cancer spreads first to nearby lymph nodes. from there it may spread to other parts of the body usually the liver. it may also spread to the lungs and less often to the bones and the brain. the long-term outcome or prognosis for colorectal cancer depends on how much the cancer has grown and spread. experts talk about prognosis in terms of "5-year survival rates. " the 5-year survival rate means the percentage of people who are still alive 5 years or longer after their cancer was discovered. it is important to remember that these are only averages. everyone's case is different and these numbers do not necessarily show what will happen to you. the estimated 5-year survival rate for colorectal cancer is: 1 90% or more if cancer is found early and treated before it has spread. 67% if the cancer has spread to nearby organs and lymph nodes. 10% if the cancer has spread to the liver lungs or bones. 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: colon cancer
Question: what happens to someone when they get colorectal cancer metastatic or recurrent?
Answer: cancer is the growth of abnormal cells in the body. these extra cells grow together and form masses lumps or tumors. in colorectal cancer these growths usually start as harmless (benign) polyps in the large intestine ( colon or rectum). colon polyps are common and most do not cause problems. but if polyps are not detected and removed some of them can turn into cancer. if the cancer is allowed to continue growing it eventually will invade and destroy nearby tissues and then spread farther. colorectal cancer spreads first to nearby lymph nodes. from there it may spread to other parts of the body usually to the liver. it may also spread to the lungs bones or brain. metastatic or recurrent colorectal cancer occurs when cancer cells travel through either the bloodstream or the lymph system to other parts of the body and continue to grow in their new location. recurrent colorectal cancer occurs when the cancer begins to grow again months or years after treatment. how colorectal cancer will affect your life span depends on the stage of your cancer. a cancer's stage depends on how far it has spread. the 5-year survival rate for cancer that has spread to other parts of the body is 10%. 1 the 5-year survival rate is the percentage of people who are still alive 5 years or longer after their cancer was discovered. it is important to remember that this is only an average. everyone is different and these numbers do not necessarily show what will happen to you. 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: colon cancer
Question: what is colorectal cancer?
Answer: colorectal cancer happens when cells that are not normal grow in your colon or rectum. these cells grow together and form tumors. this cancer is also called colon cancer or rectal cancer. colon and rectal cancers often return months or years after treatment. this is called recurrent cancer. if the original cancer was removed before it was able to spread the chances that it will return are lower. metastatic cancer is cancer that has spread to other parts of the body. when colon or rectal cancer spreads it most often spreads to the liver. sometimes it spreads to the lungs bones or brain. 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: colon cancer
Question: what are the symptoms of colorectal cancer metastatic or recurrent?
Answer: some people who have metastatic or recurrent colorectal cancer do not have any symptoms. when they do appear the most common symptoms are: a change in bowel habits such as narrow stools or frequent diarrhea or constipation. blood in the stool or stools that look like black tar. loss of appetite. pain in the belly. unexplained weight loss. constant fatigue. if your cancer has spread you may have other symptoms depending on where the cancer is. if it has spread to: the lymph nodes of your abdomen it may cause bloating a swollen belly loss of appetite or a feeling of fullness. the liver it may cause pain on the upper right side of your abdomen bloating loss of appetite or a feeling of fullness. the lungs it may cause coughing spitting up blood or a hard time breathing. the bones it may cause bone pain especially in the back hips and pelvis. the brain it may cause problems with memory concentration balance or movement. 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: colon cancer
Question: what surgery options do i have for colorectal cancer metastatic or recurrent?
Answer: surgery to remove cancer may be used to treat metastatic or recurrent colorectal cancer. the type of surgery chosen depends upon the stage of the cancer. surgery choices surgical options include: bowel resection. this operation involves cutting into the abdomen to reach the area of the colon or rectum that is affected by the cancer. the surgeon cuts out the cancer as well as the parts of the colon or rectum that are next to it. then the two healthy ends of the colon or rectum are sewn back together. liver resection. in this operation the surgeon cuts out cancer that has spread to the liver as well as parts of the liver that are next to the cancer. up to half of your liver can be removed as long as the rest is healthy. two other methods to destroy cancer cells in the liver include radio waves (radiofrequency ablation) and heat (microwave coagulation). cryosurgery. also called cryotherapy this type of surgery uses liquid nitrogen to freeze and destroy colorectal cancer that has spread to the liver. it is used when the tumors in the liver are still fairly small. if cancer that has returned to your intestine is large more of your colon or rectum may have to be removed. the ends of your colon or rectum are rejoined during surgery. if they can't be rejoined you may need a colostomy. most people do not need a permanent colostomy. for more information see: bowel disease: caring for your ostomy. when cancer has spread to other parts of the body the kind of surgery you will need depends on where the cancer is and how big the tumor is. sometimes surgery is used not to cure your cancer but to make your life more comfortable. if a tumor is blocking your colon for example the surgeon may remove it to allow your intestine to work normally. if advanced cancer is blocking your rectum your doctor may place an expandable tube called a stent in the rectum to unblock it. what to think about surgery may be used to remove metastatic or recurrent colorectal cancer that is confined to the colon or that has spread to the liver lungs or bones. surgery does not usually cure metastatic or recurrent colorectal cancer but it may relieve pain and discomfort slow the spread of the disease and help you live longer. 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: surgery, colon cancer
Question: what exams and tests help doctors to evaluate or test people for colorectal cancer metastatic or recurrent?
Answer: tests to help your doctor see if colorectal cancer has metastasized or recurred include: an abdominal ultrasound to find the cause of pain or swelling in your abdomen. a colonoscopy to see if cancer has returned to your intestine. blood tests to find out if cancer has returned ( cea ) or to find the cause of symptoms such as weakness fatigue fever bruising or weight loss ( complete blood count and blood profile ). a chest x-ray to find the cause of symptoms such as persistent coughing coughing up blood chest pain or difficult breathing. a ct scan mri or pet scan to see if colorectal cancer has spread into the chest or organs in the abdomen or pelvis. a brain ct scan or mri to look into symptoms such as confusion paralysis numbness vision problems vertigo or headaches. a biopsy such as a liver biopsy or a lung biopsy to find out where the cancer cells have spread. a bone scan to find out whether cancer cells have spread to the bones. what to think about colorectal cancer often comes back even after successful treatment. if you had colorectal cancer in the past pay close attention to your body and see your doctor regularly. tell your doctor about any changes such as decreased appetite bloating or an increase in the size of your belly. your cancer may return even if you do everything you can to prevent it. if this happens focus on what you and your doctor can do to treat your symptoms to help you feel better and live longer. 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: colon cancer
Question: what are hereditary colon cancer syndromes?
Answer: hereditary colon cancer syndromes are caused by specific inherited mutations that cause colon polyps colon cancers and non-colonic cancers. hereditary colon cancer syndrome can affect multiple members of a family. approximately 5% of all colon cancers in the us are due to hereditary colon cancer syndromes. patients who have inherited one of these syndromes have an extremely high risk for developing colon cancer approaching 90%-100%. fortunately blood tests are now available to test for these hereditary colon cancer syndromes once a syndrome has been suspected within a family. familial adenomatous polyposis (fap) familial adenomatous polyposis or fap is a hereditary colon cancer syndrome in which the affected family members develop large numbers (hundreds sometimes thousands) of colon polyps starting in their teens. unless the condition is detected and treated early (treatment involves removal of the colon) a family member with fap syndrome is almost sure to develop colon cancer. cancers most commonly begin to appear when patients are in their 40's but can appear earlier. these patients also are at risk of developing other cancers such as cancers of the thyroid gland stomach and the ampulla (the part of the duodenum into which the bile ducts drain). attenuated familial adenomatous polyposis (afap) attenuated familial adenomatous polyposis or afap is a milder version of fap. affected patients develop less than 100 colon polyps. nevertheless they are at high risk of developing colon cancers at a young age. they are also at risk for stomach and duodenal polyps. hereditary nonpolyposis colon cancer (hnpcc) hereditary nonpolyposis colon cancer or hnpcc is a hereditary cancer syndrome in which affected family members tend to develop colon cancers usually in the right colon in their 30's to 40's. certain hnpcc patients also are at elevated risk for developing uterine cancer stomach cancer ovarian cancer cancers of the ureters (the tubes that connect the kidneys to the bladder) cancers of the bile ducts (the ducts that drain bile from the liver to the intestines) and cancer of the brain and skin. myh polyposis syndrome the myh polyposis syndrome is a recently discovered hereditary colon cancer syndrome. affected patients typically develop 10-100 polyps during their 40s and are at high risk for developing colon cancer. the myh syndrome is inherited in an autosomal recessive manner with each parent contributing one copy of the mutant gene. most people with the myh syndrome do not have a multigenerational family history of polyps or cancer of the colon but may have brothers or sisters with it.
Tags: colon cancer
Question: what is the follow-up care for colon cancer?
Answer: follow-up exams are important after treatment for colon cancer. the cancer can recur near the original site or in a distant organ such as the liver or lung. follow-up exams include a physical examination by the doctor blood tests of liver enzymes chest x-rays cat scans of the abdomen and pelvis colonoscopies and blood cea levels. abnormal liver enzymes may indicate growth of liver metastasis. cea levels may be elevated before surgery and become normal shortly after the cancer is removed. slowly rising cea level may indicate cancer recurrence. a cat scan of the abdomen and pelvis can show tumor recurrence in the liver pelvis or other areas. colonoscopy can show recurrence of polyps or cancer in the large intestine. in addition to checking for cancer recurrence patients who have had colon cancer may have an increased risk of cancer of the prostate breast and ovary. therefore follow-up examinations should include these areas.
Tags: colon cancer
Question: what tests can be done to detect colon cancer?
Answer: when colon cancer is suspected either a lower gi series (barium enema x-ray) or colonoscopy is performed to confirm the diagnosis and to localize the tumor. a barium enema involves taking x-rays of the colon and the rectum after the patient is given an enema with a white chalky liquid containing barium. the barium outlines the large intestines on the x-rays. tumors and other abnormalities appear as dark shadows on the x-rays. colonoscopy is a procedure whereby a doctor inserts a long flexible viewing tube into the rectum for the purpose of inspecting the inside of the entire colon. colonoscopy is generally considered more accurate than barium enema x-rays especially in detecting small polyps. if colon polyps are found they are usually removed through the colonoscope and sent to the pathologist. the pathologist examines the polyps under the microscope to check for cancer. while the majority of the polyps removed through the colonoscopes are benign many are precancerous. removal of precancerous polyps prevents the future development of colon cancer from these polyps. if cancerous growths are found during colonoscopy small tissue samples (biopsies) can be obtained and examined under the microscope to confirm the diagnosis. if colon cancer is confirmed by a biopsy staging examinations are performed to determine whether the cancer has already spread to other organs. since colorectal cancer tends to spread to the lungs and the liver staging tests usually include chest x-rays ultrasonography or a cat scan of the lungs liver and abdomen. sometimes the doctor may obtain a blood test for cea (carcinoembyonic antigen). cea is a substance produced by some cancer cells. it is sometimes found in high levels in patients with colorectal cancer especially when the disease has spread.
Tags: colon cancer
Question: reocurring foot swelling redness and itching? . last month i noticed that my ankle was swollen red and very itchy. after a few days it went away but my skin started to peal away. now this month its on top of my foot with the same symptoms. it burns when i scratch and seems to spread. i haven't experienced these symptoms anywhere else but my feet and ankles. i'm also noticing tingling in the area as well. any help would be great. thanks so much!
Answer: i had the same symptoms. it started on my hand and went to my feet. after going to various doctors i was diagnosed with a rare fungal infection that can be transferred from dogs to humans in rare cases. i can't find anything about it on webmd or from any of my current drs. i've started to call / ask vets since after my diagnosis the local vet diagnosed the family dog with the skin infection. the tx for mas was a high dose of ingested lamisil 9pill form) which can be bad for your liver as well.
Tags: burn, ankle, foot, skin, swelling