VivekNaga/Medicaldata huggingface dataset:
context: In the U. S., 700,000 licensed drivers have epilepsy. If you have it, taking the wheel means balancing the need for independence against the need for safety. All states allow people with epilepsy to drive. Each state has its own regulations, and they can vary greatly. You can visit the website of your state's department of motor vehicles ( DMV) to find out the requirements where you live. The Epilepsy Foundation also has a searchable database of state regulations on its website. In all cases, people with epilepsy must report their condition to their state's DMV. However, states require different people to do the reporting. Some want the doctor to contact the DMV. Others need the person with epilepsy to sign a simple form at the time of application for a license or renewal that says they'll notify the DMV of changes in their health status or driving ability. When a person with epilepsy wishes to drive for the first time, he must fill out an application for a license, potentially with that special form. When someone who already holds a driver's license is diagnosed with epilepsy, that person must notify the DMV. Seizures are unpredictable, and even a small one at the wrong time can lead to an injury or death. The best solution, if possible, is to get them under control. In most states, you must be seizure-free for anywhere from 6 months to a year before you'll be allowed to drive. To reach that milestone, honestly discuss your seizures with your doctor and work with him to find the right treatment. NOTE: Information is subject to change. Please contact your state's DMV office for the most current information.
context: If you have pain, your doctor has many ways to find out what's causing it. She will ask about your symptoms and your medical history, including any illness, injury, or surgery. Your doctor will also examine you and may order blood tests or X-rays. Among the tests that can help pinpoint the cause of your pain are: CT scan: Computed tomography scans use X-rays and computers to produce an image of a cross-section of the body. During the test, you lie as still as possible on a table. It will move through a large, doughnut-shaped scanning device. Sometimes, your doctor may inject a solution into a vein before your scan. It can help make it easier to see what's going on inside. Most CT scans take 15 minutes to an hour. MRI: Magnetic resonance imaging can give your doctor clear pictures without X-rays. This test uses a large magnet, radio waves, and a computer to make images. An MRI can take 15 minutes to more than an hour, depending on the number of images made. For certain MRIs, you'll need a shot of a contrast material to help make clearer images. Because an MRI uses magnets, some people, such as people who have pacemakers, shouldn't have one. Nerve blocks: These tests can treat and diagnose the cause of your pain. Your doctor injects something to numb pain (an anesthetic) into nerve locations She may use an imaging test to find the best right place for the needle. Your response to the nerve block may help find out what's causing your pain or where it's coming from. Discography: This test is for people who are considering surgery for their back pain. Doctors also use it when they want to do tests before deciding on a treatment. During this test, a dye is injected into the disk that's thought to be causing the pain. The dye outlines damaged areas on X-rays. Myelogram: This test is for back pain, too. During a myelogram, a dye is injected into your spinal canal. The test helps identify nerve compression caused by herniated disks or fractures. EMG: An electromyogram allows doctors to check muscle activity. Your doctor puts fine needles into your muscles to measure their response to electrical signals. Bone scans: These help diagnose and track infection, fracture, or other disorders in the bone. A doctor injects a small amount of radioactive material into your bloodstream. The material will collect in the bones, particularly in areas that aren't normal. A computer then can identify those specific areas. Ultrasound imaging: Also called ultrasound scanning or sonography, this test uses high-frequency sound waves to get images of the inside of the body. The sound wave echoes are recorded and displayed as a real-time image.
context: If you feel like a piece of sand is in your eye or your eyelashes are crusted together first thing every morning, you could have a condition known as blepharitis. That's the medical term for "eyelid inflammation." This condition can affect the outside front edge of your eyelid where your eyelashes attach. More commonly, you get it at the inner rim of your eye where your eyelid touches your eyeball. Most of the time, people get blepharitis in both eyes, but you could have it in just one. This common eye ailment can't be cured, but you can do things to feel better. If you have blepharitis, you may have: A burning or gritty feeling in your eye Blurred vision Crusted eyes when you first wake in the morning Dry eyes Eyelashes that grow at different angles Greasy eyelids Itchy eyes Red eyelids Swelling You also may: Blink more than usual Lose some eyelashes Tear up Find it hard to see in bright light Blepharitis can sometimes lead to other eye problems, such as: Dry eye syndrome Cysts and styes (swollen red bumps on your eyelid caused by infected oil glands) Pink eye (conjunctivitis) Injury to your cornea There's no one cause for blepharitis. Several things could be to blame, including: Mites in your eyelashes Bacteria like staph Allergies to products that come in contact with your eye, like makeup or contact lens solution Tiny oil glands in your eyelid getting clogged Acne rosacea (facial redness) To ease your symptoms, take care of your eyes and keep the area around them clean: Apply a warm compress: Do this twice a day for 15 minutes to loosen crust from your eyelashes and help get rid of extra oil that's plugging up your glands. Gently wash the area: After you take off the compress, use a cotton swab or washcloth to lightly clean the area with a mixture of baby shampoo and water. Rinse well afterward. Blink: This helps the glands in your eyelids squeeze out extra oil. Blink at least 20 times in a row, 4 times a day. Give your eyes a rest: Until your symptoms get better, don't wear eye makeup or contact lenses. Care for dry eyes: Use over-the-counter artificial tears to keep your eyes moist. Get enough omega-3s: Some research suggests that a diet high in these fatty acids can help manage blepharitis symptoms. Have fish twice a week, and make one a fatty fish like salmon, fresh or frozen tuna, or herring. If your blepharitis doesn't getter better, see your eye doctor. She'll ask about your symptoms and look at your eye and eyelid. She may take a sample of any crust or oil that's there and send it to a lab to test for bacteria or fungus. This can also find signs of an allergy you might have but not know about. Depending on what's causing the inflammation, you may need to use antibiotic eye drops, ointment, or cream to help clear up your symptoms. You might need to use the treatment for 4 to 6 weeks. If that doesn't help, your doctor may give you antibiotics to take by mouth. Blepharitis is often a long-term problem -- your symptoms may come and go. Take good care of your eyes, and see your doctor if your symptoms get worse.
context: Children and adolescents need at least nine hours of sleep per night. Sleep problems and a lack of sleep can have negative effects on children's performance in school, during extracurricular activities, and in social relationships. A lack of sleep may cause: Accidents and injuries Behavior problems Mood problems Memory, concentration, and learning problems Performance problems Slower reaction times Overeating Talk to your pediatrician if your child exhibits any of the following signs of a sleep problem: Snoring Breathing pauses during sleep Difficulty falling asleep Problems with sleeping through the night Difficulty staying awake during the day Unexplained decrease in daytime performance Unusual events during sleep such as sleepwalking or nightmares Establish a regular time for bed each night and do not vary from it. Similarly, the waking time should not differ from weekday to weekend by more than one to one and a half hours. Create a relaxing bedtime routine, such as giving your child a warm bath or reading a story. Do not give children any food or drinks with caffeine less than six hours before bedtime. Make sure the temperature in the bedroom is comfortable and that the bedroom is dark. Make sure the noise level in the house is low. Avoid giving children large meals close to bedtime. Make after-dinner playtime a relaxing time as too much activity close to bedtime can keep children awake. There should be no television, computer, mobile phone, radio, or music playing while the child is going to sleep. TV and video games should be turned off at least one hour prior to bedtime. Infants and children should be put to bed when they appear tired but still awake (rather than falling asleep in their parent's arms, or in another room). Parents should avoid getting into bed with a child in order to get them to sleep. Talk to your child's health care provider if these tips don't help or if you need additional guidance.
context: Many people who have migraines often have nausea and vomiting along with their head pain. Those symptoms usually get better when you treat the migraine. But sometimes the nausea and vomiting are bad enough to keep a person from taking their migraine medications. In these cases, a nausea drug can relieve your symptoms and help you get the treatment you need. Most nausea medicines come in pill form, but if the problem is severe, you can take them as a rectal suppository. Learn more about some specific nausea medications: Generic Name Brand Name Possible Side Effects promethazine hydrochloride (available in tablet, syrup, injection, or suppository form) Phenergan Confusion, drowsiness, dizziness, upset stomach, excitability, nightmares, uncontrollable muscle movements, and lip smacking or chewing movements chlorpromazine (available in suppository form) Thorazine Confusion, drowsiness, dizziness, upset stomach, excitability, nightmares, uncontrollable muscle movements, and lip smacking or chewing movements prochlorperazine (available in tablet and suppository form) Compazine Confusion, drowsiness, dizziness, upset stomach, excitability, nightmares, uncontrollable muscle movements, and lip smacking or chewing movements Trimetho-benzamide hydrochloride (available in capsule, injection, syrup, or suppository form) Tigan Low blood pressure, blurred vision, drowsiness, dizziness, feeling disoriented, uncontrollable muscle movements, and lip smacking or chewing movements metoclopramide hydrochloride (available in syrup, tablet, or injection form) Reglan Uncontrollable muscle movements, lip smacking or chewing movements, sensitivity to sunlight, aching in the lower legs, diarrhea
context: You may not have ever known you had a sacroiliac joint, much less where it is. Until it starts to ache. Then, it's hard to miss how much you use it to move around and do your everyday activities. You have two sacroiliac joints. They connect your pelvis with the lower part of your spine. Most joints, like the knee and hip, have a wide range of movement, but the sacroiliac rotates and tilts only slightly. That lets it do its main job: to stabilize and support your pelvis, help to transmit the weight of your upper body to your legs, and act as a "shock absorber" when you walk or run. The sacroiliac joint can be injured in a number of ways, making even daily activities, like sitting, walking or climbing stairs, difficult. This is called sacroiliac joint dysfunction. Causes The most common cause of SI joint dysfunction is injury from a car accident or fall. But it can also happen from: Sports injuries such as a football tackle Stress or injury to the joint over and over, such as from jogging for many years Older age One leg that's shorter than the other A spinal injury Scoliosis (abnormal curvature of the spine) Spinal surgery, especially operations that fuse the lower part of the spine, called the sacrum Pregnancy. The hormones that a woman's body makes near the time of delivery can cause the pelvis to relax and change position. Weight gain, changes in posture, and the childbirth process can also cause problems in the joint. Half of people with SI joint pain can trace it back to a specific event, like that car accident or sports injury. Other times, though, there's no obvious reason for the problem. Symptoms Pain is often the main symptom, usually in the lower back and buttock and sometimes the back and upper leg. Aches from SI joint dysfunction usually show up on one side of the body rather than both sides. Low back and leg pain have many possible causes, so you'll need to work with your doctor to figure out if your SI joint is the reason you hurt.
context: If you have asthma or other problems with your lungs, your doctor usually checks how well you can breathe during every checkup. They probably use a machine that you blow into. It tells your doctor if the main airways in your lungs are open. If you also do your own lung tests at home, it could help you keep better track of your health. A gadget called a peak flow meter lets you do that. You hold it in your hand and blow into it. You get a reading on how well your breath flows out of your lungs. Your doctor can say if a home test is right for you. If you have mild asthma, you may not need one. But it could help if your condition is worse. A meter also might be handy if you have chronic bronchitis or emphysema. Both children and adults can use a peak flow meter. If you have asthma, the meter can help you: Track how well your asthma is under control Judge how much your treatment helps Spot a flare-up before it happens so you can act to avoid it Help you decide if you need to call your doctor or go to the emergency room You may also need a home test if: Your asthma wakes you up at night. Your symptoms get worse during the day. You come down with a cold, flu, or something else that interferes with your breathing. You need to use your emergency inhaler. You can buy the meter over the counter at a drugstore. There are several types, but they work in pretty much the same way: You blow into the mouthpiece as hard and as fast as you can, and the meter gives you a number that tells how well your lungs are working. Your doctor can help you choose the meter that's right for you. Your doctor or your nurse also can make sure that you've got the hang of using the meter. When you do, you'll start by figuring out your personal best reading. That's the one you get when you feel fine and don't have symptoms. To check your best reading, test yourself with the meter every day for 2-3 weeks. Write down your highest number for each day. When you finish the whole series of tests, the highest reading of all is your personal best. It will be your benchmark for knowing how much asthma medicine you need to take from one day to the next. Your doctor will use your personal best to make a plan for managing your asthma. It will spell out how much medicine you use on a given day, depending on what your meter tells you when you test yourself. The plan will use a system that's color-coded, like the traffic lights you see when you're driving. If you're doing fine most of the time and your asthma isn't causing trouble, your doctor may say you don't need to use the meter every day. Every few days may be enough. But if your asthma acts up, you may need to test yourself several times a day.
context: Does not seem to be responding appropriately Has a seizure, visual changes, or any other neurologic symptoms; these could be symptoms of severe heat illness. Call a health care provider if: The burn has blisters or the skin is white-appearing or numb. These are symptoms of a more-serious sunburn. The sunburned person is a child under one year old. Replace body fluids with water, juice, or sports drinks. Apply aloe or over-the-counter moisturizing lotion to skin as directed. To soothe and cool skin, take a cool bath or shower or apply cool compresses to the area. For pain, take ibuprofen ( Advil, Motrin) or acetaminophen ( Tylenol). If blisters form, don't break them. Protect your skin from further sun exposure.
context: var s_context; s_context= s_context || {}; s_context['wb.modimp'] = 'vidfloat'; if(webmd.useragent && webmd.useragent.ua.type === 'desktop'){ webmd.ads2.disable Initial Load(); webmd.ads2.disable Ads Init = true; $(function() { webmd.p.pim.increment(); $('.responsive-video-container').insert After('.module-social-share-container'); require(['video2/1/responsive-player/video-loader'], function(video Loader) { video Loader.init({ autoplay: webmd.useragent.ua.type === 'desktop' && ! !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Coxsackievirus is a member of a family of viruses called enteroviruses. Enteroviruses are made up of a single strand of ribonucleic acid ( RNA). The enteroviruses are also referred to as picornaviruses (pico means "small," so, "small RNA viruses"). They are present all over the world, and spread by fecal-oral route. About 90% of infections don't cause symptoms or present with a fever only. Infants and young kids are particularly susceptible to symptomatic coxsackie. Coxsackievirus got its name because it was first found in the town of Coxsackie, located south of Albany in New York. There are two coxsackievirus serotypes that cause most of the clinically recognized syndromes, usually in infants and kids. Types A and B are the most common. Type A viruses cause herpangina (sores in the throat) and hand, foot, and mouth disease, common among children. Children will get painful blisters in their mouth, and small tender lesions on the palms of their hands and bottom of their feet. It goes away on its own, but can cause complications if the child can't drink or eat cause of pain. Group A virus also causes herpangina, blisters on the tonsils and soft palate, which presents as a sore throat. Group B virus causes infrequent, summer outbreaks of fever and spasms of the abdominal and chest muscles (pleurodynia). Subtypes of group A and B can cause more severe symptoms, including meningitis (inflammation of the spinal cord and brain).
context: Walking really is like medicine. It eases RA pain and strengthens the muscles that support your joints. It can boost your mood, help you sleep better, and make you fit enough to keep doing the things you love to do. It lowers your blood pressure and could help you live longer, too. Use these tips to make walking more fun and part of your daily routine. Go slowly. If you're out of shape and just getting started, take it easy. A 5-minute walk in the morning and another in the evening might be all you can manage, and that's fine. At first, walk on a flat surface and avoid hills. Then build up, adding more minutes each session. It's so important to pace yourself when you have RA. If you overdo it by jumping from no walks to hour-long hikes, it could take you weeks to recover. Have a good pair of shoes. This is the only crucial expense of walking. If your shoes are worn out or they fit poorly, walking won't feel good, and you won't want to do it anymore. Invest in a pair that offers solid support. Thick treads may help you avoid falls. Get your feet measured, too, because your size may have changed over the years. Replace your shoes every 500 miles. Take breaks. If you aim to walk 30 minutes today, don't do it all at once. Rest along the way. For instance, walk in a park or at the mall where you know there are plenty of benches. Sit down for a few minutes when you need to. Stroll with a friend. You're more likely to enjoy exercise and stick to it if you do it with someone else. Find a walking buddy and promise to walk regularly. Your buddy could be your partner or a neighbor -- or even your dog. If you know another person or a pet is counting on you, you're more likely to keep on track. It can push you to get and out and move when you might otherwise stay on the couch. Plan a time. Try to walk at the same time every day -- maybe at lunch or after work. You'll be more likely to stick with it. Use a pedometer. Step counters make it easy to mark your progress. Seeing how many steps you took today can also inspire you to take more tomorrow. Walk more each week until you meet your goal. Ten thousand steps is a good target. Just give yourself time to reach it! Newer wearable fit devices not only track steps, they also log stairs, calories burned, and other data, and then upload it to a web site. They make it easy to watch your progress and share it with your doctor if you like. Watch TV while you walk. At home or at the gym, you can walk on a treadmill while your favorite show is on. For incentive, set aside a few favorite shows to watch only when you walk. Walk wherever you are. Squeeze in extra steps wherever you can. Skip the drive-through at the bank and walk inside. When you wait to pick up your kids after one of their activities, get out of the car and walk for a few minutes. Every step counts.
context: If you're having heavy menstrual periods and severe cramping, or your doctor needs to know more about your reproductive health, she may recommend you have a hysteroscopy. The procedure can give her an up-close look at your cervix and uterus and help her learn what's causing problems. During a hysteroscopy, your doctor inserts a hysteroscope -- a thin tube with light on the end -- into your vagina. She'll be able to see into your cervix and inside your uterus. If she finds anything abnormal, she can take a sample for later testing. Among the most common reasons for a hysteroscopy are periods that are longer or heavier than normal, or bleeding between periods. You might also need the procedure in these situations: Your Pap test results are abnormal. You've been bleeding after menopause. There are fibroids, polyps, or scarring on your uterus. You've had more than one miscarriage or problems getting pregnant. Your doctor needs a small tissue sample (biopsy) of the lining of your uterus. You're having a sterilization procedure as a permanent form of birth control. Your IUD has come out of place. A hysteroscopy can either be in a hospital or at your doctor's office. You can be either awake or under general anesthesia during the procedure. If you're awake, your doctor will give you medicine to help you relax. She'll also use medication or tools called dilators to help open your cervix. She'll likely use a tool called a speculum to keep your vagina open. If you've ever had a Pap smear, your doctor has probably used one during that procedure, too. Next, she'll gently insert the hysteroscope through the cervix into your uterus. Then she'll push gas or a liquid-like saline through the hysteroscope into your uterus to expand it. This will give her a clear view of its lining and the opening of your fallopian tubes through the hysteroscope. You'll probably be able to go home soon after. But if you received local or general anesthetic, you'll need someone to drive you. For a few days after the procedure, you may have some mild cramping or bleeding. You might also have gas that can last for about 24 hours. Your doctor may give you medicine to help with any pain. You'll have to avoid sex for at least 2 weeks after the procedure. Before you're sent home, your doctor will tell you more about how to take care of yourself after surgery. Just like any medical procedure, you could have some complications from a hysteroscopy, including: Problems from the anesthesia Infection Tearing or damage to your cervix, though this is rare Problems with gas or fluid from the uterus Damage to nearby organs like the bladder, bowel, or ovaries Pelvic inflammatory disease If you experience symptoms like a fever, severe abdominal pain, or heavy bleeding after the procedure, call your doctor immediately or go to the emergency room.
context: Genital herpes is a common sexually transmitted disease. It's caused by two different viruses called herpes simplex type 1 ( HSV-1) and herpes simplex type 2 ( HSV-2). You get genital herpes by having sex -- vaginal, oral, or anal -- with someone who already has it. Thinking you have genital herpes naturally can bring up strong emotions. Talk to your doctor about getting tested. It could help you to learn more about the disease and talk honestly with your sexual partner. You might want to join a support group, too. Many people with herpes don't have any symptoms. If symptoms do show up, you might first feel tingling or burning near your genitals. You might then get blisters around your genitals, anus, thighs, or buttocks. When the blisters break, they leave sores that can take a few weeks to heal. They usually won't leave any scars. To check for herpes, your doctor usually does a physical exam and then likely orders one of these tests: Viral culture Polymerase chain reaction ( PCR) test Blood test If you get a âpositiveâ result from the viral culture or PCR tests, it likely means you have herpes. . A ânegativeâ viral culture or PCR result could mean you don't have genital herpes. But in some cases, a person could still have genital herpes and a negative result. That's likely due to other factors related to how much virus there is in the sores. You don't need to do anything to prepare for these tests. They don't take long, but how soon you get your results depends on the type of test and the lab that does it. For this test, your doctor scrapes or swabs one of your sores to take a sample. A lab then checks the sample for the herpes virus. It can take up to 7 days to get your results. This test is best used within 48 hours of when you first see symptoms. After that time, the level of herpes virus starts to drop. That means there's a higher chance the test could say you don't have herpes when you really do. As with the viral culture, your doctor swabs or scrapes a sample from one of your sores. A lab gets the sample and looks for genes from the herpes virus. PCR test results usually come back to you within 24 hours. You're more likely to get this test if you have symptoms but it's been longer than 48 hours since they showed up. In this case, you can rely on the results from this test more than the viral culture. A small amount of blood is sent to a lab that then checks it for herpes âantibodies.â Those are something your body makes to fight the virus. You might get a blood test if you think you have been exposed but you don't have any symptoms. Labs may use different types of blood tests. With some you can get results the same day, but others may take up to 3 weeks. There's no cure for genital herpes, but it can be treated. If you do have it, your doctor can help you manage it. There are drugs that can shorten or prevent outbreaks, ease symptoms, and lower the chances your sex partners will get it.
context: Pregnant women with genital herpes should be careful -- but not overly worried -- about passing the virus on to the baby. A mother can infect her baby during delivery, often fatally. But if a woman had genital herpes before getting pregnant, or if she is first infected early in pregnancy, the chance that her baby will be infected is very low -- less than 1%. Women with genital herpes are examined carefully for any symptoms before giving birth. If sores or signs that an outbreak is coming show up at the time of delivery, the baby may be delivered by cesarean section (also called a C-section). The risk of infecting the baby is high (30% to 50%) when a woman is newly infected late in pregnancy, however. That's because the mother's immune system has not developed protective antibodies against the virus. Women with an older herpes infection have antibodies against the virus, which help protect the baby. If you are pregnant and think you may have been infected recently, tell your doctor right away. Women who don't have genital herpes should be careful about sex during the third trimester. Unless you know for sure that your partner is herpes free, avoid sex altogether during the third trimester. If your partner gets cold sores (oral herpes), he or she should not perform oral sex on you during this time. Some doctors think all women should be tested for herpes when they get pregnant, especially if their sex partners have herpes. Ask your doctor if you or your partner should be tested. Women taking antiviral drugs for herpes -- either daily suppressive therapy or occasional therapy for outbreaks -- should consult their doctor about whether to take the drugs during pregnancy. The answer is not set in stone: You and your doctor have to discuss the risks and benefits to decide what's right for you. Herpes infection in a newborn is also serious. Do not allow anyone with a cold sore on the mouth to kiss the baby. If you have a cold sore, don't kiss the baby, and wash hands with soap and water before touching the baby.
context: If your family is going through a tough time -- whether it's from stress, anger, or grief -- family therapy can make a difference. It can help couples, children, or members of an extended family learn to communicate better and work through conflicts. Sessions are led by a specialist called a family therapist. She could be a psychologist, social worker, or therapist who's had extra training in family therapy. Problems in your family can affect all areas of family members' lives. You and your loved ones might notice trouble cropping up at work, at school, or in everyday interactions with other people. When it feels like the issues in your family are too big for you to handle -- and aren't getting better -- it may be time to see a family therapist. She can help you find new ways to manage struggles, conflicts, and challenges. Some of the things that family therapists can help with are: Conflicts between family members Substance abuse or addiction A family member's mental illness Financial problems or disagreements about money Problems in school Difficulties between siblings Children's behavior problems Caring for a family member with special needs Issues with extended family members A family member's illness or a death in the family Infidelity Separation or divorce How to plan for shared custody of children First, your therapist will talk to everyone in the family to help her understand what's going on. She'll ask questions about how each person views the problems, when the trouble started, and how the family has been trying to manage things so far. Next, the therapist will work out a treatment plan. The goal is to improve conflicts in a family, not to blame anyone for the issues. Your therapist will help family members communicate better, solve problems, and find new ways to work together. Family therapy can't always make a problem go away. But it can give family members new skills to get through difficult situations in healthier ways. Family therapy doesn't have to take a long time. The average is about 12 sessions. How often you meet with a family therapist and how many sessions you'll need will depend on the specific issues you focus on in therapy. Try these ways to find a family therapist: Ask your primary care doctor for a referral. See if friends have a family therapist to recommend. Contact your health insurance company and ask for a list of therapists. You may be able to find the list online. Check the website of the American Association for Marriage and Family Therapy and search for a marriage and family therapist near you. Search the Internet for a family therapist in your area. To see if a family therapist is a good fit for you, ask her these questions: Are you trained in family therapy? Do you have experience with our family's particular issues? Where is your office? What are your hours? How long does each session last? How many sessions do you think we'll need? Do you take my health insurance? How much does each session cost? Do I need to pay up front, or do I pay per session?
context: Now that you made it through your oral surgery, you'll want to take care of your mouth to ensure a quick and easy recovery. If you had your wisdom teeth removed got new dental implants, or went through any other procedure to your teeth and gums, there are plenty of simple ways you can ease the pain and avoid infection. 1. Take it easy. After your appointment, plan to spend the rest of the day resting. If they gave you a sedative, you'll probably be drowsy. So you shouldn't drive a car or do anything else that requires concentration. It's also important to avoid strenuous activities. Don't bend or lift anything that might dislodge the blood clots and cause bleeding. When you're ready to go to sleep, use extra pillows to keep your head elevated. 2. Follow instructions. The surgeon might tell you not to brush or use mouthwash, as your mouth may be too sensitive for regular oral hygiene. Or he could tell you not to brush the tender spot, but clean the rest of your teeth normally. He might want you to rinse with salt water, a 1/2 teaspoon of table salt mixed in an 8-ounce glass of warm water. Bottom line is to follow directions and keep the area clean of food bits to prevent infection. 3. Ice it. Your face might swell or have bruises. This is normal. For the first 24 hours, apply ice to your jaw for 30 minutes, remove it for 15 minutes, then do it again. If you had surgery on both sides of your mouth, switch from side to side with a single ice pack. Apply ice for 15 minutes before you move it over. The swelling should lessen after 2 or 3 days. If it gets worse, you have a fever, or you notice pus, it could be infected. Call your doctor or oral surgeon right away. 4. Block the blood. You might have some bleeding for the first day or so after surgery. Gently bite on folded gauze for a bit to help slow the flow. If the bleeding continues for more than 24 hours or is so heavy that the gauze needs to be changed more often, call your dentist or oral surgeon. 5. Guard the clot. You don't want to disturb the blood clot. It's trying to heal the wounds in your mouth. So don't use a straw, drink alcoholic or carbonated beverages, or smoke for at least 3 days after your procedure. Try not to spit too much, either. 6. Watch what you eat. Cool, soft foods after surgery are good. Yogurt, applesauce, and instant oatmeal are solid options. Stay away from foods that are too hot, cold, tough, chewy, or spicy. 7. Take your pain meds. At first, you might need help managing the pain. Your dentist can give you a prescription for that. You may even be fine with an over-the-counter pain reliever like acetaminophen or NSAIDs. Whichever you choose, your pain should ease within 48 hours. 8. Keep an eye out. Look for infection, fever, swelling that lasts more than 2 days, and trouble swallowing or breathing. You can also have an allergic reaction to your anesthetic. Call your dentist right away if any of these things happen to you. 9. Check in. Go to all of your post-surgery follow-up appointments to make sure you're healing well. Follow all your dentist's instructions to avoid any complications.
context: It may take a little detective work to figure out which foods trigger your allergy symptoms. But one thing that can help is to keep a food diary. All you have to do is record what you eat and when you get allergy symptoms. Then look for patterns. Print this sample food diary, and use it to record what you eat each day and when you eat it. Don't forget to include snacks and drinks. Record any allergy symptoms like itching, wheezing, or tummy troubles. Note what time the symptoms begin. Share the diary with your doctor or dietitian to help figure out the cause of your problems. Food Diary, Week of __________________ SUN MON TUE WED THU FRI SAT SYMPTOMS BREAKFAST Time: _____ . . . . . . . Time: _____ SNACK Time: _____ . . . . . . . Time: _____ LUNCH Time: _____ . . . . . . . Time: _____ SNACK Time: _____ . . . . . . . Time: _____ DINNER Time: _____ . . . . . . . Time: _____ SNACK Time: _____ . . . . . . . Time: _____ Example: SUN MON TUE WED THU FRI SAT SYMPTOMS BREAKFAST Time: 7 a.m. 2 eggs, bacon, toast & butter, orange juice . . . . . . Time: _____ SNACK Time: 10 a.m. Candy bar, water . . . . . . Time: 11 a.m. Stomach cramps, diarrhea
context: Allergy symptoms can be categorized as mild, moderate, or severe. Mild allergy symptoms can include: Rash Localized itching Congestion Mild allergic reactions do not spread to other parts of the body. Moderate allergic reactions can include symptoms that spread to other parts of the body, including: Widespread itching Difficulty breathing Anaphylaxis is a rare, life-threatening emergency in which the response to the allergen is sudden and affects the whole body. Allergy symptoms may within minutes progress to more serious symptoms, including: Itching of eyes or face Varying degrees of swelling of the mouth, throat, and tongue that can make breathing and swallowing difficult Hives Abdominal pain Cramps Vomiting Diarrhea Mental confusion or dizziness
context: Your newborn girl's genitals have been exposed to many hormones in the uterus. Among other things, these hormones may have: Made the outside of the vagina ("labia majora" and the "clitoris") a little swollen and prominent Caused a thick, milky discharge in the vagina Most dramatically, at 2 or 3 days of age, your daughter may have a little bit of bleeding from her vagina. This is perfectly normal; it is caused by the withdrawal of the hormones she was exposed to in the womb. It will be her first and last menstrual period for another decade or so. Clean your daughter's genitals as you would any other part of her body. Spread the labia and gently wash out the creases; there is no need to go any deeper. Nature takes care of naturally cleaning the inside of the vagina. Use warm water only -- there's no need for soaps. Wipe from front to back to avoid contamination of the vaginal area from stool. Remember, this sensitive tissue is the same as that inside the mouth. Contact your pediatric provider if you smell a foul odor from the discharge, which could indicate infection. And profuse bleeding or bleeding that doesn't fade after a few days may also need medical attention.
context: Treatment for hypersomnia -- excessive daytime sleepiness -- depends on the cause of the sleep disorder. For example, if you are diagnosed with sleep apnea, your doctor may prescribe a treatment known as continuous positive airway pressure ( CPAP) to use when sleeping. With CPAP, you wear a mask over your nose that is hooked up to a machine that delivers a continuous flow of air into the nostrils. The pressure from air flowing into the nostrils helps keep the airways open. If you are taking a medication that causes drowsiness, your doctor may suggest trying another drug instead. He or she may also suggest certain lifestyle modifications, such as going to bed earlier to try to get more sleep at night, and eliminating alcohol and caffeine consumption. Your doctor can also prescribe various drugs to treat hypersomnia. These may include: Stimulants, such as methylphenidate ( Ritalin) or modafinil ( Provigil) Antidepressants, such as fluoxetine ( Prozac), citalopram ( Celexa), paroxetine ( Paxil), sertraline ( Zoloft) Sodium oxybate ( Xyrem) is used to treat excessive daytime sleepiness associated with narcolepsy
context: When most kids have an allergic reaction to a food, like peanut butter, you see signs right away. But if your child has a rare allergy called food protein-induced enterocolitis syndrome ( FPIES), the reaction may not happen until a few hours after he eats. Unlike other food allergies, this one won't make your child wheeze, break out in hives, or get a rash. Instead, he may vomit or get diarrhea. So you might think your child has a virus or a bug from spoiled food. FPIES typically starts when your child has formula or solid food. Breast milk doesn't usually trigger it, but it is possible. Many kids outgrow the allergy by age 3 or 4. You may notice that a couple of hours after your baby eats, she vomits over and over and then gets diarrhea. Some children have symptoms that get worse over time, and they may not grow like they should. Severe attacks can lead to dehydration and shock. That can cause a sudden drop in blood pressure or body temperature. If you notice these signs, take your child to the hospital right away: Apparent confusion Cool or clammy skin Extreme thirst Pale or even blue skin Shallow breaths Sluggishness or tiredness Weak pulse The syndrome is caused by cells in your child's immune system that react badly to certain foods. This leads to a severe reaction in the gastrointestinal tract. But you may not see symptoms until 2 to 8 hours later. About 40% to 80% of kids who have the allergy have family members who also have other types of allergies such as hay fever or eczema skin rashes. Only 20% of kids with FPIES have family members with food allergies. Milk and dairy products, soy or soymilk, and wheat or other grains are the most common foods that cause an attack. Some kids also can be allergic to foods like the ones below that we don't usually think of as triggers: Barley Chicken or turkey Fish Green beans Oats Peas Rice Squash Sweet potatoes If you think your child has FPIES, see an allergist or pediatric gastroenterologist (a doctor who specializes in children's digestion issues). Your child's doctor will ask you about his symptoms and your family history of allergies. First, the doctor will rule out other common causes of vomiting or diarrhea. Then she'll test your child for allergies. In some cases, blood tests and atopy patch tests ( APT) can help show what's wrong. An APT involves putting a possible trigger food into a metal cap that's put on your child's skin for 48 hours to see if there's a reaction. But these tests can't confirm that your child has FPIES. The only way to tell for sure is to do something called an oral food challenge, or OFC. Your child will eat foods you think may be triggers to see if there's a reaction. This will be done in a clinic or hospital. Remove your child's trigger foods from her diet. If your baby needs formula, use hypoallergenic brands that don't have soy or dairy. Be sure to check all package labels for triggers. It's also a good idea to get a letter from her doctor that explains that she has FPIES. Keep it with you in case she has a severe reaction and you need to let medical staff know what's wrong.
context: Clean the area with mild soap and water. If it doesn't hurt, let the splinter work its way out over a few days. If it does hurt, touch the area gently with sticky tape and pull away carefully. If this doesn't work, try hair removal wax. Clean a small needle and tweezers with alcohol. If you can see the end of the splinter, grip it with the tweezers and gently pull out the entire splinter. If none of the splinter is sticking out, follow the path of the splinter with the needle. Open the skin and expose enough of the splinter to remove it with tweezers. If you have trouble seeing the splinter, use stronger lighting and a magnifying glass. Clean wound area again. Apply a bandage and antibiotic ointment. Most splinters do not need the care of a health care provider. See a health care provider if: You can't remove the entire splinter. The splinter is deep in the skin or the wound is bleeding heavily. The splinter is under a fingernail or toenail. The health care provider may need to cut a notch in the nail to remove the splinter. Ask the health care provider if a tetanus booster is needed. Watch for any signs of infection: redness, increasing pain, swelling, or pus at the site. Call a health care provider if you see any of these signs.
context: Genital herpes is a disease caused by the herpes simplex virus ( HSV), of which there are two types. Type 1 ( HSV-1) usually causes oral herpes, an infection of the lips and mouth. Symptoms are commonly known as cold sores or fever blisters. In the past, HSV-1 was not known to cause genital herpes, but that is changing, especially among people who begin having sex at a young age. Still, in most cases, genital herpes is caused by the second type of herpes virus ( HSV-2). HSV-2 lives in the nerves. When it's active, it travels to the surface of the infected area (skin or mucous membrane) and makes copies of itself. This is called "shedding" because these new viruses can, at this time, rub off on another person. Then the virus travels back down the nerve to a ganglion (mass of nerve tissue), usually at the base of the spine, where it lies dormant for a while. About one-fifth of all people ages 12 and up in the U. S. are infected with the HSV-2 virus that causes genital herpes, but as many as 90% don't know it. ( By comparison, experts estimate 50% to 80% of adults have oral herpes.) More women than men are infected -- one in four women compared with one in five men. One reason may be that the virus can infect a woman's genitals more easily than it can a man's. Genital herpes becomes more common as people age. The more sex partners people have, the more common it is, too. HSV-1 is usually passed from person to person by kissing. HSV-1 can also spread from the mouth to the genitals during oral sex (fellatio, cunnilingus, analingus). If this happens, it becomes a case of genital herpes. HSV-2 is most often passed by vaginal sex and anal sex. But just as HSV-1 can infect the genitals and cause genital herpes, HSV-2 can pass from one person's genitals to another person's mouth, resulting in oral herpes. HSV-2 cannot survive long on a non-living surface, so there is no real risk of getting it from a toilet seat or hot tub, for example. If you are sexually active: Use a latex condom the correct way every time you have sex. Keep in mind, though, that the condom may not fully cover herpes sores, and the virus may be contagious in areas of the skin that don't have visible herpes sores. If you are in a relationship with a person who has genital herpes, you can lower your risk of getting genital the disease if: Your partner takes anti-viral medication daily You avoid having vaginal, oral, or anal sex when your partner is having a herpes outbreak Herpes can be spread to the genitals by a person who has cold sores on his or her mouth.
context: var s_context; s_context= s_context || {}; s_context['wb.modimp'] = 'vidfloat'; if(webmd.useragent && webmd.useragent.ua.type === 'desktop'){ webmd.ads2.disable Initial Load(); webmd.ads2.disable Ads Init = true; $(function() { webmd.p.pim.increment(); $('.responsive-video-container').insert After('.module-social-share-container'); require(['video2/1/responsive-player/video-loader'], function(video Loader) { video Loader.init({ autoplay: webmd.useragent.ua.type === 'desktop' && ! !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Your body needs calcium and vitamin D. Are you getting enough? Many people don't. The best way to get more calcium is from your diet. You probably already know that dairy products -- such as milk, cheese, and yogurt -- provide calcium. Other foods that are high in calcium include: Spinach Kale Okra Collards Soybeans White beans Some fish, like sardines, salmon, perch, and rainbow trout Foods that are calcium-fortified, such as some orange juice, oatmeal, and breakfast cereal Foods that provide vitamin D include: Fatty fish, like tuna, mackerel, and salmon Foods fortified with vitamin D, like some dairy products, orange juice, soy milk, and cereals Beef liver Cheese Egg yolks To get vitamin D from food, fish is a good option. Three ounces of cooked salmon has more than 450 international units ( IU). Here's how much calcium and vitamin D you need every day, according to the Institute of Medicine. Calcium Children 1-3 years old: 700 milligrams (mg) Children 4-8 years old: 1,000 mg Children 9-18 years old: 1,300 mg Adults 19-50: 1,000 mg Women 51 to 70: 1,200 mg Men 51 to 70: 1,000 mg Women and men 71 and over: 1,200 mg Vitamin D Age 1-70: 600 IU Age 71 and older: 800 IU Your doctor may recommend higher levels of calcium and vitamin D, especially if you aren't getting enough of them or are at risk for osteoporosis.