deep-div/medical_qa_mediqa huggingface dataset:
Question: Please help me with my brother with locked-in syndrome in  for 3 years.Somebody please help. God bless .

Reference:
 Locked-In Syndrome Definition Locked-in syndrome is a rare neurological disorder characterized by complete paralysis of voluntary muscles in all parts of the body except for those that control eye movement. It may result from traumatic brain injury, diseases of the circulatory system, diseases that destroy the myelin sheath surrounding nerve cells, or medication overdose. Individuals with locked-in syndrome are conscious and can think and reason, but are unable to speak or move. The disorder leaves individuals completely mute and paralyzed. Communication may be possible with blinking eye movements Treatment There is no cure for locked-in syndrome, nor is there a standard course of treatment. A therapy called functional neuromuscular stimulation, which uses electrodes to stimulate muscle reflexes, may help activate some paralyzed muscles. Several devices to help communication are available. Other treatment is symptomatic and supportive. Prognosis While in rare cases some patients may regain certain functions, the chances for motor recovery are very limited. 

Answer: There is no cure for locked-in syndrome. Neromuscular stimulation of muscle reflexes using electrodes may activate some paralyzed muscles. Several devices to help communication are available.
Question: I have an hernia I would love to take care off it ASAP I was wondering if you guys could help me . Thanks

Reference:
 Hiatal hernia Hernia - hiatal Summary Hiatal hernia is a condition in which part of the stomach extends through an opening of the diaphragm into the chest. The diaphragm is the sheet of muscle that divides the chest from the abdomen. Causes The exact cause of hiatal hernia is unknown. The condition may be due to weakness of the supporting tissue. Your risk for the problem goes up with age, obesity, and smoking. Hiatal hernias are very common. The problem occurs often in people over 50 years. This condition may cause reflux (backflow) of gastric acid from the stomach into the esophagus. Children with this condition are most often born with it (congenital). It often occurs with gastroesophageal reflux in infants. Symptoms Symptoms may include: Chest pain Heartburn, worse when bending over or lying down Swallowing difficulty A hiatal hernia by itself rarely causes symptoms. Pain and discomfort are due to the upward flow of stomach acid, air, or bile. Exams and Tests Tests that may be used include: Barium swallow x-ray Esophagogastroduodenoscopy (EGD) Treatment The goals of treatment are to relieve symptoms and prevent complications. Treatments may include: Medicines to control stomach acid Surgery to repair the hiatal hernia and prevent reflux Other measures to reduce symptoms include: Avoiding large or heavy meals Not lying down or bending over right after a meal Reducing weight and not smoking Raising the head of the bed 4 to 6 inches (10 to 15 centimeters) If medicines and lifestyle measures do not help control symptoms, you may need surgery. Outlook (Prognosis) Treatment can relieve most symptoms of hiatal hernia. Possible Complications Complications may include: Pulmonary (lung) aspiration Slow bleeding and iron deficiency anemia (due to a large hernia) Strangulation (closing off) of the hernia When to Contact a Medical Professional Call your health care provider if: You have symptoms of a hiatal hernia. You have a hiatal hernia and your symptoms get worse or do not improve with treatment. You develop new symptoms. Prevention Controlling risk factors such as obesity may help prevent hiatal hernia. Review Date 4/24/2017 Updated by: Michael M. Phillips, MD, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 

Answer: Treatments of hiatal hernia include medications to control stomach acid, avoiding large heavy meals, avoiding bending over or lying down right after a meal, reducing weight, stopping smoking, and raising the head of the bed.  If medicines and lifestyle measures do not help control symptoms, you may need surgery.
Question: I have an hernia I would love to take care off it ASAP I was wondering if you guys could help me . Thanks

Reference:
 Hiatal hernia Hernia - hiatal Summary Hiatal hernia is a condition in which part of the stomach extends through an opening of the diaphragm into the chest. The diaphragm is the sheet of muscle that divides the chest from the abdomen. Causes The exact cause of hiatal hernia is unknown. The condition may be due to weakness of the supporting tissue. Your risk for the problem goes up with age, obesity, and smoking. Hiatal hernias are very common. The problem occurs often in people over 50 years. This condition may cause reflux (backflow) of gastric acid from the stomach into the esophagus. Children with this condition are most often born with it (congenital). It often occurs with gastroesophageal reflux in infants. Symptoms Symptoms may include: Chest pain Heartburn, worse when bending over or lying down Swallowing difficulty A hiatal hernia by itself rarely causes symptoms. Pain and discomfort are due to the upward flow of stomach acid, air, or bile. Exams and Tests Tests that may be used include: Barium swallow x-ray Esophagogastroduodenoscopy (EGD) Treatment The goals of treatment are to relieve symptoms and prevent complications. Treatments may include: Medicines to control stomach acid Surgery to repair the hiatal hernia and prevent reflux Other measures to reduce symptoms include: Avoiding large or heavy meals Not lying down or bending over right after a meal Reducing weight and not smoking Raising the head of the bed 4 to 6 inches (10 to 15 centimeters) If medicines and lifestyle measures do not help control symptoms, you may need surgery. Outlook (Prognosis) Treatment can relieve most symptoms of hiatal hernia. Possible Complications Complications may include: Pulmonary (lung) aspiration Slow bleeding and iron deficiency anemia (due to a large hernia) Strangulation (closing off) of the hernia When to Contact a Medical Professional Call your health care provider if: You have symptoms of a hiatal hernia. You have a hiatal hernia and your symptoms get worse or do not improve with treatment. You develop new symptoms. Prevention Controlling risk factors such as obesity may help prevent hiatal hernia. Review Date 4/24/2017 Updated by: Michael M. Phillips, MD, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 

Answer: Treatments for hiatal hernia include medications, avoiding large or heavy meals, avoiding bending over after a meal, achieving healthy weight, quitting smoking. and raising the head of the bed.  If medicines and lifestyle measures do not help control symptoms, you may need surgery.
Question: I am a current Gastroparesis fighter with a GJ feeding tube. I am also one of the admins for a GP support group and an advocacy group. I have become a volunteer advocater. I would appreciate any info you can share about Gastroparesis, Feeding tubes, and even TPN. Thanks

Reference:
 Gastroparesis Gastroparesis diabeticorum Delayed gastric emptying Diabetes - gastroparesis Diabetic neuropathy - gastroparesis Summary Gastroparesis is a condition that reduces the ability of the stomach to empty its contents. It does not involve a blockage (obstruction). Causes The exact cause of gastroparesis is unknown. It may be caused by a disruption of nerve signals to the stomach. The condition is a common complication of diabetes. It can also follow some surgeries. Risk factors for gastroparesis include: Diabetes Gastrectomy (surgery to remove part of the stomach) Systemic sclerosis Use of medicine that blocks certain nerve signals (anticholinergic medicine) Symptoms Symptoms may include: Abdominal distention Hypoglycemia (in people with diabetes) Nausea Premature abdominal fullness after meals Weight loss without trying Vomiting Abdominal pain Exams and Tests Tests you may need include: Esophagogastroduodenoscopy (EGD) Gastric emptying study (using isotope labeling) Upper GI series Treatment People with diabetes should always control their blood sugar levels. Better control of blood sugar level may improve symptoms of gastroparesis. Eating small and more frequent meals and soft foods may also help relieve some symptoms. Medicines that may help include: Cholinergic drugs, which act on acetylcholine nerve receptors Erythromycin Metoclopramide, a medicine that helps empty the stomach Serotonin antagonist drugs, which act on serotonin receptors Other treatments may include: Botulinum toxin (Botox) injected into the outlet of the stomach (pylorus) Surgical procedure that creates an opening between the stomach and small intestine to allow food to move through the digestive tract more easily (gastroenterostomy) Outlook (Prognosis) Many treatments seem to provide only temporary benefit. Possible Complications Ongoing nausea and vomiting may cause: Dehydration Electrolyte imbalances Malnutrition People with diabetes may have serious complications from poor blood sugar control. When to Contact a Medical Professional Changes in your diet may help control symptoms. Call your health care provider if symptoms continue or if you have new symptoms. Review Date 12/1/2016 Updated by: Subodh K. Lal, MD, gastroenterologist with Gastrointestinal Specialists of Georgia, Austell, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 

Answer: Causes of gastroparesis are mostly unknown. It is a common complication of diabetes, and sometimes surgeries.
Question: How bad can endometriosis get?

Reference:
 Endometriosis Endo Summary Endometriosis is a problem affecting a woman's uterus - the place where a baby grows when she's pregnant. Endometriosis is when the kind of tissue that normally lines the uterus grows somewhere else. It can grow on the ovaries, behind the uterus or on the bowels or bladder. Rarely, it grows in other parts of the body. This "misplaced" tissue can cause pain, infertility, and very heavy periods. The pain is usually in the abdomen, lower back or pelvic areas. Some women have no symptoms at all. Having trouble getting pregnant may be the first sign. The cause of endometriosis is not known. Pain medicines and hormones often help. Severe cases may need surgery. There are also treatments to improve fertility in women with endometriosis. 

Answer: In women with endometriosis, the tissue that lines the uterus grows elsewhere, e.g., on the ovaries, behind the uterus or on the bowels or bladder.  This tissue may cause pain in the abdomen, lower back or pelvic areas; infertility; and heavy periods.  Pain medicines and hormones often help. Severe cases may need surgery. There are also treatments to improve fertility in women with endometriosis.
Question: I am 23yr boy,i have knock knees i want treatment. Please help me.

Reference:
 Knock knees Genu valgum Summary Knock knees are condition in which the knees touch, but the ankles do not touch. The legs turn inward. Causes Infants start out with bowlegs because of their folded position while in their mother's womb. The legs begin to straighten once the child starts to walk (at about 12 to 18 months). By age 3, the child becomes knock-kneed. When the child stands, the knees touch but the ankles are apart. By puberty, the legs straighten out and most children can stand with the knees and ankles touching (without forcing the position). Knock knees can also develop as a result of a medical problem or disease, such as: Injury of the shinbone (only one leg will be knock-kneed) Osteomyelitis (bone infection) Overweight or obesity Rickets (a disease caused by a lack of vitamin D) Exams and Tests A health care provider will examine your child. Tests will be done if there are signs that knock knees are not a part of normal development. Treatment Knock knees are not treated in most cases. If the problem continues after age 7, the child may use a night brace. This brace is attached to a shoe. Surgery may be considered for knock knees that are severe and continue beyond late childhood. Outlook (Prognosis) Children normally outgrow knock knees without treatment, unless it is caused by a disease. If surgery is needed, the results are most often good. Possible Complications Complications may include: Difficulty walking (very rare) Self-esteem changes related to cosmetic appearance of knock knees If left untreated, knock knees can lead to early arthritis of the knee When to Contact a Medical Professional Call your provider if you think your child has knock knees. Prevention There is no known prevention for normal knock knees. Review Date 12/9/2016 Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 

Answer: Surgery may be considered for knock knees that are severe and continue beyond late childhood. The results of the surgery are good in most cases. Rare complications include difficulty walking and self-esteem changes related to appearance of the knees. Untreated knock knees can lead to early arthritis of the knee.
Question: I am 23yr boy,i have knock knees i want treatment. Please help me.

Reference:
 Knock knees Genu valgum Summary Knock knees are condition in which the knees touch, but the ankles do not touch. The legs turn inward. Causes Infants start out with bowlegs because of their folded position while in their mother's womb. The legs begin to straighten once the child starts to walk (at about 12 to 18 months). By age 3, the child becomes knock-kneed. When the child stands, the knees touch but the ankles are apart. By puberty, the legs straighten out and most children can stand with the knees and ankles touching (without forcing the position). Knock knees can also develop as a result of a medical problem or disease, such as: Injury of the shinbone (only one leg will be knock-kneed) Osteomyelitis (bone infection) Overweight or obesity Rickets (a disease caused by a lack of vitamin D) Exams and Tests A health care provider will examine your child. Tests will be done if there are signs that knock knees are not a part of normal development. Treatment Knock knees are not treated in most cases. If the problem continues after age 7, the child may use a night brace. This brace is attached to a shoe. Surgery may be considered for knock knees that are severe and continue beyond late childhood. Outlook (Prognosis) Children normally outgrow knock knees without treatment, unless it is caused by a disease. If surgery is needed, the results are most often good. Possible Complications Complications may include: Difficulty walking (very rare) Self-esteem changes related to cosmetic appearance of knock knees If left untreated, knock knees can lead to early arthritis of the knee When to Contact a Medical Professional Call your provider if you think your child has knock knees. Prevention There is no known prevention for normal knock knees. Review Date 12/9/2016 Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 

Answer: Surgery may be considered for knock knees that are severe and continue beyond late childhood.
Question: I am 23yr boy,i have knock knees i want treatment. Please help me.

Reference:
 Knock knees Genu valgum Summary Knock knees are condition in which the knees touch, but the ankles do not touch. The legs turn inward. Causes Infants start out with bowlegs because of their folded position while in their mother's womb. The legs begin to straighten once the child starts to walk (at about 12 to 18 months). By age 3, the child becomes knock-kneed. When the child stands, the knees touch but the ankles are apart. By puberty, the legs straighten out and most children can stand with the knees and ankles touching (without forcing the position). Knock knees can also develop as a result of a medical problem or disease, such as: Injury of the shinbone (only one leg will be knock-kneed) Osteomyelitis (bone infection) Overweight or obesity Rickets (a disease caused by a lack of vitamin D) Exams and Tests A health care provider will examine your child. Tests will be done if there are signs that knock knees are not a part of normal development. Treatment Knock knees are not treated in most cases. If the problem continues after age 7, the child may use a night brace. This brace is attached to a shoe. Surgery may be considered for knock knees that are severe and continue beyond late childhood. Outlook (Prognosis) Children normally outgrow knock knees without treatment, unless it is caused by a disease. If surgery is needed, the results are most often good. Possible Complications Complications may include: Difficulty walking (very rare) Self-esteem changes related to cosmetic appearance of knock knees If left untreated, knock knees can lead to early arthritis of the knee When to Contact a Medical Professional Call your provider if you think your child has knock knees. Prevention There is no known prevention for normal knock knees. Review Date 12/9/2016 Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 

Answer: Rare complications of knock knees include difficulty walking and self-esteem changes related to appearance of the knees. Untreated knock knees can lead to early arthritis of the knee.
Question: I am 23yr boy,i have knock knees i want treatment. Please help me.

Reference:
 Knock knees Genu valgum Summary Knock knees are condition in which the knees touch, but the ankles do not touch. The legs turn inward. Causes Infants start out with bowlegs because of their folded position while in their mother's womb. The legs begin to straighten once the child starts to walk (at about 12 to 18 months). By age 3, the child becomes knock-kneed. When the child stands, the knees touch but the ankles are apart. By puberty, the legs straighten out and most children can stand with the knees and ankles touching (without forcing the position). Knock knees can also develop as a result of a medical problem or disease, such as: Injury of the shinbone (only one leg will be knock-kneed) Osteomyelitis (bone infection) Overweight or obesity Rickets (a disease caused by a lack of vitamin D) Exams and Tests A health care provider will examine your child. Tests will be done if there are signs that knock knees are not a part of normal development. Treatment Knock knees are not treated in most cases. If the problem continues after age 7, the child may use a night brace. This brace is attached to a shoe. Surgery may be considered for knock knees that are severe and continue beyond late childhood. Outlook (Prognosis) Children normally outgrow knock knees without treatment, unless it is caused by a disease. If surgery is needed, the results are most often good. Possible Complications Complications may include: Difficulty walking (very rare) Self-esteem changes related to cosmetic appearance of knock knees If left untreated, knock knees can lead to early arthritis of the knee When to Contact a Medical Professional Call your provider if you think your child has knock knees. Prevention There is no known prevention for normal knock knees. Review Date 12/9/2016 Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 

Answer: Children normally outgrow knock knees without treatment, unless it is caused by a disease. If surgery is needed, the results are most often good.
Question: I have a fractured nose i need it fixed. its been broke for 3 years now

Reference:
 Nose fracture Fracture of the nose Broken nose Nasal fracture Nasal bone fracture Nasal septal fracture Summary A nose fracture is a break in the bone or cartilage over the bridge, or in the sidewall or septum (structure that divides the nostrils) of the nose. Considerations A fractured nose is the most common fracture of the face. It most often occurs after an injury and often occurs with other fractures of the face. Nose injuries and neck injuries are often seen together. A blow that is forceful enough to injure the nose may be hard enough to injure the neck. Serious nose injuries cause problems that need a health care provider's attention right away. For example, damage to the cartilage can cause a collection of blood to form inside the nose. If this blood is not drained right away, it can cause an abscess or a permanent deformity that blocks the nose. It may lead to tissue death and cause the nose to collapse. For minor nose injuries, the provider may want to see the person within the first week after the injury to see if the nose has moved out of its normal shape. Sometimes, surgery may be needed to correct a nose or septum that has been bent out of shape by an injury. Symptoms Symptoms may include: Blood coming from the nose Bruising around the eyes Difficulty breathing through the nose Misshapen appearance (may not be obvious until the swelling goes down) Pain Swelling The bruised appearance most often disappears after 2 weeks. First Aid If a nose injury happens: Try to stay calm. Breathe through your mouth and lean forward in a sitting position to keep blood from going down the back of your throat. Squeeze the nostrils closed and hold pressure to stop the bleeding. Apply cold compresses to your nose to reduce swelling. If possible, hold the compress so that there isn't too much pressure on the nose. To help relieve pain, try acetaminophen (Tylenol). DO NOT DO NOT try to straighten a broken nose DO NOT move the person if there is reason to suspect a head or neck injury When to Contact a Medical Professional Get medical help right away if: Bleeding will not stop Clear fluid keeps draining from the nose You suspect a blood clot in the septum You suspect a neck or head injury The nose looks deformed or out of its usual shape The person is having difficulty breathing Prevention Wear protective headgear while playing contact sports, or riding bicycles, skateboards, roller skates, or rollerblades. Use seat belts and appropriate car seats when driving. Review Date 8/17/2016 Updated by: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. 

Answer: Sometimes, surgery may be needed to correct a nose or septum that has been bent out of shape.