deep-div/medical_qa_mediqa huggingface dataset:
Question: I have an hernia I would love to take care off it ASAP I was wondering if you guys could help me . Thanks

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Hiatal hernia (Treatment): Most people with a hiatal hernia don't experience any signs or symptoms and won't need treatment. If you experience signs and symptoms, such as recurrent heartburn and acid reflux, you may need medication or surgery. Medications If you experience heartburn and acid reflux, your doctor may recommend: - Antacids that neutralize stomach acid. Antacids, such as Mylanta, Rolaids and Tums, may provide quick relief. Overuse of some antacids can cause side effects, such as diarrhea or sometimes kidney problems. - Medications to reduce acid production. These medications - known as H-2-receptor blockers - include cimetidine (Tagamet famotidine (Pepcid), nizatidine (Axid ) and ranitidine (Zantac). Stronger versions are available by prescription. - Medications that block acid production and heal the esophagus. These medications - known as proton pump inhibitors - are stronger acid blockers than H-2-receptor blockers and allow time for damaged esophageal tissue to heal. Over-the-counter proton pump inhibitors include lansoprazole (Prevacid 24HR) and omeprazole (Prilosec, Zegerid). Stronger versions are available in prescription form. Surgery Sometimes a hiatal hernia requires surgery. Surgery is generally used for people who aren't helped by medications to relieve heartburn and acid reflux, or have complications such as severe inflammation or narrowing of the esophagus. Surgery to repair a hiatal hernia may involve pulling your stomach down into your abdomen and making the opening in your diaphragm smaller, reconstructing an esophageal sphincter or removing the hernia sac. Or your surgeon may insert a tiny camera and special surgical tools through several small incisions in your abdomen. The operation is then performed while your surgeon views images from inside your body that are displayed on a video monitor (laparoscopic surgery). Sometimes surgery is done using a single incision in your chest wall (thoracotomy).

Answer: If a hiatal hernia does not have any symptoms, it won't need treatment. If the hernia causes heartburn and acid reflux, your doctor may recommend antacids. If the medications do not help or hiatal hernia causes inflammation or narrowing of the esophagus, you doctor might  recommend 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 (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.

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:
Hernia (Treatment): Surgery is the only treatment that can permanently fix a hernia. Surgery may be more risky for people with serious medical problems.    Surgery repairs the weakened abdominal wall tissue (fascia) and closes any holes. Most hernias are closed with stitches and sometimes with mesh patches to plug the hole.   An umbilical hernia that does not heal on its own by the time a child is 5 years old will likely be repaired.

Answer: Surgery to repair abdomen wall is the only treatment that can permanently fix a hernia. Sometimes mesh patches are used to close the holes in the abdominal tissues.
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:
Umbilical hernia (Treatment): Most umbilical hernias in babies close on their own by age 1 or 2. Your doctor may even be able to push the bulge back into the abdomen during a physical exam. Don't try this on your own, however. Although some people claim a hernia can be fixed by taping a coin down over the bulge, this "fix" doesn't help and germs may accumulate under the tape, causing infection. For children, surgery is typically reserved for umbilical hernias that: - Are painful - Are bigger than 1.5 centimeters in diameter (slightly larger than a 1/2 inch) - Are large and don't decrease in size over the first two years - Don't disappear by age 4 - Become trapped or block the intestines For adults, surgery is typically recommended to avoid possible complications - especially if the umbilical hernia gets bigger or becomes painful. During surgery, a small incision is made at the base of the bellybutton. The herniated tissue is returned to the abdominal cavity, and the opening in the abdominal wall is stitched closed. In adults, surgeons often use mesh to help strengthen the abdominal wall.

Answer: Surgery is recommended  to treat umbilical hernias in adults if the hernia is painful,  gets bigger or could cause complications.
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:
Diaphragmatic hernia (Treatment): A diaphragmatic hernia repair is an emergency that requires surgery. Surgery is done to place the abdominal organs into the proper position and repair the opening in the diaphragm.   The infant will need breathing support during the recovery period. Some infants are placed on a heart/lung bypass machine to help deliver enough oxygen to the body.    If a diaphragmatic hernia is diagnosed early during pregnancy (before 24 to 28 weeks), fetal surgery may be an option in some situations.

Answer: Diaphragmatic hernias are repaired surgically.
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:
Inguinal hernia (Treatment): If your hernia is small and isn't bothering you, your doctor might recommend watchful waiting. In children, the doctor might try applying manual pressure to reduce the bulge before considering surgery. Enlarging or painful hernias usually require surgery to relieve discomfort and prevent serious complications. There are two general types of hernia operations - open hernia repair and laparoscopic repair. Open hernia repair In this procedure, which might be done with local anesthesia and sedation or general anesthesia, the surgeon makes an incision in your groin and pushes the protruding tissue back into your abdomen. The surgeon then sews the weakened area, often reinforcing it with a synthetic mesh (hernioplasty). The opening is then closed with stitches, staples or surgical glue. After the surgery, you'll be encouraged to move about as soon as possible, but it might be several weeks before you're able to resume normal activities. Laparoscopy In this minimally invasive procedure, which requires general anesthesia, the surgeon operates through several small incisions in your abdomen. Gas is used to inflate your abdomen to make the internal organs easier to see. A small tube equipped with a tiny camera (laparoscope) is inserted into one incision. Guided by the camera, the surgeon inserts tiny instruments through other incisions to repair the hernia using synthetic mesh. People who have laparoscopic repair might have less discomfort and scarring after surgery and a quicker return to normal activities. However, some studies indicate that hernia recurrence is more likely with laparoscopic repair than with open surgery. Laparoscopy allows the surgeon to avoid scar tissue from an earlier hernia repair, so it might be a good choice for people whose hernias recur after traditional hernia surgery. It also might be a good choice for people with hernias on both sides of the body (bilateral). Some studies indicate that a laparoscopic repair can increase the risk of complications and of recurrence. Having the procedure performed by a surgeon with extensive experience in laparoscopic hernia repairs can reduce the risks.

Answer: Small asymptomatic hernias do not require treatments. If the hernia increases in size or becomes painful, it will 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: 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. 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 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. Tests that may be used include:     - Barium swallow x-ray   - Esophagogastroduodenoscopy (EGD) 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. Treatment can relieve most symptoms of hiatal hernia. Complications may include:     - Pulmonary (lung) aspiration   - Slow bleeding and iron deficiency anemia (due to a large hernia)   - Strangulation (closing off) of the hernia 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. Controlling risk factors such as obesity may help prevent hiatal hernia. 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: My father is suffering from IBS and is loosing weight day by day.sometimes he even faints due to weakness.He cannot digest food .please help us and suggest us upon this problem.

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Irritable Bowel Syndrome (IBS) (How can my diet treat the symptoms of IBS?): Eating smaller meals more often, or eating smaller portions, may help your irritable bowel syndrome (IBS) symptoms. Large meals can cause cramping and diarrhea if you have IBS.Eating foods that are low in fat and high in carbohydrates, such as pasta, rice, whole-grain breads and cereals, fruits, and vegetables, may help.Fiber may improve constipation symptoms caused by IBS because it makes stool soft and easier to pass. Fiber is a part of foods such as whole-grain breads and cereals, beans, fruits, and vegetables. The U.S. Department of Agriculture and U.S. Department of Health and Human Services state in its Dietary Guidelines for Americans, 2010 (PDF, 2.963 MB) that adults should get 22 to 34 grams of fiber a day.3While fiber may help constipation, it may not reduce the abdominal discomfort or pain of IBS. In fact, some people with IBS may feel a bit more abdominal discomfort after adding more fiber to their diet. Add foods with fiber to your diet a little at a time to let your body get used to them. Too much fiber at once can cause gas, which can trigger symptoms in people with IBS. Adding fiber to your diet slowly, by 2 to 3 grams a day, may help prevent gas and bloating.

Answer: Changing your diet to eat smaller portions and smaller meals more often may help your irritable bowel syndrome (IBS.) Foods that are low in fat and high in carbohydrates, such as pasta, rice, whole-grain breads and cereals, fruits, and vegetables, may also help. Add these foods to the diet slowly, increasing by 2-3 grams a day to prevent causing gas and triggering IBS symptoms.
Question: My father is suffering from IBS and is loosing weight day by day.sometimes he even faints due to weakness.He cannot digest food .please help us and suggest us upon this problem.

Reference:
Irritable bowel syndrome - aftercare (Diet): Changes in your diet may be helpful. However, IBS varies from person to person. So the same changes may not work for everyone.     - Keep track of your symptoms and the foods you are eating. This will help you look for a pattern of foods that may make your symptoms worse.   - Avoid foods that cause symptoms. These may include fatty or fried foods, dairy products, caffeine, sodas, alcohol, chocolate, and grains such as wheat, rye, and barley.   - Eat 4 to 5 smaller meals a day, rather than 3 larger ones.      Increase the fiber in your diet to relieve symptoms of constipation. Fiber is found in whole grain breads and cereals, beans, fruits, and vegetables. Since fiber may cause gas, it is best to add these foods to your diet slowly.

Answer: Look for foods that make the symptoms worse and change your diet to avoid such foods. These may include  fatty or fried foods, dairy products, caffeine, sodas, alcohol, chocolate, and grains such as wheat, rye, and barley. Eat 4 or five smaller meals a day and follow your doctor's instructions to take medicines.
Question: We have 14 siblings in our family , at least 10 of us has had a frozen shoulder.  We are wondering why?  should we be concerned?

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Frozen shoulder (Causes): The bones, ligaments and tendons that make up your shoulder joint are encased in a capsule of connective tissue. Frozen shoulder occurs when this capsule thickens and tightens around the shoulder joint, restricting its movement. Doctors aren't sure why this happens to some people, although it's more likely to occur in people who have diabetes or those who recently had to immobilize their shoulder for a long period, such as after surgery or an arm fracture.

Answer: Doctors are not sure what causes frozen shoulder. It is more likely to occur in people who have diabetes or had their shoulder immobilized for a long time due to injury or surgery.
Question: We have 14 siblings in our family , at least 10 of us has had a frozen shoulder.  We are wondering why?  should we be concerned?

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What are the complications of Frozen shoulder?: Complications may include:  - Stiffness and pain continue even with therapy  - The arm can break if the shoulder is moved forcefully during surgery

Answer: Complications of the frozen shoulder include stiffness and pain that do not respond to treatment. If the shoulder is moved with force, the arm could break.
Question: We have 14 siblings in our family , at least 10 of us has had a frozen shoulder.  We are wondering why?  should we be concerned?

Reference:
Frozen shoulder (Treatment): Most frozen shoulder treatment involves controlling shoulder pain and preserving as much range of motion in the shoulder as possible. Medications Over-the-counter pain relievers, such as aspirin and ibuprofen (Advil, Motrin IB, others), can help reduce pain and inflammation associated with frozen shoulder. In some cases, your doctor may prescribe stronger pain-relieving and anti-inflammatory drugs. Therapy A physical therapist can teach you range-of-motion exercises to help recover as much mobility in your shoulder as possible. Your commitment to doing these exercises is important to optimize recovery of your mobility. Surgical and other procedures Most frozen shoulders get better on their own within 12 to 18 months. For persistent symptoms, your doctor may suggest: - Steroid injections. Injecting corticosteroids into your shoulder joint may help decrease pain and improve shoulder mobility, especially in the early stages of the process. - Joint distension. Injecting sterile water into the joint capsule can help stretch the tissue and make it easier to move the joint. - Shoulder manipulation. In this procedure, you receive a general anesthetic, so you'll be unconscious and feel no pain. Then the doctor moves your shoulder joint in different directions, to help loosen the tightened tissue. - Surgery. Surgery for frozen shoulder is rare, but if nothing else has helped, your doctor may recommend surgery to remove scar tissue and adhesions from inside your shoulder joint. Doctors usually perform this surgery with lighted, tubular instruments inserted through small incisions around your joint (arthroscopically).

Answer: A physical therapist can teach you exercises to recover mobility in your shoulder.
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 (Alternative medicine): There is some evidence that certain alternative treatments can be helpful to people with gastroparesis, although more studies are needed. Some treatments that look promising include: - Acupuncture and electroacupuncture. Acupuncture involves the insertion of extremely thin needles through your skin at strategic points on your body. During electroacupuncture, a small electrical current is passed through the needles. Studies have shown these treatments to ease gastroparesis symptoms more than a sham treatment. - STW 5 (Iberogast). This herbal formula from Germany contains nine different herbal extracts. It hasn't been shown to speed up gastric emptying, but was slightly better at easing digestive symptoms than a placebo. - Rikkunshito. This Japanese herbal formula also contains nine herbs. It may help reduce abdominal pain and the feeling of post-meal fullness. - Cannabis. There aren't any published clinical trials on cannabis and gastroparesis. However, cannabis - commonly known as marijuana - is thought to ease nausea and other digestive complaints. Derivatives of cannabis have been used by people who have cancer in the past, but there are better FDA-approved medications available to control nausea now. Because cannabis is often smoked, there's concern about possible addiction and harm, similar to what occurs with tobacco smoke. In addition, daily users of marijuana (cannabis) may develop a condition that mimics the symptoms of gastroparesis called cannabis hyperemesis syndrome. Symptoms can include nausea, vomiting and abdominal pain. Quitting cannabis may help.

Answer: Alternative medicine treatments for gastroparesis include: acupuncture and electroacupuncture, Herbal preparations, such as STW 5 (Iberogast) in Germany and Rikkunshito in Japan, as well as cannabis and derivatives that might ease nausea and the digestive symptoms.
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 (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)

Answer: Causes of gastroparesis are mostly unknown. It is a common complication of diabetes, and sometimes surgeries.
Question: Genetic mutaion my son born with alopicia totalis and swealling around the eyes , we have done for him Whole Exome Sequencing , they  identified a heterozygous likely pathogenic variant in the SOX18 gene, which supports the clinical diagnosis of hypotrichosis-lymphedema-telangiectasia syndrome , i would like to know if i can trat this or any thing that we can do to help the symptos ,pleae help

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What are the symptoms of Hypotrichosis-lymphedema-telangiectasia syndrome?: What are the signs and symptoms of Hypotrichosis-lymphedema-telangiectasia syndrome? The Human Phenotype Ontology provides the following list of signs and symptoms for Hypotrichosis-lymphedema-telangiectasia syndrome. If the information is available, the table below includes how often the symptom is seen in people with this condition. You can use the MedlinePlus Medical Dictionary to look up the definitions for these medical terms. Signs and Symptoms Approximate number of patients (when available) Alopecia 90% Aplasia/Hypoplasia of the eyebrow 90% Edema of the lower limbs 90% Lymphangioma 90% Abnormality of the eye 50% Cutis marmorata 50% Periorbital edema 50% Vaginal hernia 50% Venous insufficiency 50% Abnormality of the peritoneum 7.5% Abnormality of the pleura 7.5% Hydrops fetalis 7.5% Abnormality of the nail - Abnormality of the teeth - Absent eyebrow - Absent eyelashes - Autosomal dominant inheritance - Autosomal recessive inheritance - Hydrocele testis - Hypotrichosis - Nonimmune hydrops fetalis - Palmar telangiectasia - Predominantly lower limb lymphedema - Thin skin - The Human Phenotype Ontology (HPO) has collected information on how often a sign or symptom occurs in a condition. Much of this information comes from Orphanet, a European rare disease database. The frequency of a sign or symptom is usually listed as a rough estimate of the percentage of patients who have that feature. The frequency may also be listed as a fraction. The first number of the fraction is how many people had the symptom, and the second number is the total number of people who were examined in one study. For example, a frequency of 25/25 means that in a study of 25 people all patients were found to have that symptom. Because these frequencies are based on a specific study, the fractions may be different if another group of patients are examined. Sometimes, no information on frequency is available. In these cases, the sign or symptom may be rare or common.

Answer: The most frequent symptoms of hypotrichosis-lymphedema-telangiectasia syndrome, which occur in 90% of the patients, include:  alopecia, aplasia or hypoplasia of the eyebrow, swelling of the legs, and lymphangioma. About half of the patients have eye abnormalities, cutis marmorata, periorbital edema, vaginal hernia, and venous insufficiency. Less than 8% will experience abnormality of the peritoneum, abnormality of the pleura, hydrops fetalis, nail and  teeth  abnormalities, lack of eyebrows or eyelashes, hydrocele testis, hypotrichosis, nonimmune hydrops fetalis, palmar telangiectasia, and thin skin.