deep-div/medical_qa_mediqa huggingface dataset:
Question: Hello,   I have a scoliosis problem plz help me I want its treatment I can send my x.ray also

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Scoliosis (Outlook (Prognosis)): How well a person with scoliosis does depends on the type, cause, and severity of the curve. The more severe the curving, the more likely it will get worse after the child stops growing.   People with mild scoliosis do well with braces. They usually do not have long-term problems. Back pain may be more likely when the person gets older.   Outlook for those with neuromuscular or congenital scoliosis varies. They may have another serious disorder, such as cerebral palsy or muscular dystrophy, so their goals are much different. Often, the goal of surgery is simply to allow a child to be able to sit upright in a wheelchair.   Congenital scoliosis is difficult to treat and usually requires many surgeries.

Answer: Outlook for people with scoliosis depends on the type, cause, and severity of the curve.  People with mild scoliosis do well with braces. As people get older, they might experience back pain.
Question: Hello,   I have a scoliosis problem plz help me I want its treatment I can send my x.ray also

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Scoliosis (Treatment): Treatment depends on many things:     - The cause of scoliosis   - Where the curve is in your spine   - How big the curve is   - If your body is still growing     Most people with idiopathic scoliosis do not need treatment. But you should still be checked by a doctor about every 6 months.     If you are still growing, your doctor might recommend a back brace. A back brace prevents further curving. There are many different types of braces. What kind you get depends on the size and location of your curve. Your provider will pick the best one for you and show you how to use it. Back braces can be adjusted as you grow.   Back braces work best in people over age 10. Braces do not work for those with congenital or neuromuscular scoliosis.     You may need surgery if the spine curve is severe or getting worse very quickly.   Surgery involves correcting the curve as much as possible:     - Surgery is done with a cut through the back, belly area, or beneath the ribs.   - The spine bones are held in place with 1 or 2 metal rods. The rods are held down with hooks and screws until the bone heals together.   - After surgery, you may need to wear a brace for a while to keep the spine still.     Scoliosis treatment may also include:     - Emotional support: Some children, especially teens, may be self-conscious when using a back brace.   - Physical therapy and other specialists to help explain the treatments and make sure the brace fits correctly.

Answer: Most people with idiopathic scoliosis do not need treatment, but should be checked by a doctor about every 6 months. For people with scoliosis of unknown causes and who are still growing, doctors may recommend  a back brace to prevent further curving. People with mild scoliosis do well with braces. They usually do not have long-term problems. If the spine curve is severe or progresses quickly, your doctor may suggest  surgery to correct the curve. Some children my need emotional support. Physical therapists and other specialists could explain the treatments and make sure the brace fits correctly.
Question: help with obesity I would like help on my obesity problem and if I can get help

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Prescription Medications to Treat Overweight and Obesity (How do doctors use prescription medications “off-label” to treat overweight and obesity?): Sometimes doctors use medications in a way that’s different from what the FDA has approved, known as “off-label” use. By choosing an off-label medication to treat overweight and obesity, your doctor may prescribea drug approved for treating a different medical problem two or more drugs at the same time a drug for a longer period of time than approved by the FDAYou should feel comfortable asking your doctor if he or she is prescribing a medication that is not approved just for treating overweight and obesity. Before using a medication, learn all you need to know about it.

Answer: Sometimes your doctors may suggest drugs approved for treating medical problems other than obesity. Before using such medications, discuss them with your doctor.
Question: help with obesity I would like help on my obesity problem and if I can get help

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Obesity (Alternative medicine): Numerous dietary supplements that promise to help you shed weight quickly are available. The effectiveness, particularly the long-term effectiveness, and safety of these products are often questionable. Herbal remedies, vitamins and minerals, all considered dietary supplements by the Food and Drug Administration, don't have the same rigorous testing and labeling process as over-the-counter and prescription medications do. Yet some of these substances, including products labeled as "natural," have drug-like effects that can be dangerous. Even some vitamins and minerals can cause problems when taken in excessive amounts. Ingredients may not be standard, and they can cause unpredictable and harmful side effects. Dietary supplements also can cause dangerous interactions with prescription medications you take. Talk to your doctor before taking any dietary supplements. Mind-body therapies - such as acupuncture, mindfulness meditation and yoga - may complement other obesity treatments. However, these therapies generally haven't been well-studied in the treatment of weight loss. Talk to your doctor if you're interested in adding a mind-body therapy to your treatment.

Answer: The effectiveness and safety of dietary supplements that promise to help loose weight are often questionable. Ask your doctor before taking any dietary supplements. Acupuncture, mindfulness meditation and yoga may complement other obesity treatments, but these  mind-body therapies haven't been well-studied in the treatment of weight loss.
Question: How bad can endometriosis get?

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Endometriosis (Other Endometriosis FAQs): - If I have endometriosis, will I be able to get pregnant? Among women with fertility problems, endometriosis may occur in as many as 50%.1 But exactly how endometriosis causes infertility is not clear. Some evidence suggests that infertility is related to the extent of the endometriosis patches, because the patches can distort the pelvic anatomy. This would make it difficult for sperm to travel to the ovary or a fertilized egg to travel to the uterus.2,3 Other evidence suggests that the inflammation in the abdomen may disrupt ovulation or fertilization, or that the endometrium may not develop properly, hampering the attachment of the embryo to the uterus. There are treatments for endometriosis-related infertility that may help women get pregnant even with endometriosis. - Is endometriosis the same as endometrial cancer? Endometriosis and endometrial cancer are not the same. The word "endometrium" describes the tissue that lines the inside of the uterus. Endometrial cancer is a type of cancer that affects the lining of the inside of the uterus. Endometriosis itself is not a form of cancer. - Can endometriosis lead to cancer? There is a slight increase in the risk of ovarian cancer among women with endometriosis, particularly among women who were diagnosed with the condition at an early age. However, it is unclear whether endometriosis causes ovarian cancer or if the two conditions share risk factors or disease mechanisms that make them more likely to occur together.3,4 In some cases, women with endometriosis also have breast cancer or non-Hodgkin's lymphoma. However, these situations are rare.5 - Does endometriosis ever go away? For about one-quarter of women diagnosed with endometriosis, endometriosis patches go away on their own.6 Also, after menopause, symptoms of endometriosis typically lessen because there is a drop in the woman's natural hormones and the growths gradually shrink. However, this is not true for all women. If a woman takes hormones for menopausal symptoms, both her pain symptoms and the growths may return. Women with endometriosis who are experiencing symptoms, especially after menopause, should talk with their health care providers about treatment options.

Answer: Up to 50% of women with endometriosis may have fertility problems. Women with endometriosis are at a slightly higher risk of ovarian cancer. Rarely, they may also have breast cancer or non-Hodgkin's lymphoma. In about quarter of women diagnosed with endometriosis, endometriosis patches go away on their own. Symptoms also lessen after menopause. If the systems persist, discuss treatment options with your doctor.
Question: How bad can endometriosis get?

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Living with endometriosis (Summary): You have a condition called endometriosis. Symptoms of endometriosis include:     - Heavy menstrual bleeding   - Bleeding between periods   - Problems getting pregnant      Having this condition can interfere with your social and work life.   No one knows what causes endometriosis. There is also no cure. However, there are different ways to treat the symptoms. These treatments can also help relieve menstrual pain.   Learning how to manage your symptoms can make it easier to live with endometriosis.

Answer: Symptoms of endometriosis include heavy menstrual bleeding, bleeding between periods, problems getting pregnant.
Question: How bad can endometriosis get?

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Endometriosis (When to Contact a Medical Professional): Call your provider if:     - You have symptoms of endometriosis   - Back pain or other symptoms reoccurring after endometriosis is treated      You may want to get screened for endometriosis if:      - Your mother or sister has the disease   - You are unable to become pregnant after trying for 1 year

Answer: Contact your doctor if experience back pain after endometriosis is treated. Get screened for endometriosis if your mother or sister has it or if you are unable to become pregnant after trying for 1 year
Question: How bad can endometriosis get?

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What is Endometriosis?: 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: How bad can endometriosis get?

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Endometriosis (Possible Complications): Endometriosis can lead to problems getting pregnant. However, most women with mild symptoms can still get pregnant. Laparoscopy to remove growths and scar tissue may help improve your chances of becoming pregnant. If it does not, you may want to consider fertility treatments.   Other complications of endometriosis include:     - Long-term pelvic pain that interferes with social and work activities   - Large cysts in the pelvis that may break open (rupture)     In rare cases, endometriosis tissue may block the intestines or urinary tract.    Very rarely, cancer may develop in the areas of tissue growth after menopause.

Answer: Endometriosis can cause fertility problems, long-term pelvic pain, or cysts in the pelvis. Endometriosis tissue may block the intestines or urinary tract. Cancer may develop in the areas of tissue growth after menopause.
Question: How bad can endometriosis get?

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Endometriosis (Symptoms): The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual pain that's far worse than usual. They also tend to report that the pain increases over time. Common signs and symptoms of endometriosis may include: - Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.   - Pain with intercourse. Pain during or after sex is common with endometriosis.   - Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.   - Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).   - Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.   - Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods. The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all. Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as pelvic inflammatory disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis. See your doctor if you have signs and symptoms that may indicate endometriosis. Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Answer: Endometriosis is often associated with pelvic pain before and during menstrual period, lower back and abdominal pain, and pain during or after sex, bowel movements or urination.  Women with endometriosis  may experience heavy periods, bleeding between periods, and Infertility.
Question: How bad can endometriosis get?

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What is Endometriosis?: Endometriosis occurs when cells from the lining of your womb (uterus) grow in other areas of your body. This can cause pain, heavy bleeding, bleeding between periods, and problems getting pregnant (infertility).

Answer: Endometriosis occurs when cells from the lining of the womb (uterus) grow in other areas of the body. This can cause pain, heavy bleeding, bleeding between periods, and problems getting pregnant (infertility).
Question: I am 23yr boy,i have knock knees i want treatment. Please help me.

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Knock knees: Knock knees are condition in which the knees touch, but the ankles do not touch. The legs turn inward. 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) 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. 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. Children normally outgrow knock knees without treatment, unless it is caused by a disease.    If surgery is needed, the results are most often good. 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 Call your provider if you think your child has knock knees. There is no known prevention for normal knock knees. 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.

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Knock knees (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.

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.

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Knock knees (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

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.

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Knock knees (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.

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

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Nose fracture: 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. 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 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. 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 try to straighten a broken nose   - DO NOT move the person if there is reason to suspect a head or neck injury 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 Wear protective headgear while playing contact sports, or riding bicycles, skateboards, roller skates, or rollerblades.   Use seat belts and appropriate car seats when driving. 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.
Question: I have been battling Anal fissure for close to two years now and it has refused to heal all these while. Please what do you suggest i do?  Thanks

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Anal fissure (Treatment): Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber and fluids. Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing. If your symptoms persist, you'll likely need further treatment. Nonsurgical treatments Your doctor may recommend: - Externally applied nitroglycerin (Rectiv), to help increase blood flow to the fissure and promote healing and to help relax the anal sphincter. Nitroglycerin is generally considered the medical treatment of choice when other conservative measures fail. Side effects may include headache, which can be severe. - Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) may be helpful for pain relief. - Botulinum toxin type A (Botox) injection, to paralyze the anal sphincter muscle and relax spasms. - Blood pressure medications, such as oral nifedipine (Procardia) or diltiazem (Cardizem) can help relax the anal sphincter. These medications may be taken by mouth or applied externally and may be used when nitroglycerin is not effective or causes significant side effects. Surgery If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms are severe, your doctor may recommend surgery. Doctors usually perform a procedure called lateral internal sphincterotomy (LIS), which involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing. Studies have found that for chronic fissure, surgery is much more effective than any medical treatment. However, surgery has a small risk of causing incontinence.

Answer: For persistent anal fissures your doctor may recommend externally applied nitroglycerin (Rectiv), to help increase blood flow to the fissure and promote healing and to help relax the anal sphincter. Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) may be helpful for pain relief. Botulinum toxin type A (Botox) injection, to paralyze the anal sphincter muscle and relax spasms. Blood pressure medications, by mouth or applied externally, such as oral nifedipine (Procardia) or diltiazem (Cardizem) can help relax the anal sphincter.  If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms are severe, your doctor may recommend surgery, which involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing.  Studies have found that for chronic fissure, surgery is much more effective than any medical treatment. However, surgery has a small risk of causing incontinence.