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-{"ANNOTATIONS.FOCUS":"Lyme Disease","ANNOTATIONS.TYPE":"Information","ANSWER":"Lyme disease tests are used to determine if a person with characteristic symptoms has been infected by Borrelia burgdorferi. If the doctor suspects a recent infection, then she may order both an IgM and IgG antibody blood test. If they are negative but symptoms persist, then the tests may be ordered again a few weeks later\u2026Lyme disease can sometimes be challenging to diagnose","SUBJECT":"Lyme Disease","MESSAGE":"12 years ago I was bitten by tick while deer hunting. The bite area contained the ring as described in Lyme Disease symptoms.  I was treated with antibiotics;  however, ever since that time I have many of the symptoms cited for Lyme.  Also, usually prior to, and during these symptoms I have a reddish-pink welt appear at the site of the bite on my groin.  Can you offer any enlightment on my condition?","QUESTION_ID":1}
-{"ANNOTATIONS.FOCUS":"Raynauds Syndrome","ANNOTATIONS.TYPE":"Symptom","ANSWER":"Only one finger or toe or parts of one or more may be affected.","SUBJECT":"Raynauds Syndrome","MESSAGE":"My sons middle toe turned white after being in his dorm for a few hours without heat. We were wondering why all his toes did not change colors.","QUESTION_ID":2}
-{"ANNOTATIONS.FOCUS":"burn","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Before giving first aid, it is important to determine what type of burn the person has. If you aren't sure, treat it as a major burn. Serious burns need immediate medical care. Call your local emergency number or 911.","SUBJECT":"burn to my wrist","MESSAGE":"Hello I burnt my wrist 2 days ago and after last night ive woken up with a swollen had its really noticeable to other people but I ca  feel the skin has gone tight when I put it against the other hand you can see its bigger what should I do about this?","QUESTION_ID":5}
-{"ANNOTATIONS.FOCUS":"Parkinson","ANNOTATIONS.TYPE":"Treatment","ANSWER":"you should know that people who have Parkinson's disease have a higher risk of melanoma (a type of skin cancer) than people who do not have Parkinson's disease. It is not known whether this increased risk is caused by Parkinson's disease, medications used for Parkinson's disease such as rasagiline, or other factors. You should have regular visits with a dermatologist to examine your skin for melanoma","SUBJECT":"treatment of parkinson","MESSAGE":"I AM HAVING PARKINSON FOR LAST 8 YEARS. SO FAR IT WAS ONLY SOME, SHAKING MY RIGHT HAND.NOW IT IS ON INCREASE. I AM 84, AND HAVING SKIN PROBLEM.I AM SCARED OF INCREASING DOSAGE, AS IT SEEMS TO POSSIBLY AFFECT SKIN PROBLEM. PLS SUGGEST ANY CARE I NEED TO TAKE.I WOULD BE GRATEFUL , FOR YOUR KIND ADVISE.","QUESTION_ID":6}
-{"ANNOTATIONS.FOCUS":"Periventricular Heterotopia\/ Scoliosis","ANNOTATIONS.TYPE":"information","ANSWER":"Isolated lissencephaly sequence (ILS) is a condition that affects brain development before birth. Children with ILS often develop muscle stiffness (spasticity) in their arms and legs and an abnormal side-to-side curvature of the spine (scoliosis).","SUBJECT":"Periventricular Heterotopia.  Scoliosis  - possibility of a known link ?","MESSAGE":"Question in laymen terms: Has any genetic or other correlation ever been made between these two diagnosis? My 59 y.o. sister has a diagnosis of Periventricular Heterotopia.  Her 30 y.o. daughter has been suffering with same for last 15 years.  Her 37 Y.O. daughter is clinically full-care retarded (since infancy) and has severe idiopathic scoliosis.  I have severe idiopathic scoliosis. I use the term \"severe\"; to express debilitating and multiple fusion surgeries.  All four of my generation female siblings have a level of scoliosis.  FYI: this PH sister died last week, her remains are at the University of Rochester","QUESTION_ID":8}
-{"ANNOTATIONS.FOCUS":"skin cancer","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment options depend on the following:  The stage of the cancer (whether it has spread deeper into the skin or to other places in the body). The type of cancer. The size of the tumor and what part of the body it affects. The patient\u2019s general health.","SUBJECT":"","MESSAGE":"WHAT IS THE LATTEST RESEARCH ON USING D-Limonene AS A TREATMENT FOR CANCER?? PARTICULLARY SKIN CANCER??","QUESTION_ID":9}
-{"ANNOTATIONS.FOCUS":"swallowed a poison which is name caustic soda","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment depends on how the poisoning occurred. You will be given pain medicine.","SUBJECT":"Details about Caustic Soda Poison","MESSAGE":"Hello, i'm writing from Mauritius and my name is Ms Doriana. A member of my family swallowed a poison which is name caustic soda. He is actually in the hospital suffering a lot. Is there any suggestion please to help him to be better or to relieve his pain?","QUESTION_ID":10}
-{"ANNOTATIONS.FOCUS":"smoking","ANNOTATIONS.TYPE":"Complication","ANSWER":"What are the other harmful effects of smoking on the digestive system? Smoking contributes to many common disorders of the digestive system, such as heartburn and gastroesophageal reflux disease (GERD), peptic ulcers, and some liver diseases. Smoking increases the risk of Crohn's disease, colon polyps, and pancreatitis, and it may increase the risk of gallstones.","SUBJECT":"intestines  digestion and absorption","MESSAGE":"kindly explain the general effects of smoking or rather the effects of nicotine to digestion and arbsoption","QUESTION_ID":11}
-{"ANNOTATIONS.FOCUS":"pap smear\/full hysterectomy","ANNOTATIONS.TYPE":"Indication","ANSWER":"I\u2019ve had a hysterectomy. Do I still need to have Pap tests? Maybe. You will still need regular Pap tests (or Pap smear) to screen for cervical cancer if you:  Did not have your cervix removed Had a hysterectomy because of cancer or precancer Ask your doctor what is best for you and how often you should have Pap tests.","SUBJECT":"Pap smear for Cervical cancer","MESSAGE":"I had a full hysterectomy in 2006, do I still need to have a pap smear?","QUESTION_ID":12}
-{"ANNOTATIONS.FOCUS":"Spina bifida","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"How is it diagnosed?  In most cases, spina bifida is diagnosed prenatally, or before birth.  However, some mild cases may go unnoticed until after birth (postnatal).  Very mild forms (spinal bifida occulta), in which there are no symptoms, may never be detected. Postnatal Diagnosis  Mild cases of spina bifida (occulta, closed) not diagnosed during prenatal testing may be detected postnatally by plain film X-ray examination.  Individuals with the more severe forms of spina bifida often have muscle weakness in their feet, hips, and legs that result in deformities that may be present at birth.  Doctors may use magnetic resonance imaging (MRI) or a computed tomography (CT) scan to get a clearer view of the spinal cord and vertebrae.  If hydrocephalus is suspected, the doctor may request a CT scan and\/or X-ray of the skull to look for extra cerebrospinal fluid inside the brain.","SUBJECT":"Testing for Spina bifida military lost all my records","MESSAGE":"I have a dy lumbar puncture that shows two chambers dye did not go further then l4-l5 I have a sixth lumbar upper back deformed spinal cord hematoma on T12 no disk between t2-t3 I have bladder and loss of feeling in right leg I have full medical benifits as an incapacitated child from the military either my new base doctor is unfamiliar with my condition or refuses to acknowledge my problems I told him I have digestive issues and needed my usual meds he treated me like it was due to other meds I get treated so unfairly and badly because I am so young and do t fit the worst form of Spina bifida to top it off now they lost all my child hood care records and this is leaving me defending myself against military doctors when all the tests I can think of have been do e again MRI shows bone birth defects but the dual spinal chambers was shown in a dye lumbar puncture is there a sure fire test they can do that will shut them up an say yep this is what it is","QUESTION_ID":14}
-{"ANNOTATIONS.FOCUS":"SCA3","ANNOTATIONS.TYPE":"Organization","ANSWER":"Spinocerebellar ataxia type 3 (often shortened to SCA3) On this page: Description Genetic changes Inheritance Diagnosis Additional information Other names Glossary definitions","SUBJECT":"Help for my diagnose","MESSAGE":"I have been diagnosed with SCA3. I was wondering if MedlinePlus is able to help me with resources that I may need on my journey through this disease? If not, can you help me find an organization or association that can help me.","QUESTION_ID":15}
-{"ANNOTATIONS.FOCUS":"cold sore","ANNOTATIONS.TYPE":"Treatment","ANSWER":"There is no cure for cold sores. Medicines can relieve some of the pain and discomfort associated with the sores. These include ointments that numb the blisters, antibiotics that control secondary bacterial infections, and ointments that soften the crusts of the sores.","SUBJECT":"No","MESSAGE":"What should I do if I have a cold sore? and treatments I use","QUESTION_ID":18}
-{"ANNOTATIONS.FOCUS":"HIV\/Aids","ANNOTATIONS.TYPE":"Treatment","ANSWER":"There is no cure, but there are many medicines to fight both HIV infection and the infections and cancers that come with it. People can live with the disease for many years.","SUBJECT":"No","MESSAGE":"hi my name is Miranda Ramirez I'm currently working with Friends Community Center in Hollywood California and I was wondering  I came across some of you healthy tip fliers for HIV\/Aids treatment .at the moment we have a study  going on that helps HIV positive transgender women into HIV quality care .so it would be great to have some more information on HIV\/Aids treatment","QUESTION_ID":19}
-{"ANNOTATIONS.FOCUS":"shingles","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"You can't catch shingles from someone who has it. However, if you have a shingles rash, you can pass the virus to someone who has never had chickenpox. This would usually be a child, who could get chickenpox instead of shingles. The virus spreads through direct contact with the rash, and cannot spread through the air.","SUBJECT":"shingles","MESSAGE":"I work at the Airport and I am in contact with hundreds of people a day. I want to be sure that I am not going to expose people to Shingles. When is it safe for me to go back to work?","QUESTION_ID":21}
-{"ANNOTATIONS.FOCUS":"sleep apnea","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Other problems that may occur include:  Depression Hyperactive behavior, especially in children Difficult to treat high blood pressure Leg swelling (if severe)","SUBJECT":"sleep apnea","MESSAGE":"I was diagnosed with sleep apnea (prolly had it for 5 years) and I have swelling issues caused from that (it has been ruled out from everything else so the doctor thinks).  I just got my cPap machine.  I was wondering how long will it take for the swelling to go away.  Thank you!","QUESTION_ID":25}
-{"ANNOTATIONS.FOCUS":"Chronic lymphocytic leukemia","ANNOTATIONS.TYPE":"Information","ANSWER":"Leukemia is cancer of the white blood cells. White blood cells help your body fight infection. Your blood cells form in your bone marrow. In leukemia, the bone marrow produces abnormal white blood cells. These cells crowd out the healthy blood cells, making it hard for blood to do its work. In chronic lymphocytic leukemia (CLL), there are too many lymphocytes, a type of white blood cell.","SUBJECT":"Chronic lymphocytic leukemia","MESSAGE":"How can I get Information on Cronic Lymphocytice Leukemia sent to me thru MedlinkPlus or which way you will send them.","QUESTION_ID":26}
-{"ANNOTATIONS.FOCUS":"Tetralogy of Fallot","ANNOTATIONS.TYPE":"Organization","ANSWER":"Medlife USA: Email:    info@medlifeweb.org   Telephone:    (USA) 1-844-MEDLIFE              1-844-633-5433   Office Hours:   9 AM - 5 PM CST   Fax:    207-433-5304","SUBJECT":"Peruvian girl","MESSAGE":"Dear Sir\/Madam, I am writing you on behalf of Madam Saavedra, who is very stress and with a lot of tension,looking for HELP for her daughter Mariagracia.  Mariagracia has a complex hearth defect called Tetralogy of Fallot, she is about 7 months old and her family dont have resources to cover her treatment in order to get her welfare.  Madam Saavedra has a very low income, lives in a rented room with her husband and her two children, in Lima - Peru. She works at National Hospital Cayetano Heredia and she has been taking her daughter to children hospital in Lima but she cant afford the medicines and treatment that they ask for, she is looking desperately for help for her daughter.  I was wondering if you guys have any contact here in Lima of any organization, who can help Madam Saavedra. I have been looking but cant find or never not came back to me when I asked them.  If you please know about any organization who can help us here in Lima Peru, I will really appreciate and we can make help to give Mariagracia a better life :-)  I am a Health and Social care worker and work at the hospital too with the employees. Thank you very much for your time  Karina Montes  kmontes44242@hotmail.com","QUESTION_ID":27}
-{"ANNOTATIONS.FOCUS":"jaundice","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Many healthy babies have some jaundice during the first week of life. It usually goes away. However, jaundice can happen at any age and may be a sign of a problem. Jaundice can happen for many reasons, such as\u2026","SUBJECT":"Jaundice","MESSAGE":"Can older infants get jaundice? What is the age range?","QUESTION_ID":29}
-{"ANNOTATIONS.FOCUS":"ulcer","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Canker sores aren't contagious. They may happen if you have a viral infection. They may also be triggered by stress, food allergies, lack of vitamins and minerals, hormonal changes or menstrual periods. In some cases the cause is unknown.  In most cases, the sores go away by themselves. Some ointments, creams or rinses may help with the pain. Avoiding hot, spicy food while you have a canker sore also helps.","SUBJECT":"how to remove my mouth ulcer\/canker","MESSAGE":"Hello dear Dr, i am  an afghan student in UKM university in malaysia, the mouth ulcer problem is the worst problem in my lifetime, even three or four times the ulcer grow up in the mouth during of a month. even i can not eat or drink, even though i take care of my mouth every day, so i wish you to consult me about of removing of these ulcer forever. thank you so much","QUESTION_ID":30}
-{"ANNOTATIONS.FOCUS":"Arachnoid cysts","ANNOTATIONS.TYPE":"Symptom","ANSWER":"Typical symptoms of an arachnoid cyst around the brain include headache, nausea and vomiting, seizures, hearing and visual disturbances, vertigo, and difficulties with balance and walking. Arachnoid cysts around the spinal cord compress the spinal cord or nerve roots and cause symptoms such as progressive back and leg pain and tingling or numbness in the legs or arms.","SUBJECT":"Arachnoid cysts","MESSAGE":"Can Arachnoid Cysts Cause Pain\/?I Have A Shuntfrom2007.How OftenDo They Need Changed?","QUESTION_ID":31}
-{"ANNOTATIONS.FOCUS":"schwannomas","ANNOTATIONS.TYPE":"Treatment","ANSWER":"How is a vestibular schwannoma treated?s the tumor grows larger, surgical removal is more complicated because the tumor may have damaged the nerves that control facial movement, hearing, and balance and may also have affected other nerves and structures of the brain.  The removal of tumors affecting the hearing, balance, or facial nerves can make the patient\u2019s symptoms worse because sections of these nerves may also need to be removed with the tumor.  As an alternative to conventional surgical techniques, radiosurgery (that is, radiation therapy\u2014the \"gamma knife\" or LINAC) may be used to reduce the size or limit the growth of the tumor.","SUBJECT":"","MESSAGE":"Are large, inoperable schwannomas treatable or able to be shrunk with chemotherapy or radiation?","QUESTION_ID":32}
-{"ANNOTATIONS.FOCUS":"Hypertension","ANNOTATIONS.TYPE":"Information","ANSWER":"Ordinarily, in healthy, pain-free people, the higher their blood pressure, the less sensitive they are to pain. For some, this can present a problem because they do not sense the chest pain that could be the early warning sign of an impending heart attack. When chronic pain enters the picture, the systems that control pain and blood pressure work so poorly that an increase in blood pressure no longer leads to a reduction in pain sensitivity. The end result is that chronic pain places you at a higher risk for elevated blood pressure (hypertension).","SUBJECT":"","MESSAGE":"I want more information on Hypertension and fibromyalgia, I seem to be getting only topics on diabetes and I do not have this.   I enjoy reading the current info.  thanks Cassie Caldera","QUESTION_ID":33}
-{"ANNOTATIONS.FOCUS":"familial mediterranean fever","ANNOTATIONS.TYPE":"Information","ANSWER":"What is familial Mediterranean fever?  Familial Mediterranean fever is an inherited condition characterized by recurrent episodes of painful inflammation in the abdomen, chest, or joints. These episodes are often accompanied by fever and sometimes a rash or headache. Occasionally inflammation may occur in other parts of the body, such as the heart; the membrane surrounding the brain and spinal cord; and in males, the testicles. In about half of affected individuals, attacks are preceded by mild signs and symptoms known as a prodrome. Prodromal symptoms include mildly uncomfortable sensations in the area that will later become inflamed, or more general feelings of discomfort.  The first episode of illness in familial Mediterranean fever usually occurs in childhood or the teenage years, but in some cases, the initial attack occurs much later in life. Typically, episodes last 12 to 72 hours and can vary in severity. The length of time between attacks is also variable and can range from days to years. During these periods, affected individuals usually have no signs or symptoms related to the condition. However, without treatment to help prevent attacks and complications, a buildup of protein deposits (amyloidosis) in the body's organs and tissues may occur, especially in the kidneys, which can lead to kidney failure.","SUBJECT":"","MESSAGE":"Hello i would like more info about Familial Mediterean Fever please as my husband suffers from this. THANKS","QUESTION_ID":35}
-{"ANNOTATIONS.FOCUS":"burning mouth syndrome","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment   Your doctor will help you get relief. Medicine can help control pain and relieve dry mouth.   Because BMS is a complex pain disorder, the treatment that works for one person may not work for another.   Symptoms of secondary BMS go away when the underlying medical condition, such as diabetes or yeast infection, is treated. If a drug is causing secondary BMS, then your doctor may switch you to a new medicine.","SUBJECT":"","MESSAGE":"I just read an article submitted by you that stated your research shows that you've identified the mechanism that causes burning mouth syndrome. Also because of these findings you can find a treatment. I've had this for 15 yrs and am just holding on. When will a good treatment be available??  I belong to a group of over 500 bmsers. We're suffering terribly and were from all over the world. What would the treatment be?","QUESTION_ID":36}
-{"ANNOTATIONS.FOCUS":"nodular goiter","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatments for an enlarged thyroid include:  Thyroid hormone replacement pills, if the goiter is due to an underactive thyroid Small doses of Lugol's iodine or potassium iodine solution if the goiter is due to a lack of iodine Radioactive iodine to shrink the gland, especially if the thyroid is producing too much thyroid hormone Surgery (thyroidectomy) to remove all or part of the gland","SUBJECT":"Treatment for Nodular Goiter","MESSAGE":"Hi,  I'm suffering from nodular goiter. The size of enlarged thyroid gland is visible, but not like a big one. I need treatment for this. Some Doctors have suggested surgery which I don't want to go through. What are the other treatment options. Also let me know the place where I can visit to consult.  Thanks, Shweta","QUESTION_ID":37}
-{"ANNOTATIONS.FOCUS":"numbness","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Home Care...When to Contact a Medical Professional\u2026","SUBJECT":"numbness to the body","MESSAGE":"I get numbness to the body alot what should I do","QUESTION_ID":39}
-{"ANNOTATIONS.FOCUS":"achalasia","ANNOTATIONS.TYPE":"Prognosis","ANSWER":"Prognosis   The outlook for esophageal webs and rings is excellent. Even people with difficulty swallowing do well after dilation. If symptoms keep returning, you may need repeat dilations or electrocautery to control the symptoms.","SUBJECT":"achalasia","MESSAGE":"after surgery for achalasia, will spasms continue in the upper chest area and if so what can assist in ending spasms","QUESTION_ID":40}
-{"ANNOTATIONS.FOCUS":"ARRHYTHMIA","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment to restore a normal heart rhythm may include medicines, an implantable cardioverter-defibrillator (ICD) or pacemaker, or sometimes surgery.","SUBJECT":"medicine and allied","MESSAGE":"I LIKE TO KNOW RECENT THERAPY ON ARRHYTHMIA OF HEART","QUESTION_ID":41}
-{"ANNOTATIONS.FOCUS":"Lupus","ANNOTATIONS.TYPE":"Information","ANSWER":"If you have lupus, your immune system attacks healthy cells and tissues by mistake. This can damage your joints, skin, blood vessels and organs. There are many kinds of lupus. The most common type, systemic lupus erythematosus, affects many parts of the body. Discoid lupus causes a rash that doesn't go away. Subacute cutaneous lupus causes sores after being out in the sun. Another type can be caused by medication. Neonatal lupus, which is rare, affects newborns.   Anyone can get lupus, but women are most at risk. Lupus is also more common in African American, Hispanic, Asian and Native American women. The cause of lupus is not known.   Lupus has many symptoms. Some common ones are   Joint pain or swelling  Muscle pain  Fever with no known cause  Fatigue  Red rashes, often on the face (also called the \"butterfly rash\")  There is no one test to diagnose lupus, and it may take months or years to make the diagnosis. There is no cure for lupus, but medicines and lifestyle changes can help control it.","SUBJECT":"lupus","MESSAGE":"Hi,  I  want to know about Lupus and its treatment. Best,  Mehrnaz","QUESTION_ID":42}
-{"ANNOTATIONS.FOCUS":"flatulence","ANNOTATIONS.TYPE":"Cause","ANSWER":"Vitamin D is essential for your immune system and bone health, and if you do not get an adequate amount in your diet, you may need to take a supplement. However, because vitamin D is fat-soluble, your body stores the excess, which can lead to a toxicity if you take too much. This may cause bloating and gas associated with constipation, diarrhea and other intestinal issues. Discuss your vitamin D consumption with a licensed physician.","SUBJECT":"Vitamin D intake","MESSAGE":"Can high doses of Vitamin D (50,000 IUs per week) cause flatulence, among other possible effects?  And is such a high dose safe to raise very low levels of Vitamin D in the body?","QUESTION_ID":44}
-{"ANNOTATIONS.FOCUS":"asthma\/patches to help me quit smoking","ANNOTATIONS.TYPE":"Complication","ANSWER":"What side effects can this medication cause?  Nicotine skin patches may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:  dizziness  headache  nausea  vomiting  diarrhea  redness or swelling at the patch site  If you experience any of the following symptoms, call your doctor immediately:  severe rash or swelling  seizures  abnormal heartbeat or rhythm  difficulty breathing  If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http:\/\/www.fda.gov\/Safety\/MedWatch] or by phone [1-800-332-1088].","SUBJECT":"collapsed lungs","MESSAGE":"i have thrown up twice tonight and i have very bad tightness in the chest but my nasal and throat are clear. i have just started on patches to help me quit smoking and I'm an asthmatic but atm it feels like no oxygen  is staying in but i have a pulse, and i also have been suffering anxiety, is the patches affecting my asthma and breathing?","QUESTION_ID":45}
-{"ANNOTATIONS.FOCUS":"cramp\/chemo treatment","ANNOTATIONS.TYPE":"Complication","ANSWER":"Side effects of chemotherapy \u2014 Most patients who are treated with R-CHOP develop side effects, with the most common including:  \u25cfFever and low blood count \u2014 A potentially life-threatening side effect of chemotherapy is fever and lowered levels of a type of white blood cell, called neutrophils (the condition is called febrile neutropenia).  Anyone who is getting chemotherapy and who develops a temperature higher than 100.4\u00b0F (38\u00b0C) should immediately call his or her healthcare provider. This condition is a medical emergency and requires prompt treatment, usually with admission to a hospital and antibiotics by vein (IV).   \u25cfNausea and vomiting \u2014 Between 30 and 90 percent of patients develop nausea and vomiting after R-CHOP. Several medications may be given before and after chemotherapy to reduce its severity. This often includes dexamethasone and aprepitant (Emend), and a 5-HT3 receptor antagonist (eg, ondansetron\/Zofran, granisetron\/Kytril, dolasetron\/Anzemet, palonosetron\/Aloxi, or tropisetron\/Navoban).   \u25cfHypersensitivity reaction \u2014 Hypersensitivity reactions may occur the first time a chemotherapy or immunotherapy drug is given, causing flushing; itching; chest, back, or abdominal pain; fever; nausea; dizziness; and other symptoms. It is not clear why this type of reaction occurs. Several medications are usually given before chemotherapy to reduce the severity of these symptoms, including acetaminophen (Tylenol), diphenhydramine (Benadryl), hydrocortisone (a steroid), and a stomach-acid-reducing medication, such as ranitidine (Zantac).   \u25cfTumor lysis syndrome \u2014 Tumor lysis syndrome is a serious, potentially life-threatening condition that can occur after beginning treatment with chemotherapy. It happens because the tumor cells die quickly and release toxic break-down products into the bloodstream. Symptoms can include nausea, vomiting, diarrhea, lack of appetite, lethargy, blood in the urine, heart problems, seizures, muscle cramps, and others. Preventive treatments are usually given before chemotherapy to reduce the risk of developing tumor lysis syndrome, including IV fluids and medications. In addition, blood tests are often done during and after treatment to monitor for the condition.   \u25cfOther potential complications \u2014 Other potential complications of chemotherapy include damage to the heart (called cardiotoxicity) or the nerves (called neurotoxicity), or loss of the ability to have children (infertility). These risks, as well as ways to manage or monitor for them, should be discussed with a healthcare provider before beginning treatment.","SUBJECT":"","MESSAGE":"i have lymphoma what causes cramp after chemo treatment","QUESTION_ID":46}
-{"ANNOTATIONS.FOCUS":"leg pain","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Leg pain can be due to a muscle cramp (also called a charley horse). Common causes of cramps include:  Dehydration or low amounts of potassium, sodium, calcium, or magnesium in the blood Medicines (such as diuretics and statins) Muscle fatigue or strain from overuse, too much exercise, or holding a muscle in the same position for a long time Home CareIf you have leg pain from cramps or overuse, take these steps first:  Rest as much as possible. Elevate your leg. Apply ice for up to 15 minutes. Do this 4 times per day, more often for the first few days. Gently stretch and massage cramping muscles. Take over-the-counter pain medications like acetaminophen or ibuprofen. Other homecare will depend on the cause of your leg pain.  When to Contact a Medical ProfessionalCall your health care provider if:  The painful leg is swollen or red. You have a fever. Your pain gets worse when you walk or exercise and improves with rest. The leg is black and blue. The leg is cold and pale. You are taking medicines that may be causing leg pain. DO NOT stop taking or change any of your medicines without talking to your health care provider. Self-care steps do not help.","SUBJECT":"","MESSAGE":"my father age 65 his always leg pain which use medicine","QUESTION_ID":47}
-{"ANNOTATIONS.FOCUS":"Progressive Supernuclear Palsy","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Is there any treatment?  There is currently no effective treatment for PSP, although scientists are searching for better ways to manage the disease. In some patients the slowness, stiffness, and balance problems of PSP may respond to antiparkinsonian agents such as levodopa, or levodopa combined with anticholinergic agents, but the effect is usually temporary. The speech, vision, and swallowing difficulties usually do not respond to any drug treatment.. Another group of drugs that has been of some modest success in PSP are antidepressant medications. The most commonly used of these drugs are Prozac, Elavil, and Tofranil. The anti-PSP benefit of these drugs seems not to be related to their ability to relieve depression. Non-drug treatment for PSP can take many forms. Patients frequently use weighted walking aids because of their tendency to fall backward. Bifocals or special glasses called prisms are sometimes prescribed for PSP patients to remedy the difficulty of looking down. Formal physical therapy is of no proven benefit in PSP, but certain exercises can be done to keep the joints limber. A surgical procedure, a gastrostomy, may be necessary when there are swallowing disturbances. This surgery involves the placement of a tube through the skin of the abdomen into the stomach (intestine) for feeding purposes.  CUREPSP (Foundation for PSP|CBD and Related Brain Diseases) 30 E. Padonia Road, Ste. 201 Timonium, MD   21093 info@curepsp.org http:\/\/www.curepsp.org  Tel: 410-785-7004 800-457-4777 Fax: 410-785-7009156","SUBJECT":"Progressive Supernuclear Palsy","MESSAGE":"What  is the best thing to do for my Dad who we are sure has PSP!  Who are the best doctors to treat this disease.  We believe my uncle had psp also   He recently passed away ,  I want to give my dad the best treatment available","QUESTION_ID":48}
-{"ANNOTATIONS.FOCUS":"DVT","ANNOTATIONS.TYPE":"Cause","ANSWER":"Patient information: Deep vein thrombosis (DVT) (Beyond the Basics)    Medical conditions or medications \u2014 Some medical conditions and medications increase a person's risk of developing a blood clot: \u25cfPregnancy \u25cfObesity \u25cfSmoking \u25cfHeart failure \u25cfPrevious DVT or PE \u25cfIncreased age \u25cfCancer \u2014 Some cancers increase substances in the blood that cause blood to clot. \u25cfKidney problems, such as nephrotic syndrome (see \"Patient information: The nephrotic syndrome (Beyond the Basics)\") \u25cfCertain medications (eg, birth control pills, hormone replacement therapy, erythropoietin, tamoxifen, thalidomide). The risk of a blood clot is further increased in people who use one of these medications, and also smoke or are obese.","SUBJECT":"DVT","MESSAGE":"Can a birth control called Ocella cause DVT?  My daughter experiences pains cramping,redness and swelling in her thigh and also really bad huge blood clots during her menstrual cycles after she was prescribed Osella for birth control. Also these symptoms worsened after she gave birth. This has been happening for a year now should she see discuss this with her doctor right away?","QUESTION_ID":50}
-{"ANNOTATIONS.FOCUS":"generalized tonic clonic seizure","ANNOTATIONS.TYPE":"Prognosis","ANSWER":"Generalized tonic-clonic seizure  Generalized tonic-clonic seizures may occur in people of any age. They can occur once (single episode). Or they can occur as part of a repeated, chronic illness (epilepsy). Some seizures are due to psychological problems (psychogenic).","SUBJECT":"generalized tonic clonic seizure","MESSAGE":"If a person is not got any seizure attack for five years from last episode, it will be treated as cured or otherwise. kindly let me know after how many days\/years it will be treated as cured.","QUESTION_ID":51}
-{"ANNOTATIONS.FOCUS":"IBS","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Your doctor may run tests to be sure you don't have other diseases. These tests may include stool sampling tests, blood tests, and x-rays. Your doctor may also do a test called a sigmoidoscopy or colonoscopy. Most people diagnosed with IBS can control their symptoms with diet, stress management, probiotics, and medicine.","SUBJECT":"father suffering from IBS","MESSAGE":"My father is suffering from IBS and is losing weight day by day.sometimes he even faints due to weakness.He cannot digest food .please help us and suggest us upon this problem.","QUESTION_ID":52}
-{"ANNOTATIONS.FOCUS":"abdominal aortic aneurysm","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Once an aneurysm reaches 5 centimeters in diameter, it is usually considered necessary to treat to prevent rupture. Below 5 centimeters, the risk of the aneurysm rupturing is lower than the risk of conventional surgery in patients with normal surgical risks. The goal of therapy for aneurysms is to prevent them from rupturing. Once an abdominal aortic aneurysm has ruptured, the chances of survival are low, with 80 to 90 percent of all ruptured aneurysms resulting in death. These deaths can be avoided if an aneurysm is detected and treated before it ruptures. AAA Treatments  Currently, there are three treatment options for AAA:   Watchful Waiting - Small AAAs (less than 5 centimeters or about 2 inches), which are not rapidly growing or causing symptoms, have a low incidence of rupture and often require no treatment other than watchful waiting under the guidance of a vascular disease specialist. This typically includes follow-up ultrasound exams at regular intervals to determine if the aneurysm has grown.  Surgical Repair - The most common treatment for a large, unruptured aneurysm is open surgical repair by a vascular surgeon. This procedure involves an incision from just below the breastbone to the top of the pubic bone. The surgeon then clamps off the aorta, cuts open the aneurysm and sews in a graft to act as a bridge for the blood flow. The blood flow then goes through the plastic graft and no longer allows the direct pulsation pressure of the blood to further expand the weak aorta wall.  Interventional Repair - This minimally invasive technique is performed by an interventional radiologist using imaging to guide the catheter and graft inside the patient's artery. For the procedure, an incision is made in the skin at the groin through which a catheter is passed into the femoral artery and directed to the aortic aneurysm. Through the catheter, the physician passes a stent graft that is compressed into a small diameter within the catheter. The stent graft is advanced to the aneurysm, then opened, creating new walls in the blood vessel through which blood flows.","SUBJECT":"abdominal aortic aneurysm","MESSAGE":"I have an aneurysm (2.6cm)for the last 5yrs,last checked about a year ago.experiencing  pain,tighting in abdomen  and chest.should I be going to er.","QUESTION_ID":53}
-{"ANNOTATIONS.FOCUS":"a knot about the size of a BB in my right forearm","ANNOTATIONS.TYPE":"Diagnose_me","ANSWER":"It is arm lump?  An arm lump is a protuberance or localized area of swelling occurring on the arm. Other terms used to describe the various types of lumps include bump, nodule, contusion, tumor and cyst. Arm lumps can be caused by any number of conditions, including infections, inflammation, tumors or trauma. Depending on the cause, lumps may be single or multiple, soft or firm, painful or painless. They may grow rapidly or may not change in size.  Arm lumps due to local infectious causes may appear as boils, or abscesses. Many types of infections cause the lymph nodes to enlarge and feel like lumps, most commonly in the armpits. Traumatic causes of arm lumps range from bug bites to severe injuries that can produce a localized collection of blood in the tissues (hematoma).  Both benign and malignant tumors of the skin, soft tissues, or bones of the arm can sometimes feel like lumps. Lumps caused by infection, inflammation or trauma are usually temporary and subside as the underlying condition resolves. Lumps that persist or continue to grow over time may signal more serious conditions, such as tumors. If you have any lump that is persistent or causes you concern, seek prompt medical care.","SUBJECT":"Need help!","MESSAGE":"I have a knot about the size of a BB in my right forearm about 2-3 inches from my elbow. It's been there for about 5 years and hurts sometimes. Mostly only notice it when i put pressure on it. You can't see it but can feel it pretty good. It will move about a cm in any direction. I went to the doctors about 4 years ago to have it looked at but they did no xray and said its prob a BB from when i was younger. It's starting to hurt more now without me putting pressure on it so i'm thinking i need to have something done about it. Any ideas on what it could be or what i should do about it?","QUESTION_ID":55}
-{"ANNOTATIONS.FOCUS":"hypertension","ANNOTATIONS.TYPE":"Treatment","ANSWER":"How can I control high blood pressure?  Even if you have had a prior stroke or heart attack, controlling high blood pressure can help prevent another one. Take these steps: \u2022Lose weight if you\u2019re overweight. \u2022Eat a healthy diet that\u2019s low in salt, saturated fat, trans fat and cholesterol. \u2022Eat fruits and vegetables, and fat-free or low-fat dairy products. \u2022Enjoy regular physical activity. \u2022Limit alcohol to no more than two drinks a day if you\u2019re a man and one drink a day if you\u2019re a woman. Check with your doctor about drinking alcohol; it can raise blood pressure. \u2022Take medicine as prescribed. \u2022Know what your blood pressure should be and try to keep it at that level.","SUBJECT":"","MESSAGE":"how to reduced hypertension","QUESTION_ID":56}
-{"ANNOTATIONS.FOCUS":"fungal infection","ANNOTATIONS.TYPE":"Treatment","ANSWER":"How can I prevent a yeast infection? You can take steps to lower your risk of getting yeast infections: \u2022Do not douche. Douching removes some of the normal bacteria in the vagina that protects you from infection. \u2022Do not use scented feminine products, including bubble bath, sprays, pads, and tampons. \u2022Change tampons, pads, and panty liners often. \u2022Do not wear tight underwear, pantyhose, pants, or jeans. These can increase body heat and moisture in your genital area. \u2022Wear underwear with a cotton crotch. Cotton underwear helps keep you dry and doesn't hold in warmth and moisture. \u2022Change out of wet swimsuits and workout clothes as soon as you can. \u2022After using the bathroom, always wipe from front to back. \u2022Avoid hot tubs and very hot baths. \u2022If you have diabetes, be sure your blood sugar is under control.     Does yogurt prevent or treat yeast infections?  Maybe. Studies suggest that eating eight ounces of yogurt with \"live cultures\" daily or taking Lactobacillus acidophilus capsules can help prevent infection.5,6  But, more research still needs to be done to say for sure if yogurt with Lactobacillus or other probiotics can prevent or treat vaginal yeast infections. If you think you have a yeast infection, see your doctor or nurse to make sure before taking any over-the-counter medicine.","SUBJECT":"vaginal rashes after periods that leads to vaginal itching","MESSAGE":"period rashes proceed to vaginal itching. then it develop fungal infection with thick white discharge. i then take flucanazole (antifungal)which cure it. but m worried of taking allopathic medicines. pls tell me what primitive or traditional methods do i use to avoid it. i also have a sensitive skin.","QUESTION_ID":57}
-{"ANNOTATIONS.FOCUS":"scoliosis","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Idiopathic Scoliosis  Adult  A) Adult scoliosis present since adolescence. B) A lumbar spine front-view X-ray showing degenerative scoliosis (scoliosis due to the aging process).  Figure 1: A) Adult scoliosis present since   adolescence. B) A lumbar spine front-view X-ray   showing degenerative scoliosis (scoliosis due  to the aging process).  When a spinal deformity is discovered in an adult, it is often quite different from a deformity in an infant or juvenile. The goals for treatment are often different as is the location of the scoliosis. The deformity in an adult may have been present since childhood or may be the result of the aging process.. Besides pain in the back, patients may have pain radiating down their legs. Treatment of spine deformity in adults focuses on restoring function and alleviating pain in combination with correcting the curvature of the spine.   Causes  There are many different causes of spinal deformity in the adult. The most common varieties include idiopathic scoliosis that was present during adolescence (teenage years) and then became worse during adulthood, and deformity that began in adulthood due to degenerative (wear and tear) changes in the spine and deformity that developed later in life. Other less frequent causes include curvatures due to osteoporosis (brittle bones), previous fractures of the spine due to an accident, spondylolisthesis (slipped vertebrae) and rarely, infections and tumors of the spine.5","SUBJECT":"My girlfriend suffers from scoliosis","MESSAGE":"She cries in pain and can't sleep at night do to this I believe it's the most common based on age because she wasn't born with it and I just wanna know how I should go about it  she's been to a doctor but they say with the surgery there's only a 50\/50 chance of survival that's just what she told me but I really wish there's something I can do to help or something we can prevent the pain any type of help would be termendusly appreciated! She has had it for a whole now maybe a few months or so and she says the pain is increase wich is why I worry.","QUESTION_ID":58}
-{"ANNOTATIONS.FOCUS":"melanoma","ANNOTATIONS.TYPE":"Treatment","ANSWER":"EXTERNAL BEAM RADIATION THERAPY External beam radiation therapy may be used to treat skin cancer itself or to relieve pain from cancer that has spread. Radiation oncologists deliver external beam radiation therapy to the cancer from a machine outside your body. Doctors target the radiation beams at your tumor, giving more radiation to the skin cancer while keeping it away from underlying organs. Skin cancer is often treated with superfi cial forms of radiation. That means the radiation penetrates only a short distance below the surface. Treatment may be given with X-rays or electrons. Treatments are usually scheduled every day, Monday through Friday, for several weeks to accurately deliver radiation to the cancer. Treatments are painless and take less than half an hour each, start to fi nish. Your treatment schedule will depend on your cancer, but it usually requires daily treatments for one or more weeks. Radiation therapy can be given on its own or may also be given in addition to surgery, chemotherapy or biologic therapy. UNDERSTANDING RADIATION THERAPY Radiation therapy, also called radiotherapy, is the careful use of radiation to treat many diff erent kinds of cancer. \uf06e Cancer doctors, called radiation oncologists, use radiation therapy to try to cure cancer, to control cancer growth or to relieve symptoms such as pain. \uf06e Radiation therapy works within cancer cells by damaging their ability to multiply. When these cells die, the body naturally eliminates them. \uf06e Healthy cells that grow and divide quickly are also harmed by radiation, but they are able to repair themselves in a way that cancer cells cannot. \uf06e Most radiation is given with an external beam, but treatment can be given with a radioactive source close to the skin with a treatment called brachytherapy, meaning \u2018short-distance\u2019 treatment. POTENTIAL SIDE EFFECTS The side eff ects you might feel will depend on the part of your body being treated, the dose of radiation given and whether you also receive other treatments like chemotherapy. Before treatment begins, ask your doctor about possible side eff ects and how you can best manage them. Nearly all patients will experience redness and moistness of the skin, similar to a brisk sunburn. After treatment ends, the skin will form a protective scab and the new, healthy skin will develop underneath it. This healing may take several months. You will also likely lose your hair in the area treated. Your hair may grow back, but it might not have the same texture or thickness. Talk to your doctor or nurse about any discomfort you feel. He or she may be able to provide medications or other treatments to help.","SUBJECT":"melanoma on heel of foot","MESSAGE":"How helpful is radiation for melanoma of heel and spread all the way up the leg? Would this effect treatment of trial drugs or other treatments?","QUESTION_ID":59}
-{"ANNOTATIONS.FOCUS":"dry mouth","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Dry Mouth Treatments  Your doctor or dentist may recommend oral rinses and moisturizers, or prescribe an artificial saliva.  Also called saliva substitutes, artificial salivas are regulated by FDA as medical devices. \u201cUnlike drugs, artificial salivas have no chemical action,\u201d says Susan Runner, D.D.S., chief of FDA\u2019s dental devices branch. \u201cTheir action is mechanical. They moisten and lubricate the mouth but do not stimulate the salivary glands to make saliva.\u201d  While not a cure, artificial salivas can provide short-term relief of the symptoms of dry mouth. \u201cThey can also help minimize discomfort after an oral procedure,\u201d says Runner.  Artificial salivas come in a variety of forms, including rinses, sprays, swabs, gels, and tablets that dissolve in the mouth. Some are available by prescription only; others can be bought over-the-counter.  FDA has also approved several prescription drugs to relieve dry mouth caused by certain medical treatments or conditions, such as Sj\u00f6gren's syndrome and radiation for head or neck cancer.  Advice for Consumers If you have persistent dry mouth: \u2022Talk to your doctor, who may change your medications or adjust the doses. \u2022Talk to your dentist and provide a list of the medicines you take as well as any medical conditions or treatments you\u2019ve had. The American Dental Association recommends seeing your dentist at least twice a year.  Tips for Relieving Dry Mouth \u2022Sip water or sugarless drinks, or suck on ice chips. \u2022Avoid irritants, such as alcohol, tobacco, and caffeine. Remember that caffeine is found in many sodas as well as in coffee and tea. \u2022Chew sugar-free gum or suck on sugar-free candy. \u2022Avoid salty or spicy foods, which may irritate the mouth. \u2022Use a humidifier in your bedroom at night. \u2022Consider using saliva substitutes.","SUBJECT":"treatment for dry mouth caused by necessary medicine","MESSAGE":"My provider can't help (I asked.) I am intolerant of all the sugar alcohols such as maltilol, sorbitol, xylitol, etc. and need something for dry mouth caused by med which I have to take.  Biotene products help for only about two minutes.","QUESTION_ID":60}
-{"ANNOTATIONS.FOCUS":"Friedreich's ataxia","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Can Friedreich's ataxia be cured or treated?   As with many degenerative diseases of the nervous system, there is currently no cure or effective treatment for Friedreich's ataxia. However, many of the symptoms and accompanying complications can be treated to help individuals maintain optimal functioning as long as possible. Doctors can prescribe treatments for diabetes, if present; some of the heart problems can be treated with medication as well. Orthopedic problems such as foot deformities and scoliosis can be corrected with braces or surgery. Physical therapy may prolong use of the arms and legs. Advances in understanding the genetics of Friedreich's ataxia are leading to breakthroughs in treatment. Research has moved forward to the point where clinical trials of proposed treatments are presently occurring for Friedreich\u2019s ataxia.  What research is being done?   Within the Federal government the National Institute of Neurological Disorders and Stroke (NINDS), a component of the National Institutes of Health (NIH), has primary responsibility for sponsoring research on neurological disorders. As part of this mission, the NINDS conducts research on Friedreich's ataxia and other forms of inherited ataxias at its facilities at the NIH and supports additional studies at medical centers throughout the United States. Several nonprofit organizations also provide substantial support research (see the section on \"Where can I get more information?\").   Researchers are optimistic that they have begun to understand the causes of the disease, and work has begun to develop effective treatments and prevention strategies for Friedreich's ataxia. Scientists have been able to create various models of the disease in yeast and mice which have facilitated understanding the cause of the disease and are now being used for drug discovery and the development of novel treatments.   Studies have revealed that frataxin is an important mitochondrial protein for proper function of several organs. Yet in people with the disease, the amount of frataxin in affected cells is severely reduced. It is believed that the loss of frataxin makes the nervous system, heart, and pancreas particularly susceptible to damage from free radicals (produced when the excess iron reacts with oxygen). Once certain cells in these tissues are destroyed by free radicals they cannot be replaced. Nerve and muscle cells also have metabolic needs that may make them particularly vulnerable to this damage. Free radicals have been implicated in other degenerative diseases such as Parkinson's and Alzheimer's diseases.   Based upon this information, scientists and physicians have tried to reduce the levels of free radicals, also called oxidants, using treatment with \u201cantioxidants.\u201d Initial clinical studies in Europe suggested that antioxidants like coenzyme Q10, vitamin E, and idebenone may offer individuals some limited benefit. However, recent clinical trials in the United States and Europe have not revealed effectiveness of idebenone in people with Friedreich\u2019s ataxia, but more powerful modified forms of this agent and other antioxidants are in trials at this time. There is also a clinical trial to examine the efficacy of selectively removing excess iron from the mitochondria.   Scientists also are exploring ways to increase frataxin levels through drug treatments, genetic engineering and protein delivery systems. Several compounds that are directed at increasing levels of frataxin may be brought to clinical trials in the near future. To check for current trials, visit http:\/\/www.clinicaltrials.gov. Additional information is available from the groups listed in the following section.   Armed with what they currently know about frataxin and Friedreich\u2019s ataxia, scientists are working to better define fraxatin\u2019s role, clarify how defects in iron metabolism may be involved in the disease process, and explore new therapeutic approaches for therapy.       Where can I get more information? For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute's Brain Resources and Information Network (BRAIN) at:   BRAIN P.O. Box 5801 Bethesda, MD 20824 (800) 352-9424 http:\/\/www.ninds.nih.gov   Information also is available from the following organizations:  Column1 Column2  Friedreich's Ataxia Research Alliance (FARA) P.O. Box 1537 Springfield, VA   22151 fara@CureFA.org http:\/\/www.CureFA.org External link Tel: (703) 426-1576 Fax: (703) 425-0643   Genetic Alliance 4301 Connecticut Avenue, N.W. Suite 404 Washington, DC   20008-2369 info@geneticalliance.org http:\/\/www.geneticalliance.org External link Tel: 202-966-5557 800 336-GENE (4363) Fax: 202-966-8553   etc.","SUBJECT":"ClinicalTrials.gov - General Complaint","MESSAGE":"Dear sir\/ madam. I am a patient suffering from Friedreich's ataxia and i heard there was a medicine for it. In 2009 and since we are looking for the medicine kindly help on this and I have DNA report could You please help us on this as there are two people respective age 22 years and 24 years suffering from it. Looking for your help on this ASAP and please let us know when the medicine will be there in market and attaching two files for your reference","QUESTION_ID":61}
-{"ANNOTATIONS.FOCUS":"Kidney Stone","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Summary   A kidney stone is a solid piece of material that forms in the kidney from substances in the urine. It may be as small as a grain of sand or as large as a pearl. Most kidney stones pass out of the body without help from a doctor. But sometimes a stone will not go away. It may get stuck in the urinary tract, block the flow of urine and cause great pain.   The following may be signs of kidney stones that need a doctor's help: \u2022 Extreme pain in your back or side that will not go away \u2022 Blood in your urine \u2022 Fever and chills \u2022 Vomiting \u2022 Urine that smells bad or looks cloudy \u2022 A burning feeling when you urinate  Your doctor will diagnose a kidney stone with urine, blood, and imaging tests.  If you have a stone that won't pass on its own, you may need treatment. It can be done with shock waves; with a scope inserted through the tube that carries urine out of the body, called the urethra; or with surgery.  NIH: National Institute of Diabetes and Digestive and Kidney Diseases","SUBJECT":"Kidney Stone","MESSAGE":"Hello Dr.,In a case of patient with Kidney Stone size of 1.2mm x 2.3mm. What can i do? Pls i need your advice.","QUESTION_ID":62}
-{"ANNOTATIONS.FOCUS":"ESRD","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Health After Transplantation  KEEPING A HEALTHY OUTLOOK ON LIFE After an organ transplant, there is hope for the future. However, there are a number of health concerns that you will face. For example, there is the chance that your new organ will not always function as well as it should. Transplant recipients also have a higher risk of developing certain conditions such as high blood pressure, high blood lipid levels, diabetes, kidney problems, liver problems, and bone disease. Infection and cancer are also conditions you need to keep in mind.  Some conditions can affect any transplant recipient and some conditions are specific to the type of organ transplanted.    Search:         Healthy Transplant Images    CARING FOR YOUR NEW ORGAN  Lab Tests for Measuring Organ Function It is important to keep all of your scheduled checkups and lab appointments for monitoring organ function. Testing allows your transplant team to monitor the status of your transplant, detect rejection early, and start effective therapy right away OTHER HEALTH ISSUES Anti-rejection medications increase your risk of developing certain conditions such as infection and cancer. Other side effects of some anti-rejection medications include high blood pressure, diabetes, high blood lipids, kidney disease, heart attack, stroke, and bone disease. Knowing the risks and taking steps now to prevent them is a good way to keep you and your new organ healthy. KIDNEY DISEASE Kidney function is often decreased in transplant recipients. This may be caused by a pre-existing condition such as diabetes, high blood pressure, or injury to the kidney before a transplant. Or it may be caused by medications used to prevent rejection after a transplant.  The best way to help prevent kidney disease is to keep your blood pressure and blood glucose under control and to maintain a healthy weight. In addition, regular checkups with blood and urine tests will give your doctor important information for detecting early changes in kidney function and allowing appropriate steps to be taken. Self-Monitoring In addition to the tests that your transplant team will perform at regular follow-up visits, you will need to do some self-testing at home. Here are some things you will need to monitor: \u2022Weight \u2013 Weigh yourself at the same time each day, preferably in the morning. If you gain 2 pounds in a day or more than 5 pounds total, call your transplant team. \u2022Temperature \u2013 You should take your temperature daily, especially when you feel like you have a fever. Call your transplant team if your temperature is too high. \u2022Blood pressure \u2013 Check your blood pressure as often as your transplant team recommends. \u2022Pulse \u2013 You should check your pulse daily. A normal heart rate when not exercising should be 60 to 100 beats per minute. (If you have had a heart transplant, your resting heart rate may be as high as 110 to 120 beats per minute.) \u2022Blood sugar \u2013 If you have high blood sugar or diabetes, you will need to monitor your blood sugar using a glucometer.","SUBJECT":"","MESSAGE":"I have had renal organ transplant surgery a year ago. What risk factos must I avoid to prevent the recurrance of ESRD and to maintain a healthy functioning grafted kidney ?","QUESTION_ID":63}
-{"ANNOTATIONS.FOCUS":"gonorrhea","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Can gonorrhea be cured?  Yes, gonorrhea can be cured with the right treatment. It is important that you take all of the medication your doctor prescribes to cure your infection. Medication for gonorrhea should not be shared with anyone. Although medication will stop the infection, it will not undo any permanent damage caused by the disease.  It is becoming harder to treat some gonorrhea, as drug-resistant strains of gonorrhea are increasing. If your symptoms continue for more than a few days after receiving treatment, you should return to a health care provider to be checked again.  I was treated for gonorrhea. When can I have sex again?  You should wait seven days after finishing all medications before having sex. To avoid getting infected with gonorrhea again or spreading gonorrhea to your partner(s), you and your sex partner(s) should avoid having sex until you have each completed treatment. If you\u2019ve had gonorrhea and took medicine in the past, you can still get infected again if you have unprotected sex with a person who has gonorrhea.  Photo of woman in pain.Pelvic Inflammatory Disease (PID) What happens if I don\u2019t get treated?  Untreated gonorrhea can cause serious and permanent health problems in both women and men. In women, untreated gonorrhea can cause pelvic inflammatory disease (PID). Some of the complications of PID are \u2022Formation of scar tissue that blocks fallopian tubes; \u2022Ectopic pregnancy (pregnancy outside the womb); \u2022Infertility (inability to get pregnant); \u2022Long-term pelvic\/abdominal pain.  In men, gonorrhea can cause a painful condition in the tubes attached to the testicles. In rare cases, this may cause a man to be sterile, or prevent him from being able to father a child. Rarely, untreated gonorrhea can also spread to your blood or joints. This condition can be life-threatening.  Untreated gonorrhea may also increase your chances of getting or giving HIV \u2013 the virus that causes AIDS.","SUBJECT":"","MESSAGE":"My question is.what is the treatment  for chronic gonorrhea, massive growth?","QUESTION_ID":65}
-{"ANNOTATIONS.FOCUS":"depression","ANNOTATIONS.TYPE":"Organization","ANSWER":"The American Association for Geriatric Psychiatry (AAGP) is the only national association that has products, activities and publications, which focus exclusively on the challenges of geriatric psychiatry. Practitioners, researchers, educators, students, the public\u2014anyone interested in improving the mental health of the elderly\u2014have relied on AAGP since 1978 as the key driver for progress for elderly mental health care.  Whether you want to advance your career, engage the research community, or shape how science and society treat the elderly, AAGP has the right resources to help you. Find A Geriatric Psychiatrist Locate a geriatric psychiatrist in your area. Search Now >>","SUBJECT":"Geriatric Psychiatrists - recommendations","MESSAGE":"I'm looking for a geriatric psychiatrist in the sun city west, AZ area to do an evaluation for a loved one (male) who may be suffering from depression.  I'm looking for a psychiatrist that has experience working with older veterens who has a no nonsense, scientific approach.","QUESTION_ID":66}
-{"ANNOTATIONS.FOCUS":"Low erection and enlargement","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Erection problems  ED drugs are not safe for everyone  Many men now take medications like Viagra, Levitra, and Cialis to treat erection problems. These medications are not safe for everyone. Before taking drugs to treat ED, talk to your doctor about the benefits and risks involved.  Never take Viagra, Levitra, or Cialis if you take heart medicines called nitrates. Doing so could cause a sudden \u2014 and dangerous \u2014 drop in blood pressure. Also, tell your doctor if you take any drugs called alpha-blockers, which are used to treat prostate enlargement or high blood pressure.  Some men have problems getting or keeping an erection. (An erection is when blood fills up the penis, making it firmer and larger.) This problem is called erectile dysfunction, or ED, and sometimes is called impotence. ED is fairly common. In fact, between 15 million and 30 million U.S. men are affected by it. ED can be very upsetting. It can affect self-esteem and cause frustration, anger, and sadness. But there are effective treatments for ED. And counseling can help you and your partner cope with any emotional effects of ED.  Causes of ED include: \u2022Clogged blood vessels, high blood pressure, and high cholesterol \u2022Nerve damage from diabetes \u2022Certain medicines, including some used to treat depression or high blood pressure \u2022Low testosterone \u2022Unhealthy habits like smoking, drinking too much alcohol, overeating, and not exercising \u2022Emotional factors, such as stress or depression  As men get older, ED becomes more common. By age 65, almost 25 percent of men have this problem at least one out of every four times they have sex. But ED is treatable at any age. Your doctor can offer a number of ways to treat ED. If treatment solves your ED, though, you still need to take care of any health issues that may have caused it.  Some men need to try two or three options before they find an ED treatment that works for them. Medication is one popular way to treat ED. Drugs like Viagra increase blood flow to the penis, which helps make an erection possible. Injections to the penis and medicine you put into the tip of your penis also can increase blood flow to it.  Other treatments for ED include a vacuum cylinder and pump you put on your penis to pull blood into it or inflatable rods that are put into the penis through surgery.  You may have heard of herbal products or dietary supplements that claim to treat ED or improve sexual performance. You should beware of these products even if they claim to be \"natural.\" They can contain dangerous ingredients, including prescription medications that are not identified on the product's label.","SUBJECT":"Low erection and enlargement","MESSAGE":"How can i solve this in life?","QUESTION_ID":67}
-{"ANNOTATIONS.FOCUS":"Coronary Artery Spasms","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment   The goal of treatment is to control chest pain and prevent a heart attack. A medicine called nitroglycerin can relieve an episode of pain.  Your health care provider may prescribe other medications to prevent chest pain. You may need a type of medicine called a calcium channel blocker or a long-acting nitrate long-term. Your doctor may also prescribe a short-acting nitrate to use during an episode of chest pain.  Beta-blockers are another type of medication that may be used. However, beta-blockers may make the condition worse, and may be harmful if used with cocaine.   Outlook (Prognosis)   Coronary artery spasm is a chronic condition. However, treatment usually helps control symptoms.  The disorder may be a sign that you have a high risk for heart attack or potentially deadly irregular heart rhythms (arrhythmias). The outlook is generally good if you follow your doctor's treatment recommendations and avoid certain triggers.","SUBJECT":"Coronary Artery Spasms","MESSAGE":"I ask this as a General Question. Can a Pacemaker help prevent these spasms?","QUESTION_ID":68}
-{"ANNOTATIONS.FOCUS":"EYELID DROOP","ANNOTATIONS.TYPE":"Treatment","ANSWER":"the main goals of ptosis surgery are elevation of the  upper eyelid to permit normal visual development and a  full fi eld of vision, and symmetry with the opposite upper  eyelid. It is important to realize that when operating on an  abnormal muscle, completely normal eyelid position and  function after surgery may not be possible to achieve.","SUBJECT":"EYELID DROOP","MESSAGE":"WANT TO KNOW IF EYELID DROOP WILL BE GO AWAY","QUESTION_ID":69}
-{"ANNOTATIONS.FOCUS":"milk products allergy","ANNOTATIONS.TYPE":"Treatment","ANSWER":"What kinds of treatments and prevention have been helpful? Joanna: There is no cure for adults with food allergies. Medications like epinephrine injections and antihistamines can treat symptoms, but avoiding the trigger foods and carrying my EpiPen at all times is how I stay safe and healthy.","SUBJECT":"ClinicalTrials.gov - Question - general information","MESSAGE":"Please i really need your reply and your help :( My wife has Allergy from all milk products and whenever she drinks or eats any thing contains small amount of any milk products she goes to the hospital. I have faith that there is a cure for that but i really donno what to say to her. She thinks that she will never be cured. So please can you tell me is there is any cure for milk products allergy, any cure? or any cure in the very near future? I will be very very very grateful if you replied, Thanks alot. :)","QUESTION_ID":71}
-{"ANNOTATIONS.FOCUS":"ocular albinism","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment  The goal of treatment is to relieve symptoms. Treatment depends on the severity of the disorder.  Treatment involves protecting the skin and eyes from the sun: \u2022Reduce sunburn risk by avoiding the sun, using sunscreen, and covering up completely with clothing when exposed to the sun. \u2022Sunscreen should have a high sun protection factor (SPF). \u2022Sunglasses (UV protected) may relieve light sensitivity.  Glasses are often prescribed to correct vision problems and eye position. Eye muscle surgery is sometimes recommended to correct abnormal eye movements (nystagmus).","SUBJECT":"ClinicalTrials.gov - Question - general information","MESSAGE":"My 4 months baby has ocular albinism. Can you please help me or suggest any medicine to cure him.","QUESTION_ID":72}
-{"ANNOTATIONS.FOCUS":"chickenpox","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Chickenpox Can Be Serious. Protect Yourself and Your Child. Most children with chickenpox completely recover. But it can be serious, even deadly, for babies, adolescents, adults, and people with weakened immune systems. Get vaccinated if you are not protected against chickenpox.","SUBJECT":"chickenpox","MESSAGE":"I do not know if I had chickenpox. Is there a blood test available to tell me ? And if not which vaccine should I get, if any ?","QUESTION_ID":73}
-{"ANNOTATIONS.FOCUS":"anxiety\/ depression","ANNOTATIONS.TYPE":"Organization","ANSWER":"Anxiety and Depression Association of America, ADAA http:\/\/www.adaa.org\/","SUBJECT":"ClinicalTrials.gov - General Complaint","MESSAGE":"Please help me out as to whom to consult for anxiety and depression","QUESTION_ID":75}
-{"ANNOTATIONS.FOCUS":"curved penis","ANNOTATIONS.TYPE":"Information","ANSWER":"What is Peyronie\u2019s disease?  Peyronie\u2019s disease is a disorder in which scar tissue, called a plaque, forms in the penis\u2014the male organ used for urination and sex. The plaque builds up inside the tissues of a thick, elastic membrane called the tunica albuginea. The most common area for the plaque is on the top or bottom of the penis. As the plaque builds up, the penis will curve or bend, which can cause painful erections. Curves in the penis can make sexual intercourse painful, difficult, or impossible. Peyronie\u2019s disease begins with inflammation, or swelling, which can become a hard scar.  The plaque that develops in Peyronie\u2019s disease is not the same plaque that can develop in a person\u2019s arteries. The plaque seen in Peyronie\u2019s disease is benign, or noncancerous, and is not a tumor. Peyronie\u2019s disease is not contagious or caused by any known transmittable disease.","SUBJECT":"informatuon about new ways in orology in the west","MESSAGE":"hello im not satisfied with the solotion in Israel for curved penis by birth ill be hapy to read anything usual alternative or and both please make a quickk contact[things are slow and difficult]","QUESTION_ID":76}
-{"ANNOTATIONS.FOCUS":"anemic\/ not enough iron","ANNOTATIONS.TYPE":"Association","ANSWER":"Follow Your Diet Carefully After gastric bypass surgery, your body will not absorb some important vitamins and minerals. You will need to take these vitamins and minerals for the rest of your life: \u2022Multivitamin with iron \u2022Vitamin B 12 \u2022Calcium (1,200 mg per day) and vitamin D. Your body can absorb only about 500 mg of calcium at a time. Divide your calcium into 2 or 3 doses during the day. Calcium must be taken in the \"citrate\" form.   You may need to take other supplements also.","SUBJECT":"","MESSAGE":"I had Open RNYgastric bypass surgery.I have problems with iron .I am anemic .not enough iron. Sometimes I have to get iron in infusions. Once a blood transfusion. Does this have anything to do with me not getting enough B 12 ? I can, t drink milk and have a hard time eating meat. My body is not absorbing iron. They did have me on B 12 shots. Now back on pills under my tongues. So does this kind of anemic have anything to do with B-12 ? I am 10 yrs out.","QUESTION_ID":77}
-{"ANNOTATIONS.FOCUS":"testicular is small in size","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment of male hypogonadism\/androgen deficiency   Treatment with testosterone replacement therapy is recommended for men with consistently low testosterone levels and symptoms or signs of androgen deficiency. Men with one of the following should not be treated with testosterone replacement therapy:  \u203aActive (current) or a history of aggressive, high grade breast or prostate cancer \u203aSuspected prostate cancer, based on a lump or hardness in the prostate or high PSA (prostate-specific antigen) level \u203aA high number of red blood cells, untreated obstructive sleep apnea (long pauses in breathing during sleep and loud snoring), severe untreated enlargement of the prostate acausing difficulty urinating, or uncontrolled severe heart failure   The overall goal of testosterone hormone therapy is to increase testosterone levels from below the normal range to the middle of the normal range. Goals may vary from patient to patient but should include improving or maintaining the signs of masculinity (such as deep voice, beard growth, pubic hair), and improving sex drive and function,, mood and energy, muscle strength, and the amount of bone.","SUBJECT":"sir my testicular is small in size another is normal what is medical suggestion.thanks","MESSAGE":"","QUESTION_ID":78}
-{"ANNOTATIONS.FOCUS":"high level of Vitamin D \/ pituitary","ANNOTATIONS.TYPE":"Association","ANSWER":"Is there anything else I should know?   High levels of vitamin D and calcium can lead to the calcification and damage to organs, particularly the kidneys and blood vessels.   If magnesium levels are low, they can cause a low calcium level that is resistant to vitamin D and parathyroid hormone regulation. It may be necessary to supplement both magnesium and calcium to regain normal function.","SUBJECT":"Pituitary gland\/high level Vitamin D","MESSAGE":"My sister has a high level of Vitamin D in her system\/blood work.  Her specialist cannot find the cause.   Would there be any connection with her pituitary?   Had her thyroid gland removed 3 years ago, and cancer in breast\/removed cancer and had radiation\/cured 2 years ago.","QUESTION_ID":79}
-{"ANNOTATIONS.FOCUS":"havent fall pregnant","ANNOTATIONS.TYPE":"Cause","ANSWER":"What causes infertility in men?  Infertility in men can be caused by different factors and is typically evaluated by a semen analysis. A specialist will evaluate the number of sperm (concentration), motility (movement), and morphology (shape). A slightly abnormal semen analysis does not mean that a man is necessarily infertile. Instead, a semen analysis helps determine if and how male factors are contributing to infertility.   Conditions that can contribute to abnormal semen analyses include\u2014  \u2022Varicoceles, a condition in which the veins on a man\u2019s testicles are large and cause them to overheat. The heat may affect the number or shape of the sperm.  \u2022Medical conditions or exposures such as diabetes, cystic fibrosis, trauma, infection, testicular failure, or treatment with chemotherapy or radiation. \u2022Unhealthy habits such as heavy alcohol use, testosterone supplementation, smoking, anabolic steroid use, and illicit drug use. \u2022Environmental toxins including exposure to pesticides and lead. What causes infertility in women?  Women need functioning ovaries, fallopian tubes, and a uterus to get pregnant. Conditions affecting any one of these organs can contribute to female infertility. Some of these conditions are listed below and can be evaluated using a number of different tests.","SUBJECT":"MedlinePlus Service Request","MESSAGE":"iam 24yr old turning 25 this yr ive been having unprotected sex with my bf since i was 17 i still havent fall pregnant could something be possibly wrong with me","QUESTION_ID":80}
-{"ANNOTATIONS.FOCUS":"cannot eat","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Weight loss - unintentional   Unexplained weight loss is a decrease in body weight, when you did not try to lose the weight on your own.   Many people gain and lose some weight during any year. Loss of 10 pounds OR 5% of your normal body weight over 6-12 months or less, and you don't know the reason.   This problem may also be called unintentional weight loss.    Causes  A loss of appetite may be due to:  \u2022Feeling depressed \u2022Cancer, even when other symptoms are not present \u2022Chronic infection such as AIDS \u2022Chronic illness, such as COPD or Parkinson disease \u2022Drugs, including chemotherapy drugs, and thyroid medications \u2022Drug abuse such as amphetamines and cocaine \u2022Stress or anxiety  Chronic digestive system problems that decrease the amount of calories and nutrients your body absorbs, including: \u2022Diarrhea and other infections that last a long time, such as parasites \u2022Chronic swelling or infection in the pancreas \u2022Removal of part of the small intestine \u2022Overuse of laxatives  Other causes such as: \u2022Eating disorders, anorexia nervosa that have not been diagnosed yet \u2022Diabetes that have not been diagnosed \u2022Overactive thyroid gland   Home Care  Your healthcare provider may suggest changes in your diet and exercise program depending on the cause of your weight loss.","SUBJECT":"lesions of my tummy","MESSAGE":"i cannot eat i have lost 2 Stone i have no blood leaking can a operation get me better i do not even have a lager cannot drink tea or coffee i am getting fed up i have always kept fit had ham salad and chips had to be sick i was 9 stone now i am 7 stone i am size 8 now was size 14 will i get better is there a cure i have had this for monthes have stopped all tablets do not trust any think any more will i be like this for the rest of my life","QUESTION_ID":81}
-{"ANNOTATIONS.FOCUS":"losing weight\/ hard time getting to sleep","ANNOTATIONS.TYPE":"Cause","ANSWER":"When to Contact a Medical Professional  Call your doctor right away if: \u2022You are confused or dizzy \u2022You have blurred vision \u2022You have little or no urine, or recent swelling and weight gain \u2022You have thoughts of harming yourself or of committing suicide  Call your doctor if: \u2022You have unexplained weakness or fatigue, especially if you also have a fever or unintentional weight loss \u2022You have constipation, dry skin, weight gain, or you cannot tolerate cold \u2022You wake up and fall back to sleep many times during the night \u2022You have headaches \u2022You are taking any medications, prescription or non-prescription, or using drugs that may cause fatigue or drowsiness \u2022You feel sad or depressed \u2022You have insomnia","SUBJECT":"ClinicalTrials.gov - Question - general information","MESSAGE":"Dear Ma'am or Sir, I have a Mother who keeps losing weight even though she eats and no test and no Doctor has been able to tell her why she keeps losing weight.She also has a hard time getting to sleep and getting back to sleep after she has gotten up to go to the bathroom.","QUESTION_ID":82}
-{"ANNOTATIONS.FOCUS":"not being able to breath","ANNOTATIONS.TYPE":"Association","ANSWER":"ALCOHOLIC CARDIOMYOPATHY  Long-term heavy drinking weakens the heart muscle, causing a condition called alcoholic cardiomyopathy. A weakened heart droops and stretches and cannot contract effectively. As a result, it cannot pump enough blood to sufficiently nourish the organs. In some cases, this blood flow shortage causes severe damage to organs and tissues. Symptoms of cardiomyopathy include shortness of breath and other breathing difficulties, fatigue, swollen legs and feet, and irregular heartbeat. It can even lead to heart failure.  OTHER ALCOHOL-RELATED BRAIN CONDITIONS LIVER DAMAGE THAT AFFECTS THE BRAIN Not only does alcoholic liver disease affect liver function itself, it also damages the brain. The liver breaks down alcohol\u2014and the toxins it releases. During this process, alcohol\u2019s byproducts damage liver cells. These damaged liver cells no longer function as well as they should and allow too much of these toxic substances, ammonia and manganese in particular, to travel to the brain.These substances proceed to damage brain cells, causing a serious and potentially fatal brain disorder known as hepatic encephalopathy.","SUBJECT":"cirrhosis of the liver question","MESSAGE":"I have cirrhosis of the liver.  Do high ammonia levels effect breathing?  I have spells of not being able to breath very well. No pain.","QUESTION_ID":83}
-{"ANNOTATIONS.FOCUS":"BINGE DRINKER\/ HAVE TROUBLE WALKING","ANNOTATIONS.TYPE":"Treatment","ANSWER":"However severe the problem may seem, most people with an alcohol use disorder can benefit from treatment. Unfortunately, only of a fraction of people who could benefit from treatment receive help. In 2012, for example, 1.4 million adults received treatment for an AUD at a specialized facility (8.4 percent of adults in need). This included 416,000 women (7.3 percent of women in need) and 1.0 million men (8.9 percent of men in need).  Ultimately, receiving treatment can improve an individual\u2019s chances of success in overcoming an AUD. Talk with your doctor to determine the best course of action for you and see Rethinking Drinking and Treatment for Alcohol Problems: Finding and Getting Help for more information.","SUBJECT":"WHAT TABLETS CAN I TAKE ???","MESSAGE":"I WAS A BINGE DRINKER FOR YEARS & HAVE TROUBLE WALKING & I AM ON THIAMIN 100mg  & STRONG VITAMIN B Compound & SENNA  SO WHAT ELSE CAN I TAKE ???","QUESTION_ID":84}
-{"ANNOTATIONS.FOCUS":"pubic lice","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment  MEDICINES  Pubic lice are best treated with a prescription wash containing permethrin, such as Elimite or Kwell: \u2022Thoroughly work the shampoo into dry pubic hair and surrounding area for at least 5 minutes. \u2022Rinse well. \u2022Comb the pubic hair with a fine-toothed comb to remove eggs (nits). Applying vinegar to pubic hair before combing may help loosen nits.   Most people need only 1 treatment. If a second treatment is needed, it should be done 4 days to 1 week later.  Over-the-counter medicines to treat lice include Rid and Nix. Malathione lotion is another option.  OTHER CARE  While you are treating pubic lice: \u2022Wash all clothing and bedding in hot water.  \u2022Spray items that cannot be washed may be sprayed with a medicated spray that you can buy at the store. You can also seal items in plastic bags for 10 - 14 days to smother lice.  \u2022Makes sure anyone with whom you have had sexual contact or shared a bed be treated at the same time.  People with pubic lice should be checked for other sexually-transmitted infections when lice are discovered.","SUBJECT":"pubic lice","MESSAGE":"What are some treatments for pubic lice","QUESTION_ID":85}
-{"ANNOTATIONS.FOCUS":"USING MORPHINE","ANNOTATIONS.TYPE":"Complication","ANSWER":"3.\u201cI\u2019ve heard that Morphine has lots of side effects, and I feel bad enough already.\u201d  All opiates can cause nausea, drowsiness and constipation. However, all side effects will generally stop after a few days, as your body adjusts, and constipation can be easily treated.","SUBJECT":"MedlinePlus Service Request","MESSAGE":"if A PERSON HAS BEEN USING MORPHINE FOR YEARS (10)FOR PAIN RELIEF,AND ARE EXHIBITING THE FLU-LIKE INABILITY TO THINK OR COMMUNICATE, AS A LOVING FRIEND , COULD YOU GUESS\/ESTIMATE FOR ME HOW LONG THE HELL THEY'RE EXPERIENCING MAY LAST?1 WEEK, 1 YEAR?","QUESTION_ID":86}
-{"ANNOTATIONS.FOCUS":"Trigem Neuralgia","ANNOTATIONS.TYPE":"Cause","ANSWER":"What is Trigeminal Neuralgia? The presumed cause of TN is a blood vessel pressing on the trigeminal nerve in the head as it exits the brainstem. TN may be part of the normal aging process but in some cases it is the associated with another disorder, such as multiple sclerosis or other disorders characterized by damage to the myelin sheath that covers certain nerves.","SUBJECT":"Trigem Neuralgia","MESSAGE":"","QUESTION_ID":87}
-{"ANNOTATIONS.FOCUS":"retinitis pigmentosa","ANNOTATIONS.TYPE":"Treatment","ANSWER":"How is retinitis pigmentosa treated?  There is no known cure for retinitis pigmentosa. However, there are few treatment options such as light avoidance and\/or the use of low-vision aids to slow down the progression of RP. Some practitioners also consider vitamin A as a possible treatment option to slow down the progression of RP. Research suggests taking high doses of vitamin A (15,000 IU\/day) may slow progression a little in some people, but the results are not strong. Taking too much vitamin A can be toxic and the effects of vitamin A on the disease is relatively weak. More research must be conducted before this is a widely accepted form of therapy.  Research is also being conducted in areas such as gene therapy research, transplant research, and retinal prosthesis. Since RP is usually the result of a defective gene, gene therapy has become a widely explored area for future research. The goal of such research would be to discover ways healthy genes can be inserted into the retina. Attempts at transplanting healthy retinal cells into sick retinas are being made experimentally and have not yet been considered as clinically safe and successful. Retinal prosthesis is also an important area of exploration because the prosthesis, a man-made device intended to replace a damaged body part, can be designed to take over the function of the lost photoreceptors by electrically stimulating the remaining healthy cells of the retina.Through electrical stimulation, the activated ganglion cells can provide a visual signal to the brain. The visual scene captured by a camera is transmitted via electromagnetic radiation to a small decoder chip located on the retinal surface. Data and power are then sent to a set of electrodes connected to the decoder. Electrical current passing from individual electrodes stimulate cells in the appropriate areas of the retina corresponding to the features in the visual scene.","SUBJECT":"ClinicalTrials.gov - Compliment","MESSAGE":"Hi I have retinitis pigmentosa for 3years. Im suffering from this disease. Please intoduce me any way to treat mg eyes such as stem cell ....I am 25 years old and I have only central vision. Please help me. Thank you","QUESTION_ID":88}
-{"ANNOTATIONS.FOCUS":"leg cramps","ANNOTATIONS.TYPE":"Organization","ANSWER":"About Osteopathic Medicine  Osteopathic physicians, or DOs, are fully licensed to prescribe medicine and practice in all specialty areas, including surgery. But they also bring something extra to the practice of medicine. DOs receive specialized training in the body's musculoskeletal system, providing them with in-depth knowledge of the ways that illness or injury in one part of the body can affect another.","SUBJECT":"Physician","MESSAGE":"I am looking for a type of physician that specializes in treating leg cramps in the elderly.  Specifically, possibly one that provides treatment for leg circulation issues.  What medical specialty is that called?","QUESTION_ID":89}
-{"ANNOTATIONS.FOCUS":"lung cancer","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Personal or Family History of Lung Cancer  If you are a lung cancer survivor, there is a risk that you may develop another lung cancer, especially if you smoke. Your risk of lung cancer may be higher if your parents, brothers or sisters, or children have had lung cancer. This could be true because they also smoke, or they live or work in the same place where they are exposed to radon and other substances that can cause lung cancer.","SUBJECT":"Genetic testing","MESSAGE":"My mother in law is in the last stage if lung cancer and only has days to live.  My question is...testing her and comparing her tests with my husbands and his sisters test help to determine if it is genetic?  My mother in law  and her mother and her mothers sister both had lung cancer and none if them were smokers.  I'm real worried about my husband getting lung cancer now and I want find out what we can do to protect him.Thank you","QUESTION_ID":90}
-{"ANNOTATIONS.FOCUS":"snoring","ANNOTATIONS.TYPE":"Treatment","ANSWER":"What you can do in the meantime   While you're waiting to see your doctor, here are some tips you can try:  \u2022Don't drink alcohol or take sedatives before bed.  \u2022Try over-the-counter nasal strips.  \u2022Sleep on your side, instead of your back.  \u2022If nasal congestion is an issue, try an over-the-counter decongestant for a day or two.","SUBJECT":"How to Stop Snoring","MESSAGE":"How to Stop Snoring","QUESTION_ID":92}
-{"ANNOTATIONS.FOCUS":"pain  left leg","ANNOTATIONS.TYPE":"Organization","ANSWER":"Resources Links   American Academy of Hospice and Palliative Medicine: www.aahpm.org  American Academy of Pain Management: www.aapainmanage.org  American Academy of Pain Medicine: www.painmed.org  American Academy of Physical Medicine and Rehabilitation: www.aapmr.org  American Academy of Physician Assistants: www.aapa.org  American Board of Pain Medicine: www.abpm.org  American Chronic Pain Association: www.theacpa.org  American Headache Society: www.americanheadachesociety.org  American Medical Association: www.ama-assn.org  American Nurses Association: www.ana.org  American Pain Society: www.ampainsoc.org  American Society for Addiction Medicine: www.asam.org  American Society for Pain Management Nursing: www.aspmn.org  American Society of Anesthesiologists: www.asahq.org  American Society of Pain Educators: www.paineducators.org  American Society of PeriAnesthesia Nurses: www.aspan.org  American Society of Regional Anesthesia and Pain Medicine: www.asra.com  APhA\/Pain Management Partnership: www.pharmacist.com  Association of American Medical Colleges\/MedEdPORTAL: www.aamc.org  CDC, National Center for Health Statistics: www.cdc.gov\/nchs  Center to Advance Palliative Care: www.capc.org  Dannemiller Memorial Education Foundation: www.dannemiller.com  Department of Pain Medicine and Palliative Care\/Beth Israel Medical Center: www.stoppain.org  Hospice and Palliative Nurses Association: www.hpna.org  Institute for Healthcare Improvement: www.ihi.org  Institute for Safe Medication Practices: www.ismp.org  International Association for Hospice & Palliative Care: www.hospicecare.com  International Association for the Study of Pain: www.iasp-pain.org  The Joint Commission: www.jointcommission.org  National Association for Healthcare Quality: www.nahq.org  National Association of State Controlled Substance Authorities: www.nascsa.org  National Coordinating Council for Medication Error Reporting and Prevention: www.nccmerp.org  National Hospice and Palliative Care Organization: www.nhpco.org  Pain and Palliative Care Resource Center\/City of Hope: prc.coh.org  Pain and Policy Studies Group\/Wisconsin University: www.painpolicy.wisc.edu  Pain.com: www.pain.com  Pain Treatment Topics: www.pain-topics.org  Promoting Excellence in End-of-Life Care: www.promotingexcellence.org  Shaare Zedek Cancer Pain and Palliative Care Reference Database: www.chernydatabase.org  Society for Pain Practice Management: www.sppm.org  Substance Abuse and Mental Health Services Administration: www.samhsa.gov  United States Pharmacopeial Convention: www.usp.org  Wisconsin Pain Initiative: www.aspi.wisc.edu\/wpi","SUBJECT":"Pain in Front of Lower Stomach & Bac k& r.Hip","MESSAGE":"I have problem with severe pain when I try to get up or put pressure on my left leg. Should I see an orthopedic doctor?  What might cause this, a pulled muscle, spinal injury, a damaged disc?","QUESTION_ID":93}
-{"ANNOTATIONS.FOCUS":"LIVER CANCER","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"Tests that examine the liver and the blood are used to detect (find) and diagnose adult primary liver cancer. The following tests and procedures may be used:  Physical exam and history : An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient\u2019s health habits and past illnesses and treatments will also be taken.  Serum tumor marker test : A procedure in which a sample of blood is examined to measure the amounts of certain substances released into the blood by organs, tissues, or tumor cells in the body. Certain substances are linked to specific types of cancer when found in increased levels in the blood. These are called tumor markers. An increased level of alpha-fetoprotein (AFP) in the blood may be a sign of liver cancer. Other cancers and certain noncancerous conditions, including cirrhosis and hepatitis, may also increase AFP levels. Sometimes the AFP level is normal even when there is liver cancer. Liver function tests : A procedure in which a blood sample is checked to measure the amounts of certain substances released into the blood by the liver. A higher than normal amount of a substance can be a sign of liver cancer. CT scan (CAT scan): A procedure that makes a series of detailed pictures of areas inside the body, such as the abdomen, taken from different angles. The pictures are made by a computer linked to an x-ray machine. A dye may be injected into a vein or swallowed to help the organs or tissues show up more clearly. This procedure is also called computed tomography, computerized tomography, or computerized axial tomography. Images may be taken at three different times after the dye is injected, to get the best picture of abnormal areas in the liver. This is called triple-phase CT. A spiral or helical CT scan makes a series of very detailed pictures of areas inside the body using an x-ray machine that scans the body in a spiral path. MRI (magnetic resonance imaging): A procedure that uses a magnet, radio waves, and a computer to make a series of detailed pictures of areas inside the body, such as the liver. This procedure is also called nuclear magnetic resonance imaging (NMRI). To create detailed pictures of blood vessels in and near the liver, dye is injected into a vein. This procedure is called MRA (magnetic resonance angiography). Images may be taken at three different times after the dye is injected, to get the best picture of abnormal areas in the liver. This is called triple-phase MRI. Ultrasound exam: A procedure in which high-energy sound waves (ultrasound) are bounced off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram. The picture can be printed to be looked at later.  Biopsy : The removal of cells or tissues so they can be viewed under a microscope by a pathologist to check for signs of cancer. Procedures used to collect the sample of cells or tissues include the following: Fine-needle aspiration biopsy : The removal of cells, tissue or fluid using a thin needle. Core needle biopsy : The removal of cells or tissue using a slightly wider needle. Laparoscopy : A surgical procedure to look at the organs inside the abdomen to check for signs of disease. Small incisions (cuts) are made in the wall of the abdomen and a laparoscope (a thin, lighted tube) is inserted into one of the incisions. Another instrument is inserted through the same or another incision to remove the tissue samples. A biopsy is not always needed to diagnose adult primary liver cancer.","SUBJECT":"CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI","MESSAGE":"CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI","QUESTION_ID":95}
-{"ANNOTATIONS.FOCUS":"swelling leg","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Home Care  Some tips that may help: \u2022Raise your legs above your heart while lying down. \u2022Exercise your legs. This helps pump fluid from your legs back to your heart. \u2022Follow a low-salt diet, which may reduce fluid buildup and swelling. \u2022Wear support stockings (sold at most drug and medical supply stores). \u2022When traveling, take breaks often to stand up and move around. \u2022Avoid wearing tight clothing or garters around your thighs. \u2022Lose weight if you need to.  Never stop taking any medicines you think may be causing swelling without first talking to your doctor.","SUBJECT":"Right leg little finger fractured and swelling leg","MESSAGE":"Right leg little finger has been fractured an i have applied lecoplast in that finger.but now the leg is been swelling.problem is that i cant rest.busy with my work.plz help me what shall i do to avoid swelling?","QUESTION_ID":100}
-{"ANNOTATIONS.FOCUS":"ankle arthritis","ANNOTATIONS.TYPE":"Information","ANSWER":"PHYSICAL THERAPY  Physical therapy can help improve muscle strength and the motion of stiff joints as well as your balance. If therapy does not make you feel better after 6 to 8 weeks, then it likely will not work at all.  Massage therapy may provide short-term pain relief. Make sure you work with a licensed massage therapist who is experienced in working on sensitive joints.","SUBJECT":"Arthritis on elderly","MESSAGE":"Is there something available, in English or Spanish, about Physiotherapy specific for ankle arthritis? Just to know something more. There is a case in my Family and it is being followed by both a physician and a physiotherapist. My e-mail is &jfuks@oi.com.br>. Thanks. Jayme Fuks.","QUESTION_ID":101}
-{"ANNOTATIONS.FOCUS":"liver cancer","ANNOTATIONS.TYPE":"Prognosis","ANSWER":"Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options depend on the following:  The stage of the cancer (the size of the tumor, whether it affects part or all of the liver, or has spread to other places in the body). How well the liver is working. The patient\u2019s general health, including whether there is cirrhosis of the liver.","SUBJECT":"liver cancer","MESSAGE":"how many percent of change to survive if level 4","QUESTION_ID":102}
-{"ANNOTATIONS.FOCUS":"leigh disease","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Is there any treatment?  The most common treatment for Leigh's disease is thiamine or Vitamin B1. Oral sodium bicarbonate or sodium citrate may also be prescribed to manage lactic acidosis. Researchers are currently testing dichloroacetate to establish its effectiveness in treating  lactic acidosis. In individuals who have the X-linked form of Leigh\u2019s disease, a high-fat, low-carbohydrate diet may be recommended.","SUBJECT":"EPI 743","MESSAGE":"hi  My name is Mahmoud My son, His age 4 month discovered it leigh disease infected from the mother side. and we have  full family history with the leigh disease.  my Daughter she lived for 7 years with the same disease, we have her Hospital reports, it is confirmed leigh Disease.  Kindly, if there is any hope for my son with EPI743 treatment, and we are appreciate to accept him in the treatment study.  i have a full reports for my son and the MRI. and all of it under your request.    Hope get your help ASAP because he is in the first stage. and we have a we are all hope he will be better.  Best Regards  Mahmoud Hassan","QUESTION_ID":104}
-{"ANNOTATIONS.FOCUS":"brain injury","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"How do health care providers diagnose traumatic brain injury (TBI)? To diagnose TBI, health care providers may use one or more tests that assess a person's physical injuries, brain and nerve functioning, and level of consciousness.","SUBJECT":"Urgent Enquiry","MESSAGE":"Hi,  I wish to enquire about what other non-invasive alternatives are there in diagnosing a brain injury other than an invasive mri,ct or pet scan?  Patient has a family history of cancer and is afraid of being exposed to radiation, and is also fitted with metal discs to her neck and spine after she developed scoliosis and osteoporosis. She lives in Australia.  Your urgent reply would be much appreciated.   Marie.","QUESTION_ID":107}
-{"ANNOTATIONS.FOCUS":"ADHD","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Different types of psychotherapy are used for ADHD. Behavioral therapy aims to help a child change his or her behavior. It might involve practical assistance, such as help organizing tasks or completing schoolwork, or working through emotionally difficult events. Behavioral therapy also teaches a child how to monitor his or her own behavior.","SUBJECT":"","MESSAGE":"What is the best way to naturally treat a 7 yr old boy with ADHD? Without prescription medicine?","QUESTION_ID":108}
-{"ANNOTATIONS.FOCUS":"locked-in syndrome","ANNOTATIONS.TYPE":"Information","ANSWER":"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.","SUBJECT":"ClinicalTrials.gov - Suggestion","MESSAGE":"Please help me with my brother with locked-in syndrome in Martinique for 3 years.Somebody please help. God bless .Henri 631-643-5692","QUESTION_ID":109}
-{"ANNOTATIONS.FOCUS":"Tourette syndrome","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"What disorders are associated with TS?  Many individuals with TS experience additional neurobehavioral problems that often cause more impairment than the tics themselves.  These include inattention, hyperactivity and impulsivity (attention deficit hyperactivity disorder\u2014ADHD);   problems with reading, writing, and arithmetic; and obsessive-compulsive symptoms such as intrusive thoughts\/worries and repetitive behaviors. For example, worries about dirt and germs may be associated with repetitive hand-washing, and concerns about bad things happening may be associated with ritualistic behaviors such as counting, repeating, or ordering and arranging.  People with TS have also reported problems with depression or anxiety disorders, as well as other difficulties with living, that may or may not be directly related to TS.  In addition, although most individuals with TS experience a significant decline in motor and vocal tics in late adolescence and early adulthood, the associated neurobehavioral conditions may persist.  Given the range of potential complications, people with TS are best served by receiving medical care that provides a comprehensive treatment plan.","SUBJECT":"","MESSAGE":"I have had Tourette syndrome since age seven. Recently at the age of 72, I had an implantation of a shunt for hydrocephalus. What is the probability of one having both hydrocephalus and Tourette syndrome? Is there any evidence that indicates that the head and neck tics of Tourette syndrome may be a cause of hydrocephalus?","QUESTION_ID":110}
-{"ANNOTATIONS.FOCUS":"Ankle injury","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Oral anti-inflammatory medication, such as ibuprofen, can be used to decrease pain, swelling, and inflammation.","SUBJECT":"Ankle injury","MESSAGE":"I got hurt in my left leg ankle almost 5 months ago. I went to doctor, got x-ray, where no damage was found. He suggested me some pain killers and advised me to wear anklet. I have been following the instruction since then; I went to another doctor who advised me to go for physiotherapy (Short Wave Diathermy) and advised me some exercises. I have been following them too. But yet now, I have not been fully recovered from the pain. Especially when I try to walk quickly or try to put pressure with my left leg, I feel pain. I am very tensed about this. Can you please suggest me how to overcome the pain. Thanks.","QUESTION_ID":112}
-{"ANNOTATIONS.FOCUS":"sexual dysfunction","ANNOTATIONS.TYPE":"Treatment","ANSWER":"TREATING MALE SEXUAL DYSFUNCTION \u2022 For psychological causes of sexual dysfunction, such as relationship problems, counseling, either individually or as a couple, may be beneficial. Sexual therapy with a therapist who specializes in sexual dysfunction may also help. \u2022 Depression or anxiety disorders may need treatment. \u2022 Any physical problems that may be affecting sexual function should be addressed. \u2022 If a medication is interfering with sexual function, it may be possible to change or discontinue the medication. \u2022 Prescription medications that treat erectile dysfunction may help a man achieve and maintain erections. \u2022 Hormonal treatment, such as testosterone replacement therapy, may help with hormone imbalances that are contributing to sexual dysfunction.","SUBJECT":"sexual dysfunction","MESSAGE":"Dear Doctor  i am male of 39 years, and facing problem of sexual weekness, erection is ok, once my penis stand up and after some seconds its become down like dead, i also feel size is also came down, i am worried, kindly suggest me a medicine for such disease i shall be very great full to you.  Regards Faisal Ramzan  Dubai, United Arab Emirates","QUESTION_ID":113}
-{"ANNOTATIONS.FOCUS":"gum blood","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Your dentist may recommend:      Having professional teeth cleaning in addition to brushing and flossing twice a year, or more often for worse cases of gum disease.     Using antibacterial mouth rinses or other aids     Getting misaligned teeth repaired     Replacing dental and orthodontic appliances","SUBJECT":"problem in gum","MESSAGE":"My Teeth gum blood coming what medicine I use","QUESTION_ID":114}
-{"ANNOTATIONS.FOCUS":"cyclic vomiting","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Recent case reports of adult and child CVS patients with epileptiform activity on electroencephalography have shown response to antiepileptic drugs, including carbamazepine and topiramate.","SUBJECT":"cyclic vomiting","MESSAGE":"Heard of some people with this condition getting some relief from a drug called Topamax,but saw nothing about it on site,s. any info would be great thanks.","QUESTION_ID":115}
-{"ANNOTATIONS.FOCUS":"lung cancer","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment Option Overview (Non-Small Cell Lung Cancer) From the National Institutes of Health (National Cancer Institute) Treatment Option Overview (Small Cell Lung Cancer) From the National Institutes of Health (National Cancer Institute) Treatment Options by Stage (Non-Small Cell Lung Cancer) From the National Institutes of Health (National Cancer Institute) Treatment Options by Stage (Small Cell Lung Cancer) From the National Institutes of Health (National Cancer Institute)","SUBJECT":"latest information","MESSAGE":"WANT TO KNOW LATEST DEVELOPMENT IN LUNG CANCER TREATMENT, MY FRIENDS WIFE AGE 45, NAME KUSHUM AGARWAL, RAIGADH (C G)INDIA SUFFERING WITH THIS DISEASE,WILL BE TAKING FIRST DOSE OF ALMITA PEMETREXED ON THRUSDAY THAT IS AFTER FOUR DAYS. PL. ADD MY E-MAIL ID","QUESTION_ID":116}
-{"ANNOTATIONS.FOCUS":"lipoma","ANNOTATIONS.TYPE":"Treatment","ANSWER":"As research in localized fat reduction has improved, therapies successful in this domain have been applied to the management of lipomas as a surgical alternative. In this review article, the authors review the basic science of injection therapies used in the management of lipomas as well as their potential efficacy and limitations.","SUBJECT":"new treatment for lipoma of forearm","MESSAGE":"I have had two surgeries on my right forearm.  The last was 2 years ago.  The lipoma has returned.  Are there any new treatments or experimental procedures that might help me?","QUESTION_ID":117}
-{"ANNOTATIONS.FOCUS":"swallowed a bit of bleach","ANNOTATIONS.TYPE":"Treatment","ANSWER":"If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. Do\u00a0not give water or milk if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.","SUBJECT":"","MESSAGE":"My 3yrs old boy found my bleach at the laundry and I suspect he swallowed a bit of it. How do I treat this pls","QUESTION_ID":118}
-{"ANNOTATIONS.FOCUS":"masturbation","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Make an appointment with your doctor whenever you have any questions concerning masturbation or other aspects of sexuality.","SUBJECT":"low WBC issue","MESSAGE":"respected sir,                i humbly want to say  you thanx for making this website. i am sunil from India and i want to help myself by you please help me sir i will greatful to yo(sorry sir my English is not so good)      masturbation is my hobby its my taboo really sir now i am tired i want to change myself please sir give me some suggestions ....   this is bad habit in my life but i am also a bright student since last year .............. .......... .......... i am crying... sorry ...... please help me sir plzz rply me in my id.. and wish me luck     i know you have a golden heart ....","QUESTION_ID":119}
-{"ANNOTATIONS.FOCUS":"weight","ANNOTATIONS.TYPE":"Treatment","ANSWER":"It's important to do your homework if you're thinking about trying over-the-counter weight-loss pills. General information about many dietary supplements is available at the website of the National Center for Complementary and Alternative Medicines. The Natural Medicines Comprehensive Database summarizes research regarding dietary supplements and herbal products. Although the database is only available by subscription, you may be able to access it through a public library. The following table shows common weight-loss pills and what the research shows about their effectiveness and safety.","SUBJECT":"","MESSAGE":"hi, what's the best over the counter medications for losing this weight, I need to try something but I don't want any surgery done.","QUESTION_ID":120}
-{"ANNOTATIONS.FOCUS":"Meniere's disease","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Fattori et al, Audiology 35(6):322-34, 1996. These authors report the results of treatment for 15 days with 90 min. sessions of a pressure chamber. They report better hearing results in the treated patients. Comment: lacking a reasonable mechanism and also considering the general problems with placebo responses in Menieres (see the classic paper entitled Old and New in Menieres, by N. Torok), this treatment remains unsubstantiated.","SUBJECT":"Meniere's disease","MESSAGE":"What info you might have on Hyperbaric treatment or results for meneires disease?","QUESTION_ID":121}
-{"ANNOTATIONS.FOCUS":"bilateral severe hearing loss","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Both children and adults can be candidates for cochlear implants. People who are candidates for this device may have been born deaf or become deaf after learning to speak. Children as young as 1 year old are now candidates for this surgery. Although criteria are slightly different for adults and children, they are based on similar guidelines: The person should be completely or almost completely deaf in both ears, and get almost no improvement with hearing aids. Anyone who can hear well enough with hearing aids is not a good candidate for cochlear implants.","SUBJECT":"","MESSAGE":"Dear Sir, My Daughter 4 years is by birth Bilateral Severe Hearing loss, but we are giving regular hearing aid trial and speech language therapy,.She not respond Doctor is suggested cochlear implant give me a suggestion.","QUESTION_ID":123}
-{"ANNOTATIONS.FOCUS":"strabismus","ANNOTATIONS.TYPE":"Treatment","ANSWER":"People with strabismus have several treatment options available to improve eye alignment and coordination. They include: eyeglasses or contact lenses prism lenses vision therapy eye muscle surgery","SUBJECT":"Strabismus Lazy Eye","MESSAGE":"I am someone who is out to get information about the developments in strabismus lazy eye correction. I will need information about all of the therapy that is possible involving the adult stem cell research therapy that will make certain the brain will be fully retrained with this after the surgery has been done, & this real important! Call me @ either 715-952-8520, or 715-340-4012","QUESTION_ID":124}
-{"ANNOTATIONS.FOCUS":"fire burn gives stain","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatments Your Physician May PrescribeSome creams may help fade dark marks. These include 2\u20134% hydroquinone, tretinoin, tazarotene, azelaic acid, and glycolic acid. These products are often used in combination. Chemical peels or microdermabrasion are treatments not generally covered by insurance and need to be repeated monthly for a total of 4\u20136 sessions. If not done by experts, they may cause further irritation and darkening.","SUBJECT":"","MESSAGE":"Fire Burn gives stain at stomach during my childhood and that is directly surrounded around the stomach button. and this matter was occurred past 15 years back. Do there is any therapy or remedy?","QUESTION_ID":126}
-{"ANNOTATIONS.FOCUS":"ODD","ANNOTATIONS.TYPE":"Information","ANSWER":"Even the best-behaved children can be difficult and challenging at times. But if your child or teen has a frequent and persistent pattern of anger, irritability, arguing, defiance or vindictiveness toward you and other authority figures, he or she may have oppositional defiant disorder (ODD).","SUBJECT":"ODD","MESSAGE":"Would like to learn more about condition on ODD","QUESTION_ID":127}
-{"ANNOTATIONS.FOCUS":"alcohol and opiate withdrawal","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Patients presenting in mild alcohol withdrawal may be treated on an outpatient basis, provided that no underlying conditions require inpatient treatment. Patients presenting with moderate or severe alcohol withdrawal and DT require inpatient treatment and consideration of ICU admission. Sedative-hypnotic drugs are the primary agents for treatment of alcohol withdrawal syndrome because they are cross-tolerant drugs that modulate GABA functions. These medications commonly include benzodiazepines, barbiturates, propofol, and (in rare cases) ethanol.","SUBJECT":"Questions","MESSAGE":"i am looking for the latest evidence based practice on guidelines for assessing and treating Alcohol and Opiate withdrawal. Thanks","QUESTION_ID":129}
-{"ANNOTATIONS.FOCUS":"penis did not grow","ANNOTATIONS.TYPE":"Treatment","ANSWER":"The hCG treatment increased the serum testosterone level, penile length, and testicular volume in IHH patients. Our results suggest that hCG treatment has a beneficial effect on gonadal function and penile growth in patients with IHH presenting with micropenis.","SUBJECT":"","MESSAGE":"How do I know if the cause why my penis didn't growth up to a normal penis size was because of IHH? And How can I have a treatment with hCG? Where Can I get the injections?","QUESTION_ID":130}
-{"ANNOTATIONS.FOCUS":"Diarrhea","ANNOTATIONS.TYPE":"Cause","ANSWER":"These drugs are very powerful. They can affect you very quickly and without your knowing. The length of time that the effects last varies. It depends on how much of the drug is taken and if the drug is mixed with other drugs or alcohol.","SUBJECT":"diarrhea","MESSAGE":"I think someone drugged my alcoholic beverage and caused me to get diarrhea. I wanted to know what drug that may be. It worked within the hour and did not cause me any pain I just lost my balance a little and felt disoriented. I drank 5 drinks and two waters from 4pm to midnight Saturday in Las Vegas, Nevada. I usually only have 4 drinks but have drank more than that before and never got diarrhea. Please help I want to get drug tested and do not know which ones I should be tested for. I do not use drugs only natural vitamins. Thank you so much.","QUESTION_ID":133}
-{"ANNOTATIONS.FOCUS":"binocular vision","ANNOTATIONS.TYPE":"Treatment","ANSWER":"When is surgery for exotropia indicated?  Criteria for surgery may vary somewhat, but generally surgery is indicated when the exotropia is frequently present, when the patient is experiencing significant symptoms (eyestrain, double vision, squinting), or when there is evidence that the patient is losing \"binocular vision\". Surgery may not be recommended if the exotropia is adequately controlled with glasses or other non-surgical methods.","SUBJECT":"Pilot and Lazy eye","MESSAGE":"Dear MedlinePus  I started to fly at the age of 15 and have been flying for over 3,5 years and has logged over 120 hours in my time as pilot. My dream is to become a Comerical Pilot and recently I undertook a medical class 1 which I failed in Norway because of my Eye position and Eye movment, hence I have not experienced any problem with my vision in daily life nor when I have been flying..  The problem is that my binocular vision is not good enough and the eye-doctor meant it could be a problem if I sudden developed double vision.  Is there any operation that can fix this? The Orthoptics I went to meant there was a problem with one of the eye muscles which where to tight and the other too weak. She said it can be fixed, but this is not \"normal\"; in Norway because it is not big enough error she meant.  Is there anyway to fix this? I appreciate all information!  Kind Regards  Adam Mauseth","QUESTION_ID":136}
-{"ANNOTATIONS.FOCUS":"hands hurt","ANNOTATIONS.TYPE":"Information","ANSWER":"Summary  No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.  Hand problems include      Carpal tunnel syndrome - compression of a nerve as it goes through the wrist, often making your fingers feel numb     Injuries that result in fractures, ruptured ligaments and dislocations     Osteoarthritis - wear-and-tear arthritis, which can also cause deformity     Tendinitis - irritation of the tendons     Disorders and injuries of your fingers and thumb","SUBJECT":"Bone-Joint degeneration in the hand or fingers?","MESSAGE":"I notice that the joints or bones in my  hands hurt sharply when working, cooking and lately I have been dropping things from my left hand; even a sudden twist send shock thru my body-What is this?","QUESTION_ID":137}
-{"ANNOTATIONS.FOCUS":"IBS","ANNOTATIONS.TYPE":"Information","ANSWER":"Summary  Irritable bowel syndrome (IBS) is a problem that affects the large intestine. It can cause abdominal cramping, bloating, and a change in bowel habits. Some people with the disorder have constipation. Some have diarrhea. Others go back and forth between the two. Although IBS can cause a great deal of discomfort, it does not harm the intestines.  IBS is common. It affects about twice as many women as men and is most often found in people younger than 45 years. No one knows the exact cause of IBS. There is no specific test for it. Your doctor may run tests to be sure you don't have other diseases. These tests may include stool sampling tests, blood tests, and x-rays. Your doctor may also do a test called a sigmoidoscopy or colonoscopy. Most people diagnosed with IBS can control their symptoms with diet, stress management, probiotics, and medicine.","SUBJECT":"PTSD and IBS","MESSAGE":"I am looking for research on IBS and the link to PTSD. Thank you","QUESTION_ID":138}
-{"ANNOTATIONS.FOCUS":"throat cancer","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Causes  People who smoke or use tobacco are at risk of developing throat cancer. Drinking too much alcohol over a long time also increases risk. Smoking and drinking alcohol combined lead to an increased risk of throat cancer.  Most throat cancers develop in adults older than 50. Men are 10 times more likely than women to develop throat cancers. Cancer of the throat or larynxWatch this video about: Cancer of the throat or larynx Symptoms  Symptoms of throat cancer include any of the following:      Abnormal (high-pitched) breathing sounds     Cough     Coughing up blood     Difficulty swallowing     Hoarseness that does not get better in 1 to 2 weeks     Neck or ear pain     Sore throat that does not get better in 1 to 2 weeks, even with antibiotics     Swelling or lumps in the neck     Weight loss not due to dieting   Exams and Tests","SUBJECT":"Can a 40 year old get throat cancer...","MESSAGE":"I have drank a lot of alcohol and lots of drugs. Not very many fruits and vegetables. This year I have gotten strep throat twice and sore throats with ear aches. Antibiotics have taken 4 different kinds this year alone. Raspy voice, very painful when swallowing","QUESTION_ID":140}
-{"ANNOTATIONS.FOCUS":"pelvic inflammatory disease","ANNOTATIONS.TYPE":"Cause","ANSWER":"The item that may be most feared: the toilet seat. Not surprising as bathrooms are hardly havens of hygiene. What many people worry about is the possibility of acquiring a sexually transmitted pathogen \u2013 \u201cvenereal disease\u201d (VD), \u201csexually transmitted disease\u201d (STD), or \u201csexually transmitted infection\u201d (STI). STI has come into greater use, reflecting that many of these pathogens may be asymptomatic, or cause mild symptoms that may not be recognized as \u201cdisease\u201d in infected individuals. While there is certainly cause for concern about rates of STIs (particularly the increasing incidence of multi-drug-resistant gonorrhoea;  also, gonorrhoea, chlamydia, and syphilis can lead to serious complications, such as pelvic inflammatory disease, resulting in chronic pain and\/or infertility) toilet seats are not going to put you at risk of these infections.  Why not? Well, microbes have diverse lifestyles. The bacteria that cause chlamydia, syphilis, and gonorrhoea are transmitted primarily by sex\u2014close contact between skin\/mucous membranes. Able to attach to the epithelial cells of the urethra, cervix and other regions of the urogenital tract, these bacteria invade, sometimes spreading to other parts of the body in later stages of infection. Outside of the host, though, these cells are surprisingly fragile, susceptible to stresses of the external environment\u2014ill-equipped to lurk and linger infectiously on the surface of the toilet seat (very different from hardier bacteria that aren\u2019t spread sexually, like E. coli, Mycobacterium tuberculosis, and many others)","SUBJECT":"","MESSAGE":"Can a woman catch pelvic inflammatory disease from a dirty toilet seat, such as in a campground or gas station?","QUESTION_ID":141}
-{"ANNOTATIONS.FOCUS":"white spot","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Skin that has turned darker or lighter than normal is usually not a sign of a serious medical condition. Considerations  Normal skin contains cells called melanocytes. These cells produce melanin, the substance that gives skin its color.  Skin with too much melanin is called hyperpigmented skin.  Skin with too little melanin is called hypopigmented skin.  Pale skin areas are due to too little melanin or underactive melanocytes. Darker areas of skin (or an area that tans more easily) occurs when you have more melanin or overactive melanocytes.  Bronzing of the skin may sometimes be mistaken for a suntan. This skin discoloration often develops slowly, starting at the elbows, knuckles, and knees and spreading from there. Bronzing may also be seen on the soles of the feet and the palms of the hands. The bronze color can range from light to dark (in fair-skinned people) with the degree of darkness due to the underlying cause. Causes  Causes of hyperpigmentation include:      History of skin inflammation (post-inflammatory hyperpigmentation)     Use of certain medications (such as minocycline)     Endocrine diseases such as Addison's disease     Hemochromatosis (iron overload)     Sun exposure  Causes of hypopigmentation include:      History of skin inflammation     Certain fungal infections (such as tinea versicolor)     Pityriasis alba     Vitiligo  Home Care  Over-the-counter and prescription creams are available for lightening the skin. If you use these creams, follow instructions carefully, and don't use one for more than 3 weeks at a time. Darker skin requires greater care when using these preparations. Cosmetics may also help cover a discoloration.  Avoid too much sun exposure. Always use sunscreen with an SPF of 30 or higher.  Abnormally dark skin may continue even after treatment. Experts recommend emotional support or counseling.","SUBJECT":"","MESSAGE":"Good day,happy to find this site so may be with your advice i can at lease find something to cure of my skin problem,am a black lady ,52 years from the Seychelles island a tropical island and aim a twin sister,one thinks that worries me is that since i was a little girl i use to have sensitive dry skin as for my other sister she got nice fresh skin.i have try lots of cream for my skin to look fresh but with no hope,and since two years i have notice a very bad color of white spot appearance on my both legs,only in front of my two legs and since am black and it is very ugly.please help me to find a cream to return back my colour bcak and to cover the white spot.","QUESTION_ID":142}
-{"ANNOTATIONS.FOCUS":"Uveitis","ANNOTATIONS.TYPE":"Information","ANSWER":"Causes  Uveitis can be caused by autoimmune disorders, including rheumatoid arthritis or ankylosing spondylitis. It can also be caused by infection or exposure to toxins. In many cases, the cause is unknown.","SUBJECT":"about uveitis","MESSAGE":"IS THE UVEITIS, AN AUTOIMMUNE DISEASE?","QUESTION_ID":143}
-{"ANNOTATIONS.FOCUS":"water come out of my nipple","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Nipple discharge Email this page to a friend Print Facebook Twitter Bookmark & Share  Nipple discharge is any fluid that comes out of the nipple area in your breast. Causes  Sometimes discharge from your nipples is okay and will get better on its own. You are more likely to have nipple discharge if you have been pregnant at least once.  Nipple discharge is usually not cancer (benign), but rarely it can be a sign of breast cancer. It is important to find out what is causing it and to get treatment. Here are some reasons for nipple discharge:      Pregnancy     Recent breastfeeding     Rubbing on the area from a bra or t-shirt     Injury to the breast     Infection     Inflammation and clogging of the breast ducts     Noncancerous pituitary tumors     Small growth in the breast that is usually not cancer     Severe underactive thyroid gland (hypothyroidism)     Fibrocystic breast (normal lumpiness in the breast)     Use of certain medicines     Use of certain herbs, such as anise and fennel     Widening of the milk ducts   Sometimes, babies can have nipple discharge. This is caused by hormones from the mother before birth. It should go away in 2 weeks.  Cancers such as Paget\u2019s disease (a rare type of cancer involving the skin of the nipple) can also cause nipple discharge. Symptoms  Nipple discharge that is NOT normal is:      Bloody     Comes from only 1 nipple     Comes out on its own without you squeezing or touching your nipple   Nipple discharge is more likely to be normal if it:      Comes out of both nipples     Happens when you squeeze your nipples   The color of the discharge does not tell you whether it is normal. The discharge can look milky, clear, yellow, green, or brown.  Squeezing your nipple to check for discharge can make it worse. Leaving the nipple alone may make the discharge stop. Exams and Tests  Your health care provider will examine you and ask questions about your symptoms and medical history.  Tests that may be done include:      Prolactin blood test     Thyroid blood tests     Head CT scan or MRI to look for pituitary tumor     Mammography     Ultrasound of the breast     Breast biopsy     Ductography or ductogram, an x-ray with contrast dye injected into the affected milk duct     Skin biopsy, if Paget's disease is a concern   Treatment  Once the cause of your nipple discharge is found, your doctor or nurse can recommend ways to treat it. You may:      Need to change any medicine that caused the discharge     Have lumps removed     Have all or some of the breast ducts removed     Receive creams to treat skin changes around your nipple     Receive medicines to treat a health condition   If all of your tests are normal, you may not need treatment. You should have another mammogram and physical exam within 1 year.","SUBJECT":"","MESSAGE":"Which drug we I take to stop water come out of my nipple","QUESTION_ID":146}
-{"ANNOTATIONS.FOCUS":"Serratia marcescens","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Antibiotics     Show All  References Medication Summary  S marcescens is naturally resistant to ampicillin, macrolides, and first-generation cephalosporins. In Taiwan, 92% of the strains are resistant to cefotaxime, but 99% are still susceptible to ceftazidime. Extended spectrum beta-lactamases are produced by most S marcescens strains.[35] International data on antimicrobial susceptibility of Serratia and other nosocomial isolates have been published.[36, 37]  Serratia infections should be treated with an aminoglycoside plus an antipseudomonal beta-lactam, as the single use of a beta-lactam can select for resistant strains. Most strains are susceptible to amikacin, but reports indicate increasing resistance to gentamicin and tobramycin. Quinolones also are highly active against most strains.  Cefepime may be a reasonable option for the treatment of infections with Serratia strains that produce AmpC \u03b2-lactamase.[38]  Definitive therapy should be based on the results of susceptibility testing because multiresistant strains are common.","SUBJECT":"treatment Information Serratia marcescens","MESSAGE":"Good afternoon, I would like to ask please inform me which treatment or medication should be applied when you have contracted the bacteria Serratia marcescens in a leg wound that does not heal and always with abscesses, inflammation of areas that are filled with pus, has been applied gentamicin and do not see the improvement, in addition to other antibiotics. Thanks vili623@gmail.com","QUESTION_ID":147}
-{"ANNOTATIONS.FOCUS":"SIDS","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Summary  Sudden infant death syndrome (SIDS) is the sudden, unexplained death of an infant younger than one year old. Some people call SIDS \"crib death\" because many babies who die of SIDS are found in their cribs.  SIDS is the leading cause of death in children between one month and one year old. Most SIDS deaths occur when babies are between two months and four months old. Premature babies, boys, African Americans, and American Indian\/Alaska Native infants have a higher risk of SIDS.  Although health care professionals don't know what causes SIDS, they do know ways to reduce the risk. These include      Placing babies on their backs to sleep, even for short naps. \"Tummy time\" is for when babies are awake and someone is watching     Using a firm sleep surface, such as a crib mattress covered with a fitted sheet     Keeping soft objects and loose bedding away from sleep area     Making sure babies don't get too hot. Keep the room at a comfortable temperature for an adult.     Don't smoke during pregnancy or allow anyone to smoke near your baby","SUBJECT":"","MESSAGE":"Hello, my name is Pa Xiong and i am a student at Grant High School here in sacramento. I am composing a research report on SIDS and i was hoping you could help me with some information. I was particularly interested in learning weather parents should be worried about cribs death and if you could direct me to some resources on that, or even allow me to interview you. Thank you for your time. If you have anything else that might help me, i would really appreciate it. You can email me at Pa_xiong25@yahoo.com or contact me by my phone at (916)297-1911. Thanks again.","QUESTION_ID":148}
-{"ANNOTATIONS.FOCUS":"Endometriosis","ANNOTATIONS.TYPE":"Treatment","ANSWER":"What kinds of treatment are available?  Once a diagnosis of endometriosis has been made, treatment falls into the following categories.  Observation: After an evaluation and before beginning hormonal therapy, you and your gynecology (GYN) team may decide to keep track of your symptoms and try mild pain medicine. This is usually the first step for girls with premenarcheal endometriosis (who are too young to have had their first period).  Medical suppression: Hormonal treatment such as birth control pills containing estrogen and progesterone taken continuously (to stop periods) relieves symptoms in many patients. A second treatment is progesterone medicine alone. This comes as a progestin\u2013only birth control pill in a pill pack (Nor\u2013QD\u00ae or Camilla\u00ae) or as a regular pill that comes in a bottle Norethindrone acetate (Aygestin\u00ae).  The dose of Aygestin\u00ae can be adjusted for your body to stop your pain and bleeding. Another type of medication is a GnRH agonist, such as Leuprolide acetate (Lupron\u2013Depot\u00ae). This medicine works by shutting off hormones made by the ovaries and temporarily stops your period. The use of GnRH agonist therapy lowers your body\u2019s estrogen level (one of the hormones that causes your body to have periods).  Surgery: Visible endometriosis will be destroyed at the time of laparoscopy. After this procedure, many teens find relief from symptoms. Most say that their pain is better, but not completely gone. Remember, there is no cure for endometriosis. Many teens may experience pain again.  Lifestyle changes: Dealing with chronic pelvic pain can be challenging. Exercising often helps to relieve or lessen pelvic pain and menstrual cramps. Eating a balanced diet and getting enough rest also helps your body manage pain. Practicing relaxation techniques such as yoga and meditation help to ease pain too.  Pain treatment services: If you do not have relief from your symptoms, your gynecologist may refer you to a pain treatment program for an evaluation. Following an evaluation, services such as biofeedback, physical therapy, acupuncture and exercise programs may be offered.  Complementary medicine: Acupuncture, herbal remedies, homeopathy and healing touch are among popular \u201calternative approaches\u201d to medical treatment. Many of these therapies can be helpful however, not every alternative approach has been scientifically proven to be safe and effective. Research studies are limited. Before experimenting with any alternative therapy, make sure that you are working with a licensed provider that has been referred to you.","SUBJECT":"","MESSAGE":"I'm a mother of a 13 year old girl that has been diagnosed with endometriosis. I know its not spelled right. The doctor stated it was severe and uncommon for children her age. she was 12 when diagnosed is there anything going on for her age? she has not had any treatments and hurts constantly.","QUESTION_ID":149}
-{"ANNOTATIONS.FOCUS":"physician assisted suicide","ANNOTATIONS.TYPE":"Information","ANSWER":"In most states, the law prohibits assisted suicide. However, the US Supreme Court has decided that physician-assisted suicide is not necessarily unconstitutional, leaving each state to settle the issue for its residents. For example, physician-assisted suicide has been legal in Oregon since 1997, although experience has shown that it is a rarely used alternative. During the 3 years after this legalization, only 91 people opted for assisted suicide out of 90,000 who died in Oregon during that time. Washington is the only other state which has legalized physician-assisted suicide.","SUBJECT":"assisted suicide","MESSAGE":"physician assisted suicide legal in any state?  what is someone is dying and they really want to die with dignity before the disease ravages their mind?","QUESTION_ID":150}
-{"ANNOTATIONS.FOCUS":"generalized anxiety disorder","ANNOTATIONS.TYPE":"Organization","ANSWER":"Generalized anxiety disorder (GAD) is a mental health condition in which a person is often worried or anxious about many things and finds it hard to control this anxiety.","SUBJECT":"Mental Health (Anxiety) interview","MESSAGE":"I would like to interview someone by email in order to obtain information over Generalized Anxiety Disorder for a Newsletter project in my Abnormal Psychology Class at University of Houston. Thank you very much","QUESTION_ID":151}
-{"ANNOTATIONS.FOCUS":"epstein-barr virus","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Infectious mononucleosis, or \"mono\", is an infection usually caused by the Epstein-Barr virus. The virus spreads through saliva, which is why it's sometimes called \"kissing disease.\" Mono occurs most often in teens and young adults. However, you can get it at any age. Symptoms of mono include  Fever Sore throat Swollen lymph glands Sometimes you may also have a swollen spleen. Serious problems are rare.  A blood test can show if you have mono. Most people get better in two to four weeks. However, you may feel tired for a few months afterward. Treatment focuses on helping symptoms and includes medicines for pain and fever, warm salt water gargles and plenty of rest and fluids.","SUBJECT":"voids to avoid with ebstien-barr virus in the liver","MESSAGE":"In pain after I eat...wondering if I am eating wrong foods. I have been diagnosed with this and had cat scan with and without dye and it shows a clump of blood vessels infected with the virus....","QUESTION_ID":152}
-{"ANNOTATIONS.FOCUS":"blindness","ANNOTATIONS.TYPE":"Organization","ANSWER":"The following organizations are good resources for information on blindness: \u2022American Foundation for the Blind - www.afb.org \u2022Foundation Fighting Blindness - www.blindness.org \u2022National Eye Institute - www.nei.nih.gov \u2022National Library Service for the Blind and Physically Handicapped - www.loc.gov\/nls \u2022U.S. Centers for Disease Control and Prevention - www.cdc.gov\/visionhealth\/basic_information\/eye_disorders.htm","SUBJECT":"blind technology","MESSAGE":"I am a student doing a research project on blind technology. I am wondering if you have any contacts of people who have research information on this topic because I want to find out their opinions on certain technologies. Also, I would appreciate it if you could tell me ways to improve\/cure blindness. For example, information on ' stem cell surgery', bionic eye', 'gene therapy to cure blindness' etc. Thankyou!","QUESTION_ID":153}
-{"ANNOTATIONS.FOCUS":"bruises","ANNOTATIONS.TYPE":"Information","ANSWER":"A bruise is a mark on your skin caused by blood trapped under the surface. It happens when an injury crushes small blood vessels but does not break the skin. Those vessels break open and leak blood under the skin.  Bruises are often painful and swollen. You can get skin, muscle and bone bruises. Bone bruises are the most serious.  It can take months for a bruise to fade, but most last about two weeks. They start off a reddish color, and then turn bluish-purple and greenish-yellow before returning to normal. To reduce bruising, ice the injured area and elevate it above your heart. See your healthcare provider if you seem to bruise for no reason, or if the bruise appears to be infected.","SUBJECT":"","MESSAGE":"I needed a tetanus shot and she gave it to me in the back of my arm I now have celulitis I'm on new meds  predisone augmentin  now I'm getting bruises all over please help me figure it out","QUESTION_ID":156}
-{"ANNOTATIONS.FOCUS":"exercise induced asthma","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Don't rely only on quick-relief medications  You can also use pre-exercise drugs as a quick-relief treatment for symptoms. However, you shouldn't need to use your pre-exercise inhaler more often than your doctor recommends.  Keep a record of how many puffs you use each week, how often you use your pre-exercise inhaler for prevention and how often you use it to treat symptoms. If you use it daily or you frequently use it for symptom relief, your doctor may adjust your long-term control medication.  Steps you can take to prevent or minimize symptoms of exercise-induced bronchoconstriction include the following:  Do a 10-minute warm-up that varies in intensity before you begin regular exercise. Breathe through your nose to warm and humidify the air before it enters your lungs. Wear a face mask or scarf when exercising, especially in cold, dry weather. If you have allergies, avoid triggers. For example, don't exercise outside when pollen counts are high. Avoid strenuous exercise if you have a cold or other respiratory infection. Exercise regularly to stay in shape and promote good respiratory health.","SUBJECT":"","MESSAGE":"I have exercise induced asthma. Would any of these non drug devises be suitable please?","QUESTION_ID":157}
-{"ANNOTATIONS.FOCUS":"body lice","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment Body lice mainly live in clothing. To get rid of lice, destroy infected clothing or carefully wash items in hot water (at least 130 degrees F), then machine dry using a hot cycle.  Your doctor may also prescribe a cream that you put on your skin or a wash that contains permethrin, malathione, or benzyl alcohol.  Bathing and washing clothes, bedding, and towels are most important steps in treating lice. Doing these things usually gets rid of the problem.","SUBJECT":"Body Lice","MESSAGE":"How do I get rid of these little devils? Me and My mom have tried so many things to get rid of these bugs and they just don't go away were the family that takes 2 showers and now about 3 showers a day we never understood how they could have infected us but I was just wondering is washing our clothes the best bet to get rid of these things, because apparently it hasn't worked for us. So is there any suggestions?","QUESTION_ID":158}
-{"ANNOTATIONS.FOCUS":"perirenal abscess","ANNOTATIONS.TYPE":"Organization","ANSWER":"The American Society of Colon and Rectal Surgeons is dedicated to ensuring high-quality patient care by advancing the science, prevention, and management of disorders and diseases of the colon, rectum, and anus.","SUBJECT":"Demand","MESSAGE":"I have read on your website about the perirenal abscess. My mother is in the situation stipulated here http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/001274.htm I would really appreciate a recommendation as to where she could treat (a doctor, a clinic, a hospital, etc.). The Dr\/Drs who wrote the article is\/are professional and i think they could give me a hand.","QUESTION_ID":160}
-{"ANNOTATIONS.FOCUS":"unusal appetite","ANNOTATIONS.TYPE":"Cause","ANSWER":"Considerations An increased appetite can be a symptom of different diseases. For example, it may be due to a mental condition or a problem with the endocrine gland.  An increased appetite can come and go (intermittent), or it can last for long periods of time (persistent). This will depend on the cause. It does not always result in weight gain.  The terms \"hyperphagia\" and \"polyphagia\" refer to someone who is focused only on eating, or who eats a large amount before feeling full.  Causes Causes may include:  Anxiety Certain drugs (such as corticosteroids, cyproheptadine, and tricyclic antidepressants) Bulimia (most common in women 18 to 30 years old) Diabetes mellitus (including gestational diabetes) Graves disease Hyperthyroidism Hypoglycemia Premenstrual syndrome","SUBJECT":"unusal appetite after a stroke","MESSAGE":"My sister has been in a care center setting for a year and a half. Her caretakers have commented that she is always hungry. She asks for food when I go see her. What could cause this??","QUESTION_ID":162}
-{"ANNOTATIONS.FOCUS":"male Reproductive","ANNOTATIONS.TYPE":"Information","ANSWER":"Reproductive health is an important component of men's overall health and well-being. Too often, males have been overlooked in discussions of reproductive health, especially when reproductive issues such as contraception and infertility have been perceived as female-related. Every day, men, their partners, and health care providers can protect their reproductive health by ensuring effective contraception, avoiding sexually transmitted diseases (STDs), and preserving fertility.  Common issues in male reproductive health include:  Contraception Avoiding sexually transmitted diseases Infertility\/fertility","SUBJECT":"","MESSAGE":"There is a lot of collection. Its good. But I dont find my problem and suggestion. I want to know about male Reproductive","QUESTION_ID":163}
-{"ANNOTATIONS.FOCUS":"weight","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Summary Keeping a healthy weight is crucial. If you are underweight, overweight, or obese, you may have a higher risk of certain health problems.  About two thirds of adults in the U.S. are overweight or obese. Achieving a healthy weight can help you control your cholesterol, blood pressure and blood sugar. It might also help you prevent weight-related diseases, such as heart disease, diabetes, arthritis and some cancers.  Eating too much or not being physically active enough will make you overweight. To maintain your weight, the calories you eat must equal the energy you burn. To lose weight, you must use more calories than you eat. A weight-control strategy might include  Choosing low-fat, low-calorie foods Eating smaller portions Drinking water instead of sugary drinks Being physically active Eating extra calories within a well-balanced diet can help to add weight.","SUBJECT":"","MESSAGE":"I will love to try diet I need. To lose weight","QUESTION_ID":164}
-{"ANNOTATIONS.FOCUS":"get pregnant","ANNOTATIONS.TYPE":"susceptibility","ANSWER":"Sometimes ovulation can happen before the bleeding from a girl's period has stopped or within a few days after her period is over. All girls can ovulate at different points from cycle to cycle, making it impossible for a girl to know exactly when she is most fertile. Because sperm can fertilize an egg for 72 hours (3 days) after ejaculation, having sex during a girl's period is risky.","SUBJECT":"","MESSAGE":"I wonder if a girl can get pregnant if she had sex three days after menstrual period","QUESTION_ID":165}
-{"ANNOTATIONS.FOCUS":"Bleach on bed sores","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Now scientists at Stanford University School of Medicine, California, think it could also have other medical uses, including healing skin damaged by cancer treatment, bed sores and diabetic ulcers.","SUBJECT":"","MESSAGE":"Bleach on bed sores? Yes or no? Hear to add water and rag?","QUESTION_ID":166}
-{"ANNOTATIONS.FOCUS":"parasites","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment Options  Drug Therapies    Your doctor will choose the drug that is most effective against your intestinal parasite. You may need one dose, or you may have to take the medication for several weeks. Be careful to take the medicine exactly as it is prescribed, or it may not work.  Complementary and Alternative Therapies    Conventional medical treatments can get rid parasites more quickly and with fewer side effects than most alternative treatments. Alternative treatments may be helpful along with conventional medications. However, your doctor must find out what kind of organism is causing your problems before you start treatment. The following nutritional guidelines may help keep parasites from growing.  Nutrition and Supplements        Avoid simple carbohydrates, such as those found in refined foods, fruits, juices, dairy products, and all sugars, except honey.      Eat more raw garlic, pumpkin seeds, pomegranates, beets, and carrots, all of which have been used traditionally to kill parasites. In one study, researchers found that a mixture of honey and papaya seeds cleared stools of parasites in 23 out of 30 subjects. Drink a lot of water to help flush out your system.      Eat more fiber, which may help get rid of worms.      Probiotics (Lactobacillus acidophilus, Lactobacilus plantarum, Saccharomyces boulardii, and bifidobacteria). Help keep your digestive tract healthy. Probiotics may not be appropriate in some severely immune compromised patients. Talk to your doctor.      Digestive enzymes will help restore your intestinal tract to its normal state, which makes it inhospitable to parasites. Papain is an enzyme from the papaya plant that may help kill worms when taken 30 minutes before or after meals. Papain may increase bleeding in people with clotting disorders, or in those taking blood-thinning medications, such as warfarin (Coumadin) among others.      Vitamin C. Supports the immune system. Lower the dose if diarrhea develops.      Zinc. Supports the immune system. Zinc may interact with certain medications, particularly some antibiotics, and it may not be appropriate for people with HIV\/AIDS. Talk to your doctor.","SUBJECT":"","MESSAGE":"I have parasites need help.","QUESTION_ID":167}
-{"ANNOTATIONS.FOCUS":"sepsis","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Preventing Sepsis There's no way to prevent all types of sepsis. But some cases can be avoided by preventing the transmission of GBS bacteria from mother to child during childbirth. Pregnant women can have a simple swab test between the 35th and 37th weeks of pregnancy to determine if they carry the GBS bacteria.","SUBJECT":"sepsis","MESSAGE":"Can sepsis be prevented. Can someone get this from a hospital?","QUESTION_ID":168}
-{"ANNOTATIONS.FOCUS":"Cross Eye","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Eye muscle repair is surgery to correct eye muscle problems that cause strabismus (crossed eyes).  Description    The goal of this surgery is to restore the eye muscles to a proper position. This will help the eyes move correctly.    Eye muscle surgery is most often done on children. However, adults who have similar eye problems may also have it done. Children will most often have general anesthesia for the procedure. They will be asleep and will not feel pain.    Depending on the problem, one or both eyes may need surgery.    After the anesthesia has taken effect, the eye surgeon makes a small surgical cut in the clear tissue covering the white of the eye. This tissue is called the conjunctiva. Then the surgeon will locate one or more of the eye muscles that needs surgery. Sometimes the surgery strengthens the muscle, and sometimes it weakens it.        To strengthen a muscle, a section of the muscle or tendon may be removed to make it shorter. This step in the surgery is called a resection.      To weaken a muscle, it is reattached to a point farther toward the back of the eye. This step is called a recession.    The surgery for adults is similar. In most cases, adults are awake, but are given medicine to numb the area and help them relax.    When the procedure is done on adults, an adjustable stitch is used on the weakened muscle so that minor changes can be made later that day or the next day. This technique often has a very good outcome.","SUBJECT":"Cross Eye","MESSAGE":"Need to fix my cross eyed","QUESTION_ID":171}
-{"ANNOTATIONS.FOCUS":"Vitelliform Macular Dystrophy","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Where can I find information about diagnosis or management of vitelliform macular dystrophy?  These resources address the diagnosis or management of vitelliform macular dystrophy and may include treatment providers.","SUBJECT":"Vitelliform Macular Dystrophy","MESSAGE":"Would like to obtain more info on possible treatments.","QUESTION_ID":172}
-{"ANNOTATIONS.FOCUS":"exercises that counter sarcopenia","ANNOTATIONS.TYPE":"Treatment","ANSWER":"What is the best kind of exercise?    Most people tend to focus on one activity or type of exercise.The goal, however, is to be creative and do all four types of exercise\u2014endurance, strength, balance, and flexibility. (See \"Healthy Aging with Go4Life\")    Endurance, or aerobic, activities increase your breathing and heart rate. They help keep you healthy, improve fitness, and carry out everyday tasks.    To strengthen your muscles, you need to lift or push weight. Even very small changes can make a real difference. Stronger muscles can make it easier to get up from a chair, carry groceries, open jars, work in the garden, and even play with your grandchildren.    Each year, more than 2 million older Americans go to the emergency room because of fall-related injuries. Balance exercises are one way to help prevent falling.    Flexibility, or stretching, exercises give you more freedom of movement for everyday activities.  How can I find time to exercise?    There are a number of ways to fit exercise and physical activity into your schedule. For example, exercise first thing in the morning, or combine physical activity with a task that's already part of your day, such as walking the dog.  Do I need any equipment?    For many activities, you don't need any equipment or special clothing. All you need for brisk walking, for example, is a pair of comfortable, non-skid shoes. For strength training, you can make your own weights from unbreakable household items.  For more health and wellness information, sign up for free Healthy Aging Tips at NIH Senior Health.  Is it better to exercise in a group or alone?    The key is to do what you truly enjoy, which could be with others or on your own. A team activity like basketball or a group exercise class might be appealing. Or, on their own, some people find going to a gym regularly or working with a trainer helps them stay motivated.  What should people who are overweight or obese do?    Try walking, water exercises, dancing, or weight lifting, varying your activities to include endurance, strength, balance, and flexibility. Anything that gets you moving\u2014even for only a few minutes a day in the beginning\u2014is a healthy start. Feel good about what you can do, and pat yourself on the back for trying. It should get easier.","SUBJECT":"effective exercise to counter sarcopenia","MESSAGE":"I would like information on timing and exercises that counter sarcopenia. Should exercise take place at a particular time of the day? several times in the day? what types of exercise are most effective to maintain strength as I get older (I am now 82) and even thought I swim daily and do a variety of resistance exercises I still find that I am losing strength and tiring easily.","QUESTION_ID":173}
-{"ANNOTATIONS.FOCUS":"Multiple brain infarcts","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Is there any treatment?  There is no treatment available to reverse brain damage that has been caused by a stroke.  Treatment focuses on preventing future strokes by controlling or avoiding the diseases and medical conditions that put people at high risk for stroke:  high blood pressure, diabetes, high cholesterol, and cardiovascular disease.  The best treatment for MID is prevention early in life \u2013 eating a healthy diet, exercising, not smoking, moderately using alcohol, and maintaining a healthy weight.","SUBJECT":"Treatment of Multiple brain infarcts disease","MESSAGE":"hello sir\/ madam My mother suffering from Multiple brain infarcts disease, i want to know whether your esteem organization having any treatment on the same.Regards","QUESTION_ID":174}
-{"ANNOTATIONS.FOCUS":"difficult to go back to sleep","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Chronic, long-term sleep disorders affect millions of Americans each year. These disorders and the sleep deprivation they cause can interfere with work, driving, social activities, and overall quality of life, and can have serious health implications. Sleep disorders account for an estimated $16 billion in medical costs each year, plus indirect costs due to missed days of work, decreased productivity, and other factors.    People who have trouble sleeping often try various dietary supplements, relaxation therapies, or other complementary health approaches in an effort to fall asleep faster, stay asleep longer, and improve the overall quality of their sleep. Here are 5 things to know about what the science says about sleep disorders and complementary health approaches.        Relaxation techniques may be helpful for insomnia. Evidence indicates that using relaxation techniques before bedtime can be helpful components of a successful strategy to improve sleep habits. Other components include maintaining a consistent sleep schedule; avoiding caffeine, alcohol, heavy meals, and strenuous exercise too close to bedtime; and sleeping in a quiet, cool, dark room.              Melatonin supplements may be helpful for some people with insomnia or sleep problems caused by shift work or jet lag. Research on the use of melatonin for children is more limited; available research suggests some benefit in children, but those studies were small and only addressed short-term use of melatonin. The long-term safety of melatonin has not been investigated.              Current evidence regarding other mind and body approaches such as mindfulness-based stress reduction (a type of meditation), yoga, massage therapy, and acupuncture is either too preliminary or inconsistent to draw conclusions about whether they are helpful for sleep disorders. These mind and body practices are generally considered safe for healthy people and when performed by an experienced practitioner.              Various herbs and dietary supplements sometimes used as sleep aids, including valerian, kava, chamomile, and L-tryptophan and 5-hydroxytryptophan (5-HTP) have not been shown to be effective for insomnia, and important safety concerns have been raised about a few. For example, the use of L-tryptophan supplements has been linked to eosinophilia-myalgia syndrome (EMS), a complex, potentially fatal disorder with multiple symptoms including severe muscle pain. Kava supplements have been linked to a risk of severe liver damage.              If you are considering a complementary health approach for sleep problems, talk to your health care providers. Trouble sleeping can be an indication of a more serious condition, and some prescription and over-the-counter drugs can contribute to sleep problems. So, it\u2019s important to discuss your sleep-related symptoms with your health care providers before trying any complementary health product or practice.","SUBJECT":"Does my circadian rhythm need adjusting? If so, how?","MESSAGE":"I had a saliva test last July, which showed my cortisol level at 9 @ 6:30am, 5.1 @ 11:30am, 4.2 @ 4:30pm, 3.3@ 9:30pm. I wake frequently during the night and my brain seems to engage in much thought, making it difficult to go back to sleep. I wake well before the 5:45 alarm and drag myself out of bed. I am exhausted all day and can fall asleep at day or evening events I have seen endocrinologists, in addition to my GYN and primary care dr., all of whom tell me all my blood tests are normal. I take 2 sport yoga classes and a Qi Gong class weekly. I was a young 65, but at 66, the lack of sleep has finally caught up with me and I feel much older than my 66 years. I feel lethargic and heavy-chested. I want my life back. I have never seen or read anything about how or where help can be found. Can you help?","QUESTION_ID":175}
-{"ANNOTATIONS.FOCUS":"SEVERE leg cramps","ANNOTATIONS.TYPE":"Treatment","ANSWER":"The muscles can also get inflamed in lupus, and many patients suffer from myositis (inflammation in the muscle). This usually presents with weakness rather than pain. There are a number of causes of muscle cramps, some of which are biochemical and your physician might check your electrolytes and calcium to make sure that this is not the cause. Occasional medications can do that such as cholesterol lowering agents.","SUBJECT":"SEVERE leg cramps with Lupus","MESSAGE":"My wife has Systemic Lupus and is already taking Potassium Chloride 20meg er 1QD and about 24-48 ounces of Gatoraid every day but still gets SEVERE leg cramps. What can she do to stop or help stop the cramps?","QUESTION_ID":177}
-{"ANNOTATIONS.FOCUS":"problem talking to people\/behind in school","ANNOTATIONS.TYPE":"Treatment","ANSWER":"How Does Your Child Hear and Talk?  [en Espa\u00f1ol]   The development of communication skills begins in infancy, before the emergence of the first word. Any speech or language problem is likely to have a significant effect on the child's social and academic skills and behavior. The earlier a child's speech and language problems are identified and treated, the less likely it is that problems will persist or get worse. Early speech and language intervention can help children be more successful with reading, writing, schoolwork, and interpersonal relationships.      Birth to One Year     One to Two Years     Two to Three Years     Three to Four Years     Four to Five Years  This information represents, on average, the age by which most monolingual speaking children will accomplish the listed milestones. Children typically do not master all items in a category until they reach the upper age in each age range. Just because your child has not accomplished one skill within an age range does not mean the child has a disorder. However, if you have answered no to the majority of items in an age range, seek the advice of an ASHA-certified speech-language pathologist or audiologist .  What should I do if I think that my child may have a speech, language, or hearing problem?","SUBJECT":"speech problem with my 5 years old son","MESSAGE":"i have a 5 yrs old son, hes having a problem talking to people or ask question,am kind of worried,i need help for my child to be able to talk very well.also hes behind in school.","QUESTION_ID":179}
-{"ANNOTATIONS.FOCUS":"nutcracker","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment and prognosis  Treatment should be started strictly when it is causing symptoms (haematuria and left flank pain). Surgical treatment modalities have their own inherent complications, and should be contemplated only when strongly indicated. A few of the reported surgical choices are:      left renal vein transposition 5     superior mesenteric artery transposition     nephrectomy     endovascular stent-graft placement 6","SUBJECT":"nutcracker patient","MESSAGE":"I was diagnosed with ncs about 10 yrs ago but little was known about it at the time. They said I needed surgery but refused due to the fact I didn't have any money. It has been left untreated all this time and is feeling worse. What can I do to get help with this? I am pleading for help, thank you.","QUESTION_ID":180}
-{"ANNOTATIONS.FOCUS":"stage 4 Pressure sore","ANNOTATIONS.TYPE":"Treatment","ANSWER":"DETERMINING THE NEED FOR SURGICAL INTERVENTION  A patient with a stage III or IV ulcer that has not responded to conservative medical treatment may be evaluated for operative repair. Prior to surgery the patient should be in an optimal state both mentally and physically, and factors that impair healing should be minimized. The patient\u2019s ability to tolerate the surgery and participate in the postoperative rehabilitation must be assessed prior to any surgery. Some patients may not be surgical candidates due to malnutrition, immobility, poor compliance with treatment, or chronic diseases.  Operative procedures may include skin grafts or flaps (surgical reconstruction). Which option is available may be limited due to previous surgeries, a shortage of available tissue to use, and impaired blood supply. Immediately after surgery, the operated region must be totally offloaded. Once the surgical incision has healed, the patient will be allowed to gradually apply pressure to the area.  Rates of surgical complications and recurrence rates are high. Complication rates have been reported as high as 49%. Osteomyelitis is the major cause of breakdown after surgery (WOCN, 2010).","SUBJECT":"Stage 4 Pressure sore","MESSAGE":"Could I skin graph help with a stage 4 Pressure sore,and would it be less invasive on a elderly person.","QUESTION_ID":181}
-{"ANNOTATIONS.FOCUS":"testis pain","ANNOTATIONS.TYPE":"Treatment","ANSWER":"1. When to Seek Immediate Medical Help  See a health care provider or go to a hospital emergency room if:      Pain is severe or sudden or radiates into the abdomen.      Pain is accompanied by nausea and vomiting, urinary frequency or urgency, or painful urination.      There is swelling or bruising of the scrotum, or the scrotum or testicle is punctured.  2. Treat Symptoms      For pain, take over-the-counter medication such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin).      For swelling, apply an ice pack to the scrotum.  3. Provide Rest and Support      The person should wear supportive underwear.      The person should avoid strenuous activity.  4. Follow Up      See a health care provider as soon as possible for mild pain.      The health care provider will examine the scrotum and testicles and may order blood and urine tests to check for infection.      Treatment will depend on what's causing the problem.","SUBJECT":"testis pain","MESSAGE":"Dear sir,       sir i feel pain in my right said pain every time i feel hard pain, please do something there both doctor say use this medicine you feel bather but this medicine work temporary","QUESTION_ID":182}
-{"ANNOTATIONS.FOCUS":"Adrenoleukodystrophy","ANNOTATIONS.TYPE":"Information","ANSWER":"Adrenoleukodystrophy   Adrenoleukodystrophy describes several closely related inherited disorders that disrupt the breakdown (metabolism) of certain fats (very long chain fatty acids).","SUBJECT":"adrenoleukodystrophy","MESSAGE":"A child I have been asked to work with has been diagnosed with this condition.I am so far unable to find info pertaining to this illness. Can you help??","QUESTION_ID":183}
-{"ANNOTATIONS.FOCUS":"losing  my  hearing","ANNOTATIONS.TYPE":"Treatment","ANSWER":"It's frustrating to be unable to hear well enough to enjoy talking with friends or family. Hearing disorders make it hard, but not impossible, to hear. They can often be helped. Deafness can keep you from hearing sound at all.  What causes hearing loss? Some possibilities are      Heredity     Diseases such as ear infections and meningitis     Trauma     Certain medicines     Long-term exposure to loud noise     Aging  There are two main types of hearing loss. One happens when your inner ear or auditory nerve is damaged. This type is usually permanent. The other kind happens when sound waves cannot reach your inner ear. Earwax build-up, fluid, or a punctured eardrum can cause it. Treatment or surgery can often reverse this kind of hearing loss.  Untreated, hearing problems can get worse. If you have trouble hearing, you can get help. Possible treatments include hearing aids, cochlear implants, special training, certain medicines, and surgery.","SUBJECT":"i  need help","MESSAGE":"im losing   my  hearing   in   my  left   ear   can  you   help   me","QUESTION_ID":184}
-{"ANNOTATIONS.FOCUS":"fibromyalgia","ANNOTATIONS.TYPE":"Treatment","ANSWER":"There is no cure for fibromyalgia, but medicine can help you manage your symptoms. Getting enough sleep, exercising, and eating well may also help.","SUBJECT":"is there any help available,for fibromalgia","MESSAGE":"is there any treatment s available.?","QUESTION_ID":185}
-{"ANNOTATIONS.FOCUS":"EDS","ANNOTATIONS.TYPE":"Organization","ANSWER":"Summary  Connective tissue is the material inside your body that supports many of its parts. It is the \"cellular glue\" that gives your tissues their shape and helps keep them strong. It also helps some of your tissues do their work. Cartilage and fat are examples of connective tissue.  There are over 200 disorders that impact connective tissue. Some, like cellulitis, are the result of an infection. Injuries can cause connective tissue disorders, such as scars. Others, such as Ehlers-Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta, are genetic. Still others, like scleroderma, have no known cause. Each disorder has its own symptoms and needs different treatment.","SUBJECT":"Testing for EDS","MESSAGE":"I would like to know if you can point me in the direction of a laboratory in Southern California, Specifically San Bernardino County or LA County or even Riverside County that does genetic testing for EDS or Osteogenesis Imperfecta and do you know if the two diseases are similiar in symptoms? Thank you for you help and time.","QUESTION_ID":186}
-{"ANNOTATIONS.FOCUS":"worms coming out my nose and out of my eyes","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment includes medicines that paralyze or kill intestinal parasitic worms. If there is a blockage of the intestine caused by a large number of worms, endoscopy may be used to remove the worms. In rare cases, surgery is needed. People who are treated for roundworms should be checked again in 3 months. This involves examining the stools to check for eggs of the worm. If eggs are present, treatment should be given again.","SUBJECT":"I need help I do have ADHD and can't read that good","MESSAGE":"I have worms coming out my nose I took to my Dr he would not send to lab so and out of my eyes my eye is so red and in pain I have the worms coming out and the emergency room doctor set with conjunctivitis and would not send my worms to the lab either they are eating me alive I am so fatigued so tired I can't get out of bed I'm swollen I need help it's been years I've been trying to get them to see my samples no one will help","QUESTION_ID":189}
-{"ANNOTATIONS.FOCUS":"surgery for strabismus","ANNOTATIONS.TYPE":"Organization","ANSWER":"Find an Eye M.D.(American Academy of Ophthalmology)","SUBJECT":"Find a Doctor, a specialist on this problem","MESSAGE":"who is a certified Opt. in or near the Nashville, TN area who does surgery for strabismus. please help me find a trusted doctor who performs this kind of surgery","QUESTION_ID":190}
-{"ANNOTATIONS.FOCUS":"abscess teeth\/heart attack","ANNOTATIONS.TYPE":"Cause","ANSWER":"Possible Complications of Tooth Abscesses   When left untreated, an advanced tooth abscess infection can eat away the jaw, leading to tooth loss and possible facial disfigurement as a result of compromised, soft facial bones. It can put you at greater risk of systemic (whole body) problems such as diabetic flare-ups, blood infection (septicaemia), breathing problems, heart disease and vascular infection.","SUBJECT":"abscess teeth","MESSAGE":"Can an abscess teeth cause a heart attack","QUESTION_ID":192}
-{"ANNOTATIONS.FOCUS":"over weight\/diabetes","ANNOTATIONS.TYPE":"Association","ANSWER":"Signs and Symptoms  The symptoms of type 2 diabetes aren't always obvious and they can take a long time to develop. Sometimes, there are no symptoms. It's important to remember that not everyone with insulin resistance or type 2 diabetes develops these warning signs, and not everyone who has these symptoms necessarily has type 2 diabetes.  But kids or teens who develop type 2 diabetes may:","SUBJECT":"my children","MESSAGE":"good day a just want to know if a must be worried as by son is 5 year and picking up a lot of weight as he is always hungry drinks a lot he very active hes grandfather has Diabetes then my other son is 7 he does no eat alot and is very skinny not picking up weight so is it possible that if one is over weight that you can have diabetes there must be a reason you picking weight and he is playing rugby running a lot riding bike please help","QUESTION_ID":193}
-{"ANNOTATIONS.FOCUS":"white blood cell count","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Diet and medications can help increase white blood cells in some people.","SUBJECT":"","MESSAGE":"How can I get my white blood cell count higher?","QUESTION_ID":194}
-{"ANNOTATIONS.FOCUS":"hair loss lower extremities","ANNOTATIONS.TYPE":"Information","ANSWER":"Symptoms  Hair loss is usually the only symptom. A few people may also feel a burning sensation or itching.  Alopecia areata usually begins as 1 to 2 patches of hair loss. Hair loss is most often seen on the scalp. It may also occur in the beard, eyebrows, and arms or legs in some people.","SUBJECT":"Hair loss (men) on legs\/feet as one ages","MESSAGE":"I have observed hair loss on lower extremities on males. Is this poor blood circulation? Any advice?","QUESTION_ID":195}
-{"ANNOTATIONS.FOCUS":"ear lobe creases\/heart disease","ANNOTATIONS.TYPE":"Association","ANSWER":"Diagonal creases were present in 123 (72%) of 171 men and 88 (67%) of 132 women. A previous history of cardiovascular disease was present in 90 (30%) of the total of 303 and 74 (35%) of the 211 with diagonal creases. A cardiovascular cause of death was present in 154 (73%) of 211 with and 41 (45%) of 92 without diagonal creases and was associated with an increased risk of a cardiovascular cause of death of 1.55 in men and 1.74 in non-diabetic women.","SUBJECT":"EAR LOBE CREASES","MESSAGE":"Are ear lobe creases always heart disease and 100% heart attack pending? What are other causes? I'm 56 have pierced ears but haven't wore earrings in years. In the last 7 years I rarely eat meat and when I do it's chicken or fish maybe beef every 5 years or so and its maybe a hamburger lean. If you do have arteriosclerosis is there anyway to reverse it?","QUESTION_ID":197}
-{"ANNOTATIONS.FOCUS":"ACOUSTIC NEUROMA","ANNOTATIONS.TYPE":"Information","ANSWER":"How is a vestibular schwannoma treated?","SUBJECT":"ACOUSTIC NEUROMA","MESSAGE":"Do you have any further information on said tumor? How involved is the removal of said tumor, small?","QUESTION_ID":200}
-{"ANNOTATIONS.FOCUS":"asthma","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Asthma is a long-term disease that has no cure. The goal of asthma treatment is to control the disease.","SUBJECT":"asthma","MESSAGE":"Question. What is the consensus of medical doctors as to whether asthma can be cured? And do you have an article discussing whether asthma can be cured?","QUESTION_ID":202}
-{"ANNOTATIONS.FOCUS":"pimples","ANNOTATIONS.TYPE":"Treatment","ANSWER":"SELF-CARE    Steps you can take to help your acne:        Clean your skin gently with a mild, nondrying soap (such as Dove, Neutrogena, Cetaphil, CeraVe, or Basics).      Look for water-based or \"noncomedogenic\" formulas for cosmetics and skin creams. (Noncomedogenic products have been tested and proven not to clog pores and cause acne.)      Remove all dirt or make-up. Wash once or twice a day, including after exercising.      Avoid scrubbing or repeated skin washing.      Shampoo your hair daily, especially if it is oily.      Comb or pull your hair back to keep the hair out of your face.     What NOT to do:        Try not to squeeze, scratch, pick, or rub the pimples. This can lead to skin infections and scarring.      Avoid wearing tight headbands, baseball caps, and other hats.      Avoid touching your face with your hands or fingers.      Avoid greasy cosmetics or creams.      DO NOT leave make-up on overnight.     If these steps do not clear up the blemishes, try over-the-counter acne medicines that you apply to your skin.        These products may contain benzoyl peroxide, sulfur, resorcinol, or salicylic acid.      They work by killing bacteria, drying up skin oils, or causing the top layer of your skin to peel.      They may cause redness, drying, or peeling of the skin.     A small amount of sun exposure may improve acne slightly, but tanning mostly hides the acne. Too much exposure to sunlight or ultraviolet rays is not recommended because it increases the risk for skin cancer.    MEDICINES FROM YOUR HEALTH CARE PROVIDER    If pimples are still a problem, a provider can prescribe stronger medicines and discuss other options with you.    Antibiotics may help some people with acne:        Oral antibiotics (taken by mouth) such as tetracycline, doxycycline, minocycline, erythromycin, trimethoprim, and amoxicillin      Topical antibiotics (applied to the skin) such as clindamycin, erythromycin, or dapsone     Creams or gels applied to the skin may be prescribed:        Retinoic acid cream or gel (tretinoin, Retin-A)      Prescription formulas of benzoyl peroxide, sulfur, resorcinol, or salicylic acid      Topical azelaic acid     For women whose acne is caused or made worse by hormones:        A pill called spironolactone may help.      Birth control pills may help in some cases, though they may make acne worse in some women.     Minor procedures or treatments may also be helpful:        A laser procedure called photodynamic therapy may be used.      Your provider may also suggest chemical skin peeling; removal of scars by dermabrasion; or removal, drainage, or injection of cysts with cortisone.     People who have cystic acne and scarring may try a medicine called isotretinoin (Accutane). You will be watched closely when taking this medicine because of its side effects.    Pregnant women should NOT take Accutane, because it causes severe birth defects.        Women taking Accutane must use 2 forms of birth control before starting the drug and enroll in the iPledge program.      Men also need to be enrolled in the iPledge program.      Your provider will follow you on this drug and you will have regular blood tests.","SUBJECT":"I need help ?","MESSAGE":"I have few questions and needed some help from you guys, I have a really serious problem about me and the stress I have been through for a long time, and I couldn't do anything to get rid off what I'm really in a bad feelings. And I'm really having and hard time searching and try to get rid off my pimples , I've been have these probably every since when I was 15 years old . I do not know what kind or where I can find , something that could help me, something that could work , because there's alot of products . And I'm not sure which kind could fit my skins to remove my pimples. . Please help, I'm having a serious hard time having these. Its really embarrassing, that's why I always wear long sleeve to cover it every single day, 24\/7. I'm really appreciate if you guys have tine to contact me and talk about. Another thing, my question is , how can I get rid of my pimples on my upper arms and my back. Also I really don't know what kind pimples do I have on my skin. Please help me , so I wouldn't be having so many stress about my skins.","QUESTION_ID":203}
-{"ANNOTATIONS.FOCUS":"damage to the common peroneal nerve","ANNOTATIONS.TYPE":"Organization","ANSWER":"Foot Drop | Florida Hospital  Florida Hospital Learn about foot drop, and what the experts at Florida Hospital can do to help individuals with this condition.","SUBJECT":"prestigious place in USA for treatment to Common peroneal nerve dysfunction","MESSAGE":"Hello, I have foot drop for damage to the common peroneal nerve, caused by surgery on knee in November 2012.Please which is the most prestigious institution or place in USA for treatment or surgery of this type of injury. thanks a lot","QUESTION_ID":205}
-{"ANNOTATIONS.FOCUS":"shingles","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"You can't catch shingles from someone who has it. However, if you have a shingles rash, you can pass the virus to someone who has never had chickenpox. This would usually be a child, who could get chickenpox instead of shingles. The virus spreads through direct contact with the rash, and cannot spread through the air.","SUBJECT":"shingles","MESSAGE":"need to know about the work place and someone having shingles, especially while handling food.","QUESTION_ID":206}
-{"ANNOTATIONS.FOCUS":"Hiatal Herna \/Acid reflux","ANNOTATIONS.TYPE":"Treatment","ANSWER":"REFLUX TREATMENT  Gastroesophageal reflux disease is treated according to its severity.","SUBJECT":"Hiatal Herna \/Acid reflux","MESSAGE":"would like to get some info on the procedures for hiatal hernia\/acid reflux I am tired of nexium","QUESTION_ID":207}
-{"ANNOTATIONS.FOCUS":"Whipple's Disease","ANNOTATIONS.TYPE":"Prognosis","ANSWER":"\"A person with Whipple disease may experience a relapse\u2014a return of symptoms. Relapse can happen years after treatment and requires repeat treatments.\"","SUBJECT":"Whipple's Disease","MESSAGE":"Your information about Whipple's Disease says that it is fatal if left untreated, but there is no information about HOW LONG a person can have it. I have been sick for 6 years and am having no luck getting a diagnosis, and it would be most helpful in ruling things out if I knew whether or not a particular illness would kill a person within a shorter time period than 6 years. Thank you.","QUESTION_ID":208}
-{"ANNOTATIONS.FOCUS":"INCESSANT FLATULENCE","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Gas in the digestive tract comes from two sources: air that you swallow and the breakdown of undigested food by bacteria in the large intestine. Certain foods may cause gas. Foods that produce gas in one person may not cause gas in another.  You can reduce the amount of gas you have by  \u2022Drinking lots of water and non-fizzy drinks  \u2022Eating more slowly so you swallow less air when you eat  \u2022Avoiding milk products if you have lactose intolerance   Medicines can help reduce gas or the pain and bloating caused by gas. If your symptoms still bother you, see your health care provider.","SUBJECT":"DailyMed Feedback","MESSAGE":"sir, HELP ME OVERCOME INCESSANT FLATULENCE I am suffering from the above for a year now. Please help me have medical solutions. Thank you","QUESTION_ID":209}
-{"ANNOTATIONS.FOCUS":"hair loss\/new acne\/coarse hair on face","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Effective treatments for some types of hair loss are available. But some hair loss is permanent. With some conditions, such as patchy alopecia, hair may regrow without treatment within a year.    Treatments for hair loss include medications, surgery, laser therapy, and wigs or hairpieces. Your doctor may suggest a combination of these approaches in order to get the best results.    The goals of treatment are to promote hair growth, slow hair loss or hide hair loss.  Medication    If your hair loss is caused by an underlying disease, treatment for that disease will be necessary. This may include drugs to reduce inflammation and suppress your immune system, such as prednisone. If a certain medication is causing the hair loss, your doctor may advise you to stop using it for at least three months.    Medications are available to treat pattern baldness. Two medications approved by the Food and Drug Administration (FDA) to treat hair loss are:        Minoxidil (Rogaine). Minoxidil is an over-the-counter liquid or foam that you rub into your scalp twice a day to grow hair and to prevent further hair loss. It may be used by men and women. With this treatment, some people experience hair regrowth, a slower rate of hair loss or both. The effect peaks at 16 weeks and you need to keep applying the medication to retain benefits.        Possible side effects include scalp irritation, unwanted hair growth on the adjacent skin of the face and hands, and rapid heart rate (tachycardia).        Finasteride (Propecia). This prescription drug is available only to men. It's taken daily in pill form. Many men taking finasteride experience a slowing of hair loss, and some may show some new hair growth. You need to keep taking it to retain benefits.        Rare side effects of finasteride include diminished sex drive and sexual function and an increased risk of prostate cancer. Women who are or may be pregnant need to avoid touching crushed or broken tablets.    Surgery    In the most common type of permanent hair loss, only the top of the head is affected. Hair transplant or restoration surgery can make the most of the hair you have left.    During this procedure, your surgeon removes tiny plugs of skin, each containing a few hairs, from the back or sides of your scalp. He or she then implants the plugs into the bald sections of your scalp. You may be asked to take a hair loss medication before and after surgery to improve results.    Surgical procedures to treat baldness are expensive and can be painful. Possible risks include infection and scarring.  Wigs and hairpieces    You may want to try a wig or a hairpiece as an alternative to medical treatment or if you don't respond to treatment. It can be used to cover either permanent or temporary hair loss. Quality, natural-looking wigs and hairpieces are available.    If your hair loss is due to a medical condition, the cost of a wig may be covered by insurance. You'll need a prescription for the wig from your doctor.","SUBJECT":"hair loss new acne and coarse hair on face","MESSAGE":"hi there i am losing my hair i,m a women by the way and i am getting spots every day big lump spots and now the hairs on my face are now showing they have become coarse please could you help me i dont go out anymore im so ashamed of myself.","QUESTION_ID":210}
-{"ANNOTATIONS.FOCUS":"GERD","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Studies have shown proton pump inhibitor therapy can provide complete endoscopic mucosal healing of esophagitis at 6 to 8 weeks in 75% to 100% of cases. Although healing of the esophagus may occur in 6 to 8 weeks, it should not be misunderstood that gastroesophageal reflux can be cured in that amount of time. The goal of therapy for GERD is to keep symptoms comfortably under control and prevent complications.","SUBJECT":"Gastroesophageal Reflux Disease","MESSAGE":"Can GERD BE CURED? I AM SUFFERING FROM THIS DISEASE FOR ALMOST THREE YEARS NOW.I HAVE GONE TO MANY HOSPITALS  BUT STILL CAN'T BE CURED.I HAVE BEEN GIVEN OMEPRAZOLE CAPSULES MANY TIMES.PLEASE HELP ME.","QUESTION_ID":211}
-{"ANNOTATIONS.FOCUS":"adult ADHD","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"Adult ADHD symptoms may include:  Trouble focusing or concentrating Restlessness Impulsivity Difficulty completing tasks Disorganization Low frustration tolerance Frequent mood swings Hot temper Trouble coping with stress Unstable relationships","SUBJECT":"ADHD","MESSAGE":"I am looking for some information about symptoms of adult ADHD, and what other conditions have symptoms that can be confused for adult ADHD.","QUESTION_ID":212}
-{"ANNOTATIONS.FOCUS":"preeclampsia","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Some pregnant women with high blood pressure develop preeclampsia. It's a sudden increase in blood pressure after the 20th week of pregnancy. It can be life-threatening for both you and the unborn baby. There is no proven way to prevent it. Most women who have signs of preeclampsia are closely monitored to lessen or avoid complications. The only way to \"cure\" preeclampsia is to deliver the baby.","SUBJECT":"prevention of preeclampsia","MESSAGE":"I know that the jury is out on the exact causes of preeclampsia, but I am looking for some of the ways that the chances of acquiring it can be minimized.","QUESTION_ID":214}
-{"ANNOTATIONS.FOCUS":"rheumatoid arthritis","ANNOTATIONS.TYPE":"Treatment","ANSWER":"How Is Rheumatoid Arthritis Treated?  Doctors use a variety of approaches to treat rheumatoid arthritis. These are used in different combinations and at different times during the course of the disease and are chosen according to the patient\u2019s individual situation. No matter what treatment the doctor and patient choose, however, the goals are the same: to relieve pain, reduce inflammation, slow down or stop joint damage, and improve the person\u2019s sense of well-being and ability to function.","SUBJECT":"rheumatoid arthritis","MESSAGE":"What is the latest information for the treatment of rheumatoid arthritis in middle aged males?","QUESTION_ID":215}
-{"ANNOTATIONS.FOCUS":"Pheochromocytoma Paraganglioma","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"More than half of the children and adolescents diagnosed with pheochromocytoma or paraganglioma have an inherited syndrome or gene change that increased the risk of cancer. Genetic counseling (a discussion with a trained professional about inherited diseases) and testing is an important part of the treatment plan.","SUBJECT":"","MESSAGE":"Can this help when I marry the Girl I'mWith ( In vitro) her family has something cAlled Pheochromocytoma Paraganglioma only her brother and father have it. She is just a carrier. Will you think In vitro might prevent it if we have kids?","QUESTION_ID":216}
-{"ANNOTATIONS.FOCUS":"Friedreich's ataxia","ANNOTATIONS.TYPE":"Treatment","ANSWER":"As with many degenerative diseases of the nervous system, there is currently no cure or effective treatment for Friedreich's ataxia. However, many of the symptoms and accompanying complications can be treated to help individuals maintain optimal functioning as long as possible. Doctors can prescribe treatments for diabetes, if present; some of the heart problems can be treated with medication as well. Orthopedic problems such as foot deformities and scoliosis can be corrected with braces or surgery. Physical therapy may prolong use of the arms and legs. Advances in understanding the genetics of Friedreich's ataxia are leading to breakthroughs in treatment. Research has moved forward to the point where clinical trials of proposed treatments are presently occurring for Friedreich\u2019s ataxia.","SUBJECT":"Friedreich's ataxia","MESSAGE":"Dear sir\/ madam Iam a patient suffering from Friedreich's ataxia and i heard there was a medicine for it In 2009 and since we are looking for the medicine kindly help on this and I have DNA report could You please help us on this as there are two people respective age 22 years and 24 years suffering from it Looking for your help on this ASAP and please let us know when the medicine will be there in market","QUESTION_ID":218}
-{"ANNOTATIONS.FOCUS":"vaginal   prolapse","ANNOTATIONS.TYPE":"Treatment","ANSWER":"SURGERY Surgery should not be done until the prolapse symptoms are worse than the risks of having surgery. The type of surgery will depend on:  The severity of the prolapse The woman\u2019s plans for future pregnancies The woman\u2019s age, health, and other medical problems The woman\u2019s desire to retain vaginal function There are some surgical procedures that can be done without removing the uterus, such as a sacrospinous fixation. This procedure involves using nearby ligaments to support the uterus. Other procedures are also available.","SUBJECT":"need advice on vaginal repair","MESSAGE":"i need vaginal repair but would like to know the truth and is it worth it and will it prolapse again,then what.","QUESTION_ID":219}
-{"ANNOTATIONS.FOCUS":"skin cancer","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Cancers generally are caused by a combination of environmental and genetic factors. With skin cancer, the environment plays a greater role, but individuals can be born with a genetic disposition toward or vulnerability to getting cancer. The risk is greatest for people who have light-colored skin that freckles easily - often those who also have red or blond hair and blue or light-colored eyes - although anyone can get skin cancer.  Skin cancer is related to lifetime exposure to UV radiation, therefore most skin cancers appear after age 50. However, the sun's damaging effects begin at an early age. People who live in areas that get high levels of UV radiation from the sun are more likely to get skin cancer. For example, the highest rates of skin cancer are found in South Africa and Australia, areas that receive high amounts of UV radiation.  About 10 percent of all patients with melanoma have family members who also have had the disease. Research suggests that a mutation in the CDKN2 gene on chromosome 9 plays a role in this form of melanoma. Studies have also implicated genes on chromosomes 1 and 12 in cases of familial melanoma.","SUBJECT":"skin cancer","MESSAGE":"I am interested in genetic factors that may affect the risk of developing skin cancer in Caucasian adults.","QUESTION_ID":220}
-{"ANNOTATIONS.FOCUS":"not falling pregnant","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Infertility means not being able to become pregnant after a year of trying. If a woman can get pregnant but keeps having miscarriages or stillbirths, that's also called infertility.  Infertility is fairly common. After one year of having unprotected sex, about 15 percent of couples are unable to get pregnant. About a third of the time, infertility can be traced to the woman. In another third of cases, it is because of the man. The rest of the time, it is because of both partners or no cause can be found.  There are treatments that are specifically for men or for women. Some involve both partners. Drugs or surgery are common treatments. Happily, many couples treated for infertility go on to have babies.","SUBJECT":"","MESSAGE":"Im not show that i cant make babies,my worries is that is about 2year dating this guy without using protection,is that normal 4 not falling pregnant?","QUESTION_ID":221}
-{"ANNOTATIONS.FOCUS":"fever","ANNOTATIONS.TYPE":"Treatment","ANSWER":"6-24 months  Above 102 F (38.9 C) taken rectally  Give your child acetaminophen (Tylenol, others). If your child is age 6 months or older, ibuprofen (Advil, Motrin, others) is OK, too. Read the label carefully for proper dosage. Don't give aspirin to an infant or toddler. Call the doctor if the fever doesn't respond to the medication or lasts longer than one day.","SUBJECT":"fever in babies","MESSAGE":"My 9 month old has a fever of 103.5. What can I do to bring down her fever, and should I take her to the ER if her fever is this high?","QUESTION_ID":222}
-{"ANNOTATIONS.FOCUS":"insulin-dependent diabetes","ANNOTATIONS.TYPE":"Cause","ANSWER":"Diabetes means your blood glucose, or blood sugar, levels are too high. With type 1 diabetes, your pancreas does not make insulin. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth.","SUBJECT":"insulin-dependent diabetes in children","MESSAGE":"Hi, What are the causes of insulin-dependent diabetes in children? I am searching for information on the causes of insulin-dependent diabetes in children. Please help.","QUESTION_ID":223}
-{"ANNOTATIONS.FOCUS":"smoking","ANNOTATIONS.TYPE":"Complication","ANSWER":"There's no way around it. Smoking is bad for your health. Smoking harms nearly every organ of the body. Cigarette smoking causes 87 percent of lung cancer deaths. It is also responsible for many other cancers and health problems. These include lung disease, heart and blood vessel disease, stroke and cataracts. Women who smoke have a greater chance of certain pregnancy problems or having a baby die from sudden infant death syndrome (SIDS). Your smoke is also bad for other people - they breathe in your smoke secondhand and can get many of the same problems as smokers do.","SUBJECT":"The results of smoking","MESSAGE":"What are some illnesses caused by smoking? Also, what are their effect on the human body?","QUESTION_ID":224}
-{"ANNOTATIONS.FOCUS":"tension headaches","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Physical therapy \u2014 Some people with frequent headaches benefit from working with a physical therapist who has a special interest in headaches. This treatment may be used if you do not respond or only partially or temporarily respond to medicines, or if you cannot use medicines (eg, women who are pregnant or breastfeeding).","SUBJECT":"help","MESSAGE":"What are the benefits of physical therapy on tension headaches?","QUESTION_ID":225}
-{"ANNOTATIONS.FOCUS":"inguinal hernia","ANNOTATIONS.TYPE":"Information","ANSWER":"Summary A hernia happens when part of an internal organ or tissue bulges through a weak area of muscle. Most hernias are in the abdomen.  There are several types of hernias, including  Inguinal, in the groin. This is the the most common type. Umbilical, around the belly button Incisional, through a scar Hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest. Congenital diaphragmatic, a birth defect that needs surgery Hernias are common. They can affect men, women, and children. A combination of muscle weakness and straining, such as with heavy lifting, might contribute. Some people are born with weak abdominal muscles and may be more likely to get a hernia.  Treatment is usually surgery to repair the opening in the muscle wall. Untreated hernias can cause pain and health problems.","SUBJECT":"inguinal hernia","MESSAGE":"I am a 75 year old man. I have 2 inguinal hernia. Do you offer any written pamplets on these.","QUESTION_ID":226}
-{"ANNOTATIONS.FOCUS":"hiatal hernia","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Hiatal hernias are common, especially in people over age 50. If you have symptoms, eating small meals, avoiding certain foods, not smoking or drinking alcohol, and losing weight may help. Your doctor may recommend antacids or other medicines. If these don't help, you may need surgery.","SUBJECT":"hiatal hernia\/exercise","MESSAGE":"i lost 24 lbs. do you have an exercise i can do to correct me hernia?","QUESTION_ID":228}
-{"ANNOTATIONS.FOCUS":"High Blood Pressure","ANNOTATIONS.TYPE":"Cause","ANSWER":"Blood pressure tends to rise with age, unless you take steps to prevent or control it.  Some medical problems\u2014such as chronic kidney disease, thyroid disease, and sleep apnea\u2014may cause blood pressure to rise. Some medicines also may raise your blood pressure. Examples include asthma medicines (for example, corticosteroids) and cold-relief products.  Other medicines also can cause high blood pressure (HBP). If you have HBP, let your doctor know about all of the medicines you take, including over-the-counter products.  In some women, birth control pills, pregnancy, or hormone therapy (HT) may cause blood pressure to rise.","SUBJECT":"High Blood Pressure","MESSAGE":"I know you may not answer this but my blood pressure comes up at night when I am asleep. I take four medicines. I have asked doctors why this happens and no one knows. This morning at four A.M. It was 164 and I took a clonidine to help get it done. It worries me so.","QUESTION_ID":229}
-{"ANNOTATIONS.FOCUS":"Muscle soreness","ANNOTATIONS.TYPE":"Information","ANSWER":"See \"How do I know when I am working out too hard?\"","SUBJECT":"Muscle soreness","MESSAGE":"Not sure if I need to see my doctor. Hope you can advise one way or the other?MaleAge 62Good health, eat well and exercise regularly.I have muscle soreness in my legs I would associate with overuse. However, the soreness started approximately 6 weeks ago after over using quads\/thighs while snow skiing and continues today. Takes a few minutes to get out of a chair or get out of bed but I continue to exercise as always; Pilaties, snow skiing, bike riding, long walks in hilly country, etc. Not debilitating but annoying. Stopped taking statins about a week ago but soreness continues. Unusual for me.Any thoughts?","QUESTION_ID":230}
-{"ANNOTATIONS.FOCUS":"Glaucoma","ANNOTATIONS.TYPE":"Information","ANSWER":"Summary Glaucoma is a group of diseases that can damage the eye's optic nerve. It is a leading cause of blindness in the United States. It usually happens when the fluid pressure inside the eyes slowly rises, damaging the optic nerve. Often there are no symptoms at first. Without treatment, people with glaucoma will slowly lose their peripheral, or side vision. They seem to be looking through a tunnel. Over time, straight-ahead vision may decrease until no vision remains.  A comprehensive eye exam can tell if you have glaucoma. People at risk should get eye exams at least every two years. They include  African Americans over age 40 People over age 60, especially Mexican Americans People with a family history of glaucoma There is no cure, but glaucoma can usually be controlled. Early treatment can help protect your eyes against vision loss. Treatments usually include prescription eyedrops and\/or surgery.","SUBJECT":"Glaucoma","MESSAGE":"Can you mail me patient information about Glaucoma, I was recently diagnosed and want to learn all I can about the disease.","QUESTION_ID":231}
-{"ANNOTATIONS.FOCUS":"Leber Congenital Amaurosis\/Autism","ANNOTATIONS.TYPE":"Association","ANSWER":"There is much evidence in the literature suggesting that children with congenital blindness can also present autistic like features. The aetiopathogenetic and clinical significance of this association is still unclear. Given the central role played by vision in development, we set out to establish the significance of autistic-like behaviours in children with early-onset severe visual impairment. Our sample comprised 24 children (13 males, 11 females; mean age 5y 2mo; range 2-11y) affected by Leber's congenital amaurosis (LCA). The results of our administration of a modified Childhood Autism Rating Scale--excluding item VII (Visual Responsiveness)--showed that only four of the children gave an overall score indicating the presence of autism (moreover, of mild\/moderate degree). Hardly any of the children in our LCA sample presented major dysfunctions in their relationships with other people or in their social and emotional responsiveness, thus allowing us to exclude a genuine comorbidity with a picture of autism. Indeed, the risk facing the visually impaired child seems to concern their early interactive experiences, which may be affected by their inability to connect with others, and may be prevented through the development of specific strategies of intervention.","SUBJECT":"Leber Congenital Amaurosis and Autism","MESSAGE":"Is there any relationship between Leber Congenital Amaurosis and Autism?","QUESTION_ID":232}
-{"ANNOTATIONS.FOCUS":"psoriasis","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Topical treatments, such as moisturizers, over-the-counter and prescriptions creams and shampoos, typically are used for mild psoriasis.  Treating moderate to severe psoriasis usually involves a combination of treatment strategies. Besides topical treatments, your doctor your doctor may prescribe phototherapy (also known as light therapy). Your doctor may also prescribe systemic medications, including biologic drugs, especially if your psoriasis is significantly impacting your quality of life.","SUBJECT":"Psoriasis for past 7-8 years","MESSAGE":"I had psoriasis on my scalp for nearly 10 years. Please give suggestions and medications.","QUESTION_ID":233}
-{"ANNOTATIONS.FOCUS":"leg swelling","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Home Care Some tips that may help:  Raise your legs above your heart while lying down. Exercise your legs. This helps pump fluid from your legs back to your heart. Follow a low-salt diet, which may reduce fluid buildup and swelling. Wear support stockings (sold at most drug and medical supply stores). When traveling, take breaks often to stand up and move around. Avoid wearing tight clothing or garters around your thighs. Lose weight if you need to. Never stop taking any medicines you think may be causing swelling without first talking to your doctor.","SUBJECT":"","MESSAGE":"Is what can i do for my legs to unswell.","QUESTION_ID":234}
-{"ANNOTATIONS.FOCUS":"chronic cervicitis\/infertility","ANNOTATIONS.TYPE":"Association","ANSWER":"Outlook (Prognosis) Most of the time, simple cervicitis usually heals with treatment if the cause is found and there is a treatment for that cause.  Possible Complications Cervicitis may last for months to years. Cervicitis may lead to pain with intercourse (dyspareunia).","SUBJECT":"Consultation","MESSAGE":"Hello! I have acute chronic cervicitis caused by tampon use. It took a year and a half of treatment (medicines, cauterization), but the symptoms do not stop inflammation and analyzes not determined that bacteria produce inflammation me. I wonder if, despite not being a sexual cervicitis infection, it can cause infertility. And that's what makes a tampon that causes inflammation. Thank you very much!","QUESTION_ID":235}
-{"ANNOTATIONS.FOCUS":"Pain in Hip","ANNOTATIONS.TYPE":"Information","ANSWER":"Home Care General tips:  Try to avoid activities that make pain worse. Take over-the-counter pain medication, such as ibuprofen or acetaminophen. Sleep on the side of your body that does not have pain. Put a pillow between your legs. Lose weight if you are overweight. Ask your health care provider for help. Try not to stand for long periods of time. If you must stand, do so on a soft, cushioned surface. Stand with an equal amount of weight on each leg. Wear flat shoes that are cushioned and comfortable.","SUBJECT":"Growing Pain in Hip for over 15yrs","MESSAGE":"For as long as I can remember, I would get pain in my one hip, and surrounding area (at times) feels like it is a sleep...Though I Always would make sure it is not my underwear or pants pinching a nerve. My Doctor told me to just stretch my leg, as it is nothing more than growing pains, and will pass with time....But 15yrs+ I still have this strange feeling!! Is this something I should look into more?? And there are times, where the pain is just incredible!! Though I never take anything for it...I just drink a glass of milk thinking the Calcium can help my bones.Are there any suggestions?? I have no idea what to do, and do not want to look into this more if not needed, as I do not want to waste the Doctor's time & then think I am a wing nut!!","QUESTION_ID":236}
-{"ANNOTATIONS.FOCUS":"diverticulitis","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"Exams and Tests Your health care provider will examine you. You may need blood tests to see if you have an infection.  Other tests that help diagnose diverticulitis may include:  CT scan Ultrasound of the abdomen X-rays of the abdomen","SUBJECT":"diverticulitis","MESSAGE":"can diverticulosis or diverticulitis be detected by a cat scan if there is no infection at that time?","QUESTION_ID":237}
-{"ANNOTATIONS.FOCUS":"lymphedema","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment can help control symptoms. It includes exercise, compression devices, skin care, and massage.","SUBJECT":"lymphedema","MESSAGE":"HelloI was suffering from filariasis before 6 month, then i observed that I started having leg swelling about 6 months ago.It's lymphedema of my left leg. I has seen many doctors for this problem. but nobody help me to cure this.Finally they answer me there is no treatment for this. i have to live with this disease. but i can't spend whole life with this disease. Better then i will comit or prefer sucide and say goodbye to life.So please suggest me treatment if any treatment available.please reply atleast if no solution.","QUESTION_ID":239}
-{"ANNOTATIONS.FOCUS":"dry mouth","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Your doctor or dentist may recommend oral rinses and moisturizers, or prescribe an artificial saliva. Also called saliva substitutes, artificial salivas are regulated by FDA as medical devices. \u201cUnlike drugs, artificial salivas have no chemical action,\u201d says Susan Runner, D.D.S., chief of FDA\u2019s dental devices branch. \u201cTheir action is mechanical. They moisten and lubricate the mouth but do not stimulate the salivary glands to make saliva.\u201d  While not a cure, artificial salivas can provide short-term relief of the symptoms of dry mouth. \u201cThey can also help minimize discomfort after an oral procedure,\u201d says Runner.  Artificial salivas come in a variety of forms, including rinses, sprays, swabs, gels, and tablets that dissolve in the mouth. Some are available by prescription only; others can be bought over-the-counter.  FDA has also approved several prescription drugs to relieve dry mouth caused by certain medical treatments or conditions, such as Sj\u00f6gren's syndrome and radiation for head or neck cancer.","SUBJECT":"dry mouth","MESSAGE":"My doctor does not know of a medication that can be used in the mouth for dry mouth. Through research, I think the medication is there, I just can't find the name of it for him to prescribe forme. Can you help me. I'm using the across the counter Biotene but would like something that works a little better.","QUESTION_ID":240}
-{"ANNOTATIONS.FOCUS":"loss of appetite","ANNOTATIONS.TYPE":"Treatment","ANSWER":"When to Contact a Medical Professional Call your health care provider if you are losing a lot of weight without trying.  Seek medical help if decreased appetite occurs along with other signs of depression, drug or alcohol abuse, or an eating disorder.  For loss of appetite caused by taking medications, ask your health care provider about changing the dosage or drug. Do not stop taking medications without first talking to your health care provider.","SUBJECT":"Treatment required","MESSAGE":"I m 37 years old and i m suffer from poor hunger,loss of appetite and and no desire to eat. I have only some anxietic condition and some heart burn problem. Kindly suggest something for me to solve my problem.","QUESTION_ID":242}
-{"ANNOTATIONS.FOCUS":"joint pain","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Home Care Follow your doctor's recommendation for treating the cause of the pain.  For nonarthritis joint pain, both rest and exercise are important. Warm baths, massage, and stretching exercises should be used as often as possible.  Aceteminophen (Tylenol) may help the soreness feel better. Nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen or naproxen may help relieve pain and swelling. Talk to your health care provider before giving aspirin or NSAIDs such as ibuprofen to children.","SUBJECT":"ball and socket joint","MESSAGE":"sir, with due respect I would like to state that there is a pain in my ball and socket joint . I didn't feel and pain in normal or lower position as I up my hard there is a huge site of pain in my ball and socket joint. please prescribe a medicine for the cure .","QUESTION_ID":243}
-{"ANNOTATIONS.FOCUS":"HELLP","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Who gets HELLP syndrome? Doctors don\u2019t know exactly what causes HELLP syndrome. They also can\u2019t predict who will get it. Any pregnant woman may get this illness.  Most women who will get HELLP have blood pressure problems before they get HELLP syndrome. (But you can get HELLP syndrome even if your blood pressure is normal.)  You're more likely to get HELLP syndrome if you're white and older than 25 years of age. You are also more likely to get it if you have had children before or if you had a problem with a pregnancy in the past.","SUBJECT":"HELLP risk","MESSAGE":"My sister had HELLP during her first pregancey and is viewed to to at high risk for it again. I was wondering what the risk of me having HELLP during my pregancey was","QUESTION_ID":244}
-{"ANNOTATIONS.FOCUS":"Oppositional Defiant Disorder\/autism","ANNOTATIONS.TYPE":"Organization","ANSWER":"The Importance of Support Families often need help in understanding their child\u2019s disability and how to address the needs that arise from the disability. Help is available from psychiatrists, psychologists, and other mental health professionals that work in the public or private sector. There is also a network of mental health support operating in every state as well as locally.  To locate systems of support in your community or state, visit the organizations we\u2019ve listed below. They can connect you with local resources, including support groups that provide connection and understanding, information, referral, and advocacy for those living with emotional disturbance.","SUBJECT":"ODD facilities","MESSAGE":"Two friends of ours have an 8-year-old child with Oppositional Defiant Disorder and autism, and they are being told by a facility that they need to institutionalize him there. Our friends are heartbroken. Are there any excellent places in the country that specialize in ODD in combination with autism that might offer other options for them? Thanks for any counsel you might have.","QUESTION_ID":245}
-{"ANNOTATIONS.FOCUS":"intestine dead","ANNOTATIONS.TYPE":"Information","ANSWER":"Small intestinal ischemia and infarction Intestinal ischemia and infarction is damage to (ischemia) or death of (infarction) part of the intestine. It is due to a decrease in the blood supply to the area.","SUBJECT":"Small Intestine Died","MESSAGE":"My Father-in-law died recently after his Small intestine died. He was apparently in good health and ate dinner on Saturday and had to be rushed to the hospital on Sunday. Early on Tuesday they operated on him after his blood pressure dropped. They removed 70-80% of his small intestine and part of his large intestine (dead). Is this reasonable that they would find this % of his intestine dead -- again he appeared to be OK the day before.","QUESTION_ID":246}
-{"ANNOTATIONS.FOCUS":"ears itch burn and have soreness\/ringing","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"Allergies can cause a variety of symptoms such as a runny nose, sneezing, itching, rashes, swelling, or asthma. Allergies can range from minor to severe. Anaphylaxis is a severe reaction that can be life-threatening. Doctors use skin and blood tests to diagnose allergies. Treatments include medicines, allergy shots, and avoiding the substances that cause the reactions.","SUBJECT":"ears itch burn and have soreness at times","MESSAGE":"I was wondering I get my ears cleaned out because of allot of wax build up but I constantly have this itch in both of them and sometimes they burn little and they pain a touch, in the day I don't notice it as much as in the evening and at night sometimes I think I even feel draining in them but nothing drains out- If I take some clartin it does help but I hate doing clartin everyday what do you think I need to do ENT's don't do much for it or seem to think its a problem - I also get a little rining in the ears at night some high pitch sound not to bothersome but there and they did check my hearing and said it was fine, so I wonder what it could be something I am taking supplement wise or allergies or what? is there some kind of test that would tell what this is and how to overcome this nuisance thanks so much for any help","QUESTION_ID":247}
-{"ANNOTATIONS.FOCUS":"shingles","ANNOTATIONS.TYPE":"Treatment","ANSWER":"The shingles vaccine (Zostavax) is recommended for adults age 60 and older, whether they've already had shingles or not. Although the vaccine is approved for people age 50 and older, the Centers for Disease Control and Prevention isn't recommending it until you reach age 60.","SUBJECT":"shingles","MESSAGE":"I am having symptoms of shingles, no rash or blisters, is it too late to get the vaccine? I have had the chicken pox and take acylovir on a as needed basis for blisters I get on my buttocks","QUESTION_ID":248}
-{"ANNOTATIONS.FOCUS":"huge breast","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Why the Procedure is Performed Breast reduction may be recommended if you have very large breasts (macromastia) and:  Chronic pain that affects your quality of life. You may be having headaches, neck pain, and shoulder pain. Chronic nerve problems caused by poor posture, which result in numbness or tingling in your arms or hands. Cosmetic problems, such as persistent bra-strap groove, scar-like lines in the skin (striae), difficulty finding clothes that fit, and low self-confidence. Chronic rashes under your breasts Unwelcome attention that is making you feel awkward Inability to participate in sports Some women may benefit from non-surgical treatments, such as:  Exercising to strengthen their back and shoulder muscles Losing excess weight Wearing supportive bras","SUBJECT":"saggy large breast","MESSAGE":"i have very huge breast i am only 25 and they cause me alot of pain on the neck chest and back. what can i do","QUESTION_ID":250}
-{"ANNOTATIONS.FOCUS":"esophageal candida","ANNOTATIONS.TYPE":"Information","ANSWER":"Candidiasis that develops in the mouth or throat is called \"thrush\" or oropharyngeal candidiasis. The most common symptom of oral thrush is white patches or plaques on the tongue and other oral mucous membranes. This infection is uncommon among healthy adults.","SUBJECT":"canadida of the esophagus","MESSAGE":"I cannot locate any information on this condition: causes, symptoms, treatment, etc. I have had it in the past and suspect that I have it again. I would like to research this condition, but internet search only comes up with cancer. I realize that my case is not addressed in your reply. I am simply seeking general information.","QUESTION_ID":251}
-{"ANNOTATIONS.FOCUS":"leg pain","ANNOTATIONS.TYPE":"Cause","ANSWER":"Causes  Leg pain can be due to a muscle cramp (also called a charley horse). Common causes of cramps include:      Dehydration or low amounts of potassium, sodium, calcium, or magnesium in the blood     Medicines (such as diuretics and statins)     Muscle fatigue or strain from overuse, too much exercise, or holding a muscle in the same position for a long time  An injury can also cause leg pain from:      A torn or overstretched muscle (strain)     Hairline crack in the bone (stress fracture)     Inflamed tendon (tendinitis)     Shin splints (pain in the front of the leg from overuse)   Other common causes of leg pain include:      Atherosclerosis that blocks blood flow in the arteries (this type of pain, called claudication, is generally felt when exercising or walking and is relieved by rest)     Blood clot (deep vein thrombosis) from long-term bed rest     Infection of the bone (osteomyelitis) or skin and soft tissue (cellulitis)     Inflammation of the leg joints caused by arthritis or gout     Nerve damage common in people with diabetes, smokers, and alcoholics     Varicose veins  Less common causes include:      Cancerous bone tumors (osteosarcoma, Ewing sarcoma)     Legg-Calve-Perthes disease -- poor blood flow to the hip that may stop or slow the normal growth of the leg     Noncancerous (benign) tumors or cysts of the femur or tibia (osteoid osteoma)     Sciatic nerve pain (radiating pain down the leg) caused by a slipped disk in the back     Slipped capital femoral epiphysis -- usually seen in boys and overweight children between ages 11 and 15   Home Care","SUBJECT":"upper thigh","MESSAGE":"my mother is 55 years old she feels pains on one side of her leg she cant sit or work we went to doctors gave us medicine but its all the same what could this be","QUESTION_ID":252}
-{"ANNOTATIONS.FOCUS":"excess mucus\/copd","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Techniques to Help Clear Mucus From Your Lungs Ask your health-care provider about different methods to help you cough up mucus. The Acapella\u2122 and the Flutter\u00ae devices are two handheld devices that assist in clearing mucus from the lungs. Learning how to use these devices will make it easier to get rid of mucus in the lungs. HUFF Cough: Forced Expiratory Technique \u2022 Repeat this cycle two to four times. \u2022 Spit out the mucus as it comes up.","SUBJECT":"copd","MESSAGE":"any way to relieve excess mucus?","QUESTION_ID":254}
-{"ANNOTATIONS.FOCUS":"undiagnosed condition","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"Would a genetics service or genetic counselors be helpful?  A consultation at a genetics service with a genetics professional can sometimes provide clues about a difficult to diagnose condition. This type of professional often has experience with rare conditions, and is trained to look for patterns in a family's medical history that offer clues for diagnosis. This type of professional can work as a part of your medical team to help determine a diagnosis and management strategy. If you think that it would be helpful to find a genetics clinic near you, we recommend contacting your primary doctor for a referral.","SUBJECT":"Undiagnosed Illness","MESSAGE":"Hello I've been struggling with an undiagnosed condition for some years I'm trying to find answers Is there a test that can show gene mutation? Or do you have to know the illness your testing for?","QUESTION_ID":255}
-{"ANNOTATIONS.FOCUS":"SSPE","ANNOTATIONS.TYPE":"Susceptibility","ANSWER":"Subacute sclerosing panencephalitis is a prototype neurodegenerative disease of childhood characterised by onset of neurological symptoms between 5 and 15\u2005years of age with a progressive downhill course leading to death within 2\u20134\u2005years.1 The incidence of adult onset SSPE has been reported to vary between 1\u20131.75% and 2.6%.11,12 To date less than 100 cases of adult onset SSPE have been published in the literature, the majority being case reports2,3,6,7,8,13,14 baring one exception.4 The present series of 39 patients constituted 12.7% of the cohort evaluated over a decade at our centre. To the best of our knowledge this is the largest series of adult onset SSPE patients. Most of our patients were from South India; whether a similar incidence of adult onset cases of SSPE is observed elsewhere in India is not known.  Tan et al4 reported eight cases of adult onset SSPE (\u2a7e18\u2005years) seen between 1980 and 1987 at a university hospital in Turkey. Age at onset was between 18 and 24\u2005years, with a 1\u20139\u2005month interval between first symptoms and diagnosis. In the published literature on adult onset SSPE, the age at onset was 20\u201335\u2005years with a mean delay in diagnosis of 10.6\u2005months.5 A similar time lag of 6.3\u00b19.6\u2005months in diagnosis was observed in the present study. In childhood onset SSPE, boys are more frequently affected,1 while in adults the gender distribution is reported to be equal.4,5 However, in our series there was a preponderance of males (25 males, 14 females) (table 2\u200b2).","SUBJECT":"SSPE","MESSAGE":"My son is 33years of age and did not have the measles vaccination.Could SSPE occur at this age or in the future?","QUESTION_ID":256}
-{"ANNOTATIONS.FOCUS":"lesions of the brain","ANNOTATIONS.TYPE":"Treatment","ANSWER":"The case against Bendectin is unclear. The Food and Drug Administration admitted as much in 1980, after an intensive two-day review of available data. The review panel said no association between Bendectin and birth defects had been demonstrated. It added, however, that because there was no way to prove the absolute safety of any drug in all women under every circumstance, there must remain a ''residual uncertainty'' about how this drug affects an unborn child.","SUBJECT":"Bendectin","MESSAGE":"In 1964, I began taking Bendectin for morning sickness and with each subsequent pregnancy I continued to do so. My third child developed a meningioma of the brain at 11 years old and currently, my daughter, 47 years old, has been diagnosed with a lesion(?) of the brain. I am justifiably concerned about my daughter's condition and wonder if I contributed to her status. I am only interested in helping her and not for any litigious reason. If someone also had a similar situation and was treated positively, I would so appreciate knowing about it. Thank you and God bless.","QUESTION_ID":257}
-{"ANNOTATIONS.FOCUS":"arachnoiditis","ANNOTATIONS.TYPE":"Organization","ANSWER":"Arachnoiditis A-Z List of Top 1000 Cities","SUBJECT":"","MESSAGE":"I need a specialist for arachnoiditis in southern california","QUESTION_ID":258}
-{"ANNOTATIONS.FOCUS":"spondyloepiphyseal dysplasia\/metatropic dysplasia","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"There has been significant progress in the identification of the molecular defects in these disorders. Molecular diagnosis can be used to confirm a clinical and radiographic diagnosis, predict carrier status in those families at risk for a recessive disorder, and allow for prenatal diagnosis of at-risk fetuses. Because these are rare disorders, commercial testing is not always readily available; however, GeneTests (www.genetests.org), a publically funded website, provides current information on these diseases and those laboratories providing clinical genetic testing and those who are interested in material for ongoing research.","SUBJECT":"fetal anomaly","MESSAGE":"sir, what is the difference between spondyloepiphyseal dysplasia and metatropic dysplasia and how can we differntiate prenatally ??","QUESTION_ID":260}
-{"ANNOTATIONS.FOCUS":"painful sores","ANNOTATIONS.TYPE":"Information","ANSWER":"Overview Hot tub rash (Pseudomonas folliculitis) is an infection of the hair follicle with Pseudomonas bacteria. It is most commonly seen in people who bathe in a contaminated spa, swimming pool, or hot tub.  Hot tub rash is usually resolved without treatment within 2 weeks. Who's At Risk Hot tub rash can occur in people of any age, of any race, and of either sex.  Individuals with hot tub rash usually have a history of one of the following:      Bathing in a contaminated spa, swimming pool, or hot tub     Using a contaminated loofah sponge     Wearing a contaminated diving suit","SUBJECT":"burning rash","MESSAGE":"my left buttocks has painful sores a nurse at my work said to put cortisol10 cream on it but its not helping she thinks i got this by being in a dirty hottub! i hope its not something bad. please help","QUESTION_ID":261}
-{"ANNOTATIONS.FOCUS":"varicose ulcer","ANNOTATIONS.TYPE":"Organization","ANSWER":"Find an ACFAS Physician","SUBJECT":"varicose ulcer","MESSAGE":"kindly suggest the specialised doctor for treatment","QUESTION_ID":262}
-{"ANNOTATIONS.FOCUS":"perforated ear drum\/drops","ANNOTATIONS.TYPE":"Complication","ANSWER":"Be very careful. Hydrogen peroxide can damage you","SUBJECT":"perforated ear drum","MESSAGE":"What damage would putting ear drops & peroxide in a broken ear drum ?","QUESTION_ID":263}
-{"ANNOTATIONS.FOCUS":"congestive heart failure","ANNOTATIONS.TYPE":"Prognosis","ANSWER":"ECENT FINDINGS:  Congestive heart failure is found in about one-quarter of cases of chronic kidney disease. The most common cause of congestive heart failure is ischemic heart disease. The prevalence of congestive heart failure increases greatly as the patient's renal function deteriorates, and, at end-stage renal disease, can reach 65-70%. There is mounting evidence that chronic kidney disease itself is a major contributor to severe cardiac damage and, conversely, that congestive heart failure is a major cause of progressive chronic kidney disease. Uncontrolled congestive heart failure is often associated with a rapid fall in renal function and adequate control of congestive heart failure can prevent this. The opposite is also true: treatment of chronic kidney disease can prevent congestive heart failure. There is new evidence showing the cardioprotective effect of carvedilol in patients on dialysis, and of simvastatin and eplerenone in patients with congestive heart failure. Use of non-steroidal anti-inflammatory drugs doubles the rate of hospitalization in patients with congestive heart failure. Anemia has been found in one-third to half the cases of congestive heart failure, and may be caused not only by chronic kidney disease but by the congestive heart failure itself. The anemia is associated with worsening cardiac and renal status and often with signs of malnutrition. Control of the anemia and aggressive use of the recommended medication for congestive heart failure may improve the cardiac function, patient function and exercise capacity, stabilize the renal function, reduce hospitalization and improve quality of life. Congestive heart failure, chronic kidney disease and anemia therefore appear to act together in a vicious circle in which each condition causes or exacerbates the other. Both congestive heart failure and anemia are often undertreated. Cooperation between nephrologists and other physicians in the treatment of patients with anemic congestive heart failure may improve the quality of care and the subsequent prognosis for both congestive heart failure and chronic kidney disease.","SUBJECT":"i have a question","MESSAGE":"What happens to someone who has congestive heart failure and their kidneys are in stage 4? Where can I find information on this?","QUESTION_ID":264}
-{"ANNOTATIONS.FOCUS":"arm is crippled","ANNOTATIONS.TYPE":"Treatment","ANSWER":"OnabotulinumtoxinA injection is also sometimes used to treat other conditions in which abnormal muscle tightening causes pain, abnormal movements, or other symptoms. OnabotulinumtoxinA injection is also sometimes used to treat excessive sweating of the hands, excessive sweating that occurs during or after eating, many types of wrinkles of the face, tremor (uncontrollable shaking of a part of the body), and anal fissures (a split or tear in the tissue near the rectal area). The medication is also sometimes used to improve the ability to move in children with cerebral palsy (condition that causes difficulty with movement and balance) or adults who have had a stroke. Talk to your doctor about the risks of using this medication for your condition.","SUBJECT":"I want to ask a question about botox","MESSAGE":"I want to know if botox is useful in treating someone who had a stroke and their left arm is crippled up? The man had a cerebral hemmorhage I want to know if this helps or not?","QUESTION_ID":265}
-{"ANNOTATIONS.FOCUS":"Gangliosidosis GM1","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Is there any treatment?  No specific treatment exists for the gangliosidoses. Anticonvulsants may initially control seizures. Other supportive treatment includes proper nutrition and hydration and keeping the airway open.","SUBJECT":"","MESSAGE":"My son  five years old has Ganglisidose GM 1, we are looking for a drug that could help him, or at least could prolong life. He gets Miglusitat for 1 week. Can you help us or just send some information. We would be very grateful.","QUESTION_ID":266}
-{"ANNOTATIONS.FOCUS":"Petechiae","ANNOTATIONS.TYPE":"Symptom","ANSWER":"Petechiae are common and may indicate a number of conditions, ranging from minor to very serious.  Tiny blood vessels (capillaries) link the smallest parts of your arteries to the smallest parts of your veins. Petechiae appear when capillaries bleed, leaking blood into the skin. A number of things can cause this bleeding, including:      Prolonged straining     Certain medical conditions     Specific types of injuries     Medications     Injuries and sunburn  See your doctor promptly if you or your child develops unexplained or widespread petechiae. It's important to determine the cause, since some underlying problems can be potentially serious.","SUBJECT":"Skin Rash (Petechiae?)","MESSAGE":"Yesterday I noticed a large cluster of pinprick red spots underneath my chin (not on my neck). Recently I have been self induced vomiting. I know that Petechiae can be caused by vomiting but would this cause it to be underneath the chin??","QUESTION_ID":268}
-{"ANNOTATIONS.FOCUS":"cataracts\/lasik","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Your general health should be good. LASIK may not be recommended for patients with diabetes, rheumatoid arthritis, lupus, glaucoma, herpes infections of the eye, cataracts, disorders of the cornea, and retinal disease. Discuss your general health status with your surgeon.","SUBJECT":"Lasik surgery","MESSAGE":"Can Lasik surgery remove\/repair cataracts?","QUESTION_ID":269}
-{"ANNOTATIONS.FOCUS":"cold","ANNOTATIONS.TYPE":"Treatment","ANSWER":"An acute symptom is one that comes on suddenly. Acute problems, such as a headache, postnasal drip, or muscular pain due to exercise, often are not serious conditions, and may be treated with a properly chosen over-the-counter medication. Remember, however, that selfmedication may be challenging if a patient is taking prescription or nonprescription medication. Drug-with-drug interactions are a major reason for complications. When taking thyroid supplements, high-blood-pressure medications, etc., it is always best to consult your doctor or pharmacist before using any other medication. What seems like a simple and safe product for a headache might cause a significant and dangerous combination with some prescription medications. If acute symptoms continue, despite supportive therapies like proper over-thecounter medication, rest (where necessary) and time, a symptom becomes chronic. Chronic problems usually indicate the need for skilled diagnosis that a physician provides. Simply put, if a problem persists, do not continue to self medicate, see your doctor.","SUBJECT":"safe cold medicine to take with Graves disease","MESSAGE":"I have a runny nose and headache and have Graves. What is a safe cold medicine to take over the counter?","QUESTION_ID":270}
-{"ANNOTATIONS.FOCUS":"Distal renal tubular acidosis","ANNOTATIONS.TYPE":"Information","ANSWER":"Distal renal tubular acidosis is a disease that occurs when the kidneys do not properly remove acids from the blood into the urine. As a result, too much acid remains in the blood (called acidosis).","SUBJECT":"know more about","MESSAGE":"My Daughter have Distal renal tubular acidosis. we are from M\u00e9xico, and we ae woundering if can send to us more infomation. maybe you can reccommend to us a association???? i don\u00b4t know","QUESTION_ID":272}
-{"ANNOTATIONS.FOCUS":"unable to urinate","ANNOTATIONS.TYPE":"Treatment","ANSWER":"After catheter removal  After your catheter is taken out:      You may have trouble urinating. If this happens, try sitting in a few inches of warm water (sitz bath). This may help you relax. If you feel the urge, it may be easier to urinate while you are still in the bath.     You may have some burning the first few times you urinate. If the burning lasts longer, it may be a sign of an infection.     Drink plenty of fluids, enough so that your urine is light yellow or clear like water. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.     Wear loose cotton underwear if you have irritation or a rash from your catheter.  Also, it is important to know when you are having a problem and when to call your doctor. After catheter removal, call your doctor if:      You do not urinate within 8 hours after the catheter is taken out.","SUBJECT":"man, 89, unable to urinate","MESSAGE":"My husband, 89, has been unable to urinate for 11 hours after his catheter was removed. Is it time to call the doctor?","QUESTION_ID":274}
-{"ANNOTATIONS.FOCUS":"Lichen Planus","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatments Your Physician May Prescribe If lichen planus is suspected, your doctor may want to perform a skin biopsy. The procedure involves:      Numbing the skin with an injectable anesthetic.     Sampling a small piece of skin by using a flexible razor blade, a scalpel, or a tiny cookie cutter (called a \"punch biopsy\"). If a punch biopsy is taken, a stitch (suture) or 2 may be placed and will need to be removed 6\u201314 days later.     Having the skin sample examined under the microscope by a specially trained physician (dermatopathologist).  In addition, your doctor may recommend one of the following treatments:      Topical corticosteroid (cortisone) cream, lotion, ointment, or gel     Topical tacrolimus or pimecrolimus     Anti-itch lotions containing menthol, pramoxine, or phenol     Corticosteroid (cortisone) injected directly into a thick lesion     Oral antihistamine pills such as diphenhydramine, loratadine, cetirizine, fexofenadine, desloratadine, or hydroxyzine for itching  In addition, your doctor may suggest one of the following treatments for oral lichen planus:      Topical corticosteroid (cortisone) ointment or gel     Topical cyclosporine solution used as a mouthwash  For very severe cases of lichen planus, one of the following therapies may be recommended:      Ultraviolet light treatment     Oral retinoid pills such as isotretinoin or acitretin     Oral cyclosporine pills     Oral hydroxychloroquine pills  Although there is no cure for lichen planus, treatment can usually minimize symptoms and improve the appearance of the rash until it heals.","SUBJECT":"Lichen Planus yrs","MESSAGE":"Help help help. I have Lichen Planus and I think at times I might go crazy from the itching. I had once before about 22 yrs ago and it went away after a cycle or two of Prednisone. This time it has been over 15yrs and keeps on. It will not go away. I can not take prednisone any more!!!! It makes me mean. I need some kind of help. I use steroid creams and shots and they ease the lesions and the itching, but after a while it gets really bad again. I a at my wits end. It is all over my feet ankles legs and wrists arms back and butt. help me please!!!!!!!!","QUESTION_ID":275}
-{"ANNOTATIONS.FOCUS":"Short Height","ANNOTATIONS.TYPE":"Information","ANSWER":"Is something wrong? Maybe, maybe not. Some kids just grow more slowly than others because their parents did, too. But others may have an actual growth disorder, which is any type of problem that prevents kids from meeting realistic expectations of growth, from failure to gain height and weight in young children to short stature or delayed sexual development in teens. Variations of Normal Growth Patterns  A couple of differences seen in the growth patterns of normal children include these common conditions, which are not growth disorders:","SUBJECT":"Short Height Of My Daughter","MESSAGE":"My Daughter is 12 years old and her height is 105 cm and weight is 15 kg. I want to consult about her growth overall . can you suggest some medicine or anything else.","QUESTION_ID":276}
-{"ANNOTATIONS.FOCUS":"thumb and forefinger hurt","ANNOTATIONS.TYPE":"Treatment","ANSWER":"No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.  Hand problems include      Carpal tunnel syndrome - compression of a nerve as it goes through the wrist, often making your fingers feel numb     Injuries that result in fractures, ruptured ligaments and dislocations     Osteoarthritis - wear-and-tear arthritis, which can also cause deformity     Tendinitis - irritation of the tendons     Disorders and injuries of your fingers and thumb","SUBJECT":"","MESSAGE":"my thumb and forefinger hurt all the time. nerves is there any medicine that will help .","QUESTION_ID":277}
-{"ANNOTATIONS.FOCUS":"Total Hip Replacement","ANNOTATIONS.TYPE":"Treatment","ANSWER":"When Is Revision Surgery Necessary?  Hip replacement is one of the most successful orthopaedic surgeries performed. However, because more people are having hip replacements at a younger age, and wearing away of the joint surface becomes a problem after 15 to 20 years, replacement of an artificial joint, which is also known as revision surgery, is becoming more common. It is more difficult than first-time hip replacement surgery, and the outcome is generally not as good, so it is important to explore all available options before having additional surgery.  Doctors consider revision surgery for two reasons: if medication and lifestyle changes do not relieve pain and disability, or if x rays of the hip show damage to the bone around the artificial hip that must be corrected before it is too late for a successful revision. This surgery is usually considered only when bone loss, wearing of the joint surfaces, or joint loosening shows up on an x ray. Other possible reasons for revision surgery include fracture, dislocation of the artificial parts, and infection.","SUBJECT":"","MESSAGE":"I have undergone Total Hip Replacement of both my hip jonts in 1977 (Charnley Process ) My left joint is completely worn out.How safe and effective is revision surgery..can I get a cementless joint..I am 66 years old..An early repy to my query will be very much appreciated.","QUESTION_ID":278}
-{"ANNOTATIONS.FOCUS":"urine tract infection","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Intraperitoneal Rupture: If the tear is on the top of the bladder, the hole will usually communicate with the abdominal cavity that holds all of the vital organs (liver, spleen and bowel). This injury should be surgically repaired. Urine that leaks into the abdomen is a serious problem. The repair is performed by making an abdominal incision and sewing the tear closed. A catheter is left in the bladder for up to 2 weeks to rest the bladder after the surgery, either through the urethra or coming directly out the abdominal wall, below the bellybutton.  Extraperitoneal Rupture: If the tear is at the bottom or sides of the bladder, the urine will not leak into the abdominal cavity but into the tissues around the bladder. Patients who have complex injuries of this type should have surgical repair of the injury but in some circumstances small injuries can be treated by simply placing a large diameter catheter into the bladder to keep it empty and allow the urine and blood to drain out into a collection bag. If the catheter does not drain properly, surgical repair is required. Allowing the bladder to repair itself in this fashion usually takes at least 10 days and the catheter is not removed until an X-ray is done as described above to prove the leak has sealed.  Penetrating Injuries: Patients who have injury to the bladder from a penetrating object are usually operated upon and the hole(s) is surgically repaired. Most of the time other organs in the area will be injured and need repair as well. A catheter is left in the bladder to drain the urine and blood as described above.","SUBJECT":"my dads condition","MESSAGE":"my dad is being treated at University of Washington School of Medicine for infection cause by hole in his urine tract and i am interested in any treats for his problem.","QUESTION_ID":279}
-{"ANNOTATIONS.FOCUS":"Jock Itch","ANNOTATIONS.TYPE":"Symptom","ANSWER":"Signs and Symptoms Large round, red patches with bumpy, scaling edges occur in the groin and may extend down the inner thigh or onto the belly or buttocks areas. Jock itch is usually not present on the genitals. It is usually very itchy.","SUBJECT":"Jock Itch","MESSAGE":"I have Jock itch, and I have read through your symptoms. I wanted know if small lumps under the skin around the scrotum area is a symptoms as well? Should I be concerned?","QUESTION_ID":280}
-{"ANNOTATIONS.FOCUS":"Tetanus vaccine","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Antibody levels do not rise until 4 days after vaccination (5), so vaccination at the time of injury is of no use. - See more at: http:\/\/www.vaccinationcouncil.org\/2010\/08\/19\/tetanus-toxoid-vaccination-an-overview\/#sthash.6RfMXh39.dpuf","SUBJECT":"Tetanus immunity","MESSAGE":"How long after Tetanus vaccine administration does a patient have immunity? I have not been able to find this information on CDC site.","QUESTION_ID":281}
-{"ANNOTATIONS.FOCUS":"kidney stone\/Serum Creatinine","ANNOTATIONS.TYPE":"Symptom","ANSWER":"What does the test result mean?  Creatinine Reference Range  Increased creatinine levels in the blood suggest diseases or conditions that affect kidney function. These can include:      Damage to or swelling of blood vessels in the kidneys (glomerulonephritis) caused by, for example, infection or autoimmune diseases     Bacterial infection of the kidneys (pyelonephritis)     Death of cells in the kidneys' small tubes (acute tubular necrosis) caused by, for example, drugs or toxins     Prostate disease, kidney stone, or other causes of urinary tract obstruction     Reduced blood flow to the kidney due to shock, dehydration, congestive heart failure, atherosclerosis, or complications of diabetes","SUBJECT":"Serum Creatinine","MESSAGE":"My serum creatinine level is 1.1. I am 36 years old and having kidney stone . My question is , will the kidney stone affect the serum creatinine result?","QUESTION_ID":282}
-{"ANNOTATIONS.FOCUS":"shortness of breath","ANNOTATIONS.TYPE":"Cause","ANSWER":"Many conditions can make you feel short of breath. Lung conditions such as asthma, emphysema or pneumonia cause breathing difficulties. So can problems with your trachea or bronchi, which are part of your airway system. Heart disease can make you feel breathless if your heart cannot pump enough blood to supply oxygen to your body. Stress caused by anxiety can also make it hard for you to breathe. If you often have trouble breathing, it is important to find out the cause.","SUBJECT":"Shortness of breath in the mornings","MESSAGE":"My wife has been having shortness of breath in the mornings (mornings only). She has, what I think, excessive heart rate as well. Again, mornings only. Could this be anxiety attacks? I don't think it would be a heart issue. She certainly isn't overweight. SHe is 5.2 \" and 100-105 pounds. if she is having anxiety attack... what is the best course of action? She seems to feel better when she lies down and rests.....while either watching TV...or sleeps. WHat is weird about it is ... it only happens in the mornings. SHe has no history in her family for heart disease either. WHat are your thoughts?","QUESTION_ID":283}
-{"ANNOTATIONS.FOCUS":"Grief counseling","ANNOTATIONS.TYPE":"Information","ANSWER":"Where can I find help?  The following list of organizations and Web sites  provides information and support for coping  with grief:","SUBJECT":"grievance counseling","MESSAGE":"My father passed away February 2012. Hospice helped our family with his passing and offered us counseling which at that time our family didn't use. My brother is now interested in counseling services and I'm wondering if I can get some information on this. Thank you.","QUESTION_ID":285}
-{"ANNOTATIONS.FOCUS":"can't get air out","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Many conditions can make you feel short of breath. Lung conditions such as asthma, emphysema or pneumonia cause breathing difficulties. So can problems with your trachea or bronchi, which are part of your airway system. Heart disease can make you feel breathless if your heart cannot pump enough blood to supply oxygen to your body. Stress caused by anxiety can also make it hard for you to breathe. If you often have trouble breathing, it is important to find out the cause.","SUBJECT":"","MESSAGE":"what is done for people who get air in but cant get it out","QUESTION_ID":286}
-{"ANNOTATIONS.FOCUS":"RUSSEL SILVER SYNDROME","ANNOTATIONS.TYPE":"Information","ANSWER":"What is Russell-Silver syndrome?  Russell-Silver syndrome is a growth disorder characterized by slow growth before and after birth. Babies with this condition have a low birth weight and often fail to grow and gain weight at the expected rate (failure to thrive). Head growth is normal, however, so the head may appear unusually large compared to the rest of the body. Affected children are thin and have poor appetites, and some develop low blood sugar (hypoglycemia) as a result of feeding difficulties. Adults with Russell-Silver syndrome are short; the average height for affected males is about 151 centimeters (4 feet, 11 inches) and the average height for affected females is about 140 centimeters (4 feet, 7 inches).  Many children with Russell-Silver syndrome have a small, triangular face with distinctive facial features including a prominent forehead, a narrow chin, a small jaw, and down-turned corners of the mouth. Other features of this disorder can include an unusual curving of the fifth finger (clinodactyly), asymmetric or uneven growth of some parts of the body, and digestive system abnormalities. Russell-Silver syndrome is also associated with an increased risk of delayed development and learning disabilities.","SUBJECT":"RUSSEL SILVER SYNDROME","MESSAGE":"I want to know about RUSSEL SILVER SYNDROME If I ask you my little son nine month old but he look like very little I don't know anything about this symptoms please send me all information.","QUESTION_ID":287}
-{"ANNOTATIONS.FOCUS":"forgetfulness","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Keeping Your Memory Sharp  People with some forgetfulness can use a variety of techniques that may help them stay healthy and maintain their memory and mental skills. Here are some tips that can help:      Plan tasks, make \"to do\" lists, and use memory aids like notes and calendars. Some people find they remember things better if they mentally connect them to other meaningful things, such as a familiar name, song, book, or TV show.     Develop interests or hobbies and stay involved in activities that can help both the mind and body.     Engage in physical activity and exercise. Several studies have associated exercise (such as walking) with better brain function, although more research is needed to say for sure whether exercise can help to maintain brain function or prevent or delay symptoms of Alzheimer's.     Limit alcohol use. Although some studies suggest that moderate alcohol use has health benefits, heavy or binge drinking over time can cause memory loss and permanent brain damage.     Find activities, such as exercise or a hobby, to relieve feelings of stress, anxiety, or depression. If these feelings last for a long time, talk with your doctor.","SUBJECT":"beginning forgetfulness","MESSAGE":"Are there any suggestions for help or coping with beginning forgetfulness... age 84, healthy female. Looking for something to read about this problem and how to cope. Have not been diagnosed with any disease of the body or brain.","QUESTION_ID":288}
-{"ANNOTATIONS.FOCUS":"hyperthyroidism","ANNOTATIONS.TYPE":"Treatment","ANSWER":"What is the treatment of hyperthyroidism?  The goal of treatment is to lower the amount of thyroid hormones. Treatment options include      Radioactive iodine (RAI). Also called radioiodine, RAI is a common and long-used treatment for hyperthyroidism.     Surgery. This removes the thyroid gland (called thyroidectomy).     Antithyroid drugs. These medicines are given for months or even years.  Sometimes people take them to prepare for RAI or surgery.","SUBJECT":"","MESSAGE":"hello, can i have surgery if i have hyperthyroidism","QUESTION_ID":289}
-{"ANNOTATIONS.FOCUS":"throw up blood","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Vomiting blood (hematemesis) refers to significant amounts of blood in your vomit. Small streaks or flecks of blood in material you spit up may come from the teeth, mouth or throat and isn't usually considered vomiting blood. Blood in vomit may be bright red, or it may appear black or dark brown like coffee grounds.  Swallowed blood, as from a nosebleed or forceful coughing, may cause bloody vomit, but truly vomiting blood usually represents something more serious and requires immediate medical attention. Bleeding in your upper gastrointestinal tract (mouth, esophagus, stomach and upper small intestine) from peptic ulcers or torn blood vessels is a common cause of vomiting blood.  Call 911 or your local emergency number if vomiting blood causes dizziness after standing, rapid, shallow breathing or other signs of shock. Call 911 or emergency medical assistance  Call 911 if vomiting blood causes signs and symptoms of shock, such as:      Rapid, shallow breathing     Dizziness or lightheadedness after standing up     Blurred vision     Fainting     Confusion     Nausea     Cold, clammy, pale skin     Low urine output  Seek immediate medical attention  Ask someone to drive you to urgent care or the emergency room if you notice blood in your vomit or begin vomiting blood. It's important to quickly identify the underlying cause of the bleeding and prevent more-severe blood loss and other complications, including death.","SUBJECT":"","MESSAGE":"What if someone throw up blood just a little got a little light headed and just laid down and went to sleep they said they will sleep it off but I want to take they said I'm fine. What should I do","QUESTION_ID":291}
-{"ANNOTATIONS.FOCUS":"Lupus","ANNOTATIONS.TYPE":"Symptom","ANSWER":"Lupus has many symptoms. Some common ones are      Joint pain or swelling     Muscle pain     Fever with no known cause     Fatigue     Red rashes, often on the face (also called the \"butterfly rash\")","SUBJECT":"","MESSAGE":"I have been dealing with an autoimmune disease for almost 4 years now, I've been tested for many things and the doctors can't seem to find what exactly is wrong. It began with pain, swelling and stiffness in my feet and toes.A lot of the pain is joint stiffness and my skin feels like its being burned. Over time it has moved into my knees also. I am always tired. Recently I've been getting pains in my stomache and feeling sick. Does any of this sound like Lupus?? I've tested negative for it before, but the more I read about it I feel that's what i could have. Any ideas would be greatly appreciated.","QUESTION_ID":292}
-{"ANNOTATIONS.FOCUS":"stroke","ANNOTATIONS.TYPE":"Prognosis","ANSWER":"Outlook (Prognosis)  How well a person does after a stroke depends on:      The type of stroke     How much brain tissue is damaged     What body functions have been affected     How quickly treatment is given  Problems moving, thinking, and talking often improve in the weeks to months after a stroke.  Many people who have had a stroke will keep improving in the months or years after their stroke.  Over half of people who have a stroke are able to function and live at home. Others are not able to care for themselves.  If treatment with clot-busting drugs is successful, the symptoms of a stroke may go away. However, patients often do not get to the hospital soon enough to receive these drugs, or they cannot take these drugs because of a health condition.  People who have a stroke due to a blood clot (ischemic stroke) have a better chance of surviving than those who have a stroke due to bleeding in the brain (hemorrhagic stroke).  The risk for a second stroke is highest during the weeks or months after the first stroke. The risk begins to decrease after this period.","SUBJECT":"recovery after stroke?","MESSAGE":"what is the pattern of recovery after stroke?","QUESTION_ID":293}
-{"ANNOTATIONS.FOCUS":"diarrhea","ANNOTATIONS.TYPE":"Treatment","ANSWER":"How is chronic diarrhea treated?  The treatment of chronic diarrhea is determined by its cause. Follow the advice of your health care provider.      Diarrhea caused by an infection sometimes can be treated with antibiotics or other drugs. However, the correct diagnosis must be made so that the proper medication can be prescribed.     Diarrhea not caused by an infection can be more difficult to diagnose and therefore treat. Long term medical treatment and nutritional support may be necessary. Surgery may be required to treat some causes of chronic diarrhea.  For diarrhea whose cause has not been determined, the following guidelines may help relieve symptoms. Follow the advice of your health care provider.      Remain well hydrated and avoid dehydration. Serious health problems can occur if the body does not maintain proper fluid levels. Diarrhea may become worse and hospitalization may be required if dehydration occurs.     Maintain a well-balanced diet. Doing so may help speed recovery.     Avoid beverages that contain caffeine, such as tea, coffee, and many soft drinks.     Avoid alcohol; it can lead to dehydration","SUBJECT":"what to eat","MESSAGE":"I have very bad diarrhea for last two months. Doctors have not found what causing it. It reserve watery.I need to know what I can eat. And is lactase milk and yogurt is ok are not?","QUESTION_ID":295}
-{"ANNOTATIONS.FOCUS":"dizziness\/macular degeneration","ANNOTATIONS.TYPE":"Complication","ANSWER":"Unsteadiness Unsteadiness (disequilibrium) or loss of balance when standing or walking are often experienced along with vertigo and other types of dizziness. The causes include:      Inner ear problems.  These can cause sensations of floating or unsteadiness, especially in the dark.      Vision problems.  Cataracts, macular degeneration, glaucoma and weakening eyesight (reduced visual acuity) are risk factors for disequilibrium.","SUBJECT":"subjective vertigo","MESSAGE":"Can macular degeneration in only one eye cause dizziness?","QUESTION_ID":296}
-{"ANNOTATIONS.FOCUS":"arrhythmia","ANNOTATIONS.TYPE":"Cause","ANSWER":"After the Procedure  Pressure to reduce bleeding is put on the area where the catheters were inserted into your body. You will be kept in bed for at least 1 hour, and maybe up to 5 or 6 hours. Your heart rhythm will be monitored during this time.  Your doctor will decide whether you can go home on the same day or if you will need to stay in the hospital overnight to continue monitoring your heart. You will need someone to drive you home after your procedure  For 2 or 3 days after your procedure, you may have these symptoms:      You may feel tired.     Your chest may feel achy.     You may notice skipped heartbeats, or times when your heartbeat is very fast or irregular.  Your doctor may keep you on your medicines, or give you new ones that help control your heart rhythm. Outlook (Prognosis)  Success rates are different depending on what type of heart rhythm problem is being treated.","SUBJECT":"Arrhythmia","MESSAGE":"can arrhythmia occurs after ablation? What is the success rate of Ablation? During my Holter test it was found that my Heart rate fluctuates from 254 to 21. How do you rate the situation?","QUESTION_ID":297}
-{"ANNOTATIONS.FOCUS":"symptoms of menopause","ANNOTATIONS.TYPE":"Treatment","ANSWER":"There are a variety of options available to help treat the symptoms of menopause. The National Institute on Aging provides detailed information on some treatments for menopause. In addition, the Department of Health and Human Service's Office on Women's Health also provides information about menopause treatments. The sections below provide some additional information.","SUBJECT":"menapause and hotflashes","MESSAGE":"non-pharmacological ways to relieve symptoms of menapause","QUESTION_ID":298}
-{"ANNOTATIONS.FOCUS":"skull fracture","ANNOTATIONS.TYPE":"Treatment","ANSWER":"First Aid  If you think someone has a skull fracture:      Check the airways, breathing, and circulation. If necessary, begin rescue breathing and CPR.     Avoid moving the person (unless absolutely necessary) until medical help arrives. Have someone to call 911 (or the local emergency number) for medical assistance.     If the person must be moved, take care to stabilize the head and neck. Place your hands on both sides of the head and under the shoulders. Do not allow the head to bend forward or backward, or to twist or turn.     Carefully check the site of injury, but do not probe in or around the site with a foreign object. It can be hard to know if the skull is fractured or depressed (dented in) at the site of injury.     If there is bleeding, apply firm pressure with a clean cloth over a broad area to control blood loss.     If blood soaks through, do not remove the original cloth. Instead, apply more cloths on top, and continue to apply pressure.     If the person is vomiting, stabilize the head and neck, and carefully turn the victim to the side to prevent choking on vomit.     If the person is conscious and experiencing any of the previously listed symptoms, transport to the nearest emergency medical facility (even if the patient does not think medical help is needed).  DO NOT      Do NOT move the person unless absolutely necessary. Head injuries may be associated with spinal injuries.     Do NOT remove protruding objects.     Do NOT allow the person to continue with physical activities.     Do NOT forget to watch the person closely until medical help arrives.     Do NOT give the person any medicines before talking to a doctor.     Do NOT leave the person alone, even if there are no obvious problems.   When to Contact a Medical Professional      There are problems with breathing or circulation.     Direct pressure does not stop bleeding from the nose, ears, or wound.     There is drainage of clear fluid from the nose or ears.     There is facial swelling, bleeding, or bruising.     There is an object protruding from the skull.     The person is unconscious, is experiencing convulsions, has multiple injuries, appears to be in any distress, or cannot think clearly.","SUBJECT":"skull fracture","MESSAGE":"Is it necessary to go to the dr. when getting a skull fracture?","QUESTION_ID":300}
-{"ANNOTATIONS.FOCUS":"warts","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Insufficient evidence to rate effectiveness for...Water warts. Early research shows that applying a combination of tea tree oil and iodine for 30 days helps clear up warts in children better than just tea tree oil or iodine alone.","SUBJECT":"tea tree oil and iodine spray","MESSAGE":"my 4 year son has molluscum (warts) some one has suggested me to use tea tree oil and iodine spray on the warts.can u please help me.are they effective?","QUESTION_ID":301}
-{"ANNOTATIONS.FOCUS":"Grand Mal seizures","ANNOTATIONS.TYPE":"Treatment","ANSWER":"What are brain stimulation therapies?  Brain stimulation therapies involve activating or touching the brain directly with electricity, magnets, or implants to treat depression and other disorders. Electroconvulsive therapy is the most researched stimulation therapy and has the longest history of use. Other stimulation therapies discussed here \u2014 vagus nerve stimulation, repetitive transcranial magnetic stimulation, magnetic seizure therapy, and deep brain stimulation\u2014are newer, more experimental methods.","SUBJECT":"Grand Mal seizures","MESSAGE":"Need information on: electric stimulation treatment.","QUESTION_ID":302}
-{"ANNOTATIONS.FOCUS":"Kidney failure","ANNOTATIONS.TYPE":"Treatment","ANSWER":"You may need to make changes to your diet when you have chronic kidney disease. These changes include:      Limiting fluids     Eating a low-protein diet     Limiting salt, potassium, phosphorous, and other electrolytes     Getting enough calories if you are losing weight  You may need to alter your diet more if your kidney disease gets worse, or if you need dialysis.","SUBJECT":"Kidney failure","MESSAGE":"What foods do I eat? and if I drink lots of water will that help? Is there a book that I can get to understand this disease?","QUESTION_ID":303}
-{"ANNOTATIONS.FOCUS":"Ellis van creveld syndrome","ANNOTATIONS.TYPE":"Information","ANSWER":"Ellis-van Creveld syndrome  Ellis-van Creveld syndrome is a rare genetic disorder that affects bone growth. Causes  Ellis-van Creveld is passed down through families (inherited). It is caused by defects in one of two Ellis-van Creveld syndrome genes (EVC and EVC2) that are positioned next to each other on the same chromosome.  The severity of the disease varies from person to person. The highest rate of the condition is seen among the Old Order Amish population of Lancaster County, Pennsylvania. It is fairly rare in the general population.","SUBJECT":"more information in relation to Ellis van creveld syndrome","MESSAGE":"Specifically in later life can they have children has it ever been reported any research carried out and just as much information as possible to help my understanding of what I have Many thanks","QUESTION_ID":305}
-{"ANNOTATIONS.FOCUS":"Erb's Palsy","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Surgery may be considered if some strength has not returned to the affected muscles by the time the baby is 3 - 6 months old.","SUBJECT":"Recovery from Erb's Palsy","MESSAGE":"For a baby with an Erb's Palsy, What is the recommended age at which the infant can be a subject to nerve conduction test? What is it for surgical treatment? Is their an alternative methodolgy for nerve test other than electrical pulses? Where is this provided in the U.S?","QUESTION_ID":308}
-{"ANNOTATIONS.FOCUS":"Skin Itching","ANNOTATIONS.TYPE":"Cause","ANSWER":"Summary  Itching is skin tingling or irritation that makes you want to scratch the itchy area. It's a symptom of many health conditions. Common causes are      Allergic reactions     Eczema     Dry skin     Insect bites and stings     Irritating chemicals     Parasites such as pinworms, scabies, head and body lice     Pregnancy     Rashes     Reactions to medicines","SUBJECT":"Skin Itching","MESSAGE":"At night, I have very bad lower leg skin itching. Is this being caused by any of my prescripions?","QUESTION_ID":310}
-{"ANNOTATIONS.FOCUS":"Paralysis","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Treatment for Partial Paralysis  Treatment will depend upon the cause of partial paralysis, and might include physical therapy, occupational therapy, surgery, prescription medications, or a combination of the above. Treatment is designed to return as much function as possible to the patient, while also helping him or her learn to cope with any long-term disabilities.","SUBJECT":"Treatment, Paralysis","MESSAGE":"I have one left side leg is paralysis last 24 years, my other parts of the body is well, it is possible my leg will good for treatment, if possible how can i do the treatment and where ? THANKS","QUESTION_ID":311}
-{"ANNOTATIONS.FOCUS":"whole body swelling","ANNOTATIONS.TYPE":"Information","ANSWER":"Summary  Edema means swelling caused by fluid in your body's tissues. It usually occurs in the feet, ankles and legs, but it can involve your entire body.  Causes of edema include      Eating too much salt     Sunburn     Heart failure     Kidney disease     Liver problems from cirrhosis     Pregnancy     Problems with lymph nodes, especially after mastectomy     Some medicines     Standing or walking a lot when the weather is warm  To keep swelling down, your health care provider may recommend keeping your legs raised when sitting, wearing support stockings, limiting how much salt you eat, or taking a medicine called a diuretic - also called a water pill.","SUBJECT":"","MESSAGE":"good day. At the age of 50 ive started swelling for about a week now. Its my whole body, especially legs and feet. Im using antistax but not sure if its helping. please advise its so frustrating, i cant get into any clothes.","QUESTION_ID":312}
-{"ANNOTATIONS.FOCUS":"Autosomal recessive primary microcephaly","ANNOTATIONS.TYPE":"Organization","ANSWER":"You might also find information on the diagnosis or management of MCPH in Educational resources and Patient support.  General information about the diagnosis and management of genetic conditions is available in the Handbook. Read more about genetic testing, particularly the difference between clinical tests and research tests.  To locate a healthcare provider, see How can I find a genetics professional in my area? in the Handbook.","SUBJECT":"Autosomal recessive primary microcephaly","MESSAGE":"My son has Autosomal recessive primary microcephaly Do you know of any people that have this?","QUESTION_ID":313}
-{"ANNOTATIONS.FOCUS":"pain in the posterior area between the hip and the knee","ANNOTATIONS.TYPE":"Organization","ANSWER":"Find a Doctor Request an Appointment Contact Us","SUBJECT":"Pain","MESSAGE":"Sirs, I have a medical problem and I'd be very grateful if you can help. I feel some pain in the posterior area between the hip and the knee (as if there was something that stings). I noticed that the veins are prominent in this area. What can this be? What doctor should I see? Thanks for your cooperation,","QUESTION_ID":314}
-{"ANNOTATIONS.FOCUS":"vdrl positive","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Exams and Tests  The doctor or nurse will examine you. Tests that may be done include:      Examination of fluid from sore     Echocardiogram, aortic angiogram, and cardiac catheterization to look at the major blood vessels and the heart     Spinal tap and examination of spinal fluid     Blood tests to screen for syphillis bacteria (RPR, VDRL, or TRUST)  If the RPR, VDRL, or TRUST tests are positive, one of the following tests will be needed to confirm the diagnosis:      FTA-ABS (fluorescent treponemal antibody test)     MHA-TP     TP-EIA     TP-PA","SUBJECT":"vdrl positive","MESSAGE":"vdrl positive patients please tell me what are he doing . Diagnosis and precaution.","QUESTION_ID":315}
-{"ANNOTATIONS.FOCUS":"MRSA","ANNOTATIONS.TYPE":"Diagnosis","ANSWER":"Occasionally, a person who has been treated for MRSA infection or for MRSA colonization may be screened to determine whether MRSA are still present.","SUBJECT":"MRSA","MESSAGE":"If you should contact MRSA and take antibiotics over a long period of time,is there a test to determine if the bacteria is still in the system or not?","QUESTION_ID":316}
-{"ANNOTATIONS.FOCUS":"intraductal papilloma","ANNOTATIONS.TYPE":"Prognosis","ANSWER":"Your specialist will be able to advise you of the most appropriate treatment or follow up (further checks) if you have an intraductal papilloma. They may feel that no further treatment is needed after either a core or vacuum assisted biopsy.  However, they may still want to do another operation (excision biopsy) to remove more breast tissue. In some centres, vacuum assisted excision biopsy may be used as an alternative to surgery. Following an injection of local anaesthetic, a small cut is made in the skin. A hollow probe connected to a vacuum device, is placed through this.  Using ultrasound or mammography as a guide, breast tissue is sucked through the probe by the vacuum into a collecting chamber. The biopsy device is used until the area being investigated has been removed. This may mean that an operation under a general anaesthetic can be avoided. The tissue removed is sent to the laboratory and examined under a microscope.  If your nipple continues to produce discharge after surgery, or if there\u2019s inflammation around it, you may need to have a further operation to remove the affected duct or ducts. You may be offered a microdochectomy (removal of the affected duct or ducts) or a Hadfield\u2019s operation (removal of all the major ducts). The operation should solve the problem, but if the discharge comes back more ducts may need to be removed, as finding all the ducts can sometimes be difficult.  The operation is usually done under a general anaesthetic, and you\u2019ll be in hospital for the day or overnight. You\u2019ll have a small wound near the nipple with a stitch or stitches in it, and your doctors will tell you how to look after this and give you advice about pain relief. The operation will leave a small scar but this will fade in time. After the operation your nipple may be less sensitive than before.  After the intraductal papilloma has been removed, follow up is not usually required. However, for some people, a short-term follow up with the specialist may be needed if only a core biopsy\/vacuum assisted biopsy has been performed. People with multiple intraductal papillomas and those whose intraductal papillomas contained atypical cells are likely to have follow-up appointments with their specialist for longer.","SUBJECT":"intraductal papilloma","MESSAGE":"What if you do not have surgery to remove a papilloma?","QUESTION_ID":317}
-{"ANNOTATIONS.FOCUS":"excessive tears","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Your doctor may order tests to help determine the cause.  Treatment depends on the cause of the problem.","SUBJECT":"Excessive Eye Water","MESSAGE":"Thank for your information on my earlier question regarding what is causing skin itching. I have another question on another problem that I'm having. This problem is excessive eye water (tears) occurring all the time and filling my nose up mostly at night and stops using my nose while in bed after a couple of hours. This there any medicine that would reduce all these excessive tears?","QUESTION_ID":318}
-{"ANNOTATIONS.FOCUS":"numbness\/tingling","ANNOTATIONS.TYPE":"Treatment","ANSWER":"Home Care  Your doctor should find and treat the cause of your numbness or tingling. Treating the condition may make the symptoms go away or stop them from getting worse. For example, if you have carpal tunnel syndrome or low back pain, your doctor may recommend certain exercises.  If you have diabetes, your doctor will discuss ways to control your blood sugar levels.  Low levels of vitamins will be treated with vitamin supplements.  Medications that cause numbness or tingling may need to be switched or changed. Do not change or stop taking any of your medicines or take large doses of any vitamins or supplements until you have talked with your doctor.  Because numbness can cause a decrease in feeling, you may be more likely to accidentally injure a numb hand or foot. Take care to protect the area from cuts, bumps, bruises, burns, or other injuries.","SUBJECT":"","MESSAGE":"I have numbness\/tingling in my lower right arm from elbow to my fingers. A EMG has shown nothing abnormal. I have had this for a long time, I need help.","QUESTION_ID":319}
-{"ANNOTATIONS.FOCUS":"balance disorder","ANNOTATIONS.TYPE":"Treatment","ANSWER":"How are balance disorders treated?  The first thing a doctor will do if you have a balance problem is determine if another health condition or a medication is to blame. If so, your doctor will treat the condition, suggest a different medication, or refer you to a specialist if the condition is outside his or her expertise.  If you have BPPV, your doctor might recommend a series of simple movements, such as the Epley maneuver, which can help dislodge the otoconia from the semicircular canal. In many cases, one session works; other people need the procedure several times to relieve their dizziness. Figure 1: The ear and the vestibular system Dislodging otoconia using the Epley maneuver Credit: NIDCD  If you are diagnosed with M\u00e9ni\u00e8re's disease, your doctor may recommend that you make some changes to your diet and, if you are a smoker, that you stop smoking. Anti-vertigo or anti-nausea medications may relieve your symptoms, but they can also make you drowsy. Other medications, such as gentamicin (an antibiotic) or corticosteroids may be used. Although gentamicin may reduce dizziness better than corticosteroids, it occasionally causes permanent hearing loss. In some severe cases of M\u00e9ni\u00e8re's disease, surgery on the vestibular organs may be needed.  Some people with a balance disorder may not be able to fully relieve their dizziness and will need to find ways to cope with it. A vestibular rehabilitation therapist can help you develop an individualized treatment plan.  Talk to your doctor about whether it\u2019s safe to drive, as well as ways to lower your risk of falling and getting hurt during daily activities, such as when you walk up or down stairs, use the bathroom, or exercise. To reduce your risk of injury from dizziness, avoid walking in the dark. You should also wear low-heeled shoes or walking shoes outdoors. If necessary, use a cane or walker and modify conditions at your home and workplace, such as by adding handrails.","SUBJECT":"treatment required","MESSAGE":"we need treatment for balance disorder. my father losses his balance while walking or climbing steps so please so please help us in curing the disorder.","QUESTION_ID":320}
+{"ANNOTATIONS_FOCUS":"Lyme Disease","ANNOTATIONS_TYPE":"Information","ANSWER":"Lyme disease tests are used to determine if a person with characteristic symptoms has been infected by Borrelia burgdorferi. If the doctor suspects a recent infection, then she may order both an IgM and IgG antibody blood test. If they are negative but symptoms persist, then the tests may be ordered again a few weeks later\u2026Lyme disease can sometimes be challenging to diagnose","SUBJECT":"Lyme Disease","MESSAGE":"12 years ago I was bitten by tick while deer hunting. The bite area contained the ring as described in Lyme Disease symptoms.  I was treated with antibiotics;  however, ever since that time I have many of the symptoms cited for Lyme.  Also, usually prior to, and during these symptoms I have a reddish-pink welt appear at the site of the bite on my groin.  Can you offer any enlightment on my condition?","QUESTION_ID":1}
+{"ANNOTATIONS_FOCUS":"Raynauds Syndrome","ANNOTATIONS_TYPE":"Symptom","ANSWER":"Only one finger or toe or parts of one or more may be affected.","SUBJECT":"Raynauds Syndrome","MESSAGE":"My sons middle toe turned white after being in his dorm for a few hours without heat. We were wondering why all his toes did not change colors.","QUESTION_ID":2}
+{"ANNOTATIONS_FOCUS":"burn","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Before giving first aid, it is important to determine what type of burn the person has. If you aren't sure, treat it as a major burn. Serious burns need immediate medical care. Call your local emergency number or 911.","SUBJECT":"burn to my wrist","MESSAGE":"Hello I burnt my wrist 2 days ago and after last night ive woken up with a swollen had its really noticeable to other people but I ca  feel the skin has gone tight when I put it against the other hand you can see its bigger what should I do about this?","QUESTION_ID":5}
+{"ANNOTATIONS_FOCUS":"Parkinson","ANNOTATIONS_TYPE":"Treatment","ANSWER":"you should know that people who have Parkinson's disease have a higher risk of melanoma (a type of skin cancer) than people who do not have Parkinson's disease. It is not known whether this increased risk is caused by Parkinson's disease, medications used for Parkinson's disease such as rasagiline, or other factors. You should have regular visits with a dermatologist to examine your skin for melanoma","SUBJECT":"treatment of parkinson","MESSAGE":"I AM HAVING PARKINSON FOR LAST 8 YEARS. SO FAR IT WAS ONLY SOME, SHAKING MY RIGHT HAND.NOW IT IS ON INCREASE. I AM 84, AND HAVING SKIN PROBLEM.I AM SCARED OF INCREASING DOSAGE, AS IT SEEMS TO POSSIBLY AFFECT SKIN PROBLEM. PLS SUGGEST ANY CARE I NEED TO TAKE.I WOULD BE GRATEFUL , FOR YOUR KIND ADVISE.","QUESTION_ID":6}
+{"ANNOTATIONS_FOCUS":"Periventricular Heterotopia\/ Scoliosis","ANNOTATIONS_TYPE":"information","ANSWER":"Isolated lissencephaly sequence (ILS) is a condition that affects brain development before birth. Children with ILS often develop muscle stiffness (spasticity) in their arms and legs and an abnormal side-to-side curvature of the spine (scoliosis).","SUBJECT":"Periventricular Heterotopia.  Scoliosis  - possibility of a known link ?","MESSAGE":"Question in laymen terms: Has any genetic or other correlation ever been made between these two diagnosis? My 59 y.o. sister has a diagnosis of Periventricular Heterotopia.  Her 30 y.o. daughter has been suffering with same for last 15 years.  Her 37 Y.O. daughter is clinically full-care retarded (since infancy) and has severe idiopathic scoliosis.  I have severe idiopathic scoliosis. I use the term \"severe\"; to express debilitating and multiple fusion surgeries.  All four of my generation female siblings have a level of scoliosis.  FYI: this PH sister died last week, her remains are at the University of Rochester","QUESTION_ID":8}
+{"ANNOTATIONS_FOCUS":"skin cancer","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment options depend on the following:  The stage of the cancer (whether it has spread deeper into the skin or to other places in the body). The type of cancer. The size of the tumor and what part of the body it affects. The patient\u2019s general health.","SUBJECT":"","MESSAGE":"WHAT IS THE LATTEST RESEARCH ON USING D-Limonene AS A TREATMENT FOR CANCER?? PARTICULLARY SKIN CANCER??","QUESTION_ID":9}
+{"ANNOTATIONS_FOCUS":"swallowed a poison which is name caustic soda","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment depends on how the poisoning occurred. You will be given pain medicine.","SUBJECT":"Details about Caustic Soda Poison","MESSAGE":"Hello, i'm writing from Mauritius and my name is Ms Doriana. A member of my family swallowed a poison which is name caustic soda. He is actually in the hospital suffering a lot. Is there any suggestion please to help him to be better or to relieve his pain?","QUESTION_ID":10}
+{"ANNOTATIONS_FOCUS":"smoking","ANNOTATIONS_TYPE":"Complication","ANSWER":"What are the other harmful effects of smoking on the digestive system? Smoking contributes to many common disorders of the digestive system, such as heartburn and gastroesophageal reflux disease (GERD), peptic ulcers, and some liver diseases. Smoking increases the risk of Crohn's disease, colon polyps, and pancreatitis, and it may increase the risk of gallstones.","SUBJECT":"intestines  digestion and absorption","MESSAGE":"kindly explain the general effects of smoking or rather the effects of nicotine to digestion and arbsoption","QUESTION_ID":11}
+{"ANNOTATIONS_FOCUS":"pap smear\/full hysterectomy","ANNOTATIONS_TYPE":"Indication","ANSWER":"I\u2019ve had a hysterectomy. Do I still need to have Pap tests? Maybe. You will still need regular Pap tests (or Pap smear) to screen for cervical cancer if you:  Did not have your cervix removed Had a hysterectomy because of cancer or precancer Ask your doctor what is best for you and how often you should have Pap tests.","SUBJECT":"Pap smear for Cervical cancer","MESSAGE":"I had a full hysterectomy in 2006, do I still need to have a pap smear?","QUESTION_ID":12}
+{"ANNOTATIONS_FOCUS":"Spina bifida","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"How is it diagnosed?  In most cases, spina bifida is diagnosed prenatally, or before birth.  However, some mild cases may go unnoticed until after birth (postnatal).  Very mild forms (spinal bifida occulta), in which there are no symptoms, may never be detected. Postnatal Diagnosis  Mild cases of spina bifida (occulta, closed) not diagnosed during prenatal testing may be detected postnatally by plain film X-ray examination.  Individuals with the more severe forms of spina bifida often have muscle weakness in their feet, hips, and legs that result in deformities that may be present at birth.  Doctors may use magnetic resonance imaging (MRI) or a computed tomography (CT) scan to get a clearer view of the spinal cord and vertebrae.  If hydrocephalus is suspected, the doctor may request a CT scan and\/or X-ray of the skull to look for extra cerebrospinal fluid inside the brain.","SUBJECT":"Testing for Spina bifida military lost all my records","MESSAGE":"I have a dy lumbar puncture that shows two chambers dye did not go further then l4-l5 I have a sixth lumbar upper back deformed spinal cord hematoma on T12 no disk between t2-t3 I have bladder and loss of feeling in right leg I have full medical benifits as an incapacitated child from the military either my new base doctor is unfamiliar with my condition or refuses to acknowledge my problems I told him I have digestive issues and needed my usual meds he treated me like it was due to other meds I get treated so unfairly and badly because I am so young and do t fit the worst form of Spina bifida to top it off now they lost all my child hood care records and this is leaving me defending myself against military doctors when all the tests I can think of have been do e again MRI shows bone birth defects but the dual spinal chambers was shown in a dye lumbar puncture is there a sure fire test they can do that will shut them up an say yep this is what it is","QUESTION_ID":14}
+{"ANNOTATIONS_FOCUS":"SCA3","ANNOTATIONS_TYPE":"Organization","ANSWER":"Spinocerebellar ataxia type 3 (often shortened to SCA3) On this page: Description Genetic changes Inheritance Diagnosis Additional information Other names Glossary definitions","SUBJECT":"Help for my diagnose","MESSAGE":"I have been diagnosed with SCA3. I was wondering if MedlinePlus is able to help me with resources that I may need on my journey through this disease? If not, can you help me find an organization or association that can help me.","QUESTION_ID":15}
+{"ANNOTATIONS_FOCUS":"cold sore","ANNOTATIONS_TYPE":"Treatment","ANSWER":"There is no cure for cold sores. Medicines can relieve some of the pain and discomfort associated with the sores. These include ointments that numb the blisters, antibiotics that control secondary bacterial infections, and ointments that soften the crusts of the sores.","SUBJECT":"No","MESSAGE":"What should I do if I have a cold sore? and treatments I use","QUESTION_ID":18}
+{"ANNOTATIONS_FOCUS":"HIV\/Aids","ANNOTATIONS_TYPE":"Treatment","ANSWER":"There is no cure, but there are many medicines to fight both HIV infection and the infections and cancers that come with it. People can live with the disease for many years.","SUBJECT":"No","MESSAGE":"hi my name is Miranda Ramirez I'm currently working with Friends Community Center in Hollywood California and I was wondering  I came across some of you healthy tip fliers for HIV\/Aids treatment .at the moment we have a study  going on that helps HIV positive transgender women into HIV quality care .so it would be great to have some more information on HIV\/Aids treatment","QUESTION_ID":19}
+{"ANNOTATIONS_FOCUS":"shingles","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"You can't catch shingles from someone who has it. However, if you have a shingles rash, you can pass the virus to someone who has never had chickenpox. This would usually be a child, who could get chickenpox instead of shingles. The virus spreads through direct contact with the rash, and cannot spread through the air.","SUBJECT":"shingles","MESSAGE":"I work at the Airport and I am in contact with hundreds of people a day. I want to be sure that I am not going to expose people to Shingles. When is it safe for me to go back to work?","QUESTION_ID":21}
+{"ANNOTATIONS_FOCUS":"sleep apnea","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Other problems that may occur include:  Depression Hyperactive behavior, especially in children Difficult to treat high blood pressure Leg swelling (if severe)","SUBJECT":"sleep apnea","MESSAGE":"I was diagnosed with sleep apnea (prolly had it for 5 years) and I have swelling issues caused from that (it has been ruled out from everything else so the doctor thinks).  I just got my cPap machine.  I was wondering how long will it take for the swelling to go away.  Thank you!","QUESTION_ID":25}
+{"ANNOTATIONS_FOCUS":"Chronic lymphocytic leukemia","ANNOTATIONS_TYPE":"Information","ANSWER":"Leukemia is cancer of the white blood cells. White blood cells help your body fight infection. Your blood cells form in your bone marrow. In leukemia, the bone marrow produces abnormal white blood cells. These cells crowd out the healthy blood cells, making it hard for blood to do its work. In chronic lymphocytic leukemia (CLL), there are too many lymphocytes, a type of white blood cell.","SUBJECT":"Chronic lymphocytic leukemia","MESSAGE":"How can I get Information on Cronic Lymphocytice Leukemia sent to me thru MedlinkPlus or which way you will send them.","QUESTION_ID":26}
+{"ANNOTATIONS_FOCUS":"Tetralogy of Fallot","ANNOTATIONS_TYPE":"Organization","ANSWER":"Medlife USA: Email:    info@medlifeweb.org   Telephone:    (USA) 1-844-MEDLIFE              1-844-633-5433   Office Hours:   9 AM - 5 PM CST   Fax:    207-433-5304","SUBJECT":"Peruvian girl","MESSAGE":"Dear Sir\/Madam, I am writing you on behalf of Madam Saavedra, who is very stress and with a lot of tension,looking for HELP for her daughter Mariagracia.  Mariagracia has a complex hearth defect called Tetralogy of Fallot, she is about 7 months old and her family dont have resources to cover her treatment in order to get her welfare.  Madam Saavedra has a very low income, lives in a rented room with her husband and her two children, in Lima - Peru. She works at National Hospital Cayetano Heredia and she has been taking her daughter to children hospital in Lima but she cant afford the medicines and treatment that they ask for, she is looking desperately for help for her daughter.  I was wondering if you guys have any contact here in Lima of any organization, who can help Madam Saavedra. I have been looking but cant find or never not came back to me when I asked them.  If you please know about any organization who can help us here in Lima Peru, I will really appreciate and we can make help to give Mariagracia a better life :-)  I am a Health and Social care worker and work at the hospital too with the employees. Thank you very much for your time  Karina Montes  kmontes44242@hotmail.com","QUESTION_ID":27}
+{"ANNOTATIONS_FOCUS":"jaundice","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Many healthy babies have some jaundice during the first week of life. It usually goes away. However, jaundice can happen at any age and may be a sign of a problem. Jaundice can happen for many reasons, such as\u2026","SUBJECT":"Jaundice","MESSAGE":"Can older infants get jaundice? What is the age range?","QUESTION_ID":29}
+{"ANNOTATIONS_FOCUS":"ulcer","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Canker sores aren't contagious. They may happen if you have a viral infection. They may also be triggered by stress, food allergies, lack of vitamins and minerals, hormonal changes or menstrual periods. In some cases the cause is unknown.  In most cases, the sores go away by themselves. Some ointments, creams or rinses may help with the pain. Avoiding hot, spicy food while you have a canker sore also helps.","SUBJECT":"how to remove my mouth ulcer\/canker","MESSAGE":"Hello dear Dr, i am  an afghan student in UKM university in malaysia, the mouth ulcer problem is the worst problem in my lifetime, even three or four times the ulcer grow up in the mouth during of a month. even i can not eat or drink, even though i take care of my mouth every day, so i wish you to consult me about of removing of these ulcer forever. thank you so much","QUESTION_ID":30}
+{"ANNOTATIONS_FOCUS":"Arachnoid cysts","ANNOTATIONS_TYPE":"Symptom","ANSWER":"Typical symptoms of an arachnoid cyst around the brain include headache, nausea and vomiting, seizures, hearing and visual disturbances, vertigo, and difficulties with balance and walking. Arachnoid cysts around the spinal cord compress the spinal cord or nerve roots and cause symptoms such as progressive back and leg pain and tingling or numbness in the legs or arms.","SUBJECT":"Arachnoid cysts","MESSAGE":"Can Arachnoid Cysts Cause Pain\/?I Have A Shuntfrom2007.How OftenDo They Need Changed?","QUESTION_ID":31}
+{"ANNOTATIONS_FOCUS":"schwannomas","ANNOTATIONS_TYPE":"Treatment","ANSWER":"How is a vestibular schwannoma treated?s the tumor grows larger, surgical removal is more complicated because the tumor may have damaged the nerves that control facial movement, hearing, and balance and may also have affected other nerves and structures of the brain.  The removal of tumors affecting the hearing, balance, or facial nerves can make the patient\u2019s symptoms worse because sections of these nerves may also need to be removed with the tumor.  As an alternative to conventional surgical techniques, radiosurgery (that is, radiation therapy\u2014the \"gamma knife\" or LINAC) may be used to reduce the size or limit the growth of the tumor.","SUBJECT":"","MESSAGE":"Are large, inoperable schwannomas treatable or able to be shrunk with chemotherapy or radiation?","QUESTION_ID":32}
+{"ANNOTATIONS_FOCUS":"Hypertension","ANNOTATIONS_TYPE":"Information","ANSWER":"Ordinarily, in healthy, pain-free people, the higher their blood pressure, the less sensitive they are to pain. For some, this can present a problem because they do not sense the chest pain that could be the early warning sign of an impending heart attack. When chronic pain enters the picture, the systems that control pain and blood pressure work so poorly that an increase in blood pressure no longer leads to a reduction in pain sensitivity. The end result is that chronic pain places you at a higher risk for elevated blood pressure (hypertension).","SUBJECT":"","MESSAGE":"I want more information on Hypertension and fibromyalgia, I seem to be getting only topics on diabetes and I do not have this.   I enjoy reading the current info.  thanks Cassie Caldera","QUESTION_ID":33}
+{"ANNOTATIONS_FOCUS":"familial mediterranean fever","ANNOTATIONS_TYPE":"Information","ANSWER":"What is familial Mediterranean fever?  Familial Mediterranean fever is an inherited condition characterized by recurrent episodes of painful inflammation in the abdomen, chest, or joints. These episodes are often accompanied by fever and sometimes a rash or headache. Occasionally inflammation may occur in other parts of the body, such as the heart; the membrane surrounding the brain and spinal cord; and in males, the testicles. In about half of affected individuals, attacks are preceded by mild signs and symptoms known as a prodrome. Prodromal symptoms include mildly uncomfortable sensations in the area that will later become inflamed, or more general feelings of discomfort.  The first episode of illness in familial Mediterranean fever usually occurs in childhood or the teenage years, but in some cases, the initial attack occurs much later in life. Typically, episodes last 12 to 72 hours and can vary in severity. The length of time between attacks is also variable and can range from days to years. During these periods, affected individuals usually have no signs or symptoms related to the condition. However, without treatment to help prevent attacks and complications, a buildup of protein deposits (amyloidosis) in the body's organs and tissues may occur, especially in the kidneys, which can lead to kidney failure.","SUBJECT":"","MESSAGE":"Hello i would like more info about Familial Mediterean Fever please as my husband suffers from this. THANKS","QUESTION_ID":35}
+{"ANNOTATIONS_FOCUS":"burning mouth syndrome","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment   Your doctor will help you get relief. Medicine can help control pain and relieve dry mouth.   Because BMS is a complex pain disorder, the treatment that works for one person may not work for another.   Symptoms of secondary BMS go away when the underlying medical condition, such as diabetes or yeast infection, is treated. If a drug is causing secondary BMS, then your doctor may switch you to a new medicine.","SUBJECT":"","MESSAGE":"I just read an article submitted by you that stated your research shows that you've identified the mechanism that causes burning mouth syndrome. Also because of these findings you can find a treatment. I've had this for 15 yrs and am just holding on. When will a good treatment be available??  I belong to a group of over 500 bmsers. We're suffering terribly and were from all over the world. What would the treatment be?","QUESTION_ID":36}
+{"ANNOTATIONS_FOCUS":"nodular goiter","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatments for an enlarged thyroid include:  Thyroid hormone replacement pills, if the goiter is due to an underactive thyroid Small doses of Lugol's iodine or potassium iodine solution if the goiter is due to a lack of iodine Radioactive iodine to shrink the gland, especially if the thyroid is producing too much thyroid hormone Surgery (thyroidectomy) to remove all or part of the gland","SUBJECT":"Treatment for Nodular Goiter","MESSAGE":"Hi,  I'm suffering from nodular goiter. The size of enlarged thyroid gland is visible, but not like a big one. I need treatment for this. Some Doctors have suggested surgery which I don't want to go through. What are the other treatment options. Also let me know the place where I can visit to consult.  Thanks, Shweta","QUESTION_ID":37}
+{"ANNOTATIONS_FOCUS":"numbness","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Home Care...When to Contact a Medical Professional\u2026","SUBJECT":"numbness to the body","MESSAGE":"I get numbness to the body alot what should I do","QUESTION_ID":39}
+{"ANNOTATIONS_FOCUS":"achalasia","ANNOTATIONS_TYPE":"Prognosis","ANSWER":"Prognosis   The outlook for esophageal webs and rings is excellent. Even people with difficulty swallowing do well after dilation. If symptoms keep returning, you may need repeat dilations or electrocautery to control the symptoms.","SUBJECT":"achalasia","MESSAGE":"after surgery for achalasia, will spasms continue in the upper chest area and if so what can assist in ending spasms","QUESTION_ID":40}
+{"ANNOTATIONS_FOCUS":"ARRHYTHMIA","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment to restore a normal heart rhythm may include medicines, an implantable cardioverter-defibrillator (ICD) or pacemaker, or sometimes surgery.","SUBJECT":"medicine and allied","MESSAGE":"I LIKE TO KNOW RECENT THERAPY ON ARRHYTHMIA OF HEART","QUESTION_ID":41}
+{"ANNOTATIONS_FOCUS":"Lupus","ANNOTATIONS_TYPE":"Information","ANSWER":"If you have lupus, your immune system attacks healthy cells and tissues by mistake. This can damage your joints, skin, blood vessels and organs. There are many kinds of lupus. The most common type, systemic lupus erythematosus, affects many parts of the body. Discoid lupus causes a rash that doesn't go away. Subacute cutaneous lupus causes sores after being out in the sun. Another type can be caused by medication. Neonatal lupus, which is rare, affects newborns.   Anyone can get lupus, but women are most at risk. Lupus is also more common in African American, Hispanic, Asian and Native American women. The cause of lupus is not known.   Lupus has many symptoms. Some common ones are   Joint pain or swelling  Muscle pain  Fever with no known cause  Fatigue  Red rashes, often on the face (also called the \"butterfly rash\")  There is no one test to diagnose lupus, and it may take months or years to make the diagnosis. There is no cure for lupus, but medicines and lifestyle changes can help control it.","SUBJECT":"lupus","MESSAGE":"Hi,  I  want to know about Lupus and its treatment. Best,  Mehrnaz","QUESTION_ID":42}
+{"ANNOTATIONS_FOCUS":"flatulence","ANNOTATIONS_TYPE":"Cause","ANSWER":"Vitamin D is essential for your immune system and bone health, and if you do not get an adequate amount in your diet, you may need to take a supplement. However, because vitamin D is fat-soluble, your body stores the excess, which can lead to a toxicity if you take too much. This may cause bloating and gas associated with constipation, diarrhea and other intestinal issues. Discuss your vitamin D consumption with a licensed physician.","SUBJECT":"Vitamin D intake","MESSAGE":"Can high doses of Vitamin D (50,000 IUs per week) cause flatulence, among other possible effects?  And is such a high dose safe to raise very low levels of Vitamin D in the body?","QUESTION_ID":44}
+{"ANNOTATIONS_FOCUS":"asthma\/patches to help me quit smoking","ANNOTATIONS_TYPE":"Complication","ANSWER":"What side effects can this medication cause?  Nicotine skin patches may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:  dizziness  headache  nausea  vomiting  diarrhea  redness or swelling at the patch site  If you experience any of the following symptoms, call your doctor immediately:  severe rash or swelling  seizures  abnormal heartbeat or rhythm  difficulty breathing  If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http:\/\/www.fda.gov\/Safety\/MedWatch] or by phone [1-800-332-1088].","SUBJECT":"collapsed lungs","MESSAGE":"i have thrown up twice tonight and i have very bad tightness in the chest but my nasal and throat are clear. i have just started on patches to help me quit smoking and I'm an asthmatic but atm it feels like no oxygen  is staying in but i have a pulse, and i also have been suffering anxiety, is the patches affecting my asthma and breathing?","QUESTION_ID":45}
+{"ANNOTATIONS_FOCUS":"cramp\/chemo treatment","ANNOTATIONS_TYPE":"Complication","ANSWER":"Side effects of chemotherapy \u2014 Most patients who are treated with R-CHOP develop side effects, with the most common including:  \u25cfFever and low blood count \u2014 A potentially life-threatening side effect of chemotherapy is fever and lowered levels of a type of white blood cell, called neutrophils (the condition is called febrile neutropenia).  Anyone who is getting chemotherapy and who develops a temperature higher than 100.4\u00b0F (38\u00b0C) should immediately call his or her healthcare provider. This condition is a medical emergency and requires prompt treatment, usually with admission to a hospital and antibiotics by vein (IV).   \u25cfNausea and vomiting \u2014 Between 30 and 90 percent of patients develop nausea and vomiting after R-CHOP. Several medications may be given before and after chemotherapy to reduce its severity. This often includes dexamethasone and aprepitant (Emend), and a 5-HT3 receptor antagonist (eg, ondansetron\/Zofran, granisetron\/Kytril, dolasetron\/Anzemet, palonosetron\/Aloxi, or tropisetron\/Navoban).   \u25cfHypersensitivity reaction \u2014 Hypersensitivity reactions may occur the first time a chemotherapy or immunotherapy drug is given, causing flushing; itching; chest, back, or abdominal pain; fever; nausea; dizziness; and other symptoms. It is not clear why this type of reaction occurs. Several medications are usually given before chemotherapy to reduce the severity of these symptoms, including acetaminophen (Tylenol), diphenhydramine (Benadryl), hydrocortisone (a steroid), and a stomach-acid-reducing medication, such as ranitidine (Zantac).   \u25cfTumor lysis syndrome \u2014 Tumor lysis syndrome is a serious, potentially life-threatening condition that can occur after beginning treatment with chemotherapy. It happens because the tumor cells die quickly and release toxic break-down products into the bloodstream. Symptoms can include nausea, vomiting, diarrhea, lack of appetite, lethargy, blood in the urine, heart problems, seizures, muscle cramps, and others. Preventive treatments are usually given before chemotherapy to reduce the risk of developing tumor lysis syndrome, including IV fluids and medications. In addition, blood tests are often done during and after treatment to monitor for the condition.   \u25cfOther potential complications \u2014 Other potential complications of chemotherapy include damage to the heart (called cardiotoxicity) or the nerves (called neurotoxicity), or loss of the ability to have children (infertility). These risks, as well as ways to manage or monitor for them, should be discussed with a healthcare provider before beginning treatment.","SUBJECT":"","MESSAGE":"i have lymphoma what causes cramp after chemo treatment","QUESTION_ID":46}
+{"ANNOTATIONS_FOCUS":"leg pain","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Leg pain can be due to a muscle cramp (also called a charley horse). Common causes of cramps include:  Dehydration or low amounts of potassium, sodium, calcium, or magnesium in the blood Medicines (such as diuretics and statins) Muscle fatigue or strain from overuse, too much exercise, or holding a muscle in the same position for a long time Home CareIf you have leg pain from cramps or overuse, take these steps first:  Rest as much as possible. Elevate your leg. Apply ice for up to 15 minutes. Do this 4 times per day, more often for the first few days. Gently stretch and massage cramping muscles. Take over-the-counter pain medications like acetaminophen or ibuprofen. Other homecare will depend on the cause of your leg pain.  When to Contact a Medical ProfessionalCall your health care provider if:  The painful leg is swollen or red. You have a fever. Your pain gets worse when you walk or exercise and improves with rest. The leg is black and blue. The leg is cold and pale. You are taking medicines that may be causing leg pain. DO NOT stop taking or change any of your medicines without talking to your health care provider. Self-care steps do not help.","SUBJECT":"","MESSAGE":"my father age 65 his always leg pain which use medicine","QUESTION_ID":47}
+{"ANNOTATIONS_FOCUS":"Progressive Supernuclear Palsy","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Is there any treatment?  There is currently no effective treatment for PSP, although scientists are searching for better ways to manage the disease. In some patients the slowness, stiffness, and balance problems of PSP may respond to antiparkinsonian agents such as levodopa, or levodopa combined with anticholinergic agents, but the effect is usually temporary. The speech, vision, and swallowing difficulties usually do not respond to any drug treatment.. Another group of drugs that has been of some modest success in PSP are antidepressant medications. The most commonly used of these drugs are Prozac, Elavil, and Tofranil. The anti-PSP benefit of these drugs seems not to be related to their ability to relieve depression. Non-drug treatment for PSP can take many forms. Patients frequently use weighted walking aids because of their tendency to fall backward. Bifocals or special glasses called prisms are sometimes prescribed for PSP patients to remedy the difficulty of looking down. Formal physical therapy is of no proven benefit in PSP, but certain exercises can be done to keep the joints limber. A surgical procedure, a gastrostomy, may be necessary when there are swallowing disturbances. This surgery involves the placement of a tube through the skin of the abdomen into the stomach (intestine) for feeding purposes.  CUREPSP (Foundation for PSP|CBD and Related Brain Diseases) 30 E. Padonia Road, Ste. 201 Timonium, MD   21093 info@curepsp.org http:\/\/www.curepsp.org  Tel: 410-785-7004 800-457-4777 Fax: 410-785-7009156","SUBJECT":"Progressive Supernuclear Palsy","MESSAGE":"What  is the best thing to do for my Dad who we are sure has PSP!  Who are the best doctors to treat this disease.  We believe my uncle had psp also   He recently passed away ,  I want to give my dad the best treatment available","QUESTION_ID":48}
+{"ANNOTATIONS_FOCUS":"DVT","ANNOTATIONS_TYPE":"Cause","ANSWER":"Patient information: Deep vein thrombosis (DVT) (Beyond the Basics)    Medical conditions or medications \u2014 Some medical conditions and medications increase a person's risk of developing a blood clot: \u25cfPregnancy \u25cfObesity \u25cfSmoking \u25cfHeart failure \u25cfPrevious DVT or PE \u25cfIncreased age \u25cfCancer \u2014 Some cancers increase substances in the blood that cause blood to clot. \u25cfKidney problems, such as nephrotic syndrome (see \"Patient information: The nephrotic syndrome (Beyond the Basics)\") \u25cfCertain medications (eg, birth control pills, hormone replacement therapy, erythropoietin, tamoxifen, thalidomide). The risk of a blood clot is further increased in people who use one of these medications, and also smoke or are obese.","SUBJECT":"DVT","MESSAGE":"Can a birth control called Ocella cause DVT?  My daughter experiences pains cramping,redness and swelling in her thigh and also really bad huge blood clots during her menstrual cycles after she was prescribed Osella for birth control. Also these symptoms worsened after she gave birth. This has been happening for a year now should she see discuss this with her doctor right away?","QUESTION_ID":50}
+{"ANNOTATIONS_FOCUS":"generalized tonic clonic seizure","ANNOTATIONS_TYPE":"Prognosis","ANSWER":"Generalized tonic-clonic seizure  Generalized tonic-clonic seizures may occur in people of any age. They can occur once (single episode). Or they can occur as part of a repeated, chronic illness (epilepsy). Some seizures are due to psychological problems (psychogenic).","SUBJECT":"generalized tonic clonic seizure","MESSAGE":"If a person is not got any seizure attack for five years from last episode, it will be treated as cured or otherwise. kindly let me know after how many days\/years it will be treated as cured.","QUESTION_ID":51}
+{"ANNOTATIONS_FOCUS":"IBS","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Your doctor may run tests to be sure you don't have other diseases. These tests may include stool sampling tests, blood tests, and x-rays. Your doctor may also do a test called a sigmoidoscopy or colonoscopy. Most people diagnosed with IBS can control their symptoms with diet, stress management, probiotics, and medicine.","SUBJECT":"father suffering from IBS","MESSAGE":"My father is suffering from IBS and is losing weight day by day.sometimes he even faints due to weakness.He cannot digest food .please help us and suggest us upon this problem.","QUESTION_ID":52}
+{"ANNOTATIONS_FOCUS":"abdominal aortic aneurysm","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Once an aneurysm reaches 5 centimeters in diameter, it is usually considered necessary to treat to prevent rupture. Below 5 centimeters, the risk of the aneurysm rupturing is lower than the risk of conventional surgery in patients with normal surgical risks. The goal of therapy for aneurysms is to prevent them from rupturing. Once an abdominal aortic aneurysm has ruptured, the chances of survival are low, with 80 to 90 percent of all ruptured aneurysms resulting in death. These deaths can be avoided if an aneurysm is detected and treated before it ruptures. AAA Treatments  Currently, there are three treatment options for AAA:   Watchful Waiting - Small AAAs (less than 5 centimeters or about 2 inches), which are not rapidly growing or causing symptoms, have a low incidence of rupture and often require no treatment other than watchful waiting under the guidance of a vascular disease specialist. This typically includes follow-up ultrasound exams at regular intervals to determine if the aneurysm has grown.  Surgical Repair - The most common treatment for a large, unruptured aneurysm is open surgical repair by a vascular surgeon. This procedure involves an incision from just below the breastbone to the top of the pubic bone. The surgeon then clamps off the aorta, cuts open the aneurysm and sews in a graft to act as a bridge for the blood flow. The blood flow then goes through the plastic graft and no longer allows the direct pulsation pressure of the blood to further expand the weak aorta wall.  Interventional Repair - This minimally invasive technique is performed by an interventional radiologist using imaging to guide the catheter and graft inside the patient's artery. For the procedure, an incision is made in the skin at the groin through which a catheter is passed into the femoral artery and directed to the aortic aneurysm. Through the catheter, the physician passes a stent graft that is compressed into a small diameter within the catheter. The stent graft is advanced to the aneurysm, then opened, creating new walls in the blood vessel through which blood flows.","SUBJECT":"abdominal aortic aneurysm","MESSAGE":"I have an aneurysm (2.6cm)for the last 5yrs,last checked about a year ago.experiencing  pain,tighting in abdomen  and chest.should I be going to er.","QUESTION_ID":53}
+{"ANNOTATIONS_FOCUS":"a knot about the size of a BB in my right forearm","ANNOTATIONS_TYPE":"Diagnose_me","ANSWER":"It is arm lump?  An arm lump is a protuberance or localized area of swelling occurring on the arm. Other terms used to describe the various types of lumps include bump, nodule, contusion, tumor and cyst. Arm lumps can be caused by any number of conditions, including infections, inflammation, tumors or trauma. Depending on the cause, lumps may be single or multiple, soft or firm, painful or painless. They may grow rapidly or may not change in size.  Arm lumps due to local infectious causes may appear as boils, or abscesses. Many types of infections cause the lymph nodes to enlarge and feel like lumps, most commonly in the armpits. Traumatic causes of arm lumps range from bug bites to severe injuries that can produce a localized collection of blood in the tissues (hematoma).  Both benign and malignant tumors of the skin, soft tissues, or bones of the arm can sometimes feel like lumps. Lumps caused by infection, inflammation or trauma are usually temporary and subside as the underlying condition resolves. Lumps that persist or continue to grow over time may signal more serious conditions, such as tumors. If you have any lump that is persistent or causes you concern, seek prompt medical care.","SUBJECT":"Need help!","MESSAGE":"I have a knot about the size of a BB in my right forearm about 2-3 inches from my elbow. It's been there for about 5 years and hurts sometimes. Mostly only notice it when i put pressure on it. You can't see it but can feel it pretty good. It will move about a cm in any direction. I went to the doctors about 4 years ago to have it looked at but they did no xray and said its prob a BB from when i was younger. It's starting to hurt more now without me putting pressure on it so i'm thinking i need to have something done about it. Any ideas on what it could be or what i should do about it?","QUESTION_ID":55}
+{"ANNOTATIONS_FOCUS":"hypertension","ANNOTATIONS_TYPE":"Treatment","ANSWER":"How can I control high blood pressure?  Even if you have had a prior stroke or heart attack, controlling high blood pressure can help prevent another one. Take these steps: \u2022Lose weight if you\u2019re overweight. \u2022Eat a healthy diet that\u2019s low in salt, saturated fat, trans fat and cholesterol. \u2022Eat fruits and vegetables, and fat-free or low-fat dairy products. \u2022Enjoy regular physical activity. \u2022Limit alcohol to no more than two drinks a day if you\u2019re a man and one drink a day if you\u2019re a woman. Check with your doctor about drinking alcohol; it can raise blood pressure. \u2022Take medicine as prescribed. \u2022Know what your blood pressure should be and try to keep it at that level.","SUBJECT":"","MESSAGE":"how to reduced hypertension","QUESTION_ID":56}
+{"ANNOTATIONS_FOCUS":"fungal infection","ANNOTATIONS_TYPE":"Treatment","ANSWER":"How can I prevent a yeast infection? You can take steps to lower your risk of getting yeast infections: \u2022Do not douche. Douching removes some of the normal bacteria in the vagina that protects you from infection. \u2022Do not use scented feminine products, including bubble bath, sprays, pads, and tampons. \u2022Change tampons, pads, and panty liners often. \u2022Do not wear tight underwear, pantyhose, pants, or jeans. These can increase body heat and moisture in your genital area. \u2022Wear underwear with a cotton crotch. Cotton underwear helps keep you dry and doesn't hold in warmth and moisture. \u2022Change out of wet swimsuits and workout clothes as soon as you can. \u2022After using the bathroom, always wipe from front to back. \u2022Avoid hot tubs and very hot baths. \u2022If you have diabetes, be sure your blood sugar is under control.     Does yogurt prevent or treat yeast infections?  Maybe. Studies suggest that eating eight ounces of yogurt with \"live cultures\" daily or taking Lactobacillus acidophilus capsules can help prevent infection.5,6  But, more research still needs to be done to say for sure if yogurt with Lactobacillus or other probiotics can prevent or treat vaginal yeast infections. If you think you have a yeast infection, see your doctor or nurse to make sure before taking any over-the-counter medicine.","SUBJECT":"vaginal rashes after periods that leads to vaginal itching","MESSAGE":"period rashes proceed to vaginal itching. then it develop fungal infection with thick white discharge. i then take flucanazole (antifungal)which cure it. but m worried of taking allopathic medicines. pls tell me what primitive or traditional methods do i use to avoid it. i also have a sensitive skin.","QUESTION_ID":57}
+{"ANNOTATIONS_FOCUS":"scoliosis","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Idiopathic Scoliosis  Adult  A) Adult scoliosis present since adolescence. B) A lumbar spine front-view X-ray showing degenerative scoliosis (scoliosis due to the aging process).  Figure 1: A) Adult scoliosis present since   adolescence. B) A lumbar spine front-view X-ray   showing degenerative scoliosis (scoliosis due  to the aging process).  When a spinal deformity is discovered in an adult, it is often quite different from a deformity in an infant or juvenile. The goals for treatment are often different as is the location of the scoliosis. The deformity in an adult may have been present since childhood or may be the result of the aging process.. Besides pain in the back, patients may have pain radiating down their legs. Treatment of spine deformity in adults focuses on restoring function and alleviating pain in combination with correcting the curvature of the spine.   Causes  There are many different causes of spinal deformity in the adult. The most common varieties include idiopathic scoliosis that was present during adolescence (teenage years) and then became worse during adulthood, and deformity that began in adulthood due to degenerative (wear and tear) changes in the spine and deformity that developed later in life. Other less frequent causes include curvatures due to osteoporosis (brittle bones), previous fractures of the spine due to an accident, spondylolisthesis (slipped vertebrae) and rarely, infections and tumors of the spine.5","SUBJECT":"My girlfriend suffers from scoliosis","MESSAGE":"She cries in pain and can't sleep at night do to this I believe it's the most common based on age because she wasn't born with it and I just wanna know how I should go about it  she's been to a doctor but they say with the surgery there's only a 50\/50 chance of survival that's just what she told me but I really wish there's something I can do to help or something we can prevent the pain any type of help would be termendusly appreciated! She has had it for a whole now maybe a few months or so and she says the pain is increase wich is why I worry.","QUESTION_ID":58}
+{"ANNOTATIONS_FOCUS":"melanoma","ANNOTATIONS_TYPE":"Treatment","ANSWER":"EXTERNAL BEAM RADIATION THERAPY External beam radiation therapy may be used to treat skin cancer itself or to relieve pain from cancer that has spread. Radiation oncologists deliver external beam radiation therapy to the cancer from a machine outside your body. Doctors target the radiation beams at your tumor, giving more radiation to the skin cancer while keeping it away from underlying organs. Skin cancer is often treated with superfi cial forms of radiation. That means the radiation penetrates only a short distance below the surface. Treatment may be given with X-rays or electrons. Treatments are usually scheduled every day, Monday through Friday, for several weeks to accurately deliver radiation to the cancer. Treatments are painless and take less than half an hour each, start to fi nish. Your treatment schedule will depend on your cancer, but it usually requires daily treatments for one or more weeks. Radiation therapy can be given on its own or may also be given in addition to surgery, chemotherapy or biologic therapy. UNDERSTANDING RADIATION THERAPY Radiation therapy, also called radiotherapy, is the careful use of radiation to treat many diff erent kinds of cancer. \uf06e Cancer doctors, called radiation oncologists, use radiation therapy to try to cure cancer, to control cancer growth or to relieve symptoms such as pain. \uf06e Radiation therapy works within cancer cells by damaging their ability to multiply. When these cells die, the body naturally eliminates them. \uf06e Healthy cells that grow and divide quickly are also harmed by radiation, but they are able to repair themselves in a way that cancer cells cannot. \uf06e Most radiation is given with an external beam, but treatment can be given with a radioactive source close to the skin with a treatment called brachytherapy, meaning \u2018short-distance\u2019 treatment. POTENTIAL SIDE EFFECTS The side eff ects you might feel will depend on the part of your body being treated, the dose of radiation given and whether you also receive other treatments like chemotherapy. Before treatment begins, ask your doctor about possible side eff ects and how you can best manage them. Nearly all patients will experience redness and moistness of the skin, similar to a brisk sunburn. After treatment ends, the skin will form a protective scab and the new, healthy skin will develop underneath it. This healing may take several months. You will also likely lose your hair in the area treated. Your hair may grow back, but it might not have the same texture or thickness. Talk to your doctor or nurse about any discomfort you feel. He or she may be able to provide medications or other treatments to help.","SUBJECT":"melanoma on heel of foot","MESSAGE":"How helpful is radiation for melanoma of heel and spread all the way up the leg? Would this effect treatment of trial drugs or other treatments?","QUESTION_ID":59}
+{"ANNOTATIONS_FOCUS":"dry mouth","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Dry Mouth Treatments  Your doctor or dentist may recommend oral rinses and moisturizers, or prescribe an artificial saliva.  Also called saliva substitutes, artificial salivas are regulated by FDA as medical devices. \u201cUnlike drugs, artificial salivas have no chemical action,\u201d says Susan Runner, D.D.S., chief of FDA\u2019s dental devices branch. \u201cTheir action is mechanical. They moisten and lubricate the mouth but do not stimulate the salivary glands to make saliva.\u201d  While not a cure, artificial salivas can provide short-term relief of the symptoms of dry mouth. \u201cThey can also help minimize discomfort after an oral procedure,\u201d says Runner.  Artificial salivas come in a variety of forms, including rinses, sprays, swabs, gels, and tablets that dissolve in the mouth. Some are available by prescription only; others can be bought over-the-counter.  FDA has also approved several prescription drugs to relieve dry mouth caused by certain medical treatments or conditions, such as Sj\u00f6gren's syndrome and radiation for head or neck cancer.  Advice for Consumers If you have persistent dry mouth: \u2022Talk to your doctor, who may change your medications or adjust the doses. \u2022Talk to your dentist and provide a list of the medicines you take as well as any medical conditions or treatments you\u2019ve had. The American Dental Association recommends seeing your dentist at least twice a year.  Tips for Relieving Dry Mouth \u2022Sip water or sugarless drinks, or suck on ice chips. \u2022Avoid irritants, such as alcohol, tobacco, and caffeine. Remember that caffeine is found in many sodas as well as in coffee and tea. \u2022Chew sugar-free gum or suck on sugar-free candy. \u2022Avoid salty or spicy foods, which may irritate the mouth. \u2022Use a humidifier in your bedroom at night. \u2022Consider using saliva substitutes.","SUBJECT":"treatment for dry mouth caused by necessary medicine","MESSAGE":"My provider can't help (I asked.) I am intolerant of all the sugar alcohols such as maltilol, sorbitol, xylitol, etc. and need something for dry mouth caused by med which I have to take.  Biotene products help for only about two minutes.","QUESTION_ID":60}
+{"ANNOTATIONS_FOCUS":"Friedreich's ataxia","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Can Friedreich's ataxia be cured or treated?   As with many degenerative diseases of the nervous system, there is currently no cure or effective treatment for Friedreich's ataxia. However, many of the symptoms and accompanying complications can be treated to help individuals maintain optimal functioning as long as possible. Doctors can prescribe treatments for diabetes, if present; some of the heart problems can be treated with medication as well. Orthopedic problems such as foot deformities and scoliosis can be corrected with braces or surgery. Physical therapy may prolong use of the arms and legs. Advances in understanding the genetics of Friedreich's ataxia are leading to breakthroughs in treatment. Research has moved forward to the point where clinical trials of proposed treatments are presently occurring for Friedreich\u2019s ataxia.  What research is being done?   Within the Federal government the National Institute of Neurological Disorders and Stroke (NINDS), a component of the National Institutes of Health (NIH), has primary responsibility for sponsoring research on neurological disorders. As part of this mission, the NINDS conducts research on Friedreich's ataxia and other forms of inherited ataxias at its facilities at the NIH and supports additional studies at medical centers throughout the United States. Several nonprofit organizations also provide substantial support research (see the section on \"Where can I get more information?\").   Researchers are optimistic that they have begun to understand the causes of the disease, and work has begun to develop effective treatments and prevention strategies for Friedreich's ataxia. Scientists have been able to create various models of the disease in yeast and mice which have facilitated understanding the cause of the disease and are now being used for drug discovery and the development of novel treatments.   Studies have revealed that frataxin is an important mitochondrial protein for proper function of several organs. Yet in people with the disease, the amount of frataxin in affected cells is severely reduced. It is believed that the loss of frataxin makes the nervous system, heart, and pancreas particularly susceptible to damage from free radicals (produced when the excess iron reacts with oxygen). Once certain cells in these tissues are destroyed by free radicals they cannot be replaced. Nerve and muscle cells also have metabolic needs that may make them particularly vulnerable to this damage. Free radicals have been implicated in other degenerative diseases such as Parkinson's and Alzheimer's diseases.   Based upon this information, scientists and physicians have tried to reduce the levels of free radicals, also called oxidants, using treatment with \u201cantioxidants.\u201d Initial clinical studies in Europe suggested that antioxidants like coenzyme Q10, vitamin E, and idebenone may offer individuals some limited benefit. However, recent clinical trials in the United States and Europe have not revealed effectiveness of idebenone in people with Friedreich\u2019s ataxia, but more powerful modified forms of this agent and other antioxidants are in trials at this time. There is also a clinical trial to examine the efficacy of selectively removing excess iron from the mitochondria.   Scientists also are exploring ways to increase frataxin levels through drug treatments, genetic engineering and protein delivery systems. Several compounds that are directed at increasing levels of frataxin may be brought to clinical trials in the near future. To check for current trials, visit http:\/\/www.clinicaltrials.gov. Additional information is available from the groups listed in the following section.   Armed with what they currently know about frataxin and Friedreich\u2019s ataxia, scientists are working to better define fraxatin\u2019s role, clarify how defects in iron metabolism may be involved in the disease process, and explore new therapeutic approaches for therapy.       Where can I get more information? For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute's Brain Resources and Information Network (BRAIN) at:   BRAIN P.O. Box 5801 Bethesda, MD 20824 (800) 352-9424 http:\/\/www.ninds.nih.gov   Information also is available from the following organizations:  Column1 Column2  Friedreich's Ataxia Research Alliance (FARA) P.O. Box 1537 Springfield, VA   22151 fara@CureFA.org http:\/\/www.CureFA.org External link Tel: (703) 426-1576 Fax: (703) 425-0643   Genetic Alliance 4301 Connecticut Avenue, N.W. Suite 404 Washington, DC   20008-2369 info@geneticalliance.org http:\/\/www.geneticalliance.org External link Tel: 202-966-5557 800 336-GENE (4363) Fax: 202-966-8553   etc.","SUBJECT":"ClinicalTrials.gov - General Complaint","MESSAGE":"Dear sir\/ madam. I am a patient suffering from Friedreich's ataxia and i heard there was a medicine for it. In 2009 and since we are looking for the medicine kindly help on this and I have DNA report could You please help us on this as there are two people respective age 22 years and 24 years suffering from it. Looking for your help on this ASAP and please let us know when the medicine will be there in market and attaching two files for your reference","QUESTION_ID":61}
+{"ANNOTATIONS_FOCUS":"Kidney Stone","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Summary   A kidney stone is a solid piece of material that forms in the kidney from substances in the urine. It may be as small as a grain of sand or as large as a pearl. Most kidney stones pass out of the body without help from a doctor. But sometimes a stone will not go away. It may get stuck in the urinary tract, block the flow of urine and cause great pain.   The following may be signs of kidney stones that need a doctor's help: \u2022 Extreme pain in your back or side that will not go away \u2022 Blood in your urine \u2022 Fever and chills \u2022 Vomiting \u2022 Urine that smells bad or looks cloudy \u2022 A burning feeling when you urinate  Your doctor will diagnose a kidney stone with urine, blood, and imaging tests.  If you have a stone that won't pass on its own, you may need treatment. It can be done with shock waves; with a scope inserted through the tube that carries urine out of the body, called the urethra; or with surgery.  NIH: National Institute of Diabetes and Digestive and Kidney Diseases","SUBJECT":"Kidney Stone","MESSAGE":"Hello Dr.,In a case of patient with Kidney Stone size of 1.2mm x 2.3mm. What can i do? Pls i need your advice.","QUESTION_ID":62}
+{"ANNOTATIONS_FOCUS":"ESRD","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Health After Transplantation  KEEPING A HEALTHY OUTLOOK ON LIFE After an organ transplant, there is hope for the future. However, there are a number of health concerns that you will face. For example, there is the chance that your new organ will not always function as well as it should. Transplant recipients also have a higher risk of developing certain conditions such as high blood pressure, high blood lipid levels, diabetes, kidney problems, liver problems, and bone disease. Infection and cancer are also conditions you need to keep in mind.  Some conditions can affect any transplant recipient and some conditions are specific to the type of organ transplanted.    Search:         Healthy Transplant Images    CARING FOR YOUR NEW ORGAN  Lab Tests for Measuring Organ Function It is important to keep all of your scheduled checkups and lab appointments for monitoring organ function. Testing allows your transplant team to monitor the status of your transplant, detect rejection early, and start effective therapy right away OTHER HEALTH ISSUES Anti-rejection medications increase your risk of developing certain conditions such as infection and cancer. Other side effects of some anti-rejection medications include high blood pressure, diabetes, high blood lipids, kidney disease, heart attack, stroke, and bone disease. Knowing the risks and taking steps now to prevent them is a good way to keep you and your new organ healthy. KIDNEY DISEASE Kidney function is often decreased in transplant recipients. This may be caused by a pre-existing condition such as diabetes, high blood pressure, or injury to the kidney before a transplant. Or it may be caused by medications used to prevent rejection after a transplant.  The best way to help prevent kidney disease is to keep your blood pressure and blood glucose under control and to maintain a healthy weight. In addition, regular checkups with blood and urine tests will give your doctor important information for detecting early changes in kidney function and allowing appropriate steps to be taken. Self-Monitoring In addition to the tests that your transplant team will perform at regular follow-up visits, you will need to do some self-testing at home. Here are some things you will need to monitor: \u2022Weight \u2013 Weigh yourself at the same time each day, preferably in the morning. If you gain 2 pounds in a day or more than 5 pounds total, call your transplant team. \u2022Temperature \u2013 You should take your temperature daily, especially when you feel like you have a fever. Call your transplant team if your temperature is too high. \u2022Blood pressure \u2013 Check your blood pressure as often as your transplant team recommends. \u2022Pulse \u2013 You should check your pulse daily. A normal heart rate when not exercising should be 60 to 100 beats per minute. (If you have had a heart transplant, your resting heart rate may be as high as 110 to 120 beats per minute.) \u2022Blood sugar \u2013 If you have high blood sugar or diabetes, you will need to monitor your blood sugar using a glucometer.","SUBJECT":"","MESSAGE":"I have had renal organ transplant surgery a year ago. What risk factos must I avoid to prevent the recurrance of ESRD and to maintain a healthy functioning grafted kidney ?","QUESTION_ID":63}
+{"ANNOTATIONS_FOCUS":"gonorrhea","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Can gonorrhea be cured?  Yes, gonorrhea can be cured with the right treatment. It is important that you take all of the medication your doctor prescribes to cure your infection. Medication for gonorrhea should not be shared with anyone. Although medication will stop the infection, it will not undo any permanent damage caused by the disease.  It is becoming harder to treat some gonorrhea, as drug-resistant strains of gonorrhea are increasing. If your symptoms continue for more than a few days after receiving treatment, you should return to a health care provider to be checked again.  I was treated for gonorrhea. When can I have sex again?  You should wait seven days after finishing all medications before having sex. To avoid getting infected with gonorrhea again or spreading gonorrhea to your partner(s), you and your sex partner(s) should avoid having sex until you have each completed treatment. If you\u2019ve had gonorrhea and took medicine in the past, you can still get infected again if you have unprotected sex with a person who has gonorrhea.  Photo of woman in pain.Pelvic Inflammatory Disease (PID) What happens if I don\u2019t get treated?  Untreated gonorrhea can cause serious and permanent health problems in both women and men. In women, untreated gonorrhea can cause pelvic inflammatory disease (PID). Some of the complications of PID are \u2022Formation of scar tissue that blocks fallopian tubes; \u2022Ectopic pregnancy (pregnancy outside the womb); \u2022Infertility (inability to get pregnant); \u2022Long-term pelvic\/abdominal pain.  In men, gonorrhea can cause a painful condition in the tubes attached to the testicles. In rare cases, this may cause a man to be sterile, or prevent him from being able to father a child. Rarely, untreated gonorrhea can also spread to your blood or joints. This condition can be life-threatening.  Untreated gonorrhea may also increase your chances of getting or giving HIV \u2013 the virus that causes AIDS.","SUBJECT":"","MESSAGE":"My question is.what is the treatment  for chronic gonorrhea, massive growth?","QUESTION_ID":65}
+{"ANNOTATIONS_FOCUS":"depression","ANNOTATIONS_TYPE":"Organization","ANSWER":"The American Association for Geriatric Psychiatry (AAGP) is the only national association that has products, activities and publications, which focus exclusively on the challenges of geriatric psychiatry. Practitioners, researchers, educators, students, the public\u2014anyone interested in improving the mental health of the elderly\u2014have relied on AAGP since 1978 as the key driver for progress for elderly mental health care.  Whether you want to advance your career, engage the research community, or shape how science and society treat the elderly, AAGP has the right resources to help you. Find A Geriatric Psychiatrist Locate a geriatric psychiatrist in your area. Search Now >>","SUBJECT":"Geriatric Psychiatrists - recommendations","MESSAGE":"I'm looking for a geriatric psychiatrist in the sun city west, AZ area to do an evaluation for a loved one (male) who may be suffering from depression.  I'm looking for a psychiatrist that has experience working with older veterens who has a no nonsense, scientific approach.","QUESTION_ID":66}
+{"ANNOTATIONS_FOCUS":"Low erection and enlargement","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Erection problems  ED drugs are not safe for everyone  Many men now take medications like Viagra, Levitra, and Cialis to treat erection problems. These medications are not safe for everyone. Before taking drugs to treat ED, talk to your doctor about the benefits and risks involved.  Never take Viagra, Levitra, or Cialis if you take heart medicines called nitrates. Doing so could cause a sudden \u2014 and dangerous \u2014 drop in blood pressure. Also, tell your doctor if you take any drugs called alpha-blockers, which are used to treat prostate enlargement or high blood pressure.  Some men have problems getting or keeping an erection. (An erection is when blood fills up the penis, making it firmer and larger.) This problem is called erectile dysfunction, or ED, and sometimes is called impotence. ED is fairly common. In fact, between 15 million and 30 million U.S. men are affected by it. ED can be very upsetting. It can affect self-esteem and cause frustration, anger, and sadness. But there are effective treatments for ED. And counseling can help you and your partner cope with any emotional effects of ED.  Causes of ED include: \u2022Clogged blood vessels, high blood pressure, and high cholesterol \u2022Nerve damage from diabetes \u2022Certain medicines, including some used to treat depression or high blood pressure \u2022Low testosterone \u2022Unhealthy habits like smoking, drinking too much alcohol, overeating, and not exercising \u2022Emotional factors, such as stress or depression  As men get older, ED becomes more common. By age 65, almost 25 percent of men have this problem at least one out of every four times they have sex. But ED is treatable at any age. Your doctor can offer a number of ways to treat ED. If treatment solves your ED, though, you still need to take care of any health issues that may have caused it.  Some men need to try two or three options before they find an ED treatment that works for them. Medication is one popular way to treat ED. Drugs like Viagra increase blood flow to the penis, which helps make an erection possible. Injections to the penis and medicine you put into the tip of your penis also can increase blood flow to it.  Other treatments for ED include a vacuum cylinder and pump you put on your penis to pull blood into it or inflatable rods that are put into the penis through surgery.  You may have heard of herbal products or dietary supplements that claim to treat ED or improve sexual performance. You should beware of these products even if they claim to be \"natural.\" They can contain dangerous ingredients, including prescription medications that are not identified on the product's label.","SUBJECT":"Low erection and enlargement","MESSAGE":"How can i solve this in life?","QUESTION_ID":67}
+{"ANNOTATIONS_FOCUS":"Coronary Artery Spasms","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment   The goal of treatment is to control chest pain and prevent a heart attack. A medicine called nitroglycerin can relieve an episode of pain.  Your health care provider may prescribe other medications to prevent chest pain. You may need a type of medicine called a calcium channel blocker or a long-acting nitrate long-term. Your doctor may also prescribe a short-acting nitrate to use during an episode of chest pain.  Beta-blockers are another type of medication that may be used. However, beta-blockers may make the condition worse, and may be harmful if used with cocaine.   Outlook (Prognosis)   Coronary artery spasm is a chronic condition. However, treatment usually helps control symptoms.  The disorder may be a sign that you have a high risk for heart attack or potentially deadly irregular heart rhythms (arrhythmias). The outlook is generally good if you follow your doctor's treatment recommendations and avoid certain triggers.","SUBJECT":"Coronary Artery Spasms","MESSAGE":"I ask this as a General Question. Can a Pacemaker help prevent these spasms?","QUESTION_ID":68}
+{"ANNOTATIONS_FOCUS":"EYELID DROOP","ANNOTATIONS_TYPE":"Treatment","ANSWER":"the main goals of ptosis surgery are elevation of the  upper eyelid to permit normal visual development and a  full fi eld of vision, and symmetry with the opposite upper  eyelid. It is important to realize that when operating on an  abnormal muscle, completely normal eyelid position and  function after surgery may not be possible to achieve.","SUBJECT":"EYELID DROOP","MESSAGE":"WANT TO KNOW IF EYELID DROOP WILL BE GO AWAY","QUESTION_ID":69}
+{"ANNOTATIONS_FOCUS":"milk products allergy","ANNOTATIONS_TYPE":"Treatment","ANSWER":"What kinds of treatments and prevention have been helpful? Joanna: There is no cure for adults with food allergies. Medications like epinephrine injections and antihistamines can treat symptoms, but avoiding the trigger foods and carrying my EpiPen at all times is how I stay safe and healthy.","SUBJECT":"ClinicalTrials.gov - Question - general information","MESSAGE":"Please i really need your reply and your help :( My wife has Allergy from all milk products and whenever she drinks or eats any thing contains small amount of any milk products she goes to the hospital. I have faith that there is a cure for that but i really donno what to say to her. She thinks that she will never be cured. So please can you tell me is there is any cure for milk products allergy, any cure? or any cure in the very near future? I will be very very very grateful if you replied, Thanks alot. :)","QUESTION_ID":71}
+{"ANNOTATIONS_FOCUS":"ocular albinism","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment  The goal of treatment is to relieve symptoms. Treatment depends on the severity of the disorder.  Treatment involves protecting the skin and eyes from the sun: \u2022Reduce sunburn risk by avoiding the sun, using sunscreen, and covering up completely with clothing when exposed to the sun. \u2022Sunscreen should have a high sun protection factor (SPF). \u2022Sunglasses (UV protected) may relieve light sensitivity.  Glasses are often prescribed to correct vision problems and eye position. Eye muscle surgery is sometimes recommended to correct abnormal eye movements (nystagmus).","SUBJECT":"ClinicalTrials.gov - Question - general information","MESSAGE":"My 4 months baby has ocular albinism. Can you please help me or suggest any medicine to cure him.","QUESTION_ID":72}
+{"ANNOTATIONS_FOCUS":"chickenpox","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Chickenpox Can Be Serious. Protect Yourself and Your Child. Most children with chickenpox completely recover. But it can be serious, even deadly, for babies, adolescents, adults, and people with weakened immune systems. Get vaccinated if you are not protected against chickenpox.","SUBJECT":"chickenpox","MESSAGE":"I do not know if I had chickenpox. Is there a blood test available to tell me ? And if not which vaccine should I get, if any ?","QUESTION_ID":73}
+{"ANNOTATIONS_FOCUS":"anxiety\/ depression","ANNOTATIONS_TYPE":"Organization","ANSWER":"Anxiety and Depression Association of America, ADAA http:\/\/www.adaa.org\/","SUBJECT":"ClinicalTrials.gov - General Complaint","MESSAGE":"Please help me out as to whom to consult for anxiety and depression","QUESTION_ID":75}
+{"ANNOTATIONS_FOCUS":"curved penis","ANNOTATIONS_TYPE":"Information","ANSWER":"What is Peyronie\u2019s disease?  Peyronie\u2019s disease is a disorder in which scar tissue, called a plaque, forms in the penis\u2014the male organ used for urination and sex. The plaque builds up inside the tissues of a thick, elastic membrane called the tunica albuginea. The most common area for the plaque is on the top or bottom of the penis. As the plaque builds up, the penis will curve or bend, which can cause painful erections. Curves in the penis can make sexual intercourse painful, difficult, or impossible. Peyronie\u2019s disease begins with inflammation, or swelling, which can become a hard scar.  The plaque that develops in Peyronie\u2019s disease is not the same plaque that can develop in a person\u2019s arteries. The plaque seen in Peyronie\u2019s disease is benign, or noncancerous, and is not a tumor. Peyronie\u2019s disease is not contagious or caused by any known transmittable disease.","SUBJECT":"informatuon about new ways in orology in the west","MESSAGE":"hello im not satisfied with the solotion in Israel for curved penis by birth ill be hapy to read anything usual alternative or and both please make a quickk contact[things are slow and difficult]","QUESTION_ID":76}
+{"ANNOTATIONS_FOCUS":"anemic\/ not enough iron","ANNOTATIONS_TYPE":"Association","ANSWER":"Follow Your Diet Carefully After gastric bypass surgery, your body will not absorb some important vitamins and minerals. You will need to take these vitamins and minerals for the rest of your life: \u2022Multivitamin with iron \u2022Vitamin B 12 \u2022Calcium (1,200 mg per day) and vitamin D. Your body can absorb only about 500 mg of calcium at a time. Divide your calcium into 2 or 3 doses during the day. Calcium must be taken in the \"citrate\" form.   You may need to take other supplements also.","SUBJECT":"","MESSAGE":"I had Open RNYgastric bypass surgery.I have problems with iron .I am anemic .not enough iron. Sometimes I have to get iron in infusions. Once a blood transfusion. Does this have anything to do with me not getting enough B 12 ? I can, t drink milk and have a hard time eating meat. My body is not absorbing iron. They did have me on B 12 shots. Now back on pills under my tongues. So does this kind of anemic have anything to do with B-12 ? I am 10 yrs out.","QUESTION_ID":77}
+{"ANNOTATIONS_FOCUS":"testicular is small in size","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment of male hypogonadism\/androgen deficiency   Treatment with testosterone replacement therapy is recommended for men with consistently low testosterone levels and symptoms or signs of androgen deficiency. Men with one of the following should not be treated with testosterone replacement therapy:  \u203aActive (current) or a history of aggressive, high grade breast or prostate cancer \u203aSuspected prostate cancer, based on a lump or hardness in the prostate or high PSA (prostate-specific antigen) level \u203aA high number of red blood cells, untreated obstructive sleep apnea (long pauses in breathing during sleep and loud snoring), severe untreated enlargement of the prostate acausing difficulty urinating, or uncontrolled severe heart failure   The overall goal of testosterone hormone therapy is to increase testosterone levels from below the normal range to the middle of the normal range. Goals may vary from patient to patient but should include improving or maintaining the signs of masculinity (such as deep voice, beard growth, pubic hair), and improving sex drive and function,, mood and energy, muscle strength, and the amount of bone.","SUBJECT":"sir my testicular is small in size another is normal what is medical suggestion.thanks","MESSAGE":"","QUESTION_ID":78}
+{"ANNOTATIONS_FOCUS":"high level of Vitamin D \/ pituitary","ANNOTATIONS_TYPE":"Association","ANSWER":"Is there anything else I should know?   High levels of vitamin D and calcium can lead to the calcification and damage to organs, particularly the kidneys and blood vessels.   If magnesium levels are low, they can cause a low calcium level that is resistant to vitamin D and parathyroid hormone regulation. It may be necessary to supplement both magnesium and calcium to regain normal function.","SUBJECT":"Pituitary gland\/high level Vitamin D","MESSAGE":"My sister has a high level of Vitamin D in her system\/blood work.  Her specialist cannot find the cause.   Would there be any connection with her pituitary?   Had her thyroid gland removed 3 years ago, and cancer in breast\/removed cancer and had radiation\/cured 2 years ago.","QUESTION_ID":79}
+{"ANNOTATIONS_FOCUS":"havent fall pregnant","ANNOTATIONS_TYPE":"Cause","ANSWER":"What causes infertility in men?  Infertility in men can be caused by different factors and is typically evaluated by a semen analysis. A specialist will evaluate the number of sperm (concentration), motility (movement), and morphology (shape). A slightly abnormal semen analysis does not mean that a man is necessarily infertile. Instead, a semen analysis helps determine if and how male factors are contributing to infertility.   Conditions that can contribute to abnormal semen analyses include\u2014  \u2022Varicoceles, a condition in which the veins on a man\u2019s testicles are large and cause them to overheat. The heat may affect the number or shape of the sperm.  \u2022Medical conditions or exposures such as diabetes, cystic fibrosis, trauma, infection, testicular failure, or treatment with chemotherapy or radiation. \u2022Unhealthy habits such as heavy alcohol use, testosterone supplementation, smoking, anabolic steroid use, and illicit drug use. \u2022Environmental toxins including exposure to pesticides and lead. What causes infertility in women?  Women need functioning ovaries, fallopian tubes, and a uterus to get pregnant. Conditions affecting any one of these organs can contribute to female infertility. Some of these conditions are listed below and can be evaluated using a number of different tests.","SUBJECT":"MedlinePlus Service Request","MESSAGE":"iam 24yr old turning 25 this yr ive been having unprotected sex with my bf since i was 17 i still havent fall pregnant could something be possibly wrong with me","QUESTION_ID":80}
+{"ANNOTATIONS_FOCUS":"cannot eat","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Weight loss - unintentional   Unexplained weight loss is a decrease in body weight, when you did not try to lose the weight on your own.   Many people gain and lose some weight during any year. Loss of 10 pounds OR 5% of your normal body weight over 6-12 months or less, and you don't know the reason.   This problem may also be called unintentional weight loss.    Causes  A loss of appetite may be due to:  \u2022Feeling depressed \u2022Cancer, even when other symptoms are not present \u2022Chronic infection such as AIDS \u2022Chronic illness, such as COPD or Parkinson disease \u2022Drugs, including chemotherapy drugs, and thyroid medications \u2022Drug abuse such as amphetamines and cocaine \u2022Stress or anxiety  Chronic digestive system problems that decrease the amount of calories and nutrients your body absorbs, including: \u2022Diarrhea and other infections that last a long time, such as parasites \u2022Chronic swelling or infection in the pancreas \u2022Removal of part of the small intestine \u2022Overuse of laxatives  Other causes such as: \u2022Eating disorders, anorexia nervosa that have not been diagnosed yet \u2022Diabetes that have not been diagnosed \u2022Overactive thyroid gland   Home Care  Your healthcare provider may suggest changes in your diet and exercise program depending on the cause of your weight loss.","SUBJECT":"lesions of my tummy","MESSAGE":"i cannot eat i have lost 2 Stone i have no blood leaking can a operation get me better i do not even have a lager cannot drink tea or coffee i am getting fed up i have always kept fit had ham salad and chips had to be sick i was 9 stone now i am 7 stone i am size 8 now was size 14 will i get better is there a cure i have had this for monthes have stopped all tablets do not trust any think any more will i be like this for the rest of my life","QUESTION_ID":81}
+{"ANNOTATIONS_FOCUS":"losing weight\/ hard time getting to sleep","ANNOTATIONS_TYPE":"Cause","ANSWER":"When to Contact a Medical Professional  Call your doctor right away if: \u2022You are confused or dizzy \u2022You have blurred vision \u2022You have little or no urine, or recent swelling and weight gain \u2022You have thoughts of harming yourself or of committing suicide  Call your doctor if: \u2022You have unexplained weakness or fatigue, especially if you also have a fever or unintentional weight loss \u2022You have constipation, dry skin, weight gain, or you cannot tolerate cold \u2022You wake up and fall back to sleep many times during the night \u2022You have headaches \u2022You are taking any medications, prescription or non-prescription, or using drugs that may cause fatigue or drowsiness \u2022You feel sad or depressed \u2022You have insomnia","SUBJECT":"ClinicalTrials.gov - Question - general information","MESSAGE":"Dear Ma'am or Sir, I have a Mother who keeps losing weight even though she eats and no test and no Doctor has been able to tell her why she keeps losing weight.She also has a hard time getting to sleep and getting back to sleep after she has gotten up to go to the bathroom.","QUESTION_ID":82}
+{"ANNOTATIONS_FOCUS":"not being able to breath","ANNOTATIONS_TYPE":"Association","ANSWER":"ALCOHOLIC CARDIOMYOPATHY  Long-term heavy drinking weakens the heart muscle, causing a condition called alcoholic cardiomyopathy. A weakened heart droops and stretches and cannot contract effectively. As a result, it cannot pump enough blood to sufficiently nourish the organs. In some cases, this blood flow shortage causes severe damage to organs and tissues. Symptoms of cardiomyopathy include shortness of breath and other breathing difficulties, fatigue, swollen legs and feet, and irregular heartbeat. It can even lead to heart failure.  OTHER ALCOHOL-RELATED BRAIN CONDITIONS LIVER DAMAGE THAT AFFECTS THE BRAIN Not only does alcoholic liver disease affect liver function itself, it also damages the brain. The liver breaks down alcohol\u2014and the toxins it releases. During this process, alcohol\u2019s byproducts damage liver cells. These damaged liver cells no longer function as well as they should and allow too much of these toxic substances, ammonia and manganese in particular, to travel to the brain.These substances proceed to damage brain cells, causing a serious and potentially fatal brain disorder known as hepatic encephalopathy.","SUBJECT":"cirrhosis of the liver question","MESSAGE":"I have cirrhosis of the liver.  Do high ammonia levels effect breathing?  I have spells of not being able to breath very well. No pain.","QUESTION_ID":83}
+{"ANNOTATIONS_FOCUS":"BINGE DRINKER\/ HAVE TROUBLE WALKING","ANNOTATIONS_TYPE":"Treatment","ANSWER":"However severe the problem may seem, most people with an alcohol use disorder can benefit from treatment. Unfortunately, only of a fraction of people who could benefit from treatment receive help. In 2012, for example, 1.4 million adults received treatment for an AUD at a specialized facility (8.4 percent of adults in need). This included 416,000 women (7.3 percent of women in need) and 1.0 million men (8.9 percent of men in need).  Ultimately, receiving treatment can improve an individual\u2019s chances of success in overcoming an AUD. Talk with your doctor to determine the best course of action for you and see Rethinking Drinking and Treatment for Alcohol Problems: Finding and Getting Help for more information.","SUBJECT":"WHAT TABLETS CAN I TAKE ???","MESSAGE":"I WAS A BINGE DRINKER FOR YEARS & HAVE TROUBLE WALKING & I AM ON THIAMIN 100mg  & STRONG VITAMIN B Compound & SENNA  SO WHAT ELSE CAN I TAKE ???","QUESTION_ID":84}
+{"ANNOTATIONS_FOCUS":"pubic lice","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment  MEDICINES  Pubic lice are best treated with a prescription wash containing permethrin, such as Elimite or Kwell: \u2022Thoroughly work the shampoo into dry pubic hair and surrounding area for at least 5 minutes. \u2022Rinse well. \u2022Comb the pubic hair with a fine-toothed comb to remove eggs (nits). Applying vinegar to pubic hair before combing may help loosen nits.   Most people need only 1 treatment. If a second treatment is needed, it should be done 4 days to 1 week later.  Over-the-counter medicines to treat lice include Rid and Nix. Malathione lotion is another option.  OTHER CARE  While you are treating pubic lice: \u2022Wash all clothing and bedding in hot water.  \u2022Spray items that cannot be washed may be sprayed with a medicated spray that you can buy at the store. You can also seal items in plastic bags for 10 - 14 days to smother lice.  \u2022Makes sure anyone with whom you have had sexual contact or shared a bed be treated at the same time.  People with pubic lice should be checked for other sexually-transmitted infections when lice are discovered.","SUBJECT":"pubic lice","MESSAGE":"What are some treatments for pubic lice","QUESTION_ID":85}
+{"ANNOTATIONS_FOCUS":"USING MORPHINE","ANNOTATIONS_TYPE":"Complication","ANSWER":"3.\u201cI\u2019ve heard that Morphine has lots of side effects, and I feel bad enough already.\u201d  All opiates can cause nausea, drowsiness and constipation. However, all side effects will generally stop after a few days, as your body adjusts, and constipation can be easily treated.","SUBJECT":"MedlinePlus Service Request","MESSAGE":"if A PERSON HAS BEEN USING MORPHINE FOR YEARS (10)FOR PAIN RELIEF,AND ARE EXHIBITING THE FLU-LIKE INABILITY TO THINK OR COMMUNICATE, AS A LOVING FRIEND , COULD YOU GUESS\/ESTIMATE FOR ME HOW LONG THE HELL THEY'RE EXPERIENCING MAY LAST?1 WEEK, 1 YEAR?","QUESTION_ID":86}
+{"ANNOTATIONS_FOCUS":"Trigem Neuralgia","ANNOTATIONS_TYPE":"Cause","ANSWER":"What is Trigeminal Neuralgia? The presumed cause of TN is a blood vessel pressing on the trigeminal nerve in the head as it exits the brainstem. TN may be part of the normal aging process but in some cases it is the associated with another disorder, such as multiple sclerosis or other disorders characterized by damage to the myelin sheath that covers certain nerves.","SUBJECT":"Trigem Neuralgia","MESSAGE":"","QUESTION_ID":87}
+{"ANNOTATIONS_FOCUS":"retinitis pigmentosa","ANNOTATIONS_TYPE":"Treatment","ANSWER":"How is retinitis pigmentosa treated?  There is no known cure for retinitis pigmentosa. However, there are few treatment options such as light avoidance and\/or the use of low-vision aids to slow down the progression of RP. Some practitioners also consider vitamin A as a possible treatment option to slow down the progression of RP. Research suggests taking high doses of vitamin A (15,000 IU\/day) may slow progression a little in some people, but the results are not strong. Taking too much vitamin A can be toxic and the effects of vitamin A on the disease is relatively weak. More research must be conducted before this is a widely accepted form of therapy.  Research is also being conducted in areas such as gene therapy research, transplant research, and retinal prosthesis. Since RP is usually the result of a defective gene, gene therapy has become a widely explored area for future research. The goal of such research would be to discover ways healthy genes can be inserted into the retina. Attempts at transplanting healthy retinal cells into sick retinas are being made experimentally and have not yet been considered as clinically safe and successful. Retinal prosthesis is also an important area of exploration because the prosthesis, a man-made device intended to replace a damaged body part, can be designed to take over the function of the lost photoreceptors by electrically stimulating the remaining healthy cells of the retina.Through electrical stimulation, the activated ganglion cells can provide a visual signal to the brain. The visual scene captured by a camera is transmitted via electromagnetic radiation to a small decoder chip located on the retinal surface. Data and power are then sent to a set of electrodes connected to the decoder. Electrical current passing from individual electrodes stimulate cells in the appropriate areas of the retina corresponding to the features in the visual scene.","SUBJECT":"ClinicalTrials.gov - Compliment","MESSAGE":"Hi I have retinitis pigmentosa for 3years. Im suffering from this disease. Please intoduce me any way to treat mg eyes such as stem cell ....I am 25 years old and I have only central vision. Please help me. Thank you","QUESTION_ID":88}
+{"ANNOTATIONS_FOCUS":"leg cramps","ANNOTATIONS_TYPE":"Organization","ANSWER":"About Osteopathic Medicine  Osteopathic physicians, or DOs, are fully licensed to prescribe medicine and practice in all specialty areas, including surgery. But they also bring something extra to the practice of medicine. DOs receive specialized training in the body's musculoskeletal system, providing them with in-depth knowledge of the ways that illness or injury in one part of the body can affect another.","SUBJECT":"Physician","MESSAGE":"I am looking for a type of physician that specializes in treating leg cramps in the elderly.  Specifically, possibly one that provides treatment for leg circulation issues.  What medical specialty is that called?","QUESTION_ID":89}
+{"ANNOTATIONS_FOCUS":"lung cancer","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Personal or Family History of Lung Cancer  If you are a lung cancer survivor, there is a risk that you may develop another lung cancer, especially if you smoke. Your risk of lung cancer may be higher if your parents, brothers or sisters, or children have had lung cancer. This could be true because they also smoke, or they live or work in the same place where they are exposed to radon and other substances that can cause lung cancer.","SUBJECT":"Genetic testing","MESSAGE":"My mother in law is in the last stage if lung cancer and only has days to live.  My question is...testing her and comparing her tests with my husbands and his sisters test help to determine if it is genetic?  My mother in law  and her mother and her mothers sister both had lung cancer and none if them were smokers.  I'm real worried about my husband getting lung cancer now and I want find out what we can do to protect him.Thank you","QUESTION_ID":90}
+{"ANNOTATIONS_FOCUS":"snoring","ANNOTATIONS_TYPE":"Treatment","ANSWER":"What you can do in the meantime   While you're waiting to see your doctor, here are some tips you can try:  \u2022Don't drink alcohol or take sedatives before bed.  \u2022Try over-the-counter nasal strips.  \u2022Sleep on your side, instead of your back.  \u2022If nasal congestion is an issue, try an over-the-counter decongestant for a day or two.","SUBJECT":"How to Stop Snoring","MESSAGE":"How to Stop Snoring","QUESTION_ID":92}
+{"ANNOTATIONS_FOCUS":"pain  left leg","ANNOTATIONS_TYPE":"Organization","ANSWER":"Resources Links   American Academy of Hospice and Palliative Medicine: www.aahpm.org  American Academy of Pain Management: www.aapainmanage.org  American Academy of Pain Medicine: www.painmed.org  American Academy of Physical Medicine and Rehabilitation: www.aapmr.org  American Academy of Physician Assistants: www.aapa.org  American Board of Pain Medicine: www.abpm.org  American Chronic Pain Association: www.theacpa.org  American Headache Society: www.americanheadachesociety.org  American Medical Association: www.ama-assn.org  American Nurses Association: www.ana.org  American Pain Society: www.ampainsoc.org  American Society for Addiction Medicine: www.asam.org  American Society for Pain Management Nursing: www.aspmn.org  American Society of Anesthesiologists: www.asahq.org  American Society of Pain Educators: www.paineducators.org  American Society of PeriAnesthesia Nurses: www.aspan.org  American Society of Regional Anesthesia and Pain Medicine: www.asra.com  APhA\/Pain Management Partnership: www.pharmacist.com  Association of American Medical Colleges\/MedEdPORTAL: www.aamc.org  CDC, National Center for Health Statistics: www.cdc.gov\/nchs  Center to Advance Palliative Care: www.capc.org  Dannemiller Memorial Education Foundation: www.dannemiller.com  Department of Pain Medicine and Palliative Care\/Beth Israel Medical Center: www.stoppain.org  Hospice and Palliative Nurses Association: www.hpna.org  Institute for Healthcare Improvement: www.ihi.org  Institute for Safe Medication Practices: www.ismp.org  International Association for Hospice & Palliative Care: www.hospicecare.com  International Association for the Study of Pain: www.iasp-pain.org  The Joint Commission: www.jointcommission.org  National Association for Healthcare Quality: www.nahq.org  National Association of State Controlled Substance Authorities: www.nascsa.org  National Coordinating Council for Medication Error Reporting and Prevention: www.nccmerp.org  National Hospice and Palliative Care Organization: www.nhpco.org  Pain and Palliative Care Resource Center\/City of Hope: prc.coh.org  Pain and Policy Studies Group\/Wisconsin University: www.painpolicy.wisc.edu  Pain.com: www.pain.com  Pain Treatment Topics: www.pain-topics.org  Promoting Excellence in End-of-Life Care: www.promotingexcellence.org  Shaare Zedek Cancer Pain and Palliative Care Reference Database: www.chernydatabase.org  Society for Pain Practice Management: www.sppm.org  Substance Abuse and Mental Health Services Administration: www.samhsa.gov  United States Pharmacopeial Convention: www.usp.org  Wisconsin Pain Initiative: www.aspi.wisc.edu\/wpi","SUBJECT":"Pain in Front of Lower Stomach & Bac k& r.Hip","MESSAGE":"I have problem with severe pain when I try to get up or put pressure on my left leg. Should I see an orthopedic doctor?  What might cause this, a pulled muscle, spinal injury, a damaged disc?","QUESTION_ID":93}
+{"ANNOTATIONS_FOCUS":"LIVER CANCER","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"Tests that examine the liver and the blood are used to detect (find) and diagnose adult primary liver cancer. The following tests and procedures may be used:  Physical exam and history : An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient\u2019s health habits and past illnesses and treatments will also be taken.  Serum tumor marker test : A procedure in which a sample of blood is examined to measure the amounts of certain substances released into the blood by organs, tissues, or tumor cells in the body. Certain substances are linked to specific types of cancer when found in increased levels in the blood. These are called tumor markers. An increased level of alpha-fetoprotein (AFP) in the blood may be a sign of liver cancer. Other cancers and certain noncancerous conditions, including cirrhosis and hepatitis, may also increase AFP levels. Sometimes the AFP level is normal even when there is liver cancer. Liver function tests : A procedure in which a blood sample is checked to measure the amounts of certain substances released into the blood by the liver. A higher than normal amount of a substance can be a sign of liver cancer. CT scan (CAT scan): A procedure that makes a series of detailed pictures of areas inside the body, such as the abdomen, taken from different angles. The pictures are made by a computer linked to an x-ray machine. A dye may be injected into a vein or swallowed to help the organs or tissues show up more clearly. This procedure is also called computed tomography, computerized tomography, or computerized axial tomography. Images may be taken at three different times after the dye is injected, to get the best picture of abnormal areas in the liver. This is called triple-phase CT. A spiral or helical CT scan makes a series of very detailed pictures of areas inside the body using an x-ray machine that scans the body in a spiral path. MRI (magnetic resonance imaging): A procedure that uses a magnet, radio waves, and a computer to make a series of detailed pictures of areas inside the body, such as the liver. This procedure is also called nuclear magnetic resonance imaging (NMRI). To create detailed pictures of blood vessels in and near the liver, dye is injected into a vein. This procedure is called MRA (magnetic resonance angiography). Images may be taken at three different times after the dye is injected, to get the best picture of abnormal areas in the liver. This is called triple-phase MRI. Ultrasound exam: A procedure in which high-energy sound waves (ultrasound) are bounced off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram. The picture can be printed to be looked at later.  Biopsy : The removal of cells or tissues so they can be viewed under a microscope by a pathologist to check for signs of cancer. Procedures used to collect the sample of cells or tissues include the following: Fine-needle aspiration biopsy : The removal of cells, tissue or fluid using a thin needle. Core needle biopsy : The removal of cells or tissue using a slightly wider needle. Laparoscopy : A surgical procedure to look at the organs inside the abdomen to check for signs of disease. Small incisions (cuts) are made in the wall of the abdomen and a laparoscope (a thin, lighted tube) is inserted into one of the incisions. Another instrument is inserted through the same or another incision to remove the tissue samples. A biopsy is not always needed to diagnose adult primary liver cancer.","SUBJECT":"CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI","MESSAGE":"CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI","QUESTION_ID":95}
+{"ANNOTATIONS_FOCUS":"swelling leg","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Home Care  Some tips that may help: \u2022Raise your legs above your heart while lying down. \u2022Exercise your legs. This helps pump fluid from your legs back to your heart. \u2022Follow a low-salt diet, which may reduce fluid buildup and swelling. \u2022Wear support stockings (sold at most drug and medical supply stores). \u2022When traveling, take breaks often to stand up and move around. \u2022Avoid wearing tight clothing or garters around your thighs. \u2022Lose weight if you need to.  Never stop taking any medicines you think may be causing swelling without first talking to your doctor.","SUBJECT":"Right leg little finger fractured and swelling leg","MESSAGE":"Right leg little finger has been fractured an i have applied lecoplast in that finger.but now the leg is been swelling.problem is that i cant rest.busy with my work.plz help me what shall i do to avoid swelling?","QUESTION_ID":100}
+{"ANNOTATIONS_FOCUS":"ankle arthritis","ANNOTATIONS_TYPE":"Information","ANSWER":"PHYSICAL THERAPY  Physical therapy can help improve muscle strength and the motion of stiff joints as well as your balance. If therapy does not make you feel better after 6 to 8 weeks, then it likely will not work at all.  Massage therapy may provide short-term pain relief. Make sure you work with a licensed massage therapist who is experienced in working on sensitive joints.","SUBJECT":"Arthritis on elderly","MESSAGE":"Is there something available, in English or Spanish, about Physiotherapy specific for ankle arthritis? Just to know something more. There is a case in my Family and it is being followed by both a physician and a physiotherapist. My e-mail is &jfuks@oi.com.br>. Thanks. Jayme Fuks.","QUESTION_ID":101}
+{"ANNOTATIONS_FOCUS":"liver cancer","ANNOTATIONS_TYPE":"Prognosis","ANSWER":"Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options depend on the following:  The stage of the cancer (the size of the tumor, whether it affects part or all of the liver, or has spread to other places in the body). How well the liver is working. The patient\u2019s general health, including whether there is cirrhosis of the liver.","SUBJECT":"liver cancer","MESSAGE":"how many percent of change to survive if level 4","QUESTION_ID":102}
+{"ANNOTATIONS_FOCUS":"leigh disease","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Is there any treatment?  The most common treatment for Leigh's disease is thiamine or Vitamin B1. Oral sodium bicarbonate or sodium citrate may also be prescribed to manage lactic acidosis. Researchers are currently testing dichloroacetate to establish its effectiveness in treating  lactic acidosis. In individuals who have the X-linked form of Leigh\u2019s disease, a high-fat, low-carbohydrate diet may be recommended.","SUBJECT":"EPI 743","MESSAGE":"hi  My name is Mahmoud My son, His age 4 month discovered it leigh disease infected from the mother side. and we have  full family history with the leigh disease.  my Daughter she lived for 7 years with the same disease, we have her Hospital reports, it is confirmed leigh Disease.  Kindly, if there is any hope for my son with EPI743 treatment, and we are appreciate to accept him in the treatment study.  i have a full reports for my son and the MRI. and all of it under your request.    Hope get your help ASAP because he is in the first stage. and we have a we are all hope he will be better.  Best Regards  Mahmoud Hassan","QUESTION_ID":104}
+{"ANNOTATIONS_FOCUS":"brain injury","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"How do health care providers diagnose traumatic brain injury (TBI)? To diagnose TBI, health care providers may use one or more tests that assess a person's physical injuries, brain and nerve functioning, and level of consciousness.","SUBJECT":"Urgent Enquiry","MESSAGE":"Hi,  I wish to enquire about what other non-invasive alternatives are there in diagnosing a brain injury other than an invasive mri,ct or pet scan?  Patient has a family history of cancer and is afraid of being exposed to radiation, and is also fitted with metal discs to her neck and spine after she developed scoliosis and osteoporosis. She lives in Australia.  Your urgent reply would be much appreciated.   Marie.","QUESTION_ID":107}
+{"ANNOTATIONS_FOCUS":"ADHD","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Different types of psychotherapy are used for ADHD. Behavioral therapy aims to help a child change his or her behavior. It might involve practical assistance, such as help organizing tasks or completing schoolwork, or working through emotionally difficult events. Behavioral therapy also teaches a child how to monitor his or her own behavior.","SUBJECT":"","MESSAGE":"What is the best way to naturally treat a 7 yr old boy with ADHD? Without prescription medicine?","QUESTION_ID":108}
+{"ANNOTATIONS_FOCUS":"locked-in syndrome","ANNOTATIONS_TYPE":"Information","ANSWER":"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.","SUBJECT":"ClinicalTrials.gov - Suggestion","MESSAGE":"Please help me with my brother with locked-in syndrome in Martinique for 3 years.Somebody please help. God bless .Henri 631-643-5692","QUESTION_ID":109}
+{"ANNOTATIONS_FOCUS":"Tourette syndrome","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"What disorders are associated with TS?  Many individuals with TS experience additional neurobehavioral problems that often cause more impairment than the tics themselves.  These include inattention, hyperactivity and impulsivity (attention deficit hyperactivity disorder\u2014ADHD);   problems with reading, writing, and arithmetic; and obsessive-compulsive symptoms such as intrusive thoughts\/worries and repetitive behaviors. For example, worries about dirt and germs may be associated with repetitive hand-washing, and concerns about bad things happening may be associated with ritualistic behaviors such as counting, repeating, or ordering and arranging.  People with TS have also reported problems with depression or anxiety disorders, as well as other difficulties with living, that may or may not be directly related to TS.  In addition, although most individuals with TS experience a significant decline in motor and vocal tics in late adolescence and early adulthood, the associated neurobehavioral conditions may persist.  Given the range of potential complications, people with TS are best served by receiving medical care that provides a comprehensive treatment plan.","SUBJECT":"","MESSAGE":"I have had Tourette syndrome since age seven. Recently at the age of 72, I had an implantation of a shunt for hydrocephalus. What is the probability of one having both hydrocephalus and Tourette syndrome? Is there any evidence that indicates that the head and neck tics of Tourette syndrome may be a cause of hydrocephalus?","QUESTION_ID":110}
+{"ANNOTATIONS_FOCUS":"Ankle injury","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Oral anti-inflammatory medication, such as ibuprofen, can be used to decrease pain, swelling, and inflammation.","SUBJECT":"Ankle injury","MESSAGE":"I got hurt in my left leg ankle almost 5 months ago. I went to doctor, got x-ray, where no damage was found. He suggested me some pain killers and advised me to wear anklet. I have been following the instruction since then; I went to another doctor who advised me to go for physiotherapy (Short Wave Diathermy) and advised me some exercises. I have been following them too. But yet now, I have not been fully recovered from the pain. Especially when I try to walk quickly or try to put pressure with my left leg, I feel pain. I am very tensed about this. Can you please suggest me how to overcome the pain. Thanks.","QUESTION_ID":112}
+{"ANNOTATIONS_FOCUS":"sexual dysfunction","ANNOTATIONS_TYPE":"Treatment","ANSWER":"TREATING MALE SEXUAL DYSFUNCTION \u2022 For psychological causes of sexual dysfunction, such as relationship problems, counseling, either individually or as a couple, may be beneficial. Sexual therapy with a therapist who specializes in sexual dysfunction may also help. \u2022 Depression or anxiety disorders may need treatment. \u2022 Any physical problems that may be affecting sexual function should be addressed. \u2022 If a medication is interfering with sexual function, it may be possible to change or discontinue the medication. \u2022 Prescription medications that treat erectile dysfunction may help a man achieve and maintain erections. \u2022 Hormonal treatment, such as testosterone replacement therapy, may help with hormone imbalances that are contributing to sexual dysfunction.","SUBJECT":"sexual dysfunction","MESSAGE":"Dear Doctor  i am male of 39 years, and facing problem of sexual weekness, erection is ok, once my penis stand up and after some seconds its become down like dead, i also feel size is also came down, i am worried, kindly suggest me a medicine for such disease i shall be very great full to you.  Regards Faisal Ramzan  Dubai, United Arab Emirates","QUESTION_ID":113}
+{"ANNOTATIONS_FOCUS":"gum blood","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Your dentist may recommend:      Having professional teeth cleaning in addition to brushing and flossing twice a year, or more often for worse cases of gum disease.     Using antibacterial mouth rinses or other aids     Getting misaligned teeth repaired     Replacing dental and orthodontic appliances","SUBJECT":"problem in gum","MESSAGE":"My Teeth gum blood coming what medicine I use","QUESTION_ID":114}
+{"ANNOTATIONS_FOCUS":"cyclic vomiting","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Recent case reports of adult and child CVS patients with epileptiform activity on electroencephalography have shown response to antiepileptic drugs, including carbamazepine and topiramate.","SUBJECT":"cyclic vomiting","MESSAGE":"Heard of some people with this condition getting some relief from a drug called Topamax,but saw nothing about it on site,s. any info would be great thanks.","QUESTION_ID":115}
+{"ANNOTATIONS_FOCUS":"lung cancer","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment Option Overview (Non-Small Cell Lung Cancer) From the National Institutes of Health (National Cancer Institute) Treatment Option Overview (Small Cell Lung Cancer) From the National Institutes of Health (National Cancer Institute) Treatment Options by Stage (Non-Small Cell Lung Cancer) From the National Institutes of Health (National Cancer Institute) Treatment Options by Stage (Small Cell Lung Cancer) From the National Institutes of Health (National Cancer Institute)","SUBJECT":"latest information","MESSAGE":"WANT TO KNOW LATEST DEVELOPMENT IN LUNG CANCER TREATMENT, MY FRIENDS WIFE AGE 45, NAME KUSHUM AGARWAL, RAIGADH (C G)INDIA SUFFERING WITH THIS DISEASE,WILL BE TAKING FIRST DOSE OF ALMITA PEMETREXED ON THRUSDAY THAT IS AFTER FOUR DAYS. PL. ADD MY E-MAIL ID","QUESTION_ID":116}
+{"ANNOTATIONS_FOCUS":"lipoma","ANNOTATIONS_TYPE":"Treatment","ANSWER":"As research in localized fat reduction has improved, therapies successful in this domain have been applied to the management of lipomas as a surgical alternative. In this review article, the authors review the basic science of injection therapies used in the management of lipomas as well as their potential efficacy and limitations.","SUBJECT":"new treatment for lipoma of forearm","MESSAGE":"I have had two surgeries on my right forearm.  The last was 2 years ago.  The lipoma has returned.  Are there any new treatments or experimental procedures that might help me?","QUESTION_ID":117}
+{"ANNOTATIONS_FOCUS":"swallowed a bit of bleach","ANNOTATIONS_TYPE":"Treatment","ANSWER":"If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. Do\u00a0not give water or milk if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.","SUBJECT":"","MESSAGE":"My 3yrs old boy found my bleach at the laundry and I suspect he swallowed a bit of it. How do I treat this pls","QUESTION_ID":118}
+{"ANNOTATIONS_FOCUS":"masturbation","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Make an appointment with your doctor whenever you have any questions concerning masturbation or other aspects of sexuality.","SUBJECT":"low WBC issue","MESSAGE":"respected sir,                i humbly want to say  you thanx for making this website. i am sunil from India and i want to help myself by you please help me sir i will greatful to yo(sorry sir my English is not so good)      masturbation is my hobby its my taboo really sir now i am tired i want to change myself please sir give me some suggestions ....   this is bad habit in my life but i am also a bright student since last year .............. .......... .......... i am crying... sorry ...... please help me sir plzz rply me in my id.. and wish me luck     i know you have a golden heart ....","QUESTION_ID":119}
+{"ANNOTATIONS_FOCUS":"weight","ANNOTATIONS_TYPE":"Treatment","ANSWER":"It's important to do your homework if you're thinking about trying over-the-counter weight-loss pills. General information about many dietary supplements is available at the website of the National Center for Complementary and Alternative Medicines. The Natural Medicines Comprehensive Database summarizes research regarding dietary supplements and herbal products. Although the database is only available by subscription, you may be able to access it through a public library. The following table shows common weight-loss pills and what the research shows about their effectiveness and safety.","SUBJECT":"","MESSAGE":"hi, what's the best over the counter medications for losing this weight, I need to try something but I don't want any surgery done.","QUESTION_ID":120}
+{"ANNOTATIONS_FOCUS":"Meniere's disease","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Fattori et al, Audiology 35(6):322-34, 1996. These authors report the results of treatment for 15 days with 90 min. sessions of a pressure chamber. They report better hearing results in the treated patients. Comment: lacking a reasonable mechanism and also considering the general problems with placebo responses in Menieres (see the classic paper entitled Old and New in Menieres, by N. Torok), this treatment remains unsubstantiated.","SUBJECT":"Meniere's disease","MESSAGE":"What info you might have on Hyperbaric treatment or results for meneires disease?","QUESTION_ID":121}
+{"ANNOTATIONS_FOCUS":"bilateral severe hearing loss","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Both children and adults can be candidates for cochlear implants. People who are candidates for this device may have been born deaf or become deaf after learning to speak. Children as young as 1 year old are now candidates for this surgery. Although criteria are slightly different for adults and children, they are based on similar guidelines: The person should be completely or almost completely deaf in both ears, and get almost no improvement with hearing aids. Anyone who can hear well enough with hearing aids is not a good candidate for cochlear implants.","SUBJECT":"","MESSAGE":"Dear Sir, My Daughter 4 years is by birth Bilateral Severe Hearing loss, but we are giving regular hearing aid trial and speech language therapy,.She not respond Doctor is suggested cochlear implant give me a suggestion.","QUESTION_ID":123}
+{"ANNOTATIONS_FOCUS":"strabismus","ANNOTATIONS_TYPE":"Treatment","ANSWER":"People with strabismus have several treatment options available to improve eye alignment and coordination. They include: eyeglasses or contact lenses prism lenses vision therapy eye muscle surgery","SUBJECT":"Strabismus Lazy Eye","MESSAGE":"I am someone who is out to get information about the developments in strabismus lazy eye correction. I will need information about all of the therapy that is possible involving the adult stem cell research therapy that will make certain the brain will be fully retrained with this after the surgery has been done, & this real important! Call me @ either 715-952-8520, or 715-340-4012","QUESTION_ID":124}
+{"ANNOTATIONS_FOCUS":"fire burn gives stain","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatments Your Physician May PrescribeSome creams may help fade dark marks. These include 2\u20134% hydroquinone, tretinoin, tazarotene, azelaic acid, and glycolic acid. These products are often used in combination. Chemical peels or microdermabrasion are treatments not generally covered by insurance and need to be repeated monthly for a total of 4\u20136 sessions. If not done by experts, they may cause further irritation and darkening.","SUBJECT":"","MESSAGE":"Fire Burn gives stain at stomach during my childhood and that is directly surrounded around the stomach button. and this matter was occurred past 15 years back. Do there is any therapy or remedy?","QUESTION_ID":126}
+{"ANNOTATIONS_FOCUS":"ODD","ANNOTATIONS_TYPE":"Information","ANSWER":"Even the best-behaved children can be difficult and challenging at times. But if your child or teen has a frequent and persistent pattern of anger, irritability, arguing, defiance or vindictiveness toward you and other authority figures, he or she may have oppositional defiant disorder (ODD).","SUBJECT":"ODD","MESSAGE":"Would like to learn more about condition on ODD","QUESTION_ID":127}
+{"ANNOTATIONS_FOCUS":"alcohol and opiate withdrawal","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Patients presenting in mild alcohol withdrawal may be treated on an outpatient basis, provided that no underlying conditions require inpatient treatment. Patients presenting with moderate or severe alcohol withdrawal and DT require inpatient treatment and consideration of ICU admission. Sedative-hypnotic drugs are the primary agents for treatment of alcohol withdrawal syndrome because they are cross-tolerant drugs that modulate GABA functions. These medications commonly include benzodiazepines, barbiturates, propofol, and (in rare cases) ethanol.","SUBJECT":"Questions","MESSAGE":"i am looking for the latest evidence based practice on guidelines for assessing and treating Alcohol and Opiate withdrawal. Thanks","QUESTION_ID":129}
+{"ANNOTATIONS_FOCUS":"penis did not grow","ANNOTATIONS_TYPE":"Treatment","ANSWER":"The hCG treatment increased the serum testosterone level, penile length, and testicular volume in IHH patients. Our results suggest that hCG treatment has a beneficial effect on gonadal function and penile growth in patients with IHH presenting with micropenis.","SUBJECT":"","MESSAGE":"How do I know if the cause why my penis didn't growth up to a normal penis size was because of IHH? And How can I have a treatment with hCG? Where Can I get the injections?","QUESTION_ID":130}
+{"ANNOTATIONS_FOCUS":"Diarrhea","ANNOTATIONS_TYPE":"Cause","ANSWER":"These drugs are very powerful. They can affect you very quickly and without your knowing. The length of time that the effects last varies. It depends on how much of the drug is taken and if the drug is mixed with other drugs or alcohol.","SUBJECT":"diarrhea","MESSAGE":"I think someone drugged my alcoholic beverage and caused me to get diarrhea. I wanted to know what drug that may be. It worked within the hour and did not cause me any pain I just lost my balance a little and felt disoriented. I drank 5 drinks and two waters from 4pm to midnight Saturday in Las Vegas, Nevada. I usually only have 4 drinks but have drank more than that before and never got diarrhea. Please help I want to get drug tested and do not know which ones I should be tested for. I do not use drugs only natural vitamins. Thank you so much.","QUESTION_ID":133}
+{"ANNOTATIONS_FOCUS":"binocular vision","ANNOTATIONS_TYPE":"Treatment","ANSWER":"When is surgery for exotropia indicated?  Criteria for surgery may vary somewhat, but generally surgery is indicated when the exotropia is frequently present, when the patient is experiencing significant symptoms (eyestrain, double vision, squinting), or when there is evidence that the patient is losing \"binocular vision\". Surgery may not be recommended if the exotropia is adequately controlled with glasses or other non-surgical methods.","SUBJECT":"Pilot and Lazy eye","MESSAGE":"Dear MedlinePus  I started to fly at the age of 15 and have been flying for over 3,5 years and has logged over 120 hours in my time as pilot. My dream is to become a Comerical Pilot and recently I undertook a medical class 1 which I failed in Norway because of my Eye position and Eye movment, hence I have not experienced any problem with my vision in daily life nor when I have been flying..  The problem is that my binocular vision is not good enough and the eye-doctor meant it could be a problem if I sudden developed double vision.  Is there any operation that can fix this? The Orthoptics I went to meant there was a problem with one of the eye muscles which where to tight and the other too weak. She said it can be fixed, but this is not \"normal\"; in Norway because it is not big enough error she meant.  Is there anyway to fix this? I appreciate all information!  Kind Regards  Adam Mauseth","QUESTION_ID":136}
+{"ANNOTATIONS_FOCUS":"hands hurt","ANNOTATIONS_TYPE":"Information","ANSWER":"Summary  No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.  Hand problems include      Carpal tunnel syndrome - compression of a nerve as it goes through the wrist, often making your fingers feel numb     Injuries that result in fractures, ruptured ligaments and dislocations     Osteoarthritis - wear-and-tear arthritis, which can also cause deformity     Tendinitis - irritation of the tendons     Disorders and injuries of your fingers and thumb","SUBJECT":"Bone-Joint degeneration in the hand or fingers?","MESSAGE":"I notice that the joints or bones in my  hands hurt sharply when working, cooking and lately I have been dropping things from my left hand; even a sudden twist send shock thru my body-What is this?","QUESTION_ID":137}
+{"ANNOTATIONS_FOCUS":"IBS","ANNOTATIONS_TYPE":"Information","ANSWER":"Summary  Irritable bowel syndrome (IBS) is a problem that affects the large intestine. It can cause abdominal cramping, bloating, and a change in bowel habits. Some people with the disorder have constipation. Some have diarrhea. Others go back and forth between the two. Although IBS can cause a great deal of discomfort, it does not harm the intestines.  IBS is common. It affects about twice as many women as men and is most often found in people younger than 45 years. No one knows the exact cause of IBS. There is no specific test for it. Your doctor may run tests to be sure you don't have other diseases. These tests may include stool sampling tests, blood tests, and x-rays. Your doctor may also do a test called a sigmoidoscopy or colonoscopy. Most people diagnosed with IBS can control their symptoms with diet, stress management, probiotics, and medicine.","SUBJECT":"PTSD and IBS","MESSAGE":"I am looking for research on IBS and the link to PTSD. Thank you","QUESTION_ID":138}
+{"ANNOTATIONS_FOCUS":"throat cancer","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Causes  People who smoke or use tobacco are at risk of developing throat cancer. Drinking too much alcohol over a long time also increases risk. Smoking and drinking alcohol combined lead to an increased risk of throat cancer.  Most throat cancers develop in adults older than 50. Men are 10 times more likely than women to develop throat cancers. Cancer of the throat or larynxWatch this video about: Cancer of the throat or larynx Symptoms  Symptoms of throat cancer include any of the following:      Abnormal (high-pitched) breathing sounds     Cough     Coughing up blood     Difficulty swallowing     Hoarseness that does not get better in 1 to 2 weeks     Neck or ear pain     Sore throat that does not get better in 1 to 2 weeks, even with antibiotics     Swelling or lumps in the neck     Weight loss not due to dieting   Exams and Tests","SUBJECT":"Can a 40 year old get throat cancer...","MESSAGE":"I have drank a lot of alcohol and lots of drugs. Not very many fruits and vegetables. This year I have gotten strep throat twice and sore throats with ear aches. Antibiotics have taken 4 different kinds this year alone. Raspy voice, very painful when swallowing","QUESTION_ID":140}
+{"ANNOTATIONS_FOCUS":"pelvic inflammatory disease","ANNOTATIONS_TYPE":"Cause","ANSWER":"The item that may be most feared: the toilet seat. Not surprising as bathrooms are hardly havens of hygiene. What many people worry about is the possibility of acquiring a sexually transmitted pathogen \u2013 \u201cvenereal disease\u201d (VD), \u201csexually transmitted disease\u201d (STD), or \u201csexually transmitted infection\u201d (STI). STI has come into greater use, reflecting that many of these pathogens may be asymptomatic, or cause mild symptoms that may not be recognized as \u201cdisease\u201d in infected individuals. While there is certainly cause for concern about rates of STIs (particularly the increasing incidence of multi-drug-resistant gonorrhoea;  also, gonorrhoea, chlamydia, and syphilis can lead to serious complications, such as pelvic inflammatory disease, resulting in chronic pain and\/or infertility) toilet seats are not going to put you at risk of these infections.  Why not? Well, microbes have diverse lifestyles. The bacteria that cause chlamydia, syphilis, and gonorrhoea are transmitted primarily by sex\u2014close contact between skin\/mucous membranes. Able to attach to the epithelial cells of the urethra, cervix and other regions of the urogenital tract, these bacteria invade, sometimes spreading to other parts of the body in later stages of infection. Outside of the host, though, these cells are surprisingly fragile, susceptible to stresses of the external environment\u2014ill-equipped to lurk and linger infectiously on the surface of the toilet seat (very different from hardier bacteria that aren\u2019t spread sexually, like E. coli, Mycobacterium tuberculosis, and many others)","SUBJECT":"","MESSAGE":"Can a woman catch pelvic inflammatory disease from a dirty toilet seat, such as in a campground or gas station?","QUESTION_ID":141}
+{"ANNOTATIONS_FOCUS":"white spot","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Skin that has turned darker or lighter than normal is usually not a sign of a serious medical condition. Considerations  Normal skin contains cells called melanocytes. These cells produce melanin, the substance that gives skin its color.  Skin with too much melanin is called hyperpigmented skin.  Skin with too little melanin is called hypopigmented skin.  Pale skin areas are due to too little melanin or underactive melanocytes. Darker areas of skin (or an area that tans more easily) occurs when you have more melanin or overactive melanocytes.  Bronzing of the skin may sometimes be mistaken for a suntan. This skin discoloration often develops slowly, starting at the elbows, knuckles, and knees and spreading from there. Bronzing may also be seen on the soles of the feet and the palms of the hands. The bronze color can range from light to dark (in fair-skinned people) with the degree of darkness due to the underlying cause. Causes  Causes of hyperpigmentation include:      History of skin inflammation (post-inflammatory hyperpigmentation)     Use of certain medications (such as minocycline)     Endocrine diseases such as Addison's disease     Hemochromatosis (iron overload)     Sun exposure  Causes of hypopigmentation include:      History of skin inflammation     Certain fungal infections (such as tinea versicolor)     Pityriasis alba     Vitiligo  Home Care  Over-the-counter and prescription creams are available for lightening the skin. If you use these creams, follow instructions carefully, and don't use one for more than 3 weeks at a time. Darker skin requires greater care when using these preparations. Cosmetics may also help cover a discoloration.  Avoid too much sun exposure. Always use sunscreen with an SPF of 30 or higher.  Abnormally dark skin may continue even after treatment. Experts recommend emotional support or counseling.","SUBJECT":"","MESSAGE":"Good day,happy to find this site so may be with your advice i can at lease find something to cure of my skin problem,am a black lady ,52 years from the Seychelles island a tropical island and aim a twin sister,one thinks that worries me is that since i was a little girl i use to have sensitive dry skin as for my other sister she got nice fresh skin.i have try lots of cream for my skin to look fresh but with no hope,and since two years i have notice a very bad color of white spot appearance on my both legs,only in front of my two legs and since am black and it is very ugly.please help me to find a cream to return back my colour bcak and to cover the white spot.","QUESTION_ID":142}
+{"ANNOTATIONS_FOCUS":"Uveitis","ANNOTATIONS_TYPE":"Information","ANSWER":"Causes  Uveitis can be caused by autoimmune disorders, including rheumatoid arthritis or ankylosing spondylitis. It can also be caused by infection or exposure to toxins. In many cases, the cause is unknown.","SUBJECT":"about uveitis","MESSAGE":"IS THE UVEITIS, AN AUTOIMMUNE DISEASE?","QUESTION_ID":143}
+{"ANNOTATIONS_FOCUS":"water come out of my nipple","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Nipple discharge Email this page to a friend Print Facebook Twitter Bookmark & Share  Nipple discharge is any fluid that comes out of the nipple area in your breast. Causes  Sometimes discharge from your nipples is okay and will get better on its own. You are more likely to have nipple discharge if you have been pregnant at least once.  Nipple discharge is usually not cancer (benign), but rarely it can be a sign of breast cancer. It is important to find out what is causing it and to get treatment. Here are some reasons for nipple discharge:      Pregnancy     Recent breastfeeding     Rubbing on the area from a bra or t-shirt     Injury to the breast     Infection     Inflammation and clogging of the breast ducts     Noncancerous pituitary tumors     Small growth in the breast that is usually not cancer     Severe underactive thyroid gland (hypothyroidism)     Fibrocystic breast (normal lumpiness in the breast)     Use of certain medicines     Use of certain herbs, such as anise and fennel     Widening of the milk ducts   Sometimes, babies can have nipple discharge. This is caused by hormones from the mother before birth. It should go away in 2 weeks.  Cancers such as Paget\u2019s disease (a rare type of cancer involving the skin of the nipple) can also cause nipple discharge. Symptoms  Nipple discharge that is NOT normal is:      Bloody     Comes from only 1 nipple     Comes out on its own without you squeezing or touching your nipple   Nipple discharge is more likely to be normal if it:      Comes out of both nipples     Happens when you squeeze your nipples   The color of the discharge does not tell you whether it is normal. The discharge can look milky, clear, yellow, green, or brown.  Squeezing your nipple to check for discharge can make it worse. Leaving the nipple alone may make the discharge stop. Exams and Tests  Your health care provider will examine you and ask questions about your symptoms and medical history.  Tests that may be done include:      Prolactin blood test     Thyroid blood tests     Head CT scan or MRI to look for pituitary tumor     Mammography     Ultrasound of the breast     Breast biopsy     Ductography or ductogram, an x-ray with contrast dye injected into the affected milk duct     Skin biopsy, if Paget's disease is a concern   Treatment  Once the cause of your nipple discharge is found, your doctor or nurse can recommend ways to treat it. You may:      Need to change any medicine that caused the discharge     Have lumps removed     Have all or some of the breast ducts removed     Receive creams to treat skin changes around your nipple     Receive medicines to treat a health condition   If all of your tests are normal, you may not need treatment. You should have another mammogram and physical exam within 1 year.","SUBJECT":"","MESSAGE":"Which drug we I take to stop water come out of my nipple","QUESTION_ID":146}
+{"ANNOTATIONS_FOCUS":"Serratia marcescens","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Antibiotics     Show All  References Medication Summary  S marcescens is naturally resistant to ampicillin, macrolides, and first-generation cephalosporins. In Taiwan, 92% of the strains are resistant to cefotaxime, but 99% are still susceptible to ceftazidime. Extended spectrum beta-lactamases are produced by most S marcescens strains.[35] International data on antimicrobial susceptibility of Serratia and other nosocomial isolates have been published.[36, 37]  Serratia infections should be treated with an aminoglycoside plus an antipseudomonal beta-lactam, as the single use of a beta-lactam can select for resistant strains. Most strains are susceptible to amikacin, but reports indicate increasing resistance to gentamicin and tobramycin. Quinolones also are highly active against most strains.  Cefepime may be a reasonable option for the treatment of infections with Serratia strains that produce AmpC \u03b2-lactamase.[38]  Definitive therapy should be based on the results of susceptibility testing because multiresistant strains are common.","SUBJECT":"treatment Information Serratia marcescens","MESSAGE":"Good afternoon, I would like to ask please inform me which treatment or medication should be applied when you have contracted the bacteria Serratia marcescens in a leg wound that does not heal and always with abscesses, inflammation of areas that are filled with pus, has been applied gentamicin and do not see the improvement, in addition to other antibiotics. Thanks vili623@gmail.com","QUESTION_ID":147}
+{"ANNOTATIONS_FOCUS":"SIDS","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Summary  Sudden infant death syndrome (SIDS) is the sudden, unexplained death of an infant younger than one year old. Some people call SIDS \"crib death\" because many babies who die of SIDS are found in their cribs.  SIDS is the leading cause of death in children between one month and one year old. Most SIDS deaths occur when babies are between two months and four months old. Premature babies, boys, African Americans, and American Indian\/Alaska Native infants have a higher risk of SIDS.  Although health care professionals don't know what causes SIDS, they do know ways to reduce the risk. These include      Placing babies on their backs to sleep, even for short naps. \"Tummy time\" is for when babies are awake and someone is watching     Using a firm sleep surface, such as a crib mattress covered with a fitted sheet     Keeping soft objects and loose bedding away from sleep area     Making sure babies don't get too hot. Keep the room at a comfortable temperature for an adult.     Don't smoke during pregnancy or allow anyone to smoke near your baby","SUBJECT":"","MESSAGE":"Hello, my name is Pa Xiong and i am a student at Grant High School here in sacramento. I am composing a research report on SIDS and i was hoping you could help me with some information. I was particularly interested in learning weather parents should be worried about cribs death and if you could direct me to some resources on that, or even allow me to interview you. Thank you for your time. If you have anything else that might help me, i would really appreciate it. You can email me at Pa_xiong25@yahoo.com or contact me by my phone at (916)297-1911. Thanks again.","QUESTION_ID":148}
+{"ANNOTATIONS_FOCUS":"Endometriosis","ANNOTATIONS_TYPE":"Treatment","ANSWER":"What kinds of treatment are available?  Once a diagnosis of endometriosis has been made, treatment falls into the following categories.  Observation: After an evaluation and before beginning hormonal therapy, you and your gynecology (GYN) team may decide to keep track of your symptoms and try mild pain medicine. This is usually the first step for girls with premenarcheal endometriosis (who are too young to have had their first period).  Medical suppression: Hormonal treatment such as birth control pills containing estrogen and progesterone taken continuously (to stop periods) relieves symptoms in many patients. A second treatment is progesterone medicine alone. This comes as a progestin\u2013only birth control pill in a pill pack (Nor\u2013QD\u00ae or Camilla\u00ae) or as a regular pill that comes in a bottle Norethindrone acetate (Aygestin\u00ae).  The dose of Aygestin\u00ae can be adjusted for your body to stop your pain and bleeding. Another type of medication is a GnRH agonist, such as Leuprolide acetate (Lupron\u2013Depot\u00ae). This medicine works by shutting off hormones made by the ovaries and temporarily stops your period. The use of GnRH agonist therapy lowers your body\u2019s estrogen level (one of the hormones that causes your body to have periods).  Surgery: Visible endometriosis will be destroyed at the time of laparoscopy. After this procedure, many teens find relief from symptoms. Most say that their pain is better, but not completely gone. Remember, there is no cure for endometriosis. Many teens may experience pain again.  Lifestyle changes: Dealing with chronic pelvic pain can be challenging. Exercising often helps to relieve or lessen pelvic pain and menstrual cramps. Eating a balanced diet and getting enough rest also helps your body manage pain. Practicing relaxation techniques such as yoga and meditation help to ease pain too.  Pain treatment services: If you do not have relief from your symptoms, your gynecologist may refer you to a pain treatment program for an evaluation. Following an evaluation, services such as biofeedback, physical therapy, acupuncture and exercise programs may be offered.  Complementary medicine: Acupuncture, herbal remedies, homeopathy and healing touch are among popular \u201calternative approaches\u201d to medical treatment. Many of these therapies can be helpful however, not every alternative approach has been scientifically proven to be safe and effective. Research studies are limited. Before experimenting with any alternative therapy, make sure that you are working with a licensed provider that has been referred to you.","SUBJECT":"","MESSAGE":"I'm a mother of a 13 year old girl that has been diagnosed with endometriosis. I know its not spelled right. The doctor stated it was severe and uncommon for children her age. she was 12 when diagnosed is there anything going on for her age? she has not had any treatments and hurts constantly.","QUESTION_ID":149}
+{"ANNOTATIONS_FOCUS":"physician assisted suicide","ANNOTATIONS_TYPE":"Information","ANSWER":"In most states, the law prohibits assisted suicide. However, the US Supreme Court has decided that physician-assisted suicide is not necessarily unconstitutional, leaving each state to settle the issue for its residents. For example, physician-assisted suicide has been legal in Oregon since 1997, although experience has shown that it is a rarely used alternative. During the 3 years after this legalization, only 91 people opted for assisted suicide out of 90,000 who died in Oregon during that time. Washington is the only other state which has legalized physician-assisted suicide.","SUBJECT":"assisted suicide","MESSAGE":"physician assisted suicide legal in any state?  what is someone is dying and they really want to die with dignity before the disease ravages their mind?","QUESTION_ID":150}
+{"ANNOTATIONS_FOCUS":"generalized anxiety disorder","ANNOTATIONS_TYPE":"Organization","ANSWER":"Generalized anxiety disorder (GAD) is a mental health condition in which a person is often worried or anxious about many things and finds it hard to control this anxiety.","SUBJECT":"Mental Health (Anxiety) interview","MESSAGE":"I would like to interview someone by email in order to obtain information over Generalized Anxiety Disorder for a Newsletter project in my Abnormal Psychology Class at University of Houston. Thank you very much","QUESTION_ID":151}
+{"ANNOTATIONS_FOCUS":"epstein-barr virus","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Infectious mononucleosis, or \"mono\", is an infection usually caused by the Epstein-Barr virus. The virus spreads through saliva, which is why it's sometimes called \"kissing disease.\" Mono occurs most often in teens and young adults. However, you can get it at any age. Symptoms of mono include  Fever Sore throat Swollen lymph glands Sometimes you may also have a swollen spleen. Serious problems are rare.  A blood test can show if you have mono. Most people get better in two to four weeks. However, you may feel tired for a few months afterward. Treatment focuses on helping symptoms and includes medicines for pain and fever, warm salt water gargles and plenty of rest and fluids.","SUBJECT":"voids to avoid with ebstien-barr virus in the liver","MESSAGE":"In pain after I eat...wondering if I am eating wrong foods. I have been diagnosed with this and had cat scan with and without dye and it shows a clump of blood vessels infected with the virus....","QUESTION_ID":152}
+{"ANNOTATIONS_FOCUS":"blindness","ANNOTATIONS_TYPE":"Organization","ANSWER":"The following organizations are good resources for information on blindness: \u2022American Foundation for the Blind - www.afb.org \u2022Foundation Fighting Blindness - www.blindness.org \u2022National Eye Institute - www.nei.nih.gov \u2022National Library Service for the Blind and Physically Handicapped - www.loc.gov\/nls \u2022U.S. Centers for Disease Control and Prevention - www.cdc.gov\/visionhealth\/basic_information\/eye_disorders.htm","SUBJECT":"blind technology","MESSAGE":"I am a student doing a research project on blind technology. I am wondering if you have any contacts of people who have research information on this topic because I want to find out their opinions on certain technologies. Also, I would appreciate it if you could tell me ways to improve\/cure blindness. For example, information on ' stem cell surgery', bionic eye', 'gene therapy to cure blindness' etc. Thankyou!","QUESTION_ID":153}
+{"ANNOTATIONS_FOCUS":"bruises","ANNOTATIONS_TYPE":"Information","ANSWER":"A bruise is a mark on your skin caused by blood trapped under the surface. It happens when an injury crushes small blood vessels but does not break the skin. Those vessels break open and leak blood under the skin.  Bruises are often painful and swollen. You can get skin, muscle and bone bruises. Bone bruises are the most serious.  It can take months for a bruise to fade, but most last about two weeks. They start off a reddish color, and then turn bluish-purple and greenish-yellow before returning to normal. To reduce bruising, ice the injured area and elevate it above your heart. See your healthcare provider if you seem to bruise for no reason, or if the bruise appears to be infected.","SUBJECT":"","MESSAGE":"I needed a tetanus shot and she gave it to me in the back of my arm I now have celulitis I'm on new meds  predisone augmentin  now I'm getting bruises all over please help me figure it out","QUESTION_ID":156}
+{"ANNOTATIONS_FOCUS":"exercise induced asthma","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Don't rely only on quick-relief medications  You can also use pre-exercise drugs as a quick-relief treatment for symptoms. However, you shouldn't need to use your pre-exercise inhaler more often than your doctor recommends.  Keep a record of how many puffs you use each week, how often you use your pre-exercise inhaler for prevention and how often you use it to treat symptoms. If you use it daily or you frequently use it for symptom relief, your doctor may adjust your long-term control medication.  Steps you can take to prevent or minimize symptoms of exercise-induced bronchoconstriction include the following:  Do a 10-minute warm-up that varies in intensity before you begin regular exercise. Breathe through your nose to warm and humidify the air before it enters your lungs. Wear a face mask or scarf when exercising, especially in cold, dry weather. If you have allergies, avoid triggers. For example, don't exercise outside when pollen counts are high. Avoid strenuous exercise if you have a cold or other respiratory infection. Exercise regularly to stay in shape and promote good respiratory health.","SUBJECT":"","MESSAGE":"I have exercise induced asthma. Would any of these non drug devises be suitable please?","QUESTION_ID":157}
+{"ANNOTATIONS_FOCUS":"body lice","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment Body lice mainly live in clothing. To get rid of lice, destroy infected clothing or carefully wash items in hot water (at least 130 degrees F), then machine dry using a hot cycle.  Your doctor may also prescribe a cream that you put on your skin or a wash that contains permethrin, malathione, or benzyl alcohol.  Bathing and washing clothes, bedding, and towels are most important steps in treating lice. Doing these things usually gets rid of the problem.","SUBJECT":"Body Lice","MESSAGE":"How do I get rid of these little devils? Me and My mom have tried so many things to get rid of these bugs and they just don't go away were the family that takes 2 showers and now about 3 showers a day we never understood how they could have infected us but I was just wondering is washing our clothes the best bet to get rid of these things, because apparently it hasn't worked for us. So is there any suggestions?","QUESTION_ID":158}
+{"ANNOTATIONS_FOCUS":"perirenal abscess","ANNOTATIONS_TYPE":"Organization","ANSWER":"The American Society of Colon and Rectal Surgeons is dedicated to ensuring high-quality patient care by advancing the science, prevention, and management of disorders and diseases of the colon, rectum, and anus.","SUBJECT":"Demand","MESSAGE":"I have read on your website about the perirenal abscess. My mother is in the situation stipulated here http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/001274.htm I would really appreciate a recommendation as to where she could treat (a doctor, a clinic, a hospital, etc.). The Dr\/Drs who wrote the article is\/are professional and i think they could give me a hand.","QUESTION_ID":160}
+{"ANNOTATIONS_FOCUS":"unusal appetite","ANNOTATIONS_TYPE":"Cause","ANSWER":"Considerations An increased appetite can be a symptom of different diseases. For example, it may be due to a mental condition or a problem with the endocrine gland.  An increased appetite can come and go (intermittent), or it can last for long periods of time (persistent). This will depend on the cause. It does not always result in weight gain.  The terms \"hyperphagia\" and \"polyphagia\" refer to someone who is focused only on eating, or who eats a large amount before feeling full.  Causes Causes may include:  Anxiety Certain drugs (such as corticosteroids, cyproheptadine, and tricyclic antidepressants) Bulimia (most common in women 18 to 30 years old) Diabetes mellitus (including gestational diabetes) Graves disease Hyperthyroidism Hypoglycemia Premenstrual syndrome","SUBJECT":"unusal appetite after a stroke","MESSAGE":"My sister has been in a care center setting for a year and a half. Her caretakers have commented that she is always hungry. She asks for food when I go see her. What could cause this??","QUESTION_ID":162}
+{"ANNOTATIONS_FOCUS":"male Reproductive","ANNOTATIONS_TYPE":"Information","ANSWER":"Reproductive health is an important component of men's overall health and well-being. Too often, males have been overlooked in discussions of reproductive health, especially when reproductive issues such as contraception and infertility have been perceived as female-related. Every day, men, their partners, and health care providers can protect their reproductive health by ensuring effective contraception, avoiding sexually transmitted diseases (STDs), and preserving fertility.  Common issues in male reproductive health include:  Contraception Avoiding sexually transmitted diseases Infertility\/fertility","SUBJECT":"","MESSAGE":"There is a lot of collection. Its good. But I dont find my problem and suggestion. I want to know about male Reproductive","QUESTION_ID":163}
+{"ANNOTATIONS_FOCUS":"weight","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Summary Keeping a healthy weight is crucial. If you are underweight, overweight, or obese, you may have a higher risk of certain health problems.  About two thirds of adults in the U.S. are overweight or obese. Achieving a healthy weight can help you control your cholesterol, blood pressure and blood sugar. It might also help you prevent weight-related diseases, such as heart disease, diabetes, arthritis and some cancers.  Eating too much or not being physically active enough will make you overweight. To maintain your weight, the calories you eat must equal the energy you burn. To lose weight, you must use more calories than you eat. A weight-control strategy might include  Choosing low-fat, low-calorie foods Eating smaller portions Drinking water instead of sugary drinks Being physically active Eating extra calories within a well-balanced diet can help to add weight.","SUBJECT":"","MESSAGE":"I will love to try diet I need. To lose weight","QUESTION_ID":164}
+{"ANNOTATIONS_FOCUS":"get pregnant","ANNOTATIONS_TYPE":"susceptibility","ANSWER":"Sometimes ovulation can happen before the bleeding from a girl's period has stopped or within a few days after her period is over. All girls can ovulate at different points from cycle to cycle, making it impossible for a girl to know exactly when she is most fertile. Because sperm can fertilize an egg for 72 hours (3 days) after ejaculation, having sex during a girl's period is risky.","SUBJECT":"","MESSAGE":"I wonder if a girl can get pregnant if she had sex three days after menstrual period","QUESTION_ID":165}
+{"ANNOTATIONS_FOCUS":"Bleach on bed sores","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Now scientists at Stanford University School of Medicine, California, think it could also have other medical uses, including healing skin damaged by cancer treatment, bed sores and diabetic ulcers.","SUBJECT":"","MESSAGE":"Bleach on bed sores? Yes or no? Hear to add water and rag?","QUESTION_ID":166}
+{"ANNOTATIONS_FOCUS":"parasites","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment Options  Drug Therapies    Your doctor will choose the drug that is most effective against your intestinal parasite. You may need one dose, or you may have to take the medication for several weeks. Be careful to take the medicine exactly as it is prescribed, or it may not work.  Complementary and Alternative Therapies    Conventional medical treatments can get rid parasites more quickly and with fewer side effects than most alternative treatments. Alternative treatments may be helpful along with conventional medications. However, your doctor must find out what kind of organism is causing your problems before you start treatment. The following nutritional guidelines may help keep parasites from growing.  Nutrition and Supplements        Avoid simple carbohydrates, such as those found in refined foods, fruits, juices, dairy products, and all sugars, except honey.      Eat more raw garlic, pumpkin seeds, pomegranates, beets, and carrots, all of which have been used traditionally to kill parasites. In one study, researchers found that a mixture of honey and papaya seeds cleared stools of parasites in 23 out of 30 subjects. Drink a lot of water to help flush out your system.      Eat more fiber, which may help get rid of worms.      Probiotics (Lactobacillus acidophilus, Lactobacilus plantarum, Saccharomyces boulardii, and bifidobacteria). Help keep your digestive tract healthy. Probiotics may not be appropriate in some severely immune compromised patients. Talk to your doctor.      Digestive enzymes will help restore your intestinal tract to its normal state, which makes it inhospitable to parasites. Papain is an enzyme from the papaya plant that may help kill worms when taken 30 minutes before or after meals. Papain may increase bleeding in people with clotting disorders, or in those taking blood-thinning medications, such as warfarin (Coumadin) among others.      Vitamin C. Supports the immune system. Lower the dose if diarrhea develops.      Zinc. Supports the immune system. Zinc may interact with certain medications, particularly some antibiotics, and it may not be appropriate for people with HIV\/AIDS. Talk to your doctor.","SUBJECT":"","MESSAGE":"I have parasites need help.","QUESTION_ID":167}
+{"ANNOTATIONS_FOCUS":"sepsis","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Preventing Sepsis There's no way to prevent all types of sepsis. But some cases can be avoided by preventing the transmission of GBS bacteria from mother to child during childbirth. Pregnant women can have a simple swab test between the 35th and 37th weeks of pregnancy to determine if they carry the GBS bacteria.","SUBJECT":"sepsis","MESSAGE":"Can sepsis be prevented. Can someone get this from a hospital?","QUESTION_ID":168}
+{"ANNOTATIONS_FOCUS":"Cross Eye","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Eye muscle repair is surgery to correct eye muscle problems that cause strabismus (crossed eyes).  Description    The goal of this surgery is to restore the eye muscles to a proper position. This will help the eyes move correctly.    Eye muscle surgery is most often done on children. However, adults who have similar eye problems may also have it done. Children will most often have general anesthesia for the procedure. They will be asleep and will not feel pain.    Depending on the problem, one or both eyes may need surgery.    After the anesthesia has taken effect, the eye surgeon makes a small surgical cut in the clear tissue covering the white of the eye. This tissue is called the conjunctiva. Then the surgeon will locate one or more of the eye muscles that needs surgery. Sometimes the surgery strengthens the muscle, and sometimes it weakens it.        To strengthen a muscle, a section of the muscle or tendon may be removed to make it shorter. This step in the surgery is called a resection.      To weaken a muscle, it is reattached to a point farther toward the back of the eye. This step is called a recession.    The surgery for adults is similar. In most cases, adults are awake, but are given medicine to numb the area and help them relax.    When the procedure is done on adults, an adjustable stitch is used on the weakened muscle so that minor changes can be made later that day or the next day. This technique often has a very good outcome.","SUBJECT":"Cross Eye","MESSAGE":"Need to fix my cross eyed","QUESTION_ID":171}
+{"ANNOTATIONS_FOCUS":"Vitelliform Macular Dystrophy","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Where can I find information about diagnosis or management of vitelliform macular dystrophy?  These resources address the diagnosis or management of vitelliform macular dystrophy and may include treatment providers.","SUBJECT":"Vitelliform Macular Dystrophy","MESSAGE":"Would like to obtain more info on possible treatments.","QUESTION_ID":172}
+{"ANNOTATIONS_FOCUS":"exercises that counter sarcopenia","ANNOTATIONS_TYPE":"Treatment","ANSWER":"What is the best kind of exercise?    Most people tend to focus on one activity or type of exercise.The goal, however, is to be creative and do all four types of exercise\u2014endurance, strength, balance, and flexibility. (See \"Healthy Aging with Go4Life\")    Endurance, or aerobic, activities increase your breathing and heart rate. They help keep you healthy, improve fitness, and carry out everyday tasks.    To strengthen your muscles, you need to lift or push weight. Even very small changes can make a real difference. Stronger muscles can make it easier to get up from a chair, carry groceries, open jars, work in the garden, and even play with your grandchildren.    Each year, more than 2 million older Americans go to the emergency room because of fall-related injuries. Balance exercises are one way to help prevent falling.    Flexibility, or stretching, exercises give you more freedom of movement for everyday activities.  How can I find time to exercise?    There are a number of ways to fit exercise and physical activity into your schedule. For example, exercise first thing in the morning, or combine physical activity with a task that's already part of your day, such as walking the dog.  Do I need any equipment?    For many activities, you don't need any equipment or special clothing. All you need for brisk walking, for example, is a pair of comfortable, non-skid shoes. For strength training, you can make your own weights from unbreakable household items.  For more health and wellness information, sign up for free Healthy Aging Tips at NIH Senior Health.  Is it better to exercise in a group or alone?    The key is to do what you truly enjoy, which could be with others or on your own. A team activity like basketball or a group exercise class might be appealing. Or, on their own, some people find going to a gym regularly or working with a trainer helps them stay motivated.  What should people who are overweight or obese do?    Try walking, water exercises, dancing, or weight lifting, varying your activities to include endurance, strength, balance, and flexibility. Anything that gets you moving\u2014even for only a few minutes a day in the beginning\u2014is a healthy start. Feel good about what you can do, and pat yourself on the back for trying. It should get easier.","SUBJECT":"effective exercise to counter sarcopenia","MESSAGE":"I would like information on timing and exercises that counter sarcopenia. Should exercise take place at a particular time of the day? several times in the day? what types of exercise are most effective to maintain strength as I get older (I am now 82) and even thought I swim daily and do a variety of resistance exercises I still find that I am losing strength and tiring easily.","QUESTION_ID":173}
+{"ANNOTATIONS_FOCUS":"Multiple brain infarcts","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Is there any treatment?  There is no treatment available to reverse brain damage that has been caused by a stroke.  Treatment focuses on preventing future strokes by controlling or avoiding the diseases and medical conditions that put people at high risk for stroke:  high blood pressure, diabetes, high cholesterol, and cardiovascular disease.  The best treatment for MID is prevention early in life \u2013 eating a healthy diet, exercising, not smoking, moderately using alcohol, and maintaining a healthy weight.","SUBJECT":"Treatment of Multiple brain infarcts disease","MESSAGE":"hello sir\/ madam My mother suffering from Multiple brain infarcts disease, i want to know whether your esteem organization having any treatment on the same.Regards","QUESTION_ID":174}
+{"ANNOTATIONS_FOCUS":"difficult to go back to sleep","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Chronic, long-term sleep disorders affect millions of Americans each year. These disorders and the sleep deprivation they cause can interfere with work, driving, social activities, and overall quality of life, and can have serious health implications. Sleep disorders account for an estimated $16 billion in medical costs each year, plus indirect costs due to missed days of work, decreased productivity, and other factors.    People who have trouble sleeping often try various dietary supplements, relaxation therapies, or other complementary health approaches in an effort to fall asleep faster, stay asleep longer, and improve the overall quality of their sleep. Here are 5 things to know about what the science says about sleep disorders and complementary health approaches.        Relaxation techniques may be helpful for insomnia. Evidence indicates that using relaxation techniques before bedtime can be helpful components of a successful strategy to improve sleep habits. Other components include maintaining a consistent sleep schedule; avoiding caffeine, alcohol, heavy meals, and strenuous exercise too close to bedtime; and sleeping in a quiet, cool, dark room.              Melatonin supplements may be helpful for some people with insomnia or sleep problems caused by shift work or jet lag. Research on the use of melatonin for children is more limited; available research suggests some benefit in children, but those studies were small and only addressed short-term use of melatonin. The long-term safety of melatonin has not been investigated.              Current evidence regarding other mind and body approaches such as mindfulness-based stress reduction (a type of meditation), yoga, massage therapy, and acupuncture is either too preliminary or inconsistent to draw conclusions about whether they are helpful for sleep disorders. These mind and body practices are generally considered safe for healthy people and when performed by an experienced practitioner.              Various herbs and dietary supplements sometimes used as sleep aids, including valerian, kava, chamomile, and L-tryptophan and 5-hydroxytryptophan (5-HTP) have not been shown to be effective for insomnia, and important safety concerns have been raised about a few. For example, the use of L-tryptophan supplements has been linked to eosinophilia-myalgia syndrome (EMS), a complex, potentially fatal disorder with multiple symptoms including severe muscle pain. Kava supplements have been linked to a risk of severe liver damage.              If you are considering a complementary health approach for sleep problems, talk to your health care providers. Trouble sleeping can be an indication of a more serious condition, and some prescription and over-the-counter drugs can contribute to sleep problems. So, it\u2019s important to discuss your sleep-related symptoms with your health care providers before trying any complementary health product or practice.","SUBJECT":"Does my circadian rhythm need adjusting? If so, how?","MESSAGE":"I had a saliva test last July, which showed my cortisol level at 9 @ 6:30am, 5.1 @ 11:30am, 4.2 @ 4:30pm, 3.3@ 9:30pm. I wake frequently during the night and my brain seems to engage in much thought, making it difficult to go back to sleep. I wake well before the 5:45 alarm and drag myself out of bed. I am exhausted all day and can fall asleep at day or evening events I have seen endocrinologists, in addition to my GYN and primary care dr., all of whom tell me all my blood tests are normal. I take 2 sport yoga classes and a Qi Gong class weekly. I was a young 65, but at 66, the lack of sleep has finally caught up with me and I feel much older than my 66 years. I feel lethargic and heavy-chested. I want my life back. I have never seen or read anything about how or where help can be found. Can you help?","QUESTION_ID":175}
+{"ANNOTATIONS_FOCUS":"SEVERE leg cramps","ANNOTATIONS_TYPE":"Treatment","ANSWER":"The muscles can also get inflamed in lupus, and many patients suffer from myositis (inflammation in the muscle). This usually presents with weakness rather than pain. There are a number of causes of muscle cramps, some of which are biochemical and your physician might check your electrolytes and calcium to make sure that this is not the cause. Occasional medications can do that such as cholesterol lowering agents.","SUBJECT":"SEVERE leg cramps with Lupus","MESSAGE":"My wife has Systemic Lupus and is already taking Potassium Chloride 20meg er 1QD and about 24-48 ounces of Gatoraid every day but still gets SEVERE leg cramps. What can she do to stop or help stop the cramps?","QUESTION_ID":177}
+{"ANNOTATIONS_FOCUS":"problem talking to people\/behind in school","ANNOTATIONS_TYPE":"Treatment","ANSWER":"How Does Your Child Hear and Talk?  [en Espa\u00f1ol]   The development of communication skills begins in infancy, before the emergence of the first word. Any speech or language problem is likely to have a significant effect on the child's social and academic skills and behavior. The earlier a child's speech and language problems are identified and treated, the less likely it is that problems will persist or get worse. Early speech and language intervention can help children be more successful with reading, writing, schoolwork, and interpersonal relationships.      Birth to One Year     One to Two Years     Two to Three Years     Three to Four Years     Four to Five Years  This information represents, on average, the age by which most monolingual speaking children will accomplish the listed milestones. Children typically do not master all items in a category until they reach the upper age in each age range. Just because your child has not accomplished one skill within an age range does not mean the child has a disorder. However, if you have answered no to the majority of items in an age range, seek the advice of an ASHA-certified speech-language pathologist or audiologist .  What should I do if I think that my child may have a speech, language, or hearing problem?","SUBJECT":"speech problem with my 5 years old son","MESSAGE":"i have a 5 yrs old son, hes having a problem talking to people or ask question,am kind of worried,i need help for my child to be able to talk very well.also hes behind in school.","QUESTION_ID":179}
+{"ANNOTATIONS_FOCUS":"nutcracker","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment and prognosis  Treatment should be started strictly when it is causing symptoms (haematuria and left flank pain). Surgical treatment modalities have their own inherent complications, and should be contemplated only when strongly indicated. A few of the reported surgical choices are:      left renal vein transposition 5     superior mesenteric artery transposition     nephrectomy     endovascular stent-graft placement 6","SUBJECT":"nutcracker patient","MESSAGE":"I was diagnosed with ncs about 10 yrs ago but little was known about it at the time. They said I needed surgery but refused due to the fact I didn't have any money. It has been left untreated all this time and is feeling worse. What can I do to get help with this? I am pleading for help, thank you.","QUESTION_ID":180}
+{"ANNOTATIONS_FOCUS":"stage 4 Pressure sore","ANNOTATIONS_TYPE":"Treatment","ANSWER":"DETERMINING THE NEED FOR SURGICAL INTERVENTION  A patient with a stage III or IV ulcer that has not responded to conservative medical treatment may be evaluated for operative repair. Prior to surgery the patient should be in an optimal state both mentally and physically, and factors that impair healing should be minimized. The patient\u2019s ability to tolerate the surgery and participate in the postoperative rehabilitation must be assessed prior to any surgery. Some patients may not be surgical candidates due to malnutrition, immobility, poor compliance with treatment, or chronic diseases.  Operative procedures may include skin grafts or flaps (surgical reconstruction). Which option is available may be limited due to previous surgeries, a shortage of available tissue to use, and impaired blood supply. Immediately after surgery, the operated region must be totally offloaded. Once the surgical incision has healed, the patient will be allowed to gradually apply pressure to the area.  Rates of surgical complications and recurrence rates are high. Complication rates have been reported as high as 49%. Osteomyelitis is the major cause of breakdown after surgery (WOCN, 2010).","SUBJECT":"Stage 4 Pressure sore","MESSAGE":"Could I skin graph help with a stage 4 Pressure sore,and would it be less invasive on a elderly person.","QUESTION_ID":181}
+{"ANNOTATIONS_FOCUS":"testis pain","ANNOTATIONS_TYPE":"Treatment","ANSWER":"1. When to Seek Immediate Medical Help  See a health care provider or go to a hospital emergency room if:      Pain is severe or sudden or radiates into the abdomen.      Pain is accompanied by nausea and vomiting, urinary frequency or urgency, or painful urination.      There is swelling or bruising of the scrotum, or the scrotum or testicle is punctured.  2. Treat Symptoms      For pain, take over-the-counter medication such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin).      For swelling, apply an ice pack to the scrotum.  3. Provide Rest and Support      The person should wear supportive underwear.      The person should avoid strenuous activity.  4. Follow Up      See a health care provider as soon as possible for mild pain.      The health care provider will examine the scrotum and testicles and may order blood and urine tests to check for infection.      Treatment will depend on what's causing the problem.","SUBJECT":"testis pain","MESSAGE":"Dear sir,       sir i feel pain in my right said pain every time i feel hard pain, please do something there both doctor say use this medicine you feel bather but this medicine work temporary","QUESTION_ID":182}
+{"ANNOTATIONS_FOCUS":"Adrenoleukodystrophy","ANNOTATIONS_TYPE":"Information","ANSWER":"Adrenoleukodystrophy   Adrenoleukodystrophy describes several closely related inherited disorders that disrupt the breakdown (metabolism) of certain fats (very long chain fatty acids).","SUBJECT":"adrenoleukodystrophy","MESSAGE":"A child I have been asked to work with has been diagnosed with this condition.I am so far unable to find info pertaining to this illness. Can you help??","QUESTION_ID":183}
+{"ANNOTATIONS_FOCUS":"losing  my  hearing","ANNOTATIONS_TYPE":"Treatment","ANSWER":"It's frustrating to be unable to hear well enough to enjoy talking with friends or family. Hearing disorders make it hard, but not impossible, to hear. They can often be helped. Deafness can keep you from hearing sound at all.  What causes hearing loss? Some possibilities are      Heredity     Diseases such as ear infections and meningitis     Trauma     Certain medicines     Long-term exposure to loud noise     Aging  There are two main types of hearing loss. One happens when your inner ear or auditory nerve is damaged. This type is usually permanent. The other kind happens when sound waves cannot reach your inner ear. Earwax build-up, fluid, or a punctured eardrum can cause it. Treatment or surgery can often reverse this kind of hearing loss.  Untreated, hearing problems can get worse. If you have trouble hearing, you can get help. Possible treatments include hearing aids, cochlear implants, special training, certain medicines, and surgery.","SUBJECT":"i  need help","MESSAGE":"im losing   my  hearing   in   my  left   ear   can  you   help   me","QUESTION_ID":184}
+{"ANNOTATIONS_FOCUS":"fibromyalgia","ANNOTATIONS_TYPE":"Treatment","ANSWER":"There is no cure for fibromyalgia, but medicine can help you manage your symptoms. Getting enough sleep, exercising, and eating well may also help.","SUBJECT":"is there any help available,for fibromalgia","MESSAGE":"is there any treatment s available.?","QUESTION_ID":185}
+{"ANNOTATIONS_FOCUS":"EDS","ANNOTATIONS_TYPE":"Organization","ANSWER":"Summary  Connective tissue is the material inside your body that supports many of its parts. It is the \"cellular glue\" that gives your tissues their shape and helps keep them strong. It also helps some of your tissues do their work. Cartilage and fat are examples of connective tissue.  There are over 200 disorders that impact connective tissue. Some, like cellulitis, are the result of an infection. Injuries can cause connective tissue disorders, such as scars. Others, such as Ehlers-Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta, are genetic. Still others, like scleroderma, have no known cause. Each disorder has its own symptoms and needs different treatment.","SUBJECT":"Testing for EDS","MESSAGE":"I would like to know if you can point me in the direction of a laboratory in Southern California, Specifically San Bernardino County or LA County or even Riverside County that does genetic testing for EDS or Osteogenesis Imperfecta and do you know if the two diseases are similiar in symptoms? Thank you for you help and time.","QUESTION_ID":186}
+{"ANNOTATIONS_FOCUS":"worms coming out my nose and out of my eyes","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment includes medicines that paralyze or kill intestinal parasitic worms. If there is a blockage of the intestine caused by a large number of worms, endoscopy may be used to remove the worms. In rare cases, surgery is needed. People who are treated for roundworms should be checked again in 3 months. This involves examining the stools to check for eggs of the worm. If eggs are present, treatment should be given again.","SUBJECT":"I need help I do have ADHD and can't read that good","MESSAGE":"I have worms coming out my nose I took to my Dr he would not send to lab so and out of my eyes my eye is so red and in pain I have the worms coming out and the emergency room doctor set with conjunctivitis and would not send my worms to the lab either they are eating me alive I am so fatigued so tired I can't get out of bed I'm swollen I need help it's been years I've been trying to get them to see my samples no one will help","QUESTION_ID":189}
+{"ANNOTATIONS_FOCUS":"surgery for strabismus","ANNOTATIONS_TYPE":"Organization","ANSWER":"Find an Eye M.D.(American Academy of Ophthalmology)","SUBJECT":"Find a Doctor, a specialist on this problem","MESSAGE":"who is a certified Opt. in or near the Nashville, TN area who does surgery for strabismus. please help me find a trusted doctor who performs this kind of surgery","QUESTION_ID":190}
+{"ANNOTATIONS_FOCUS":"abscess teeth\/heart attack","ANNOTATIONS_TYPE":"Cause","ANSWER":"Possible Complications of Tooth Abscesses   When left untreated, an advanced tooth abscess infection can eat away the jaw, leading to tooth loss and possible facial disfigurement as a result of compromised, soft facial bones. It can put you at greater risk of systemic (whole body) problems such as diabetic flare-ups, blood infection (septicaemia), breathing problems, heart disease and vascular infection.","SUBJECT":"abscess teeth","MESSAGE":"Can an abscess teeth cause a heart attack","QUESTION_ID":192}
+{"ANNOTATIONS_FOCUS":"over weight\/diabetes","ANNOTATIONS_TYPE":"Association","ANSWER":"Signs and Symptoms  The symptoms of type 2 diabetes aren't always obvious and they can take a long time to develop. Sometimes, there are no symptoms. It's important to remember that not everyone with insulin resistance or type 2 diabetes develops these warning signs, and not everyone who has these symptoms necessarily has type 2 diabetes.  But kids or teens who develop type 2 diabetes may:","SUBJECT":"my children","MESSAGE":"good day a just want to know if a must be worried as by son is 5 year and picking up a lot of weight as he is always hungry drinks a lot he very active hes grandfather has Diabetes then my other son is 7 he does no eat alot and is very skinny not picking up weight so is it possible that if one is over weight that you can have diabetes there must be a reason you picking weight and he is playing rugby running a lot riding bike please help","QUESTION_ID":193}
+{"ANNOTATIONS_FOCUS":"white blood cell count","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Diet and medications can help increase white blood cells in some people.","SUBJECT":"","MESSAGE":"How can I get my white blood cell count higher?","QUESTION_ID":194}
+{"ANNOTATIONS_FOCUS":"hair loss lower extremities","ANNOTATIONS_TYPE":"Information","ANSWER":"Symptoms  Hair loss is usually the only symptom. A few people may also feel a burning sensation or itching.  Alopecia areata usually begins as 1 to 2 patches of hair loss. Hair loss is most often seen on the scalp. It may also occur in the beard, eyebrows, and arms or legs in some people.","SUBJECT":"Hair loss (men) on legs\/feet as one ages","MESSAGE":"I have observed hair loss on lower extremities on males. Is this poor blood circulation? Any advice?","QUESTION_ID":195}
+{"ANNOTATIONS_FOCUS":"ear lobe creases\/heart disease","ANNOTATIONS_TYPE":"Association","ANSWER":"Diagonal creases were present in 123 (72%) of 171 men and 88 (67%) of 132 women. A previous history of cardiovascular disease was present in 90 (30%) of the total of 303 and 74 (35%) of the 211 with diagonal creases. A cardiovascular cause of death was present in 154 (73%) of 211 with and 41 (45%) of 92 without diagonal creases and was associated with an increased risk of a cardiovascular cause of death of 1.55 in men and 1.74 in non-diabetic women.","SUBJECT":"EAR LOBE CREASES","MESSAGE":"Are ear lobe creases always heart disease and 100% heart attack pending? What are other causes? I'm 56 have pierced ears but haven't wore earrings in years. In the last 7 years I rarely eat meat and when I do it's chicken or fish maybe beef every 5 years or so and its maybe a hamburger lean. If you do have arteriosclerosis is there anyway to reverse it?","QUESTION_ID":197}
+{"ANNOTATIONS_FOCUS":"ACOUSTIC NEUROMA","ANNOTATIONS_TYPE":"Information","ANSWER":"How is a vestibular schwannoma treated?","SUBJECT":"ACOUSTIC NEUROMA","MESSAGE":"Do you have any further information on said tumor? How involved is the removal of said tumor, small?","QUESTION_ID":200}
+{"ANNOTATIONS_FOCUS":"asthma","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Asthma is a long-term disease that has no cure. The goal of asthma treatment is to control the disease.","SUBJECT":"asthma","MESSAGE":"Question. What is the consensus of medical doctors as to whether asthma can be cured? And do you have an article discussing whether asthma can be cured?","QUESTION_ID":202}
+{"ANNOTATIONS_FOCUS":"pimples","ANNOTATIONS_TYPE":"Treatment","ANSWER":"SELF-CARE    Steps you can take to help your acne:        Clean your skin gently with a mild, nondrying soap (such as Dove, Neutrogena, Cetaphil, CeraVe, or Basics).      Look for water-based or \"noncomedogenic\" formulas for cosmetics and skin creams. (Noncomedogenic products have been tested and proven not to clog pores and cause acne.)      Remove all dirt or make-up. Wash once or twice a day, including after exercising.      Avoid scrubbing or repeated skin washing.      Shampoo your hair daily, especially if it is oily.      Comb or pull your hair back to keep the hair out of your face.     What NOT to do:        Try not to squeeze, scratch, pick, or rub the pimples. This can lead to skin infections and scarring.      Avoid wearing tight headbands, baseball caps, and other hats.      Avoid touching your face with your hands or fingers.      Avoid greasy cosmetics or creams.      DO NOT leave make-up on overnight.     If these steps do not clear up the blemishes, try over-the-counter acne medicines that you apply to your skin.        These products may contain benzoyl peroxide, sulfur, resorcinol, or salicylic acid.      They work by killing bacteria, drying up skin oils, or causing the top layer of your skin to peel.      They may cause redness, drying, or peeling of the skin.     A small amount of sun exposure may improve acne slightly, but tanning mostly hides the acne. Too much exposure to sunlight or ultraviolet rays is not recommended because it increases the risk for skin cancer.    MEDICINES FROM YOUR HEALTH CARE PROVIDER    If pimples are still a problem, a provider can prescribe stronger medicines and discuss other options with you.    Antibiotics may help some people with acne:        Oral antibiotics (taken by mouth) such as tetracycline, doxycycline, minocycline, erythromycin, trimethoprim, and amoxicillin      Topical antibiotics (applied to the skin) such as clindamycin, erythromycin, or dapsone     Creams or gels applied to the skin may be prescribed:        Retinoic acid cream or gel (tretinoin, Retin-A)      Prescription formulas of benzoyl peroxide, sulfur, resorcinol, or salicylic acid      Topical azelaic acid     For women whose acne is caused or made worse by hormones:        A pill called spironolactone may help.      Birth control pills may help in some cases, though they may make acne worse in some women.     Minor procedures or treatments may also be helpful:        A laser procedure called photodynamic therapy may be used.      Your provider may also suggest chemical skin peeling; removal of scars by dermabrasion; or removal, drainage, or injection of cysts with cortisone.     People who have cystic acne and scarring may try a medicine called isotretinoin (Accutane). You will be watched closely when taking this medicine because of its side effects.    Pregnant women should NOT take Accutane, because it causes severe birth defects.        Women taking Accutane must use 2 forms of birth control before starting the drug and enroll in the iPledge program.      Men also need to be enrolled in the iPledge program.      Your provider will follow you on this drug and you will have regular blood tests.","SUBJECT":"I need help ?","MESSAGE":"I have few questions and needed some help from you guys, I have a really serious problem about me and the stress I have been through for a long time, and I couldn't do anything to get rid off what I'm really in a bad feelings. And I'm really having and hard time searching and try to get rid off my pimples , I've been have these probably every since when I was 15 years old . I do not know what kind or where I can find , something that could help me, something that could work , because there's alot of products . And I'm not sure which kind could fit my skins to remove my pimples. . Please help, I'm having a serious hard time having these. Its really embarrassing, that's why I always wear long sleeve to cover it every single day, 24\/7. I'm really appreciate if you guys have tine to contact me and talk about. Another thing, my question is , how can I get rid of my pimples on my upper arms and my back. Also I really don't know what kind pimples do I have on my skin. Please help me , so I wouldn't be having so many stress about my skins.","QUESTION_ID":203}
+{"ANNOTATIONS_FOCUS":"damage to the common peroneal nerve","ANNOTATIONS_TYPE":"Organization","ANSWER":"Foot Drop | Florida Hospital  Florida Hospital Learn about foot drop, and what the experts at Florida Hospital can do to help individuals with this condition.","SUBJECT":"prestigious place in USA for treatment to Common peroneal nerve dysfunction","MESSAGE":"Hello, I have foot drop for damage to the common peroneal nerve, caused by surgery on knee in November 2012.Please which is the most prestigious institution or place in USA for treatment or surgery of this type of injury. thanks a lot","QUESTION_ID":205}
+{"ANNOTATIONS_FOCUS":"shingles","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"You can't catch shingles from someone who has it. However, if you have a shingles rash, you can pass the virus to someone who has never had chickenpox. This would usually be a child, who could get chickenpox instead of shingles. The virus spreads through direct contact with the rash, and cannot spread through the air.","SUBJECT":"shingles","MESSAGE":"need to know about the work place and someone having shingles, especially while handling food.","QUESTION_ID":206}
+{"ANNOTATIONS_FOCUS":"Hiatal Herna \/Acid reflux","ANNOTATIONS_TYPE":"Treatment","ANSWER":"REFLUX TREATMENT  Gastroesophageal reflux disease is treated according to its severity.","SUBJECT":"Hiatal Herna \/Acid reflux","MESSAGE":"would like to get some info on the procedures for hiatal hernia\/acid reflux I am tired of nexium","QUESTION_ID":207}
+{"ANNOTATIONS_FOCUS":"Whipple's Disease","ANNOTATIONS_TYPE":"Prognosis","ANSWER":"\"A person with Whipple disease may experience a relapse\u2014a return of symptoms. Relapse can happen years after treatment and requires repeat treatments.\"","SUBJECT":"Whipple's Disease","MESSAGE":"Your information about Whipple's Disease says that it is fatal if left untreated, but there is no information about HOW LONG a person can have it. I have been sick for 6 years and am having no luck getting a diagnosis, and it would be most helpful in ruling things out if I knew whether or not a particular illness would kill a person within a shorter time period than 6 years. Thank you.","QUESTION_ID":208}
+{"ANNOTATIONS_FOCUS":"INCESSANT FLATULENCE","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Gas in the digestive tract comes from two sources: air that you swallow and the breakdown of undigested food by bacteria in the large intestine. Certain foods may cause gas. Foods that produce gas in one person may not cause gas in another.  You can reduce the amount of gas you have by  \u2022Drinking lots of water and non-fizzy drinks  \u2022Eating more slowly so you swallow less air when you eat  \u2022Avoiding milk products if you have lactose intolerance   Medicines can help reduce gas or the pain and bloating caused by gas. If your symptoms still bother you, see your health care provider.","SUBJECT":"DailyMed Feedback","MESSAGE":"sir, HELP ME OVERCOME INCESSANT FLATULENCE I am suffering from the above for a year now. Please help me have medical solutions. Thank you","QUESTION_ID":209}
+{"ANNOTATIONS_FOCUS":"hair loss\/new acne\/coarse hair on face","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Effective treatments for some types of hair loss are available. But some hair loss is permanent. With some conditions, such as patchy alopecia, hair may regrow without treatment within a year.    Treatments for hair loss include medications, surgery, laser therapy, and wigs or hairpieces. Your doctor may suggest a combination of these approaches in order to get the best results.    The goals of treatment are to promote hair growth, slow hair loss or hide hair loss.  Medication    If your hair loss is caused by an underlying disease, treatment for that disease will be necessary. This may include drugs to reduce inflammation and suppress your immune system, such as prednisone. If a certain medication is causing the hair loss, your doctor may advise you to stop using it for at least three months.    Medications are available to treat pattern baldness. Two medications approved by the Food and Drug Administration (FDA) to treat hair loss are:        Minoxidil (Rogaine). Minoxidil is an over-the-counter liquid or foam that you rub into your scalp twice a day to grow hair and to prevent further hair loss. It may be used by men and women. With this treatment, some people experience hair regrowth, a slower rate of hair loss or both. The effect peaks at 16 weeks and you need to keep applying the medication to retain benefits.        Possible side effects include scalp irritation, unwanted hair growth on the adjacent skin of the face and hands, and rapid heart rate (tachycardia).        Finasteride (Propecia). This prescription drug is available only to men. It's taken daily in pill form. Many men taking finasteride experience a slowing of hair loss, and some may show some new hair growth. You need to keep taking it to retain benefits.        Rare side effects of finasteride include diminished sex drive and sexual function and an increased risk of prostate cancer. Women who are or may be pregnant need to avoid touching crushed or broken tablets.    Surgery    In the most common type of permanent hair loss, only the top of the head is affected. Hair transplant or restoration surgery can make the most of the hair you have left.    During this procedure, your surgeon removes tiny plugs of skin, each containing a few hairs, from the back or sides of your scalp. He or she then implants the plugs into the bald sections of your scalp. You may be asked to take a hair loss medication before and after surgery to improve results.    Surgical procedures to treat baldness are expensive and can be painful. Possible risks include infection and scarring.  Wigs and hairpieces    You may want to try a wig or a hairpiece as an alternative to medical treatment or if you don't respond to treatment. It can be used to cover either permanent or temporary hair loss. Quality, natural-looking wigs and hairpieces are available.    If your hair loss is due to a medical condition, the cost of a wig may be covered by insurance. You'll need a prescription for the wig from your doctor.","SUBJECT":"hair loss new acne and coarse hair on face","MESSAGE":"hi there i am losing my hair i,m a women by the way and i am getting spots every day big lump spots and now the hairs on my face are now showing they have become coarse please could you help me i dont go out anymore im so ashamed of myself.","QUESTION_ID":210}
+{"ANNOTATIONS_FOCUS":"GERD","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Studies have shown proton pump inhibitor therapy can provide complete endoscopic mucosal healing of esophagitis at 6 to 8 weeks in 75% to 100% of cases. Although healing of the esophagus may occur in 6 to 8 weeks, it should not be misunderstood that gastroesophageal reflux can be cured in that amount of time. The goal of therapy for GERD is to keep symptoms comfortably under control and prevent complications.","SUBJECT":"Gastroesophageal Reflux Disease","MESSAGE":"Can GERD BE CURED? I AM SUFFERING FROM THIS DISEASE FOR ALMOST THREE YEARS NOW.I HAVE GONE TO MANY HOSPITALS  BUT STILL CAN'T BE CURED.I HAVE BEEN GIVEN OMEPRAZOLE CAPSULES MANY TIMES.PLEASE HELP ME.","QUESTION_ID":211}
+{"ANNOTATIONS_FOCUS":"adult ADHD","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"Adult ADHD symptoms may include:  Trouble focusing or concentrating Restlessness Impulsivity Difficulty completing tasks Disorganization Low frustration tolerance Frequent mood swings Hot temper Trouble coping with stress Unstable relationships","SUBJECT":"ADHD","MESSAGE":"I am looking for some information about symptoms of adult ADHD, and what other conditions have symptoms that can be confused for adult ADHD.","QUESTION_ID":212}
+{"ANNOTATIONS_FOCUS":"preeclampsia","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Some pregnant women with high blood pressure develop preeclampsia. It's a sudden increase in blood pressure after the 20th week of pregnancy. It can be life-threatening for both you and the unborn baby. There is no proven way to prevent it. Most women who have signs of preeclampsia are closely monitored to lessen or avoid complications. The only way to \"cure\" preeclampsia is to deliver the baby.","SUBJECT":"prevention of preeclampsia","MESSAGE":"I know that the jury is out on the exact causes of preeclampsia, but I am looking for some of the ways that the chances of acquiring it can be minimized.","QUESTION_ID":214}
+{"ANNOTATIONS_FOCUS":"rheumatoid arthritis","ANNOTATIONS_TYPE":"Treatment","ANSWER":"How Is Rheumatoid Arthritis Treated?  Doctors use a variety of approaches to treat rheumatoid arthritis. These are used in different combinations and at different times during the course of the disease and are chosen according to the patient\u2019s individual situation. No matter what treatment the doctor and patient choose, however, the goals are the same: to relieve pain, reduce inflammation, slow down or stop joint damage, and improve the person\u2019s sense of well-being and ability to function.","SUBJECT":"rheumatoid arthritis","MESSAGE":"What is the latest information for the treatment of rheumatoid arthritis in middle aged males?","QUESTION_ID":215}
+{"ANNOTATIONS_FOCUS":"Pheochromocytoma Paraganglioma","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"More than half of the children and adolescents diagnosed with pheochromocytoma or paraganglioma have an inherited syndrome or gene change that increased the risk of cancer. Genetic counseling (a discussion with a trained professional about inherited diseases) and testing is an important part of the treatment plan.","SUBJECT":"","MESSAGE":"Can this help when I marry the Girl I'mWith ( In vitro) her family has something cAlled Pheochromocytoma Paraganglioma only her brother and father have it. She is just a carrier. Will you think In vitro might prevent it if we have kids?","QUESTION_ID":216}
+{"ANNOTATIONS_FOCUS":"Friedreich's ataxia","ANNOTATIONS_TYPE":"Treatment","ANSWER":"As with many degenerative diseases of the nervous system, there is currently no cure or effective treatment for Friedreich's ataxia. However, many of the symptoms and accompanying complications can be treated to help individuals maintain optimal functioning as long as possible. Doctors can prescribe treatments for diabetes, if present; some of the heart problems can be treated with medication as well. Orthopedic problems such as foot deformities and scoliosis can be corrected with braces or surgery. Physical therapy may prolong use of the arms and legs. Advances in understanding the genetics of Friedreich's ataxia are leading to breakthroughs in treatment. Research has moved forward to the point where clinical trials of proposed treatments are presently occurring for Friedreich\u2019s ataxia.","SUBJECT":"Friedreich's ataxia","MESSAGE":"Dear sir\/ madam Iam a patient suffering from Friedreich's ataxia and i heard there was a medicine for it In 2009 and since we are looking for the medicine kindly help on this and I have DNA report could You please help us on this as there are two people respective age 22 years and 24 years suffering from it Looking for your help on this ASAP and please let us know when the medicine will be there in market","QUESTION_ID":218}
+{"ANNOTATIONS_FOCUS":"vaginal   prolapse","ANNOTATIONS_TYPE":"Treatment","ANSWER":"SURGERY Surgery should not be done until the prolapse symptoms are worse than the risks of having surgery. The type of surgery will depend on:  The severity of the prolapse The woman\u2019s plans for future pregnancies The woman\u2019s age, health, and other medical problems The woman\u2019s desire to retain vaginal function There are some surgical procedures that can be done without removing the uterus, such as a sacrospinous fixation. This procedure involves using nearby ligaments to support the uterus. Other procedures are also available.","SUBJECT":"need advice on vaginal repair","MESSAGE":"i need vaginal repair but would like to know the truth and is it worth it and will it prolapse again,then what.","QUESTION_ID":219}
+{"ANNOTATIONS_FOCUS":"skin cancer","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Cancers generally are caused by a combination of environmental and genetic factors. With skin cancer, the environment plays a greater role, but individuals can be born with a genetic disposition toward or vulnerability to getting cancer. The risk is greatest for people who have light-colored skin that freckles easily - often those who also have red or blond hair and blue or light-colored eyes - although anyone can get skin cancer.  Skin cancer is related to lifetime exposure to UV radiation, therefore most skin cancers appear after age 50. However, the sun's damaging effects begin at an early age. People who live in areas that get high levels of UV radiation from the sun are more likely to get skin cancer. For example, the highest rates of skin cancer are found in South Africa and Australia, areas that receive high amounts of UV radiation.  About 10 percent of all patients with melanoma have family members who also have had the disease. Research suggests that a mutation in the CDKN2 gene on chromosome 9 plays a role in this form of melanoma. Studies have also implicated genes on chromosomes 1 and 12 in cases of familial melanoma.","SUBJECT":"skin cancer","MESSAGE":"I am interested in genetic factors that may affect the risk of developing skin cancer in Caucasian adults.","QUESTION_ID":220}
+{"ANNOTATIONS_FOCUS":"not falling pregnant","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Infertility means not being able to become pregnant after a year of trying. If a woman can get pregnant but keeps having miscarriages or stillbirths, that's also called infertility.  Infertility is fairly common. After one year of having unprotected sex, about 15 percent of couples are unable to get pregnant. About a third of the time, infertility can be traced to the woman. In another third of cases, it is because of the man. The rest of the time, it is because of both partners or no cause can be found.  There are treatments that are specifically for men or for women. Some involve both partners. Drugs or surgery are common treatments. Happily, many couples treated for infertility go on to have babies.","SUBJECT":"","MESSAGE":"Im not show that i cant make babies,my worries is that is about 2year dating this guy without using protection,is that normal 4 not falling pregnant?","QUESTION_ID":221}
+{"ANNOTATIONS_FOCUS":"fever","ANNOTATIONS_TYPE":"Treatment","ANSWER":"6-24 months  Above 102 F (38.9 C) taken rectally  Give your child acetaminophen (Tylenol, others). If your child is age 6 months or older, ibuprofen (Advil, Motrin, others) is OK, too. Read the label carefully for proper dosage. Don't give aspirin to an infant or toddler. Call the doctor if the fever doesn't respond to the medication or lasts longer than one day.","SUBJECT":"fever in babies","MESSAGE":"My 9 month old has a fever of 103.5. What can I do to bring down her fever, and should I take her to the ER if her fever is this high?","QUESTION_ID":222}
+{"ANNOTATIONS_FOCUS":"insulin-dependent diabetes","ANNOTATIONS_TYPE":"Cause","ANSWER":"Diabetes means your blood glucose, or blood sugar, levels are too high. With type 1 diabetes, your pancreas does not make insulin. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth.","SUBJECT":"insulin-dependent diabetes in children","MESSAGE":"Hi, What are the causes of insulin-dependent diabetes in children? I am searching for information on the causes of insulin-dependent diabetes in children. Please help.","QUESTION_ID":223}
+{"ANNOTATIONS_FOCUS":"smoking","ANNOTATIONS_TYPE":"Complication","ANSWER":"There's no way around it. Smoking is bad for your health. Smoking harms nearly every organ of the body. Cigarette smoking causes 87 percent of lung cancer deaths. It is also responsible for many other cancers and health problems. These include lung disease, heart and blood vessel disease, stroke and cataracts. Women who smoke have a greater chance of certain pregnancy problems or having a baby die from sudden infant death syndrome (SIDS). Your smoke is also bad for other people - they breathe in your smoke secondhand and can get many of the same problems as smokers do.","SUBJECT":"The results of smoking","MESSAGE":"What are some illnesses caused by smoking? Also, what are their effect on the human body?","QUESTION_ID":224}
+{"ANNOTATIONS_FOCUS":"tension headaches","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Physical therapy \u2014 Some people with frequent headaches benefit from working with a physical therapist who has a special interest in headaches. This treatment may be used if you do not respond or only partially or temporarily respond to medicines, or if you cannot use medicines (eg, women who are pregnant or breastfeeding).","SUBJECT":"help","MESSAGE":"What are the benefits of physical therapy on tension headaches?","QUESTION_ID":225}
+{"ANNOTATIONS_FOCUS":"inguinal hernia","ANNOTATIONS_TYPE":"Information","ANSWER":"Summary A hernia happens when part of an internal organ or tissue bulges through a weak area of muscle. Most hernias are in the abdomen.  There are several types of hernias, including  Inguinal, in the groin. This is the the most common type. Umbilical, around the belly button Incisional, through a scar Hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest. Congenital diaphragmatic, a birth defect that needs surgery Hernias are common. They can affect men, women, and children. A combination of muscle weakness and straining, such as with heavy lifting, might contribute. Some people are born with weak abdominal muscles and may be more likely to get a hernia.  Treatment is usually surgery to repair the opening in the muscle wall. Untreated hernias can cause pain and health problems.","SUBJECT":"inguinal hernia","MESSAGE":"I am a 75 year old man. I have 2 inguinal hernia. Do you offer any written pamplets on these.","QUESTION_ID":226}
+{"ANNOTATIONS_FOCUS":"hiatal hernia","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Hiatal hernias are common, especially in people over age 50. If you have symptoms, eating small meals, avoiding certain foods, not smoking or drinking alcohol, and losing weight may help. Your doctor may recommend antacids or other medicines. If these don't help, you may need surgery.","SUBJECT":"hiatal hernia\/exercise","MESSAGE":"i lost 24 lbs. do you have an exercise i can do to correct me hernia?","QUESTION_ID":228}
+{"ANNOTATIONS_FOCUS":"High Blood Pressure","ANNOTATIONS_TYPE":"Cause","ANSWER":"Blood pressure tends to rise with age, unless you take steps to prevent or control it.  Some medical problems\u2014such as chronic kidney disease, thyroid disease, and sleep apnea\u2014may cause blood pressure to rise. Some medicines also may raise your blood pressure. Examples include asthma medicines (for example, corticosteroids) and cold-relief products.  Other medicines also can cause high blood pressure (HBP). If you have HBP, let your doctor know about all of the medicines you take, including over-the-counter products.  In some women, birth control pills, pregnancy, or hormone therapy (HT) may cause blood pressure to rise.","SUBJECT":"High Blood Pressure","MESSAGE":"I know you may not answer this but my blood pressure comes up at night when I am asleep. I take four medicines. I have asked doctors why this happens and no one knows. This morning at four A.M. It was 164 and I took a clonidine to help get it done. It worries me so.","QUESTION_ID":229}
+{"ANNOTATIONS_FOCUS":"Muscle soreness","ANNOTATIONS_TYPE":"Information","ANSWER":"See \"How do I know when I am working out too hard?\"","SUBJECT":"Muscle soreness","MESSAGE":"Not sure if I need to see my doctor. Hope you can advise one way or the other?MaleAge 62Good health, eat well and exercise regularly.I have muscle soreness in my legs I would associate with overuse. However, the soreness started approximately 6 weeks ago after over using quads\/thighs while snow skiing and continues today. Takes a few minutes to get out of a chair or get out of bed but I continue to exercise as always; Pilaties, snow skiing, bike riding, long walks in hilly country, etc. Not debilitating but annoying. Stopped taking statins about a week ago but soreness continues. Unusual for me.Any thoughts?","QUESTION_ID":230}
+{"ANNOTATIONS_FOCUS":"Glaucoma","ANNOTATIONS_TYPE":"Information","ANSWER":"Summary Glaucoma is a group of diseases that can damage the eye's optic nerve. It is a leading cause of blindness in the United States. It usually happens when the fluid pressure inside the eyes slowly rises, damaging the optic nerve. Often there are no symptoms at first. Without treatment, people with glaucoma will slowly lose their peripheral, or side vision. They seem to be looking through a tunnel. Over time, straight-ahead vision may decrease until no vision remains.  A comprehensive eye exam can tell if you have glaucoma. People at risk should get eye exams at least every two years. They include  African Americans over age 40 People over age 60, especially Mexican Americans People with a family history of glaucoma There is no cure, but glaucoma can usually be controlled. Early treatment can help protect your eyes against vision loss. Treatments usually include prescription eyedrops and\/or surgery.","SUBJECT":"Glaucoma","MESSAGE":"Can you mail me patient information about Glaucoma, I was recently diagnosed and want to learn all I can about the disease.","QUESTION_ID":231}
+{"ANNOTATIONS_FOCUS":"Leber Congenital Amaurosis\/Autism","ANNOTATIONS_TYPE":"Association","ANSWER":"There is much evidence in the literature suggesting that children with congenital blindness can also present autistic like features. The aetiopathogenetic and clinical significance of this association is still unclear. Given the central role played by vision in development, we set out to establish the significance of autistic-like behaviours in children with early-onset severe visual impairment. Our sample comprised 24 children (13 males, 11 females; mean age 5y 2mo; range 2-11y) affected by Leber's congenital amaurosis (LCA). The results of our administration of a modified Childhood Autism Rating Scale--excluding item VII (Visual Responsiveness)--showed that only four of the children gave an overall score indicating the presence of autism (moreover, of mild\/moderate degree). Hardly any of the children in our LCA sample presented major dysfunctions in their relationships with other people or in their social and emotional responsiveness, thus allowing us to exclude a genuine comorbidity with a picture of autism. Indeed, the risk facing the visually impaired child seems to concern their early interactive experiences, which may be affected by their inability to connect with others, and may be prevented through the development of specific strategies of intervention.","SUBJECT":"Leber Congenital Amaurosis and Autism","MESSAGE":"Is there any relationship between Leber Congenital Amaurosis and Autism?","QUESTION_ID":232}
+{"ANNOTATIONS_FOCUS":"psoriasis","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Topical treatments, such as moisturizers, over-the-counter and prescriptions creams and shampoos, typically are used for mild psoriasis.  Treating moderate to severe psoriasis usually involves a combination of treatment strategies. Besides topical treatments, your doctor your doctor may prescribe phototherapy (also known as light therapy). Your doctor may also prescribe systemic medications, including biologic drugs, especially if your psoriasis is significantly impacting your quality of life.","SUBJECT":"Psoriasis for past 7-8 years","MESSAGE":"I had psoriasis on my scalp for nearly 10 years. Please give suggestions and medications.","QUESTION_ID":233}
+{"ANNOTATIONS_FOCUS":"leg swelling","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Home Care Some tips that may help:  Raise your legs above your heart while lying down. Exercise your legs. This helps pump fluid from your legs back to your heart. Follow a low-salt diet, which may reduce fluid buildup and swelling. Wear support stockings (sold at most drug and medical supply stores). When traveling, take breaks often to stand up and move around. Avoid wearing tight clothing or garters around your thighs. Lose weight if you need to. Never stop taking any medicines you think may be causing swelling without first talking to your doctor.","SUBJECT":"","MESSAGE":"Is what can i do for my legs to unswell.","QUESTION_ID":234}
+{"ANNOTATIONS_FOCUS":"chronic cervicitis\/infertility","ANNOTATIONS_TYPE":"Association","ANSWER":"Outlook (Prognosis) Most of the time, simple cervicitis usually heals with treatment if the cause is found and there is a treatment for that cause.  Possible Complications Cervicitis may last for months to years. Cervicitis may lead to pain with intercourse (dyspareunia).","SUBJECT":"Consultation","MESSAGE":"Hello! I have acute chronic cervicitis caused by tampon use. It took a year and a half of treatment (medicines, cauterization), but the symptoms do not stop inflammation and analyzes not determined that bacteria produce inflammation me. I wonder if, despite not being a sexual cervicitis infection, it can cause infertility. And that's what makes a tampon that causes inflammation. Thank you very much!","QUESTION_ID":235}
+{"ANNOTATIONS_FOCUS":"Pain in Hip","ANNOTATIONS_TYPE":"Information","ANSWER":"Home Care General tips:  Try to avoid activities that make pain worse. Take over-the-counter pain medication, such as ibuprofen or acetaminophen. Sleep on the side of your body that does not have pain. Put a pillow between your legs. Lose weight if you are overweight. Ask your health care provider for help. Try not to stand for long periods of time. If you must stand, do so on a soft, cushioned surface. Stand with an equal amount of weight on each leg. Wear flat shoes that are cushioned and comfortable.","SUBJECT":"Growing Pain in Hip for over 15yrs","MESSAGE":"For as long as I can remember, I would get pain in my one hip, and surrounding area (at times) feels like it is a sleep...Though I Always would make sure it is not my underwear or pants pinching a nerve. My Doctor told me to just stretch my leg, as it is nothing more than growing pains, and will pass with time....But 15yrs+ I still have this strange feeling!! Is this something I should look into more?? And there are times, where the pain is just incredible!! Though I never take anything for it...I just drink a glass of milk thinking the Calcium can help my bones.Are there any suggestions?? I have no idea what to do, and do not want to look into this more if not needed, as I do not want to waste the Doctor's time & then think I am a wing nut!!","QUESTION_ID":236}
+{"ANNOTATIONS_FOCUS":"diverticulitis","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"Exams and Tests Your health care provider will examine you. You may need blood tests to see if you have an infection.  Other tests that help diagnose diverticulitis may include:  CT scan Ultrasound of the abdomen X-rays of the abdomen","SUBJECT":"diverticulitis","MESSAGE":"can diverticulosis or diverticulitis be detected by a cat scan if there is no infection at that time?","QUESTION_ID":237}
+{"ANNOTATIONS_FOCUS":"lymphedema","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment can help control symptoms. It includes exercise, compression devices, skin care, and massage.","SUBJECT":"lymphedema","MESSAGE":"HelloI was suffering from filariasis before 6 month, then i observed that I started having leg swelling about 6 months ago.It's lymphedema of my left leg. I has seen many doctors for this problem. but nobody help me to cure this.Finally they answer me there is no treatment for this. i have to live with this disease. but i can't spend whole life with this disease. Better then i will comit or prefer sucide and say goodbye to life.So please suggest me treatment if any treatment available.please reply atleast if no solution.","QUESTION_ID":239}
+{"ANNOTATIONS_FOCUS":"dry mouth","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Your doctor or dentist may recommend oral rinses and moisturizers, or prescribe an artificial saliva. Also called saliva substitutes, artificial salivas are regulated by FDA as medical devices. \u201cUnlike drugs, artificial salivas have no chemical action,\u201d says Susan Runner, D.D.S., chief of FDA\u2019s dental devices branch. \u201cTheir action is mechanical. They moisten and lubricate the mouth but do not stimulate the salivary glands to make saliva.\u201d  While not a cure, artificial salivas can provide short-term relief of the symptoms of dry mouth. \u201cThey can also help minimize discomfort after an oral procedure,\u201d says Runner.  Artificial salivas come in a variety of forms, including rinses, sprays, swabs, gels, and tablets that dissolve in the mouth. Some are available by prescription only; others can be bought over-the-counter.  FDA has also approved several prescription drugs to relieve dry mouth caused by certain medical treatments or conditions, such as Sj\u00f6gren's syndrome and radiation for head or neck cancer.","SUBJECT":"dry mouth","MESSAGE":"My doctor does not know of a medication that can be used in the mouth for dry mouth. Through research, I think the medication is there, I just can't find the name of it for him to prescribe forme. Can you help me. I'm using the across the counter Biotene but would like something that works a little better.","QUESTION_ID":240}
+{"ANNOTATIONS_FOCUS":"loss of appetite","ANNOTATIONS_TYPE":"Treatment","ANSWER":"When to Contact a Medical Professional Call your health care provider if you are losing a lot of weight without trying.  Seek medical help if decreased appetite occurs along with other signs of depression, drug or alcohol abuse, or an eating disorder.  For loss of appetite caused by taking medications, ask your health care provider about changing the dosage or drug. Do not stop taking medications without first talking to your health care provider.","SUBJECT":"Treatment required","MESSAGE":"I m 37 years old and i m suffer from poor hunger,loss of appetite and and no desire to eat. I have only some anxietic condition and some heart burn problem. Kindly suggest something for me to solve my problem.","QUESTION_ID":242}
+{"ANNOTATIONS_FOCUS":"joint pain","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Home Care Follow your doctor's recommendation for treating the cause of the pain.  For nonarthritis joint pain, both rest and exercise are important. Warm baths, massage, and stretching exercises should be used as often as possible.  Aceteminophen (Tylenol) may help the soreness feel better. Nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen or naproxen may help relieve pain and swelling. Talk to your health care provider before giving aspirin or NSAIDs such as ibuprofen to children.","SUBJECT":"ball and socket joint","MESSAGE":"sir, with due respect I would like to state that there is a pain in my ball and socket joint . I didn't feel and pain in normal or lower position as I up my hard there is a huge site of pain in my ball and socket joint. please prescribe a medicine for the cure .","QUESTION_ID":243}
+{"ANNOTATIONS_FOCUS":"HELLP","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Who gets HELLP syndrome? Doctors don\u2019t know exactly what causes HELLP syndrome. They also can\u2019t predict who will get it. Any pregnant woman may get this illness.  Most women who will get HELLP have blood pressure problems before they get HELLP syndrome. (But you can get HELLP syndrome even if your blood pressure is normal.)  You're more likely to get HELLP syndrome if you're white and older than 25 years of age. You are also more likely to get it if you have had children before or if you had a problem with a pregnancy in the past.","SUBJECT":"HELLP risk","MESSAGE":"My sister had HELLP during her first pregancey and is viewed to to at high risk for it again. I was wondering what the risk of me having HELLP during my pregancey was","QUESTION_ID":244}
+{"ANNOTATIONS_FOCUS":"Oppositional Defiant Disorder\/autism","ANNOTATIONS_TYPE":"Organization","ANSWER":"The Importance of Support Families often need help in understanding their child\u2019s disability and how to address the needs that arise from the disability. Help is available from psychiatrists, psychologists, and other mental health professionals that work in the public or private sector. There is also a network of mental health support operating in every state as well as locally.  To locate systems of support in your community or state, visit the organizations we\u2019ve listed below. They can connect you with local resources, including support groups that provide connection and understanding, information, referral, and advocacy for those living with emotional disturbance.","SUBJECT":"ODD facilities","MESSAGE":"Two friends of ours have an 8-year-old child with Oppositional Defiant Disorder and autism, and they are being told by a facility that they need to institutionalize him there. Our friends are heartbroken. Are there any excellent places in the country that specialize in ODD in combination with autism that might offer other options for them? Thanks for any counsel you might have.","QUESTION_ID":245}
+{"ANNOTATIONS_FOCUS":"intestine dead","ANNOTATIONS_TYPE":"Information","ANSWER":"Small intestinal ischemia and infarction Intestinal ischemia and infarction is damage to (ischemia) or death of (infarction) part of the intestine. It is due to a decrease in the blood supply to the area.","SUBJECT":"Small Intestine Died","MESSAGE":"My Father-in-law died recently after his Small intestine died. He was apparently in good health and ate dinner on Saturday and had to be rushed to the hospital on Sunday. Early on Tuesday they operated on him after his blood pressure dropped. They removed 70-80% of his small intestine and part of his large intestine (dead). Is this reasonable that they would find this % of his intestine dead -- again he appeared to be OK the day before.","QUESTION_ID":246}
+{"ANNOTATIONS_FOCUS":"ears itch burn and have soreness\/ringing","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"Allergies can cause a variety of symptoms such as a runny nose, sneezing, itching, rashes, swelling, or asthma. Allergies can range from minor to severe. Anaphylaxis is a severe reaction that can be life-threatening. Doctors use skin and blood tests to diagnose allergies. Treatments include medicines, allergy shots, and avoiding the substances that cause the reactions.","SUBJECT":"ears itch burn and have soreness at times","MESSAGE":"I was wondering I get my ears cleaned out because of allot of wax build up but I constantly have this itch in both of them and sometimes they burn little and they pain a touch, in the day I don't notice it as much as in the evening and at night sometimes I think I even feel draining in them but nothing drains out- If I take some clartin it does help but I hate doing clartin everyday what do you think I need to do ENT's don't do much for it or seem to think its a problem - I also get a little rining in the ears at night some high pitch sound not to bothersome but there and they did check my hearing and said it was fine, so I wonder what it could be something I am taking supplement wise or allergies or what? is there some kind of test that would tell what this is and how to overcome this nuisance thanks so much for any help","QUESTION_ID":247}
+{"ANNOTATIONS_FOCUS":"shingles","ANNOTATIONS_TYPE":"Treatment","ANSWER":"The shingles vaccine (Zostavax) is recommended for adults age 60 and older, whether they've already had shingles or not. Although the vaccine is approved for people age 50 and older, the Centers for Disease Control and Prevention isn't recommending it until you reach age 60.","SUBJECT":"shingles","MESSAGE":"I am having symptoms of shingles, no rash or blisters, is it too late to get the vaccine? I have had the chicken pox and take acylovir on a as needed basis for blisters I get on my buttocks","QUESTION_ID":248}
+{"ANNOTATIONS_FOCUS":"huge breast","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Why the Procedure is Performed Breast reduction may be recommended if you have very large breasts (macromastia) and:  Chronic pain that affects your quality of life. You may be having headaches, neck pain, and shoulder pain. Chronic nerve problems caused by poor posture, which result in numbness or tingling in your arms or hands. Cosmetic problems, such as persistent bra-strap groove, scar-like lines in the skin (striae), difficulty finding clothes that fit, and low self-confidence. Chronic rashes under your breasts Unwelcome attention that is making you feel awkward Inability to participate in sports Some women may benefit from non-surgical treatments, such as:  Exercising to strengthen their back and shoulder muscles Losing excess weight Wearing supportive bras","SUBJECT":"saggy large breast","MESSAGE":"i have very huge breast i am only 25 and they cause me alot of pain on the neck chest and back. what can i do","QUESTION_ID":250}
+{"ANNOTATIONS_FOCUS":"esophageal candida","ANNOTATIONS_TYPE":"Information","ANSWER":"Candidiasis that develops in the mouth or throat is called \"thrush\" or oropharyngeal candidiasis. The most common symptom of oral thrush is white patches or plaques on the tongue and other oral mucous membranes. This infection is uncommon among healthy adults.","SUBJECT":"canadida of the esophagus","MESSAGE":"I cannot locate any information on this condition: causes, symptoms, treatment, etc. I have had it in the past and suspect that I have it again. I would like to research this condition, but internet search only comes up with cancer. I realize that my case is not addressed in your reply. I am simply seeking general information.","QUESTION_ID":251}
+{"ANNOTATIONS_FOCUS":"leg pain","ANNOTATIONS_TYPE":"Cause","ANSWER":"Causes  Leg pain can be due to a muscle cramp (also called a charley horse). Common causes of cramps include:      Dehydration or low amounts of potassium, sodium, calcium, or magnesium in the blood     Medicines (such as diuretics and statins)     Muscle fatigue or strain from overuse, too much exercise, or holding a muscle in the same position for a long time  An injury can also cause leg pain from:      A torn or overstretched muscle (strain)     Hairline crack in the bone (stress fracture)     Inflamed tendon (tendinitis)     Shin splints (pain in the front of the leg from overuse)   Other common causes of leg pain include:      Atherosclerosis that blocks blood flow in the arteries (this type of pain, called claudication, is generally felt when exercising or walking and is relieved by rest)     Blood clot (deep vein thrombosis) from long-term bed rest     Infection of the bone (osteomyelitis) or skin and soft tissue (cellulitis)     Inflammation of the leg joints caused by arthritis or gout     Nerve damage common in people with diabetes, smokers, and alcoholics     Varicose veins  Less common causes include:      Cancerous bone tumors (osteosarcoma, Ewing sarcoma)     Legg-Calve-Perthes disease -- poor blood flow to the hip that may stop or slow the normal growth of the leg     Noncancerous (benign) tumors or cysts of the femur or tibia (osteoid osteoma)     Sciatic nerve pain (radiating pain down the leg) caused by a slipped disk in the back     Slipped capital femoral epiphysis -- usually seen in boys and overweight children between ages 11 and 15   Home Care","SUBJECT":"upper thigh","MESSAGE":"my mother is 55 years old she feels pains on one side of her leg she cant sit or work we went to doctors gave us medicine but its all the same what could this be","QUESTION_ID":252}
+{"ANNOTATIONS_FOCUS":"excess mucus\/copd","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Techniques to Help Clear Mucus From Your Lungs Ask your health-care provider about different methods to help you cough up mucus. The Acapella\u2122 and the Flutter\u00ae devices are two handheld devices that assist in clearing mucus from the lungs. Learning how to use these devices will make it easier to get rid of mucus in the lungs. HUFF Cough: Forced Expiratory Technique \u2022 Repeat this cycle two to four times. \u2022 Spit out the mucus as it comes up.","SUBJECT":"copd","MESSAGE":"any way to relieve excess mucus?","QUESTION_ID":254}
+{"ANNOTATIONS_FOCUS":"undiagnosed condition","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"Would a genetics service or genetic counselors be helpful?  A consultation at a genetics service with a genetics professional can sometimes provide clues about a difficult to diagnose condition. This type of professional often has experience with rare conditions, and is trained to look for patterns in a family's medical history that offer clues for diagnosis. This type of professional can work as a part of your medical team to help determine a diagnosis and management strategy. If you think that it would be helpful to find a genetics clinic near you, we recommend contacting your primary doctor for a referral.","SUBJECT":"Undiagnosed Illness","MESSAGE":"Hello I've been struggling with an undiagnosed condition for some years I'm trying to find answers Is there a test that can show gene mutation? Or do you have to know the illness your testing for?","QUESTION_ID":255}
+{"ANNOTATIONS_FOCUS":"SSPE","ANNOTATIONS_TYPE":"Susceptibility","ANSWER":"Subacute sclerosing panencephalitis is a prototype neurodegenerative disease of childhood characterised by onset of neurological symptoms between 5 and 15\u2005years of age with a progressive downhill course leading to death within 2\u20134\u2005years.1 The incidence of adult onset SSPE has been reported to vary between 1\u20131.75% and 2.6%.11,12 To date less than 100 cases of adult onset SSPE have been published in the literature, the majority being case reports2,3,6,7,8,13,14 baring one exception.4 The present series of 39 patients constituted 12.7% of the cohort evaluated over a decade at our centre. To the best of our knowledge this is the largest series of adult onset SSPE patients. Most of our patients were from South India; whether a similar incidence of adult onset cases of SSPE is observed elsewhere in India is not known.  Tan et al4 reported eight cases of adult onset SSPE (\u2a7e18\u2005years) seen between 1980 and 1987 at a university hospital in Turkey. Age at onset was between 18 and 24\u2005years, with a 1\u20139\u2005month interval between first symptoms and diagnosis. In the published literature on adult onset SSPE, the age at onset was 20\u201335\u2005years with a mean delay in diagnosis of 10.6\u2005months.5 A similar time lag of 6.3\u00b19.6\u2005months in diagnosis was observed in the present study. In childhood onset SSPE, boys are more frequently affected,1 while in adults the gender distribution is reported to be equal.4,5 However, in our series there was a preponderance of males (25 males, 14 females) (table 2\u200b2).","SUBJECT":"SSPE","MESSAGE":"My son is 33years of age and did not have the measles vaccination.Could SSPE occur at this age or in the future?","QUESTION_ID":256}
+{"ANNOTATIONS_FOCUS":"lesions of the brain","ANNOTATIONS_TYPE":"Treatment","ANSWER":"The case against Bendectin is unclear. The Food and Drug Administration admitted as much in 1980, after an intensive two-day review of available data. The review panel said no association between Bendectin and birth defects had been demonstrated. It added, however, that because there was no way to prove the absolute safety of any drug in all women under every circumstance, there must remain a ''residual uncertainty'' about how this drug affects an unborn child.","SUBJECT":"Bendectin","MESSAGE":"In 1964, I began taking Bendectin for morning sickness and with each subsequent pregnancy I continued to do so. My third child developed a meningioma of the brain at 11 years old and currently, my daughter, 47 years old, has been diagnosed with a lesion(?) of the brain. I am justifiably concerned about my daughter's condition and wonder if I contributed to her status. I am only interested in helping her and not for any litigious reason. If someone also had a similar situation and was treated positively, I would so appreciate knowing about it. Thank you and God bless.","QUESTION_ID":257}
+{"ANNOTATIONS_FOCUS":"arachnoiditis","ANNOTATIONS_TYPE":"Organization","ANSWER":"Arachnoiditis A-Z List of Top 1000 Cities","SUBJECT":"","MESSAGE":"I need a specialist for arachnoiditis in southern california","QUESTION_ID":258}
+{"ANNOTATIONS_FOCUS":"spondyloepiphyseal dysplasia\/metatropic dysplasia","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"There has been significant progress in the identification of the molecular defects in these disorders. Molecular diagnosis can be used to confirm a clinical and radiographic diagnosis, predict carrier status in those families at risk for a recessive disorder, and allow for prenatal diagnosis of at-risk fetuses. Because these are rare disorders, commercial testing is not always readily available; however, GeneTests (www.genetests.org), a publically funded website, provides current information on these diseases and those laboratories providing clinical genetic testing and those who are interested in material for ongoing research.","SUBJECT":"fetal anomaly","MESSAGE":"sir, what is the difference between spondyloepiphyseal dysplasia and metatropic dysplasia and how can we differntiate prenatally ??","QUESTION_ID":260}
+{"ANNOTATIONS_FOCUS":"painful sores","ANNOTATIONS_TYPE":"Information","ANSWER":"Overview Hot tub rash (Pseudomonas folliculitis) is an infection of the hair follicle with Pseudomonas bacteria. It is most commonly seen in people who bathe in a contaminated spa, swimming pool, or hot tub.  Hot tub rash is usually resolved without treatment within 2 weeks. Who's At Risk Hot tub rash can occur in people of any age, of any race, and of either sex.  Individuals with hot tub rash usually have a history of one of the following:      Bathing in a contaminated spa, swimming pool, or hot tub     Using a contaminated loofah sponge     Wearing a contaminated diving suit","SUBJECT":"burning rash","MESSAGE":"my left buttocks has painful sores a nurse at my work said to put cortisol10 cream on it but its not helping she thinks i got this by being in a dirty hottub! i hope its not something bad. please help","QUESTION_ID":261}
+{"ANNOTATIONS_FOCUS":"varicose ulcer","ANNOTATIONS_TYPE":"Organization","ANSWER":"Find an ACFAS Physician","SUBJECT":"varicose ulcer","MESSAGE":"kindly suggest the specialised doctor for treatment","QUESTION_ID":262}
+{"ANNOTATIONS_FOCUS":"perforated ear drum\/drops","ANNOTATIONS_TYPE":"Complication","ANSWER":"Be very careful. Hydrogen peroxide can damage you","SUBJECT":"perforated ear drum","MESSAGE":"What damage would putting ear drops & peroxide in a broken ear drum ?","QUESTION_ID":263}
+{"ANNOTATIONS_FOCUS":"congestive heart failure","ANNOTATIONS_TYPE":"Prognosis","ANSWER":"ECENT FINDINGS:  Congestive heart failure is found in about one-quarter of cases of chronic kidney disease. The most common cause of congestive heart failure is ischemic heart disease. The prevalence of congestive heart failure increases greatly as the patient's renal function deteriorates, and, at end-stage renal disease, can reach 65-70%. There is mounting evidence that chronic kidney disease itself is a major contributor to severe cardiac damage and, conversely, that congestive heart failure is a major cause of progressive chronic kidney disease. Uncontrolled congestive heart failure is often associated with a rapid fall in renal function and adequate control of congestive heart failure can prevent this. The opposite is also true: treatment of chronic kidney disease can prevent congestive heart failure. There is new evidence showing the cardioprotective effect of carvedilol in patients on dialysis, and of simvastatin and eplerenone in patients with congestive heart failure. Use of non-steroidal anti-inflammatory drugs doubles the rate of hospitalization in patients with congestive heart failure. Anemia has been found in one-third to half the cases of congestive heart failure, and may be caused not only by chronic kidney disease but by the congestive heart failure itself. The anemia is associated with worsening cardiac and renal status and often with signs of malnutrition. Control of the anemia and aggressive use of the recommended medication for congestive heart failure may improve the cardiac function, patient function and exercise capacity, stabilize the renal function, reduce hospitalization and improve quality of life. Congestive heart failure, chronic kidney disease and anemia therefore appear to act together in a vicious circle in which each condition causes or exacerbates the other. Both congestive heart failure and anemia are often undertreated. Cooperation between nephrologists and other physicians in the treatment of patients with anemic congestive heart failure may improve the quality of care and the subsequent prognosis for both congestive heart failure and chronic kidney disease.","SUBJECT":"i have a question","MESSAGE":"What happens to someone who has congestive heart failure and their kidneys are in stage 4? Where can I find information on this?","QUESTION_ID":264}
+{"ANNOTATIONS_FOCUS":"arm is crippled","ANNOTATIONS_TYPE":"Treatment","ANSWER":"OnabotulinumtoxinA injection is also sometimes used to treat other conditions in which abnormal muscle tightening causes pain, abnormal movements, or other symptoms. OnabotulinumtoxinA injection is also sometimes used to treat excessive sweating of the hands, excessive sweating that occurs during or after eating, many types of wrinkles of the face, tremor (uncontrollable shaking of a part of the body), and anal fissures (a split or tear in the tissue near the rectal area). The medication is also sometimes used to improve the ability to move in children with cerebral palsy (condition that causes difficulty with movement and balance) or adults who have had a stroke. Talk to your doctor about the risks of using this medication for your condition.","SUBJECT":"I want to ask a question about botox","MESSAGE":"I want to know if botox is useful in treating someone who had a stroke and their left arm is crippled up? The man had a cerebral hemmorhage I want to know if this helps or not?","QUESTION_ID":265}
+{"ANNOTATIONS_FOCUS":"Gangliosidosis GM1","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Is there any treatment?  No specific treatment exists for the gangliosidoses. Anticonvulsants may initially control seizures. Other supportive treatment includes proper nutrition and hydration and keeping the airway open.","SUBJECT":"","MESSAGE":"My son  five years old has Ganglisidose GM 1, we are looking for a drug that could help him, or at least could prolong life. He gets Miglusitat for 1 week. Can you help us or just send some information. We would be very grateful.","QUESTION_ID":266}
+{"ANNOTATIONS_FOCUS":"Petechiae","ANNOTATIONS_TYPE":"Symptom","ANSWER":"Petechiae are common and may indicate a number of conditions, ranging from minor to very serious.  Tiny blood vessels (capillaries) link the smallest parts of your arteries to the smallest parts of your veins. Petechiae appear when capillaries bleed, leaking blood into the skin. A number of things can cause this bleeding, including:      Prolonged straining     Certain medical conditions     Specific types of injuries     Medications     Injuries and sunburn  See your doctor promptly if you or your child develops unexplained or widespread petechiae. It's important to determine the cause, since some underlying problems can be potentially serious.","SUBJECT":"Skin Rash (Petechiae?)","MESSAGE":"Yesterday I noticed a large cluster of pinprick red spots underneath my chin (not on my neck). Recently I have been self induced vomiting. I know that Petechiae can be caused by vomiting but would this cause it to be underneath the chin??","QUESTION_ID":268}
+{"ANNOTATIONS_FOCUS":"cataracts\/lasik","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Your general health should be good. LASIK may not be recommended for patients with diabetes, rheumatoid arthritis, lupus, glaucoma, herpes infections of the eye, cataracts, disorders of the cornea, and retinal disease. Discuss your general health status with your surgeon.","SUBJECT":"Lasik surgery","MESSAGE":"Can Lasik surgery remove\/repair cataracts?","QUESTION_ID":269}
+{"ANNOTATIONS_FOCUS":"cold","ANNOTATIONS_TYPE":"Treatment","ANSWER":"An acute symptom is one that comes on suddenly. Acute problems, such as a headache, postnasal drip, or muscular pain due to exercise, often are not serious conditions, and may be treated with a properly chosen over-the-counter medication. Remember, however, that selfmedication may be challenging if a patient is taking prescription or nonprescription medication. Drug-with-drug interactions are a major reason for complications. When taking thyroid supplements, high-blood-pressure medications, etc., it is always best to consult your doctor or pharmacist before using any other medication. What seems like a simple and safe product for a headache might cause a significant and dangerous combination with some prescription medications. If acute symptoms continue, despite supportive therapies like proper over-thecounter medication, rest (where necessary) and time, a symptom becomes chronic. Chronic problems usually indicate the need for skilled diagnosis that a physician provides. Simply put, if a problem persists, do not continue to self medicate, see your doctor.","SUBJECT":"safe cold medicine to take with Graves disease","MESSAGE":"I have a runny nose and headache and have Graves. What is a safe cold medicine to take over the counter?","QUESTION_ID":270}
+{"ANNOTATIONS_FOCUS":"Distal renal tubular acidosis","ANNOTATIONS_TYPE":"Information","ANSWER":"Distal renal tubular acidosis is a disease that occurs when the kidneys do not properly remove acids from the blood into the urine. As a result, too much acid remains in the blood (called acidosis).","SUBJECT":"know more about","MESSAGE":"My Daughter have Distal renal tubular acidosis. we are from M\u00e9xico, and we ae woundering if can send to us more infomation. maybe you can reccommend to us a association???? i don\u00b4t know","QUESTION_ID":272}
+{"ANNOTATIONS_FOCUS":"unable to urinate","ANNOTATIONS_TYPE":"Treatment","ANSWER":"After catheter removal  After your catheter is taken out:      You may have trouble urinating. If this happens, try sitting in a few inches of warm water (sitz bath). This may help you relax. If you feel the urge, it may be easier to urinate while you are still in the bath.     You may have some burning the first few times you urinate. If the burning lasts longer, it may be a sign of an infection.     Drink plenty of fluids, enough so that your urine is light yellow or clear like water. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.     Wear loose cotton underwear if you have irritation or a rash from your catheter.  Also, it is important to know when you are having a problem and when to call your doctor. After catheter removal, call your doctor if:      You do not urinate within 8 hours after the catheter is taken out.","SUBJECT":"man, 89, unable to urinate","MESSAGE":"My husband, 89, has been unable to urinate for 11 hours after his catheter was removed. Is it time to call the doctor?","QUESTION_ID":274}
+{"ANNOTATIONS_FOCUS":"Lichen Planus","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatments Your Physician May Prescribe If lichen planus is suspected, your doctor may want to perform a skin biopsy. The procedure involves:      Numbing the skin with an injectable anesthetic.     Sampling a small piece of skin by using a flexible razor blade, a scalpel, or a tiny cookie cutter (called a \"punch biopsy\"). If a punch biopsy is taken, a stitch (suture) or 2 may be placed and will need to be removed 6\u201314 days later.     Having the skin sample examined under the microscope by a specially trained physician (dermatopathologist).  In addition, your doctor may recommend one of the following treatments:      Topical corticosteroid (cortisone) cream, lotion, ointment, or gel     Topical tacrolimus or pimecrolimus     Anti-itch lotions containing menthol, pramoxine, or phenol     Corticosteroid (cortisone) injected directly into a thick lesion     Oral antihistamine pills such as diphenhydramine, loratadine, cetirizine, fexofenadine, desloratadine, or hydroxyzine for itching  In addition, your doctor may suggest one of the following treatments for oral lichen planus:      Topical corticosteroid (cortisone) ointment or gel     Topical cyclosporine solution used as a mouthwash  For very severe cases of lichen planus, one of the following therapies may be recommended:      Ultraviolet light treatment     Oral retinoid pills such as isotretinoin or acitretin     Oral cyclosporine pills     Oral hydroxychloroquine pills  Although there is no cure for lichen planus, treatment can usually minimize symptoms and improve the appearance of the rash until it heals.","SUBJECT":"Lichen Planus yrs","MESSAGE":"Help help help. I have Lichen Planus and I think at times I might go crazy from the itching. I had once before about 22 yrs ago and it went away after a cycle or two of Prednisone. This time it has been over 15yrs and keeps on. It will not go away. I can not take prednisone any more!!!! It makes me mean. I need some kind of help. I use steroid creams and shots and they ease the lesions and the itching, but after a while it gets really bad again. I a at my wits end. It is all over my feet ankles legs and wrists arms back and butt. help me please!!!!!!!!","QUESTION_ID":275}
+{"ANNOTATIONS_FOCUS":"Short Height","ANNOTATIONS_TYPE":"Information","ANSWER":"Is something wrong? Maybe, maybe not. Some kids just grow more slowly than others because their parents did, too. But others may have an actual growth disorder, which is any type of problem that prevents kids from meeting realistic expectations of growth, from failure to gain height and weight in young children to short stature or delayed sexual development in teens. Variations of Normal Growth Patterns  A couple of differences seen in the growth patterns of normal children include these common conditions, which are not growth disorders:","SUBJECT":"Short Height Of My Daughter","MESSAGE":"My Daughter is 12 years old and her height is 105 cm and weight is 15 kg. I want to consult about her growth overall . can you suggest some medicine or anything else.","QUESTION_ID":276}
+{"ANNOTATIONS_FOCUS":"thumb and forefinger hurt","ANNOTATIONS_TYPE":"Treatment","ANSWER":"No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.  Hand problems include      Carpal tunnel syndrome - compression of a nerve as it goes through the wrist, often making your fingers feel numb     Injuries that result in fractures, ruptured ligaments and dislocations     Osteoarthritis - wear-and-tear arthritis, which can also cause deformity     Tendinitis - irritation of the tendons     Disorders and injuries of your fingers and thumb","SUBJECT":"","MESSAGE":"my thumb and forefinger hurt all the time. nerves is there any medicine that will help .","QUESTION_ID":277}
+{"ANNOTATIONS_FOCUS":"Total Hip Replacement","ANNOTATIONS_TYPE":"Treatment","ANSWER":"When Is Revision Surgery Necessary?  Hip replacement is one of the most successful orthopaedic surgeries performed. However, because more people are having hip replacements at a younger age, and wearing away of the joint surface becomes a problem after 15 to 20 years, replacement of an artificial joint, which is also known as revision surgery, is becoming more common. It is more difficult than first-time hip replacement surgery, and the outcome is generally not as good, so it is important to explore all available options before having additional surgery.  Doctors consider revision surgery for two reasons: if medication and lifestyle changes do not relieve pain and disability, or if x rays of the hip show damage to the bone around the artificial hip that must be corrected before it is too late for a successful revision. This surgery is usually considered only when bone loss, wearing of the joint surfaces, or joint loosening shows up on an x ray. Other possible reasons for revision surgery include fracture, dislocation of the artificial parts, and infection.","SUBJECT":"","MESSAGE":"I have undergone Total Hip Replacement of both my hip jonts in 1977 (Charnley Process ) My left joint is completely worn out.How safe and effective is revision surgery..can I get a cementless joint..I am 66 years old..An early repy to my query will be very much appreciated.","QUESTION_ID":278}
+{"ANNOTATIONS_FOCUS":"urine tract infection","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Intraperitoneal Rupture: If the tear is on the top of the bladder, the hole will usually communicate with the abdominal cavity that holds all of the vital organs (liver, spleen and bowel). This injury should be surgically repaired. Urine that leaks into the abdomen is a serious problem. The repair is performed by making an abdominal incision and sewing the tear closed. A catheter is left in the bladder for up to 2 weeks to rest the bladder after the surgery, either through the urethra or coming directly out the abdominal wall, below the bellybutton.  Extraperitoneal Rupture: If the tear is at the bottom or sides of the bladder, the urine will not leak into the abdominal cavity but into the tissues around the bladder. Patients who have complex injuries of this type should have surgical repair of the injury but in some circumstances small injuries can be treated by simply placing a large diameter catheter into the bladder to keep it empty and allow the urine and blood to drain out into a collection bag. If the catheter does not drain properly, surgical repair is required. Allowing the bladder to repair itself in this fashion usually takes at least 10 days and the catheter is not removed until an X-ray is done as described above to prove the leak has sealed.  Penetrating Injuries: Patients who have injury to the bladder from a penetrating object are usually operated upon and the hole(s) is surgically repaired. Most of the time other organs in the area will be injured and need repair as well. A catheter is left in the bladder to drain the urine and blood as described above.","SUBJECT":"my dads condition","MESSAGE":"my dad is being treated at University of Washington School of Medicine for infection cause by hole in his urine tract and i am interested in any treats for his problem.","QUESTION_ID":279}
+{"ANNOTATIONS_FOCUS":"Jock Itch","ANNOTATIONS_TYPE":"Symptom","ANSWER":"Signs and Symptoms Large round, red patches with bumpy, scaling edges occur in the groin and may extend down the inner thigh or onto the belly or buttocks areas. Jock itch is usually not present on the genitals. It is usually very itchy.","SUBJECT":"Jock Itch","MESSAGE":"I have Jock itch, and I have read through your symptoms. I wanted know if small lumps under the skin around the scrotum area is a symptoms as well? Should I be concerned?","QUESTION_ID":280}
+{"ANNOTATIONS_FOCUS":"Tetanus vaccine","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Antibody levels do not rise until 4 days after vaccination (5), so vaccination at the time of injury is of no use. - See more at: http:\/\/www.vaccinationcouncil.org\/2010\/08\/19\/tetanus-toxoid-vaccination-an-overview\/#sthash.6RfMXh39.dpuf","SUBJECT":"Tetanus immunity","MESSAGE":"How long after Tetanus vaccine administration does a patient have immunity? I have not been able to find this information on CDC site.","QUESTION_ID":281}
+{"ANNOTATIONS_FOCUS":"kidney stone\/Serum Creatinine","ANNOTATIONS_TYPE":"Symptom","ANSWER":"What does the test result mean?  Creatinine Reference Range  Increased creatinine levels in the blood suggest diseases or conditions that affect kidney function. These can include:      Damage to or swelling of blood vessels in the kidneys (glomerulonephritis) caused by, for example, infection or autoimmune diseases     Bacterial infection of the kidneys (pyelonephritis)     Death of cells in the kidneys' small tubes (acute tubular necrosis) caused by, for example, drugs or toxins     Prostate disease, kidney stone, or other causes of urinary tract obstruction     Reduced blood flow to the kidney due to shock, dehydration, congestive heart failure, atherosclerosis, or complications of diabetes","SUBJECT":"Serum Creatinine","MESSAGE":"My serum creatinine level is 1.1. I am 36 years old and having kidney stone . My question is , will the kidney stone affect the serum creatinine result?","QUESTION_ID":282}
+{"ANNOTATIONS_FOCUS":"shortness of breath","ANNOTATIONS_TYPE":"Cause","ANSWER":"Many conditions can make you feel short of breath. Lung conditions such as asthma, emphysema or pneumonia cause breathing difficulties. So can problems with your trachea or bronchi, which are part of your airway system. Heart disease can make you feel breathless if your heart cannot pump enough blood to supply oxygen to your body. Stress caused by anxiety can also make it hard for you to breathe. If you often have trouble breathing, it is important to find out the cause.","SUBJECT":"Shortness of breath in the mornings","MESSAGE":"My wife has been having shortness of breath in the mornings (mornings only). She has, what I think, excessive heart rate as well. Again, mornings only. Could this be anxiety attacks? I don't think it would be a heart issue. She certainly isn't overweight. SHe is 5.2 \" and 100-105 pounds. if she is having anxiety attack... what is the best course of action? She seems to feel better when she lies down and rests.....while either watching TV...or sleeps. WHat is weird about it is ... it only happens in the mornings. SHe has no history in her family for heart disease either. WHat are your thoughts?","QUESTION_ID":283}
+{"ANNOTATIONS_FOCUS":"Grief counseling","ANNOTATIONS_TYPE":"Information","ANSWER":"Where can I find help?  The following list of organizations and Web sites  provides information and support for coping  with grief:","SUBJECT":"grievance counseling","MESSAGE":"My father passed away February 2012. Hospice helped our family with his passing and offered us counseling which at that time our family didn't use. My brother is now interested in counseling services and I'm wondering if I can get some information on this. Thank you.","QUESTION_ID":285}
+{"ANNOTATIONS_FOCUS":"can't get air out","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Many conditions can make you feel short of breath. Lung conditions such as asthma, emphysema or pneumonia cause breathing difficulties. So can problems with your trachea or bronchi, which are part of your airway system. Heart disease can make you feel breathless if your heart cannot pump enough blood to supply oxygen to your body. Stress caused by anxiety can also make it hard for you to breathe. If you often have trouble breathing, it is important to find out the cause.","SUBJECT":"","MESSAGE":"what is done for people who get air in but cant get it out","QUESTION_ID":286}
+{"ANNOTATIONS_FOCUS":"RUSSEL SILVER SYNDROME","ANNOTATIONS_TYPE":"Information","ANSWER":"What is Russell-Silver syndrome?  Russell-Silver syndrome is a growth disorder characterized by slow growth before and after birth. Babies with this condition have a low birth weight and often fail to grow and gain weight at the expected rate (failure to thrive). Head growth is normal, however, so the head may appear unusually large compared to the rest of the body. Affected children are thin and have poor appetites, and some develop low blood sugar (hypoglycemia) as a result of feeding difficulties. Adults with Russell-Silver syndrome are short; the average height for affected males is about 151 centimeters (4 feet, 11 inches) and the average height for affected females is about 140 centimeters (4 feet, 7 inches).  Many children with Russell-Silver syndrome have a small, triangular face with distinctive facial features including a prominent forehead, a narrow chin, a small jaw, and down-turned corners of the mouth. Other features of this disorder can include an unusual curving of the fifth finger (clinodactyly), asymmetric or uneven growth of some parts of the body, and digestive system abnormalities. Russell-Silver syndrome is also associated with an increased risk of delayed development and learning disabilities.","SUBJECT":"RUSSEL SILVER SYNDROME","MESSAGE":"I want to know about RUSSEL SILVER SYNDROME If I ask you my little son nine month old but he look like very little I don't know anything about this symptoms please send me all information.","QUESTION_ID":287}
+{"ANNOTATIONS_FOCUS":"forgetfulness","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Keeping Your Memory Sharp  People with some forgetfulness can use a variety of techniques that may help them stay healthy and maintain their memory and mental skills. Here are some tips that can help:      Plan tasks, make \"to do\" lists, and use memory aids like notes and calendars. Some people find they remember things better if they mentally connect them to other meaningful things, such as a familiar name, song, book, or TV show.     Develop interests or hobbies and stay involved in activities that can help both the mind and body.     Engage in physical activity and exercise. Several studies have associated exercise (such as walking) with better brain function, although more research is needed to say for sure whether exercise can help to maintain brain function or prevent or delay symptoms of Alzheimer's.     Limit alcohol use. Although some studies suggest that moderate alcohol use has health benefits, heavy or binge drinking over time can cause memory loss and permanent brain damage.     Find activities, such as exercise or a hobby, to relieve feelings of stress, anxiety, or depression. If these feelings last for a long time, talk with your doctor.","SUBJECT":"beginning forgetfulness","MESSAGE":"Are there any suggestions for help or coping with beginning forgetfulness... age 84, healthy female. Looking for something to read about this problem and how to cope. Have not been diagnosed with any disease of the body or brain.","QUESTION_ID":288}
+{"ANNOTATIONS_FOCUS":"hyperthyroidism","ANNOTATIONS_TYPE":"Treatment","ANSWER":"What is the treatment of hyperthyroidism?  The goal of treatment is to lower the amount of thyroid hormones. Treatment options include      Radioactive iodine (RAI). Also called radioiodine, RAI is a common and long-used treatment for hyperthyroidism.     Surgery. This removes the thyroid gland (called thyroidectomy).     Antithyroid drugs. These medicines are given for months or even years.  Sometimes people take them to prepare for RAI or surgery.","SUBJECT":"","MESSAGE":"hello, can i have surgery if i have hyperthyroidism","QUESTION_ID":289}
+{"ANNOTATIONS_FOCUS":"throw up blood","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Vomiting blood (hematemesis) refers to significant amounts of blood in your vomit. Small streaks or flecks of blood in material you spit up may come from the teeth, mouth or throat and isn't usually considered vomiting blood. Blood in vomit may be bright red, or it may appear black or dark brown like coffee grounds.  Swallowed blood, as from a nosebleed or forceful coughing, may cause bloody vomit, but truly vomiting blood usually represents something more serious and requires immediate medical attention. Bleeding in your upper gastrointestinal tract (mouth, esophagus, stomach and upper small intestine) from peptic ulcers or torn blood vessels is a common cause of vomiting blood.  Call 911 or your local emergency number if vomiting blood causes dizziness after standing, rapid, shallow breathing or other signs of shock. Call 911 or emergency medical assistance  Call 911 if vomiting blood causes signs and symptoms of shock, such as:      Rapid, shallow breathing     Dizziness or lightheadedness after standing up     Blurred vision     Fainting     Confusion     Nausea     Cold, clammy, pale skin     Low urine output  Seek immediate medical attention  Ask someone to drive you to urgent care or the emergency room if you notice blood in your vomit or begin vomiting blood. It's important to quickly identify the underlying cause of the bleeding and prevent more-severe blood loss and other complications, including death.","SUBJECT":"","MESSAGE":"What if someone throw up blood just a little got a little light headed and just laid down and went to sleep they said they will sleep it off but I want to take they said I'm fine. What should I do","QUESTION_ID":291}
+{"ANNOTATIONS_FOCUS":"Lupus","ANNOTATIONS_TYPE":"Symptom","ANSWER":"Lupus has many symptoms. Some common ones are      Joint pain or swelling     Muscle pain     Fever with no known cause     Fatigue     Red rashes, often on the face (also called the \"butterfly rash\")","SUBJECT":"","MESSAGE":"I have been dealing with an autoimmune disease for almost 4 years now, I've been tested for many things and the doctors can't seem to find what exactly is wrong. It began with pain, swelling and stiffness in my feet and toes.A lot of the pain is joint stiffness and my skin feels like its being burned. Over time it has moved into my knees also. I am always tired. Recently I've been getting pains in my stomache and feeling sick. Does any of this sound like Lupus?? I've tested negative for it before, but the more I read about it I feel that's what i could have. Any ideas would be greatly appreciated.","QUESTION_ID":292}
+{"ANNOTATIONS_FOCUS":"stroke","ANNOTATIONS_TYPE":"Prognosis","ANSWER":"Outlook (Prognosis)  How well a person does after a stroke depends on:      The type of stroke     How much brain tissue is damaged     What body functions have been affected     How quickly treatment is given  Problems moving, thinking, and talking often improve in the weeks to months after a stroke.  Many people who have had a stroke will keep improving in the months or years after their stroke.  Over half of people who have a stroke are able to function and live at home. Others are not able to care for themselves.  If treatment with clot-busting drugs is successful, the symptoms of a stroke may go away. However, patients often do not get to the hospital soon enough to receive these drugs, or they cannot take these drugs because of a health condition.  People who have a stroke due to a blood clot (ischemic stroke) have a better chance of surviving than those who have a stroke due to bleeding in the brain (hemorrhagic stroke).  The risk for a second stroke is highest during the weeks or months after the first stroke. The risk begins to decrease after this period.","SUBJECT":"recovery after stroke?","MESSAGE":"what is the pattern of recovery after stroke?","QUESTION_ID":293}
+{"ANNOTATIONS_FOCUS":"diarrhea","ANNOTATIONS_TYPE":"Treatment","ANSWER":"How is chronic diarrhea treated?  The treatment of chronic diarrhea is determined by its cause. Follow the advice of your health care provider.      Diarrhea caused by an infection sometimes can be treated with antibiotics or other drugs. However, the correct diagnosis must be made so that the proper medication can be prescribed.     Diarrhea not caused by an infection can be more difficult to diagnose and therefore treat. Long term medical treatment and nutritional support may be necessary. Surgery may be required to treat some causes of chronic diarrhea.  For diarrhea whose cause has not been determined, the following guidelines may help relieve symptoms. Follow the advice of your health care provider.      Remain well hydrated and avoid dehydration. Serious health problems can occur if the body does not maintain proper fluid levels. Diarrhea may become worse and hospitalization may be required if dehydration occurs.     Maintain a well-balanced diet. Doing so may help speed recovery.     Avoid beverages that contain caffeine, such as tea, coffee, and many soft drinks.     Avoid alcohol; it can lead to dehydration","SUBJECT":"what to eat","MESSAGE":"I have very bad diarrhea for last two months. Doctors have not found what causing it. It reserve watery.I need to know what I can eat. And is lactase milk and yogurt is ok are not?","QUESTION_ID":295}
+{"ANNOTATIONS_FOCUS":"dizziness\/macular degeneration","ANNOTATIONS_TYPE":"Complication","ANSWER":"Unsteadiness Unsteadiness (disequilibrium) or loss of balance when standing or walking are often experienced along with vertigo and other types of dizziness. The causes include:      Inner ear problems.  These can cause sensations of floating or unsteadiness, especially in the dark.      Vision problems.  Cataracts, macular degeneration, glaucoma and weakening eyesight (reduced visual acuity) are risk factors for disequilibrium.","SUBJECT":"subjective vertigo","MESSAGE":"Can macular degeneration in only one eye cause dizziness?","QUESTION_ID":296}
+{"ANNOTATIONS_FOCUS":"arrhythmia","ANNOTATIONS_TYPE":"Cause","ANSWER":"After the Procedure  Pressure to reduce bleeding is put on the area where the catheters were inserted into your body. You will be kept in bed for at least 1 hour, and maybe up to 5 or 6 hours. Your heart rhythm will be monitored during this time.  Your doctor will decide whether you can go home on the same day or if you will need to stay in the hospital overnight to continue monitoring your heart. You will need someone to drive you home after your procedure  For 2 or 3 days after your procedure, you may have these symptoms:      You may feel tired.     Your chest may feel achy.     You may notice skipped heartbeats, or times when your heartbeat is very fast or irregular.  Your doctor may keep you on your medicines, or give you new ones that help control your heart rhythm. Outlook (Prognosis)  Success rates are different depending on what type of heart rhythm problem is being treated.","SUBJECT":"Arrhythmia","MESSAGE":"can arrhythmia occurs after ablation? What is the success rate of Ablation? During my Holter test it was found that my Heart rate fluctuates from 254 to 21. How do you rate the situation?","QUESTION_ID":297}
+{"ANNOTATIONS_FOCUS":"symptoms of menopause","ANNOTATIONS_TYPE":"Treatment","ANSWER":"There are a variety of options available to help treat the symptoms of menopause. The National Institute on Aging provides detailed information on some treatments for menopause. In addition, the Department of Health and Human Service's Office on Women's Health also provides information about menopause treatments. The sections below provide some additional information.","SUBJECT":"menapause and hotflashes","MESSAGE":"non-pharmacological ways to relieve symptoms of menapause","QUESTION_ID":298}
+{"ANNOTATIONS_FOCUS":"skull fracture","ANNOTATIONS_TYPE":"Treatment","ANSWER":"First Aid  If you think someone has a skull fracture:      Check the airways, breathing, and circulation. If necessary, begin rescue breathing and CPR.     Avoid moving the person (unless absolutely necessary) until medical help arrives. Have someone to call 911 (or the local emergency number) for medical assistance.     If the person must be moved, take care to stabilize the head and neck. Place your hands on both sides of the head and under the shoulders. Do not allow the head to bend forward or backward, or to twist or turn.     Carefully check the site of injury, but do not probe in or around the site with a foreign object. It can be hard to know if the skull is fractured or depressed (dented in) at the site of injury.     If there is bleeding, apply firm pressure with a clean cloth over a broad area to control blood loss.     If blood soaks through, do not remove the original cloth. Instead, apply more cloths on top, and continue to apply pressure.     If the person is vomiting, stabilize the head and neck, and carefully turn the victim to the side to prevent choking on vomit.     If the person is conscious and experiencing any of the previously listed symptoms, transport to the nearest emergency medical facility (even if the patient does not think medical help is needed).  DO NOT      Do NOT move the person unless absolutely necessary. Head injuries may be associated with spinal injuries.     Do NOT remove protruding objects.     Do NOT allow the person to continue with physical activities.     Do NOT forget to watch the person closely until medical help arrives.     Do NOT give the person any medicines before talking to a doctor.     Do NOT leave the person alone, even if there are no obvious problems.   When to Contact a Medical Professional      There are problems with breathing or circulation.     Direct pressure does not stop bleeding from the nose, ears, or wound.     There is drainage of clear fluid from the nose or ears.     There is facial swelling, bleeding, or bruising.     There is an object protruding from the skull.     The person is unconscious, is experiencing convulsions, has multiple injuries, appears to be in any distress, or cannot think clearly.","SUBJECT":"skull fracture","MESSAGE":"Is it necessary to go to the dr. when getting a skull fracture?","QUESTION_ID":300}
+{"ANNOTATIONS_FOCUS":"warts","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Insufficient evidence to rate effectiveness for...Water warts. Early research shows that applying a combination of tea tree oil and iodine for 30 days helps clear up warts in children better than just tea tree oil or iodine alone.","SUBJECT":"tea tree oil and iodine spray","MESSAGE":"my 4 year son has molluscum (warts) some one has suggested me to use tea tree oil and iodine spray on the warts.can u please help me.are they effective?","QUESTION_ID":301}
+{"ANNOTATIONS_FOCUS":"Grand Mal seizures","ANNOTATIONS_TYPE":"Treatment","ANSWER":"What are brain stimulation therapies?  Brain stimulation therapies involve activating or touching the brain directly with electricity, magnets, or implants to treat depression and other disorders. Electroconvulsive therapy is the most researched stimulation therapy and has the longest history of use. Other stimulation therapies discussed here \u2014 vagus nerve stimulation, repetitive transcranial magnetic stimulation, magnetic seizure therapy, and deep brain stimulation\u2014are newer, more experimental methods.","SUBJECT":"Grand Mal seizures","MESSAGE":"Need information on: electric stimulation treatment.","QUESTION_ID":302}
+{"ANNOTATIONS_FOCUS":"Kidney failure","ANNOTATIONS_TYPE":"Treatment","ANSWER":"You may need to make changes to your diet when you have chronic kidney disease. These changes include:      Limiting fluids     Eating a low-protein diet     Limiting salt, potassium, phosphorous, and other electrolytes     Getting enough calories if you are losing weight  You may need to alter your diet more if your kidney disease gets worse, or if you need dialysis.","SUBJECT":"Kidney failure","MESSAGE":"What foods do I eat? and if I drink lots of water will that help? Is there a book that I can get to understand this disease?","QUESTION_ID":303}
+{"ANNOTATIONS_FOCUS":"Ellis van creveld syndrome","ANNOTATIONS_TYPE":"Information","ANSWER":"Ellis-van Creveld syndrome  Ellis-van Creveld syndrome is a rare genetic disorder that affects bone growth. Causes  Ellis-van Creveld is passed down through families (inherited). It is caused by defects in one of two Ellis-van Creveld syndrome genes (EVC and EVC2) that are positioned next to each other on the same chromosome.  The severity of the disease varies from person to person. The highest rate of the condition is seen among the Old Order Amish population of Lancaster County, Pennsylvania. It is fairly rare in the general population.","SUBJECT":"more information in relation to Ellis van creveld syndrome","MESSAGE":"Specifically in later life can they have children has it ever been reported any research carried out and just as much information as possible to help my understanding of what I have Many thanks","QUESTION_ID":305}
+{"ANNOTATIONS_FOCUS":"Erb's Palsy","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Surgery may be considered if some strength has not returned to the affected muscles by the time the baby is 3 - 6 months old.","SUBJECT":"Recovery from Erb's Palsy","MESSAGE":"For a baby with an Erb's Palsy, What is the recommended age at which the infant can be a subject to nerve conduction test? What is it for surgical treatment? Is their an alternative methodolgy for nerve test other than electrical pulses? Where is this provided in the U.S?","QUESTION_ID":308}
+{"ANNOTATIONS_FOCUS":"Skin Itching","ANNOTATIONS_TYPE":"Cause","ANSWER":"Summary  Itching is skin tingling or irritation that makes you want to scratch the itchy area. It's a symptom of many health conditions. Common causes are      Allergic reactions     Eczema     Dry skin     Insect bites and stings     Irritating chemicals     Parasites such as pinworms, scabies, head and body lice     Pregnancy     Rashes     Reactions to medicines","SUBJECT":"Skin Itching","MESSAGE":"At night, I have very bad lower leg skin itching. Is this being caused by any of my prescripions?","QUESTION_ID":310}
+{"ANNOTATIONS_FOCUS":"Paralysis","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Treatment for Partial Paralysis  Treatment will depend upon the cause of partial paralysis, and might include physical therapy, occupational therapy, surgery, prescription medications, or a combination of the above. Treatment is designed to return as much function as possible to the patient, while also helping him or her learn to cope with any long-term disabilities.","SUBJECT":"Treatment, Paralysis","MESSAGE":"I have one left side leg is paralysis last 24 years, my other parts of the body is well, it is possible my leg will good for treatment, if possible how can i do the treatment and where ? THANKS","QUESTION_ID":311}
+{"ANNOTATIONS_FOCUS":"whole body swelling","ANNOTATIONS_TYPE":"Information","ANSWER":"Summary  Edema means swelling caused by fluid in your body's tissues. It usually occurs in the feet, ankles and legs, but it can involve your entire body.  Causes of edema include      Eating too much salt     Sunburn     Heart failure     Kidney disease     Liver problems from cirrhosis     Pregnancy     Problems with lymph nodes, especially after mastectomy     Some medicines     Standing or walking a lot when the weather is warm  To keep swelling down, your health care provider may recommend keeping your legs raised when sitting, wearing support stockings, limiting how much salt you eat, or taking a medicine called a diuretic - also called a water pill.","SUBJECT":"","MESSAGE":"good day. At the age of 50 ive started swelling for about a week now. Its my whole body, especially legs and feet. Im using antistax but not sure if its helping. please advise its so frustrating, i cant get into any clothes.","QUESTION_ID":312}
+{"ANNOTATIONS_FOCUS":"Autosomal recessive primary microcephaly","ANNOTATIONS_TYPE":"Organization","ANSWER":"You might also find information on the diagnosis or management of MCPH in Educational resources and Patient support.  General information about the diagnosis and management of genetic conditions is available in the Handbook. Read more about genetic testing, particularly the difference between clinical tests and research tests.  To locate a healthcare provider, see How can I find a genetics professional in my area? in the Handbook.","SUBJECT":"Autosomal recessive primary microcephaly","MESSAGE":"My son has Autosomal recessive primary microcephaly Do you know of any people that have this?","QUESTION_ID":313}
+{"ANNOTATIONS_FOCUS":"pain in the posterior area between the hip and the knee","ANNOTATIONS_TYPE":"Organization","ANSWER":"Find a Doctor Request an Appointment Contact Us","SUBJECT":"Pain","MESSAGE":"Sirs, I have a medical problem and I'd be very grateful if you can help. I feel some pain in the posterior area between the hip and the knee (as if there was something that stings). I noticed that the veins are prominent in this area. What can this be? What doctor should I see? Thanks for your cooperation,","QUESTION_ID":314}
+{"ANNOTATIONS_FOCUS":"vdrl positive","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Exams and Tests  The doctor or nurse will examine you. Tests that may be done include:      Examination of fluid from sore     Echocardiogram, aortic angiogram, and cardiac catheterization to look at the major blood vessels and the heart     Spinal tap and examination of spinal fluid     Blood tests to screen for syphillis bacteria (RPR, VDRL, or TRUST)  If the RPR, VDRL, or TRUST tests are positive, one of the following tests will be needed to confirm the diagnosis:      FTA-ABS (fluorescent treponemal antibody test)     MHA-TP     TP-EIA     TP-PA","SUBJECT":"vdrl positive","MESSAGE":"vdrl positive patients please tell me what are he doing . Diagnosis and precaution.","QUESTION_ID":315}
+{"ANNOTATIONS_FOCUS":"MRSA","ANNOTATIONS_TYPE":"Diagnosis","ANSWER":"Occasionally, a person who has been treated for MRSA infection or for MRSA colonization may be screened to determine whether MRSA are still present.","SUBJECT":"MRSA","MESSAGE":"If you should contact MRSA and take antibiotics over a long period of time,is there a test to determine if the bacteria is still in the system or not?","QUESTION_ID":316}
+{"ANNOTATIONS_FOCUS":"intraductal papilloma","ANNOTATIONS_TYPE":"Prognosis","ANSWER":"Your specialist will be able to advise you of the most appropriate treatment or follow up (further checks) if you have an intraductal papilloma. They may feel that no further treatment is needed after either a core or vacuum assisted biopsy.  However, they may still want to do another operation (excision biopsy) to remove more breast tissue. In some centres, vacuum assisted excision biopsy may be used as an alternative to surgery. Following an injection of local anaesthetic, a small cut is made in the skin. A hollow probe connected to a vacuum device, is placed through this.  Using ultrasound or mammography as a guide, breast tissue is sucked through the probe by the vacuum into a collecting chamber. The biopsy device is used until the area being investigated has been removed. This may mean that an operation under a general anaesthetic can be avoided. The tissue removed is sent to the laboratory and examined under a microscope.  If your nipple continues to produce discharge after surgery, or if there\u2019s inflammation around it, you may need to have a further operation to remove the affected duct or ducts. You may be offered a microdochectomy (removal of the affected duct or ducts) or a Hadfield\u2019s operation (removal of all the major ducts). The operation should solve the problem, but if the discharge comes back more ducts may need to be removed, as finding all the ducts can sometimes be difficult.  The operation is usually done under a general anaesthetic, and you\u2019ll be in hospital for the day or overnight. You\u2019ll have a small wound near the nipple with a stitch or stitches in it, and your doctors will tell you how to look after this and give you advice about pain relief. The operation will leave a small scar but this will fade in time. After the operation your nipple may be less sensitive than before.  After the intraductal papilloma has been removed, follow up is not usually required. However, for some people, a short-term follow up with the specialist may be needed if only a core biopsy\/vacuum assisted biopsy has been performed. People with multiple intraductal papillomas and those whose intraductal papillomas contained atypical cells are likely to have follow-up appointments with their specialist for longer.","SUBJECT":"intraductal papilloma","MESSAGE":"What if you do not have surgery to remove a papilloma?","QUESTION_ID":317}
+{"ANNOTATIONS_FOCUS":"excessive tears","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Your doctor may order tests to help determine the cause.  Treatment depends on the cause of the problem.","SUBJECT":"Excessive Eye Water","MESSAGE":"Thank for your information on my earlier question regarding what is causing skin itching. I have another question on another problem that I'm having. This problem is excessive eye water (tears) occurring all the time and filling my nose up mostly at night and stops using my nose while in bed after a couple of hours. This there any medicine that would reduce all these excessive tears?","QUESTION_ID":318}
+{"ANNOTATIONS_FOCUS":"numbness\/tingling","ANNOTATIONS_TYPE":"Treatment","ANSWER":"Home Care  Your doctor should find and treat the cause of your numbness or tingling. Treating the condition may make the symptoms go away or stop them from getting worse. For example, if you have carpal tunnel syndrome or low back pain, your doctor may recommend certain exercises.  If you have diabetes, your doctor will discuss ways to control your blood sugar levels.  Low levels of vitamins will be treated with vitamin supplements.  Medications that cause numbness or tingling may need to be switched or changed. Do not change or stop taking any of your medicines or take large doses of any vitamins or supplements until you have talked with your doctor.  Because numbness can cause a decrease in feeling, you may be more likely to accidentally injure a numb hand or foot. Take care to protect the area from cuts, bumps, bruises, burns, or other injuries.","SUBJECT":"","MESSAGE":"I have numbness\/tingling in my lower right arm from elbow to my fingers. A EMG has shown nothing abnormal. I have had this for a long time, I need help.","QUESTION_ID":319}
+{"ANNOTATIONS_FOCUS":"balance disorder","ANNOTATIONS_TYPE":"Treatment","ANSWER":"How are balance disorders treated?  The first thing a doctor will do if you have a balance problem is determine if another health condition or a medication is to blame. If so, your doctor will treat the condition, suggest a different medication, or refer you to a specialist if the condition is outside his or her expertise.  If you have BPPV, your doctor might recommend a series of simple movements, such as the Epley maneuver, which can help dislodge the otoconia from the semicircular canal. In many cases, one session works; other people need the procedure several times to relieve their dizziness. Figure 1: The ear and the vestibular system Dislodging otoconia using the Epley maneuver Credit: NIDCD  If you are diagnosed with M\u00e9ni\u00e8re's disease, your doctor may recommend that you make some changes to your diet and, if you are a smoker, that you stop smoking. Anti-vertigo or anti-nausea medications may relieve your symptoms, but they can also make you drowsy. Other medications, such as gentamicin (an antibiotic) or corticosteroids may be used. Although gentamicin may reduce dizziness better than corticosteroids, it occasionally causes permanent hearing loss. In some severe cases of M\u00e9ni\u00e8re's disease, surgery on the vestibular organs may be needed.  Some people with a balance disorder may not be able to fully relieve their dizziness and will need to find ways to cope with it. A vestibular rehabilitation therapist can help you develop an individualized treatment plan.  Talk to your doctor about whether it\u2019s safe to drive, as well as ways to lower your risk of falling and getting hurt during daily activities, such as when you walk up or down stairs, use the bathroom, or exercise. To reduce your risk of injury from dizziness, avoid walking in the dark. You should also wear low-heeled shoes or walking shoes outdoors. If necessary, use a cane or walker and modify conditions at your home and workplace, such as by adding handrails.","SUBJECT":"treatment required","MESSAGE":"we need treatment for balance disorder. my father losses his balance while walking or climbing steps so please so please help us in curing the disorder.","QUESTION_ID":320}