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<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Dupuytren%27s contracture ? [/INST] Call your health care provider if you have symptoms of this disorder. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Dupuytren%27s contracture (Outlook/Prognosis)? [/INST] The disorder progresses at an unpredictable rate. Surgical treatment can usually restore normal movement to the fingers. The disease can recur following surgery in some cases. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Eosinophilic fasciitis? [/INST] Bone pain or tenderness Carpal tunnel syndrome Numbness or tingling in one or both hands Pain in one or both hands Weakness in one or both hands Muscle weakness Tenderness and swelling of the arms and legs (occasionally including joints) Thickened skin with puckered appearance </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Eosinophilic fasciitis? [/INST] The cause of eosinophilic fasciitis is unknown. Fewer than 300 cases have been reported in the past 35 years.
People with this condition have a buildup of eosinophils, a type of white blood cell, in the affected fascia and muscles. Eosinophils are related to allergic reactions, but their exact function is unknown. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Eosinophilic fasciitis ? [/INST] The syndrome affects people of any age, but is more common in people ages 30 to 60. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Eosinophilic fasciitis ? [/INST] Call your health care provider for an appointment if you have symptoms of this disorder. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Eosinophilic fasciitis (Outlook/Prognosis)? [/INST] In most cases, the condition goes away within 3 to 5 years. However, symptoms may return (recur) or persist. The outlook is much worse if blood diseases occur. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Kyphosis? [/INST] Patients with kyphosis may experience the following symptoms. With the disease progresses, patients may show symptoms of cardiac and pulmonary problems.
Appearance of hunchback Fatigue Back pain Tenderness and stiffness in the back Shortness of breath Chest pain </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Kyphosis ? [/INST] Osteoporosis Disk degeneration such as arthritis Ankylosing spondylitis Connective tissue disorders such as Marfan syndrome Muscular dystrophy Neurofibromatosis Paget's disease Polio Spina tuberculosis Spina tumors Spina bifida Scoliosis Trauma Poor posture of teen-agers </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Kyphosis ? [/INST] Go to hospital to reveal the underlying causes of your kyphosis. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Kyphosis (Outlook/Prognosis)? [/INST] Prognosis of kyphosis depends on:
Underlying causes: Prognosis of patients with kyphosis caused by tumors is poor than other causes. Whether the patient is accompanied with complications such as decreased lung function, disabling back pain, neurological symptoms iand round back deformity. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Legg-Calvé-Perthes syndrome? [/INST] The first symptom is often limping, which is usually painless. Sometimes there may be mild pain that comes and goes.
Other symptoms may include:
Hip stiffness that restricts movement in the hip Knee pain Limited range of motion Persistent thigh or groin pain Shortening of the leg, or legs of unequal length Wasting of muscles in the upper thigh </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Legg-Calvé-Perthes syndrome? [/INST] There are many theories about the cause of this disease, but little is actually known.
Without enough blood to the area, the bone dies. The ball of the hip will collapse and become flat. Usually only one hip is affected, although it can occur on both sides.
The blood supply returns over several months, bringing in new bone cells. The new cells gradually replace the dead bone over 2 - 3 years. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Legg-Calv%C3%A9-Perthes syndrome ? [/INST] Legg-Calve-Perthes disease usually occurs in boys 4 - 10 years old. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Legg-Calv%C3%A9-Perthes syndrome ? [/INST] Call for an appointment with your health care provider if a child develops any symptoms of this disorder. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Legg-Calv%C3%A9-Perthes syndrome (Outlook/Prognosis)? [/INST] The outlook depends on the child's age and the severity of the disease. In general, the younger the child is when the disease starts, the better the outcome.
Children younger than 6 years old who receive treatment are more likely to end up with a normal hip joint. Children older than age 6 are more likely to end up with a deformed hip joint, despite treatment, and may later develop arthritis. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the Symptoms of mixed connective tissue disease? [/INST] Symptoms of mixed connective tissue disease include:
General feeling of being unwell: This malaise may be accompanied by increased fatigue and a mild fever. Cold and numb fingers or toes (Raynaud's phenomenon): In response to cold or stress, your fingers or toes might turn white and then purplish blue. After warming, the fingers or toes turn red. Swollen fingers or hands: Some people experience swelling to the point where the fingers resemble sausages. Muscle and joint pain: Joints may become deformed, similar to what occurs with rheumatoid arthritis. Rash: Red or reddish brown patches may appear over the knuckles. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What Causes mixed connective tissue disease? [/INST] The precise cause of mixed connective tissue disease is not known. Mixed connective tissue disease is an autoimmune disorder. In autoimmune disorders, your immune system (responsible for fighting off disease) mistakenly attacks healthy cells. In connective tissue diseases, your immune system attacks the fibers that provide the framework and support for your body. Researchers are working to identify proteins produced by the immune system that might cause mixed connective tissue disease. Some people with MCTD have a family history of the condition. But the role of genetics in causing the disease remains unclear. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Mixed connective tissue disease ? [/INST] Mixed connective tissue disease can occur in people of any age. However, it appears to be most common in women under the age of 30. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Mixed connective tissue disease ? [/INST] See your doctor if you have signs and symptoms that interfere with your daily routine — particularly if you've already been diagnosed with lupus or another connective tissue disease. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find Medical Care for mixed connective tissue disease? [/INST] Medical care for mixed connective tissue disease can be found here. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Mixed connective tissue disease (Outlook/Prognosis)? [/INST] In MCTD, prognosis depends on the type of organ involvement. The worst prognosis and high mortality rate are associated with the presence of pulmonary involvement. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Osteoarthritis? [/INST] Symptoms of osteoarthritis vary from person to person. For most patients, it develops slowly and worsens over time. Usual signs and symptoms include:
Joint pain, gets worse during or after movement. Pain increases during humid or moist weather. Joint tenderness Joint stiffness: It may be noticeable when you wake up in the morning or after a period of inactivity. Limited movement: You may not be able to move your joint through its full range of motion. Grating of the joint with motion Bone spurs
Diseases which can have similar symptoms are
Rheumatoid arthritis Gout Joint tuberculosis </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Osteoarthritis ? [/INST] Aging Obesity Trauma or surgery of joint Diabetes Other types of arthritis, such as gout or rheumatoid arthritis Congenital abnormalities </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Osteoarthritis ? [/INST] Call your doctor if you have symptoms of osteoarthritis. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Osteoarthritis (Outlook/Prognosis)? [/INST] Prognosis of osteoarthritis is good, although the disease may limit your movements. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Psoriatic arthritis? [/INST] Arthritis may be mild and involve only a few joints, particularly those at the end of the fingers or toes. In some people, the disease may be severe and affect many joints, including the spine and sacroiliac joints.
People who also have arthritis usually have the skin and nail changes. Often, the skin gets worse at the same time as arthritis.
Signs and symptoms come and go, depending on the degree of tissue inflammation. When the disease is active, the following symptoms appear. Joint pain Joint swelling Morning stiffness in the joints Decreased range of motion Red scaly skin patches Deformed nails Sausage shaped fingers Pain at the sites of ligament insertion (eg, heel pain) Fatigue When heart is affected, patient may show signs of chest pain, shortness of breath or edema of feet. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Psoriatic arthritis? [/INST] Psoriasis is a common, chronic skin condition that causes red patches on the body. About 1 in 20 people with psoriasis will develop arthritis with the skin condition. In most cases, psoriasis comes before the arthritis.
The cause of psoriatic arthritis is not known, but genes, body defence mechanisms and environmental factors may play a role. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Psoriatic arthritis ? [/INST] In general, people who have psoriasis have a higher rate of arthritis than the general population. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Psoriatic arthritis ? [/INST] Call your doctor if your symptoms of psoriasis and psoriatic arthritis progress.
Diseases that can present with similar symptoms are
Rheumatoid arthritis Reactive arthritis Gout Arthritis associated with inflammatory bowel disease Pseudogout </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Psoriatic arthritis (Outlook/Prognosis)? [/INST] Prognosis of psoriatic varies from person to person. The disease may get less aggressive over time in some patients. In other group, patients may lose their abilities to do daily tasks. Prognosis depends on:
Severity of joint destruction Involvement of skin and nails Comorbid conditions </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Raynaud's disease? [/INST] Raynaud's disease usually affect the fingers and toes, beginning in one finger or toe and moving on to other fingers or toes. The attacks can last from less than a minute to several hours. Usual signs and symptoms are:
Turn pale or white and then blue Feel numb, cold, or painful Turn red, throb, tingle, burn, or feel numb as blood flow returns to the affected areas Skin ulcers
Diseases that have similar symptoms are
Raynaud phenomenon (Secondary Raynaud) </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Raynaud%27s disease ? [/INST] The underlying cause of Raynaud's disease is not clear. Clinical studies demonstrate the following factors may be associated with the onset of this disease.
Cold temperatures Stress Family history of Raynaud's disease Female gender Age between 15~30 </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Raynaud%27s disease ? [/INST] Call your health care provider if symptoms of Raynaud's disease develop. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Raynaud%27s disease (Outlook/Prognosis)? [/INST] Generally, prognosis of Raynaud's disease is good. The most important thing is to avoid triggers. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Retroperitoneal fibrosis? [/INST] Early symptoms:
Dull pain in the abdomen that increases with time Pain and change of color in the legs (due to decreased blood flow) Swelling of one leg
Later symptoms:
Decreased urine output No urine output (anuria) Nausea, vomiting, changes in thinking caused by kidney failure and build-up of toxic chemicals in the blood Severe abdominal pain with hemorrhaging (due to death of intestinal tissue) </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Retroperitoneal fibrosis? [/INST] Retroperitoneal fibrosis is a rare disorder that occurs when extra fibrous tissue forms in the area behind the stomach and intestines. The excess tissue forms a mass (or masses) that can block the tubes that carry urine from the kidney to the bladder. Doctors don't know why these masses form. It is most common in people aged 40 - 60. Men are twice as likely to develop the condition as women. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Retroperitoneal fibrosis ? [/INST] Call your health care provider if you experience lower abdomen or flank pain, particularly with decreased urine volume. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Retroperitoneal fibrosis (Outlook/Prognosis)? [/INST] Prognosis depends on the extent of the fibrosis and the amount of damage to the kidneys. The kidney damage may be temporary or permanent. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Rheumatoid arthritis ? [/INST] Affected joints of rheumatoid arthritis include the fingers, wrists, elbows, shoulders, hips, knees, ankles, toes, jaw, and neck. Signs and symptoms come and go, depending on the degree of tissue inflammation. When the disease is active, the following symptoms appear.
Morning stiffness in the joints Joint pain Joint swelling Rheumatoid nodules: Firm bumps of tissue under the skin on the arms. Fatigue and weakness Low fever Weight loss When heart is affected, patient may show signs of chest pain, shortness of breath or edema of lower limbs. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Rheumatoid arthritis ? [/INST] As an autoimmune disease, the cause of rheumatoid arthritis is not clear. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Rheumatoid arthritis ? [/INST] Call your doctor if your symptoms of rheumatoid arthritis progress.
Diseases that can present with similar symptoms are
Gout Osteoarthritis </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Rheumatoid arthritis (Outlook/Prognosis)? [/INST] Prognosis of rheumatoid arthritis varies from person to person. Disease may get less aggressive over time in some patients. In other group, patients may lose their abilities of doing daily tasks. Prognosis depends on:
Whether the patient shows rheumatoid nodules or not: Patients with subcutaneous nodules seem to have a more severe form of the disease. Rheumatoid factor, anti-CCP antibody test: Patients with positive outcomes of rheumatoid factor, the anti-CCP antibody may have a worse outlook than those who have a negative outcomes. Tha age of developing rheumatoid arthritis: If the patient develops rheumatoid arthritis at younger age, the prognosis seems poor. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the Symptoms of Takayasu's arteritis? [/INST] Symptoms may include:
Arm weakness or pain with use Chest pain Dizziness / lightheadedness Fatigue Fever Joint or muscle pain Skin rash Night sweats Vision changes Weight loss Decreased radial pulses (at the wrist) Difference in blood pressure between the two arms High blood pressure (hypertension) </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What Causes Takayasu's arteritis? [/INST] The cause of Takayasu arteritis is unknown. The disease occurs mainly in children and women between the ages of 20 to 40. It is more common in people of East Asian, Indian or Mexican descent. However, it is now being seen more often in other parts of the world. Several genes that increase the chance of having this problem were recently found. Takayasu arteritis appears to be an autoimmune condition. This means the body's immune system mistakenly attacks healthy tissue. The condition may also involve other organ systems. Takayasu arteritis has many features that are similar to giant cell arteritis (temporal arteritis) in older people. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Takayasu%27s arteritis ? [/INST] Call your health care provider if you have symptoms of this condition. Weak pulse, chest pain, and breathing difficulty require immediate care. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find Medical Care for Takayasu's arteritis? [/INST] Medical care for Takayasu's arteritis can be found here. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Takayasu%27s arteritis (Outlook/Prognosis)? [/INST] This disease can be fatal without treatment. However, a combined treatment approach using medicines and surgery has lowered death rates. Adults have a better chance of survival than children. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Tennis elbow? [/INST] Elbow pain that gradually worsens Pain radiating from the outside of the elbow to the forearm and back of the hand when grasping or twisting Weak grasp </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Tennis elbow? [/INST] The part of the muscle that attaches to a bone is called a tendon. Muscles in your forearm attach to the bone on the outside of your elbow.
When you use these muscles over and over again, small tears develop in the tendon. Over time, this leads to irritation and pain where the tendon is attached to the bone. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Tennis elbow ? [/INST] This injury is common in people who play a lot of tennis or other racquet sports, hence the name "tennis elbow." Backhand is the most common stroke to cause symptoms.
However, any activity that involves repetitive twisting of the wrist (like using a screwdriver) can lead to this condition. Therefore, painters, plumbers, construction workers, cooks, and butchers are all more likely to develop tennis elbow.
This condition may also be due to constant computer keyboard and mouse use. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Tennis elbow ? [/INST] Apply home treatment (over-the-counter anti-inflammatory medications and keeping the elbow still) if:
Symptoms are mild You have had this disorder before and you are sure you have tennis elbow
Call for an appointment with your health care provider if:
This is the first time you have had these symptoms Home treatment does not relieve the symptoms </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Tennis elbow (Outlook/Prognosis)? [/INST] Most people improve with nonsurgical treatment. The majority of those who do have surgery show an improvement in symptoms. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How is an Amputation done? [/INST] Amputations are done either by surgery, or they occur by accident or trauma to the body. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who needs an Amputation? [/INST] Reasons for having an amputation of a lower limb are:
Severe trauma to the limb that is caused by an accident Poor blood flow to the limb Infections that do not go away or become worse and cannot be controlled or healed Tumors of the lower limb Severe burns or severe frostbite Wounds that do not heal </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find centers that perform Amputation? [/INST] Directions to Hospitals Performing Amputation </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the risks of Amputation? [/INST] Risks for any surgery are:
Blood clots in the legs that may travel to the lungs Breathing problems Bleeding
Risks for this surgery are:
A feeling that the limb is still there. This is called phantom sensation. Sometimes this feeling can be painful. That is called phantom pain. The joint closest to the part that is amputated loses its range of motion, making it hard to move. This is called joint contracture. Infection of the skin or bone. The amputation wound does not heal properly. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect before the procedure? [/INST] When your amputation is planned, you will be asked to do certain things to prepare for it. Always tell your doctor or nurse:
What drugs you are taking, even drugs or herbs you bought without a prescription If you have been drinking a lot of alcohol
During the days before your surgery, you may be asked to stop taking aspirin, ibuprofen (such as Advil or Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.
Ask your doctor which drugs you should still take on the day of your surgery. If you smoke, stop.
If you have diabetes, follow your diet and take your medicines as usual until the day of surgery.
On the day of the surgery, most times you will be asked not to drink or eat anything for 8 to 12 hours before your surgery.
Take your drugs your doctor told you to take with a small sip of water. If you have diabetes, follow the directions your doctor gave you.
Prepare your home before surgery:
What help will you need when you come home from the hospital? Do you have a family member, friend, or neighbor who can help you? If not, ask your doctor or nurse for help planning for someone to come into your home. Is your bathroom and the rest of your house safe for you to move around in? Will you be able to get in and out of your home safely? </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect after the procedure? [/INST] The end of your leg, or stump, will have a dressing and bandage that will remain on for 3 or more days. You may have pain for the first few days. You will be able to take pain medicine as you need them.
You may have a tube that drains fluid from the wound. This will be taken out after a few days.
Before leaving the hospital, you will begin learning how to:
Use a wheelchair or a walker Stretch your muscles to make them stronger Strengthen your arms and legs Begin walking with a walking aid and parallel bars Start moving around the bed and into the chair in your hospital room Keep your joints mobile Sit or lay in different positions to keep your joints from becoming stiff Control swelling in the area around your amputation Properly put weight on your leg. You'll be told how much weight to put on your leg. You may not be allowed to put weight on your leg until the stump is fully healed.
Fitting for prosthesis, a manmade part to replace your limb, may occur when:
Your amputation wound is mostly healed Your stump is no longer tender to the touch </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How is Appendectomy done? [/INST] The appendix is a small, finger-shaped organ that comes out from the first part of the large intestine. It is removed when it becomes swollen (inflamed) or infected. An appendix that has a hole in it (perforated) can leak and infect the entire abdomen area, which can be life-threatening.
If appendicitis is suspected, a doctor will often suggest surgery without conducting extensive diagnostic testing. Prompt surgery decreases the likelihood the appendix will burst. Surgery to remove the appendix is called appendectomy and can be done two ways.
The older method, called laparotomy, removes the appendix through a single incision in the lower right area of the abdomen. The newer method, called laparoscopic surgery, uses several smaller incisions and special surgical tools fed through the incisions to remove the appendix. Laparoscopic surgery leads to fewer complications, such as hospital-related infections, and has a shorter recovery time.
Surgery occasionally reveals a normal appendix. In such cases, many surgeons will remove the healthy appendix to eliminate the future possibility of appendicitis. Occasionally, surgery reveals a different problem, which may also be corrected during surgery. It is not clear if the appendix has an important role in the body. There are no major, long-term health problems resulting from removing the appendix although a slight increase in some diseases has been noted, for example, Crohn's disease.
Sometimes an abscess forms around a burst appendix—called an appendiceal abscess. An abscess is a pus-filled mass that results from the body's attempt to keep an infection from spreading. An abscess may be addressed during surgery or, more commonly, drained before surgery. To drain an abscess, a tube is placed in the abscess through the abdominal wall. CT is used to help find the abscess. The drainage tube is left in place for about 2 weeks while antibiotics are given to treat infection. Six to 8 weeks later, when infection and inflammation are under control, surgery is performed to remove what remains of the burst appendix.
An appendectomy is done using either:
Spinal anesthesia. Medicine is put into your back to make you numb below your waist. You will also get medicine to make you sleepy. General anesthesia. You will be asleep and not feel any pain during the surgery. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who needs Appendectomy? [/INST] An appendectomy is done for appendicitis. The condition can be hard to diagnose, especially in children, older people, and women of childbearing age.
Most often, the first symptom is pain around your belly button.
The pain may be mild at first, but it becomes sharp and severe. The pain often moves into your right lower abdomen and becomes more focused in this area.
Other symptoms include:
Diarrhea or constipation. Fever (usually not very high). Nausea and vomiting. Reduced appetite. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find centers that perform Appendectomy? [/INST] Directions to Hospitals Performing Appendicectomy </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the risks of Appendectomy? [/INST] Risks from any anesthesia include the following:
Reactions to medications. Problems breathing.
Risks from any surgery include the following:
Bleeding. infection of the wound.
Other risks with an appendectomy after a ruptured appendix include the following:
Buildup of pus (abscess), which may need draining and antibiotics. Longer hospital stays. Side effects from medications. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect before the procedure? [/INST] If you have symptoms of appendicitis, seek medical help right away. Do not use heating pads, enemas, laxatives, or other home treatments to try and relieve symptoms.
Your health care provider will examine your abdomen and rectum. Other tests may be done.
Laboratory tests
Blood tests are used to check for signs of infection, such as a high white blood cell count. Blood tests may also show dehydration or fluid and electrolyte imbalances. Urinalysis is used to rule out a urinary tract infection. Doctors may also order a pregnancy test for women.
Imaging tests
Computerized tomography (CT) scans, which create cross-sectional images of the body, can help diagnose appendicitis and other sources of abdominal pain. Ultrasound is sometimes used to look for signs of appendicitis, especially in people who are thin or young. An abdominal x-ray is rarely helpful in diagnosing appendicitis but can be used to look for other sources of abdominal pain. Women of childbearing age should have a pregnancy test before undergoing x-rays or CT scanning. Both use radiation and can be harmful to a developing fetus. Ultrasound does not use radiation and is not harmful to a fetus.
There are no actual tests to confirm that you have appendicitis. Other illnesses can cause the same or similar symptoms.
The goal is to remove an infected appendix before it breaks open (ruptures). After reviewing your symptoms and the results of the physical exam and medical tests, your surgeon will decide whether you need surgery. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect after the procedure? [/INST] With adequate care, most people recover from appendicitis and do not need to make changes to diet, exercise, or lifestyle. Full recovery from surgery takes about 4 to 6 weeks. Limiting physical activity during this time allows tissues to heal.
After an uncomplicated appendectomy, your surgeon will usually advise you to:
Get up and walk around the day of the surgery. Keep the incision clean and dry. Avoid lifting. Avoid constipation and straining during bowel movements by drinking plenty of fluids and eating high-fiber foods such as fruits, vegetables, beans, and whole grains; move your bowels as soon as you feel the urge.
The same advice often applies in the case of a ruptured appendix, but over a longer time period. Be sure to call your doctor immediately if you notice:
Signs of infection, such as fever and chills, redness, swelling, increased pain, excessive bleeding, or discharge from the incision sites. Difficulty urinating, nausea or vomiting, constipation, pain that isn't relieved by available medication, cough, shortness of breath, or chest pain. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How is a bone graft made? [/INST] A bone graft can be taken from the patient's own healthy bone. This is called an autograft. Autograft bone often comes from your ribs, hips or a leg.
A bone graft can also be made from frozen, donated bone (allograft). Most allograft bone comes from donors who have died. Tissue banks screen these donors and disinfect and test the donated bone to make sure it is safe to use.
In some cases, a man-made (synthetic) bone substitute is used.
No matter where the bone graft comes from, the surgery will be the same. A surgeon makes a cut over the bone defect. The bone graft is shaped and inserted into and around the area. It is held in place with pins, plates, or screws. Stitches are used to close the wound.
A splint or cast is usually used to prevent injury or movement while healing. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Why is a bone graft performed? [/INST] Bone grafts are used to:
Fuse joints to prevent movement Repair bone loss from broken bones (fractures) or cancers Repair injured bone that has not healed </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Bone grafting (Outlook/Prognosis)? [/INST] Outlook for a bone graft is very good. Most bone grafts help the bone defect to heal with little risk of graft rejection. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Why and when should a breast examination be performed? [/INST] The asymptomatic breast exam is generally performed only on women. This is because diseases of the breast, in particular cancer, occur far more commonly in women then men. Malignancies generally originate in either the glandular tissues that secrete milk or in the ductal structures that transport it to the nipple.
Examination can be done by the clinician (Clinical Breast Exam - CBE) or patient (Self Breast Exam - SBE). Those performed by the clinician are usually done on an annual basis, beginning at the age of 40, which coincides with time of increased risk for development of breast cancer. Other major breast cancer risk factors include: prior history of breast ca, family history in 1st degree relative (particularly if at a young age), increasing patient age and features that result in prolonged/uninterrupted exposure to estrogen (e.g. early age at onset menstruation, never having been pregnant, older age at first pregnancy, older age at menopause). SBE is often recommended on a monthly-to-every-few-months basis.
Interestingly, while both SBE and CBE are part of routine clinical care, there are no studies that demonstrate that either of these techniques, when performed as stand-alone examinations, actually improves clinical outcomes (i.e. detects cancer at an earlier stage, demonstrating positive impact on cancer related morbidity or mortality). In contrast, mammography (performed with or without CBE), has a strong body of evidence to support its routine use as a screening tool for early detection of malignancy.
The goal of the examination in the setting of symptoms is to better characterize the abnormality, identify underlying etiology, and direct additional evaluation and treatment. Breast related symptoms may include any of the following:
Discrete masses detected by the patient, often concerning for malignancy Pain, which can be associated with a number of processes including: cyclical in a menstruating women (reflecting transient hormone induced changes in the breast tissue), occasionally malignancies. Unusual nipple discharge, which may include:
Blood, concerning for malignancy Milk when not pregnant. Suggestive inappropriate Prolactin secretion from the pituitary - may also be induced by certain medications Other
Discoloration or change in the quality of the skin:
Redness suggests infection or inflammation - in the post partum patient, this is often due to mastitis, a diffuse inflammatory condition caused by congestion from inadequately expressed milk. "Peau d'orange" quality - an "Orange Peel" like texture that's caused by an uncommon, aggressive inflammatory malignancy
If a mass or other abnormality is identified, it's location can be described as being in one of 4 quadrants (left upper, left lower, right upper, right lower) of the breast. Alternatively, it can be described relative to it's position, imagining a clock face were superimposed on the breast.
It's worth noting that breast symptoms may be caused by diseases elsewhere in the body. For example, as mentioned above, inappropriate milk production may be due to a pituitary tumor secreting Prolactin. Or breast development in men may signify underlying liver disease. Given this, breast symptoms may merit careful history and evaluation of other organ systems. As symptoms can occur in male or female patients (though overall, female >>> male), evaluation is indicated in either sex patient who presents with breast concerns. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How is Cholecystectomy done? [/INST] Open gallbladder removal surgery
The surgeon makes a large incision (cut) in your belly to open it up and see the area. The surgeon then removes your gallbladder by reaching in through the incision and gently lifting it out. Surgery is done while you are under general anesthesia (unconscious and unable to feel pain). The surgeon will make a 5 to 7 inch incision in the upper right part of your belly, just below your ribs. The surgeon will cut the bile duct and blood vessels that lead to the gallbladder. Then your gallbladder will be removed. A special x-ray called a cholangiogram will be done during the surgery. This involves squirting some dye into your common bile duct. This duct will be left inside you after your gallbladder has been removed. The dye helps locate other stones that may be outside your gallbladder. If any are found, the surgeon may be able to remove these other stones with a special medical instrument. Open gallbladder removal surgery takes about an hour.
Laparoscopic gallbladder removal
It is the most common way to remove the gallbladder. A laparoscope is a thin, lighted tube that lets the doctor see inside your belly. Gallbladder removal surgery is done while you are under general anesthesia (unconscious and not able to feel pain). The surgeon will make 3 to 4 small cuts in your belly. The laparoscope will be inserted through 1 of the cuts. Other medical instruments will be inserted through the other cuts. Gas will be pumped into your belly to expand it. This gives the surgeon more space to work. First, the surgeon cuts the bile duct and blood vessels that lead to the gallbladder. Then the surgeon removes the gallbladder, using the laparoscope. Sometimes the surgeon cannot safely take out the gallbladder using a laparoscope. In this case, the surgeon will instead do an open cholecystectomy. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who needs Cholecystectomy? [/INST] Your doctor may recommend gallbladder removal surgery if you have gallstones or your gallbladder is not functioning normally (biliary dyskinesia). You may have some or all of these symptoms:
Pain after eating, usually in the upper right or upper middle area of your belly (epigastric pain) Nausea and vomiting Indigestion Infection </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find centers that perform Cholecystectomy? [/INST] Directions to Hospitals Performing Cholecystectomy </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the risks of Cholecystectomy? [/INST] The risks for any anesthesia include:
Reactions to drugs you are given. Breathing problems. Pneumonia. Heart problems. Blood clots in the legs or lungs.
The risks for gallbladder surgery include:
Bleeding. Infection in your belly. Injury to the common bile duct. Injury to the small intestine. Pancreatitis (inflammation in the pancreas). </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect before the procedure? [/INST] Your doctor may ask you to have these medical tests done before you have surgery:
Blood tests (complete blood count, electrolytes, and kidney tests). Chest x-ray or electrocardiogram (EKG), for some people. Several x-rays of the gallbladder.
Always tell your doctor or nurse:
If you are or might be pregnant. What drugs, vitamins, and other supplements you are taking, even ones you bought without a prescription.
During the week before your surgery:
You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), and any other drugs that make it hard for your blood to clot. Your doctor may ask you to "clean out" your colon or intestines. Ask your doctor which drugs you should still take on the day of your surgery.
On the day of your surgery:
Do not eat or drink anything after midnight the night before your surgery. Take the drugs your doctor told you to take with a small sip of water. Shower the night before or the morning of your surgery. Your doctor or nurse will tell you when to arrive at the hospital.
Prepare your home for after the surgery. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect after the procedure? [/INST] If you do not have any signs of problems, you will be able to go home when you are able to drink liquids easily. Most people go home on the same day or the day after this surgery. If there were problems during your surgery, or if you have bleeding, a lot of pain, or a fever, you may need to stay in the hospital longer. Some people may experience mild diarrhea after the procedure,this usually goes away with time. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How is the Episiotomy done? [/INST] Just before the baby is born, the obstetrician numbs the vaginal area opening and makes one of two cuts:
A mediolateral cut is angled down away from the vagina and into the muscle. A midline cut is made straight down between the vagina and anus. The cut makes the opening to the vagina bigger. The cut is stitched closed after the baby and placenta have been delivered. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who needs Episiotomy? [/INST] Episiotomies were once routinely performed to prevent vaginal tears during delivery. Today, routine episiotomies are not recommended.
However, episiotomies may still be performed when there is a complicated delivery. An episiotomy may be needed if the baby's head or shoulders are too big for the mother's vaginal opening, or the baby is in a breech position (feet or buttocks coming first) and there is a problem during delivery.
It may also be needed to speed the delivery process if there is concern about the baby's heart rate. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find centers that perform Episiotomy? [/INST] Directions to Hospitals Performing Episiotomy </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Episiotomy (Outlook/Prognosis)? [/INST] An episiotomy usually heals without problems and may be easier to repair than multiple tears.
You can resume normal activities shortly after the birth. The stitches are absorbed by the body and do not need to be removed. You can relieve pain and discomfort with medication and ice in the first 24 hours, followed by warm baths. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How is Nissen fundoplication done? [/INST] A procedure called fundoplication is the most common type of anti-reflux surgery. During this procedure, your surgeon will:
First repair the hiatal hernia with stitches. The surgeon will tighten the opening in your diaphragm to keep your stomach from bulging through.
Your surgeon will then use stitches to wrap the upper part of your stomach around the end of your esophagus. This creates pressure at the end of your esophagus and helps prevent stomach acid and food from flowing back up. Surgery is done while you are under general anesthesia (asleep and pain-free). Surgery usually takes 2 to 3 hours.
Ways your doctor may do this surgery are:
Open repair. Your surgeon will make an incision (cut) in your belly area (abdomen). Sometimes the surgeon will place a tube from your stomach through the abdominal wall to keep your stomach in place. This tube will be removed when you no longer need it. Laparoscopic repair: Your surgeon will make 3 to 5 small incisions in your belly. Your surgeon will insert a laparoscope (a thin, hollow tube with a tiny camera on the end) through one of these incisions and other tools through the other incisions. The laparoscope is connected to a video monitor in the operating room that allows your surgeon to see inside your belly and do the repair. The surgeon may need to switch to an open procedure if there is bleeding, a lot of scar tissue from earlier surgeries, or the patient is very overweight.
Endoluminal fundoplication is a new procedure that uses a special camera called an endoscope. The tube is passed down through your mouth and into your esophagus. Your doctor will place small clips on the inside where the esophagus meets the stomach. These clips help prevent food or stomach acid from coming back. An endoscope is similar to a laparoscope. This procedure is done to help prevent reflux. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who needs Nissen fundoplication? [/INST] Your doctor may suggest surgery when:
You have symptoms of heartburn that get better when you use medicines, but you do not want to continue taking these medicines. Symptoms of heartburn are burning in the stomach that you may also feel in your throat or chest, burping or gas bubbles, or have trouble swallowing food or fluids. Part of your stomach is getting stuck in your chest or is twisting around itself. This is called a para-esophageal hernia. You have reflux disease and another related, serious problem. Some of these problems are strictures (a narrowing of your esophagus), ulcers in your esophagus, and bleeding in your esophagus. You have reflux disease and aspiration pneumonia (a lung infection caused by inhaling contents of the stomach into the lungs), a chronic cough, or hoarseness. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find centers that perform Nissen fundoplication? [/INST] Directions to Hospitals Performing Nissen fundoplication </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the risks of Nissen fundoplication? [/INST] Risks for any anesthesia are:
Reactions to medicines. Breathing problems, including pneumonia. Heart problems.
Risks for any surgery are:
Bleeding. Infection.
Risks for this surgery are:
Gas bloat, which makes it hard to burp or throw up. It also causes bloating after meals. These symptoms slowly get better for most people. Pain and difficulty when you swallow, for some people. This is called dysphagia. For most people, this goes away in the first 3 months after surgery. Damage to the stomach, esophagus, liver, or small intestine. This is very rare. Respiratory complications, such as a collapsed lung. This is also rare. Recurrence of the hiatal hernia. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect before the procedure? [/INST] Your doctor may ask you to have these tests:
Blood tests (complete blood count, electrolytes, or liver tests). Upper endoscopy. Almost all people who have this procedure have already had this test. If you have not, you will need to. Other tests, such as manometry (to measure gases) or pH monitoring (to see how much stomach acid is in your esophagus).
Always tell your doctor or nurse if:
You could be pregnant. You are taking any drugs, supplements, or herbs you bought without a prescription.
During the week before your surgery:
You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), and any other drugs or supplements that affect blood clotting several days to a week before surgery. Ask your doctor which drugs you should still take on the day of your surgery.
On the day of your surgery:
Do not eat or drink anything after midnight the night before your surgery. Take your drugs your doctor told you to take with a small sip of water. Shower the night before or the morning of your surgery. Your doctor or nurse will tell you when to arrive at the hospital. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect after the procedure? [/INST] Patients who have laparoscopic surgery usually spend 1 to 3 days in hospital. Those who have open surgery may spend 2 to 6 days in the hospital after the procedure.
Most patients go back to work 2 to 3 weeks after laparoscopic surgery and 4 to 6 weeks after open surgery. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Are there any diet restrictions before the procedure? [/INST] You should not eat or drink after midnight the night before the procedure. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Should I take my daily medications before the procedure? [/INST] If you usually take a medication in the morning, you may take this medication with a few amount of water (not a full glass).
please bring your medications along with the prescriptions (if available) with you on the day of surgery. If you are diabetic, a special instructions may be given to you. You should stop taking all aspirin, aspirin containing products, Vitamins and herbs two weeks prior to your surgery. Please inform your doctor If you are taking blood thinners medications. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Can I shower at the day of the procedure? [/INST] You need to shower at the morning of your procedure and the night before it. Also you need to use a special antiseptic soap called chlorhexidine gluconate, but make sure not to use this soap near your eyes, ears and mouth. Do not use the regular soap after you have used the antiseptic soap. Do not apply any powders or deodrants. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Should I shave in the area of the procedure? [/INST] Do not shave in the area of the procedure. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Scrotal swelling ? [/INST] Scrotal swelling can occur in males at any age. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Scrotal swelling? [/INST] The swelling can be on one or both sides, and there may be pain. The testicles and penis may or may not be involved.
Testicular torsion is a serious emergency in which the testicle become twisted in the scrotum and loses its blood supply. If this twisting is not relieved quickly, the testicle may be lost permanently. This condition is extremely painful. Call 911 or see your health care provider immediately, because losing blood supply for just a few hours can cause tissue death and the loss of a testicle. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Scrotal swelling? [/INST] Certain medical treatments Congestive heart failure Epididymitis Hernia Hydrocele Injury Orchitis Surgery in the genital area Testicular torsion Varicocele Testicular cancer </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Scrotal swelling ? [/INST] Call your health care provider if:
You notice any unexplained scrotal swelling The swelling is painful You have a testicle lump </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Scrotal swelling (Outlook/Prognosis)? [/INST] It depends on the underlying cause. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Varicose veins? [/INST] Fullness, heaviness, aching, and sometimes pain in the legs Visible, enlarged veins Mild swelling of ankles Brown discoloration of the skin at the ankles Skin ulcers near the ankle (this is more often seen in severe cases) </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Varicose veins? [/INST] In normal veins, valves in the vein keep blood moving forward toward the heart. With varicose veins, the valves do not function properly, allowing blood to remain in the vein. Pooling of blood in a vein causes it to enlarge.
This process usually occurs in the veins of the legs, although it may occur elsewhere. Varicose veins are common, affecting mostly women.
Causes include:
Defective valves from birth (congenitally defective valves) Pregnancy Thrombophlebitis
Primary varicose veins occur because of congenitally defective valves, or without a known cause. Secondary varicose veins occur because of another condition, such as when a pregnant woman develops varicose veins. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Varicose veins ? [/INST] Standing for a long time and having increased pressure in the abdomen may make you more likely to develop varicose veins, or may make the condition worse. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Varicose veins ? [/INST] Call for an appointment with your health care provider if:
Varicose veins are painful They get worse or do not improve with self-treatment, such as keeping the legs elevated or avoiding excessive standing Complications occur, including a sudden increase in pain or swelling, fever, redness of the leg, or leg ulcers </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Varicose veins (Outlook/Prognosis)? [/INST] Varicose veins tend to get worse over time. You can ease discomfort and slow varicose vein progression with self care. </s> |