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what kind of doctor do i need to see to get female hormone pills if your a man im already in therapy i just want to know what kind of doctor i need to see | see a medical doctor who has some expertise in gender reassignment otherwise you are not likely to be prescribed any estrogen | [ 3.39519861e-02 -3.10802852e-02 1.30338835e-02 2.24781184e-02
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i have sharp pain under my lower left rib cage what is it | hi this has nothing to the 1 year old trauma these complaints are of a pinched nerve in the neck you should get a xray mri of the cervical spine to confirm the diagnosis anti inflammatory tablets vitaminmethycobal tablets with local gel and hot fomentation can help consult a orthopedist thanks | [-1.34978525e-02 -9.71178896e-04 -4.05646316e-02 3.82026765e-02
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how to be totally cured from tinnitus please see details heard buzz or tinnitus in left ear dr requested tympanogram pressure in da pa right normal hearing sensitivity typeatympanogram with pressured ar left mild conductive hearing type btympanogram reflecting mee treatment 1 congestal ear drops& liquid to dry water behind ear is drums and took these treatments for 2 weeks after 2 weeks 2nd tympanogram result was normal but still hear buzz or tinnitus he told me it will go with time 2 months still hear tinnitus please help me on that | there are literally hundreds of causes of tinnitus each case and each person is different unfortunately without knowing that clinical details of your case and nothing about you or your medical history it would be impossible for me to predict an outcome tinnitus does self resolve in some cases but i do not know if you will be one of those fortunate people hopefully you are seeing an ent specialist someone with an expertise in tinnitus this very informative website says it can cure tinnitus a rare thing to claim it makes a lot of sense and focuses on giving your body the energy to heal itself by giving you proper restorative sleep <link> it is well worth reading and also getting the free consultation from the usa the phone number would be 001 44 208 772 07 79 <link> this focuses on giving the body back the energy to heal itself by enabling it to have proper restorative sleep it is well worth reading and phoning about | [-2.50415307e-02 -3.96131401e-03 -1.07729506e-03 1.63888763e-02
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my dog has started urinating in his crate at night my dog is 3 years old and is crate trained and has never had an accident in his crate until a couple of weeks ago he is been to the vet for a check up because he would not eat then when he did eat a couple of treats got sick the blood test was fine he was given a shot for the nausea and put on a bland diet for a week he is back to normal except he started urinating in his crate overnight he gets no water after 7pm goes out at 9pm up at 7am | hi if its any help i have two one is a year old bitch brought up by me they go out straight after there evening meal again around 1030 to 11 oc and that it till the next morning anywhere between 6 to 7oc then more when we do our morning walk but these are not crated the young comes to bed with us 5 to 10 minutes later she is off to her chair and my boy sleeps at my bed side there both mid sized dogs hope it helps good luck | [ 0.03678054 -0.00889679 -0.04012474 0.02537405 -0.04222662 0.01904923
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what vitamins help migraines | vitamin supplements are advised in migraines for its prevention vitamins like vitamin b6 b12 vitamin c folic acid are proven useful to reduce the severity and frequency of migraine attacks these supplements also prevent the migraine attacks and improves overall the quality of life | [ 0.02105621 0.01419877 -0.01740712 0.06042861 -0.03442152 0.07528165
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i have been getting stomach pain that feels like a bad gnawing pain | hi seems more of an gerd or ibs an endoscopy with mucosal biopsy can help confirm the diagnosis pre probitics with antacids will help thanks | [ 2.06234871e-02 4.78764508e-03 -4.11935640e-02 3.59232454e-02
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pregnant or not do not know what ot think please help my husband and i have been trying to get pregnant for quite some time now with no luck until this week we have never gotten a positive test result on the home pregnancy tests but i am a little confused we have taken 3 home tests now the first 2 came back with very lightfaint positive results and the 3rd test came back negative we do not understand what this means could we be expecting please help | hi is these tests after what would have been you last period and have you missed a period if yes to both then get to you doctor and let him do a test there see how you get on then good luck | [ 0.01898896 -0.02932198 -0.02276893 0.04030548 -0.04076654 -0.02468262
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is hepatitis c contagious | yes hepatitis c can be passed from person to person usually through the skin the most common ways that hepatitis c is spread is through intravenous iv drug users sharing needles and needle stick injuries in a health care setting before we had a test for hepatitis c in the blood it was also common to pass hepatitis c through a blood transfusion this is now very rare in the u s it is possible though not common for a mother to pass hepatitis c to her unborn baby it is very unusual to spread hepatitis c through sex but it can happen and while it is very rare for hepatitis c to spread through sharing personal care items like razors and toothbrushes it is best to avoid sharing with someone who has hepatitis c hepatitis c is not spread through coughing sneezing hugging or kissing | [-0.0194925 0.03683541 -0.03810868 0.04037853 -0.0405513 -0.04127536
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itchy rash for 2+ months it is on back stomach arms armpits legs…scabies | his body isnt tolerating something he has been eating just try and figure out if you have made any diet changes for him recently avoid giving him spicy or oily food vitamin e supplements and local nourishing moisturisers will give a soothing effect | [-0.02770511 0.02160282 -0.01958415 0.04120771 -0.0411822 -0.0417252
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i am constantly fatigued i have had thyroid checked and take vitamins i am 46 nothing seems to help i get enough sleep i do not know what the problem is i get enough sleep i take my vitamins i get my thyroid checked on a regular basis nothing helps | from a nutrition standpoint you still could be low in certain nutrients even with taking vitamins for example if you are low in vitamin d the amount in a multivitamin would not be enough to raise your levels to normal the best thing is to go to your doctor and get a full lab workup done i would be interested in iron folate b12 potassium and vitamin d levels but they will check everything see 10 possible reasons for being tired | [ 0.03137174 0.01435287 -0.04225502 0.0263434 -0.04250847 0.08550794
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flu people are contagious for 5 10 days viral shedding why are children allowed back to school after 24 hr fever free i have heard so many confusing answers cdc says people are shedding the flu virus for 5 10 days after first sign of symptoms would this not make people infected with the flu virus contagious for up to 10 days after fist symptoms does tamiflu reduce viral shedding since it is an antivirus | first the vast majority of people who think they have the flu influenza do not and not all viral infections are the same non medical people often call any illness associated with fever or body aches as the flu children can spread influenza true lab diagnosed influenza for about a week several days longer than adults adults and children can also be contagious a day before they develop influenza tamiflu does reduce viral shedding if taking early in the first 2 days schools and day care facilities tend to make up their own rules often without any medical consultation allowing a child to return to school 24 hours after a fever has resolved is not a valid parameter for all illnesses including the flu children should return to school when they are well not just fever free <link> | [-0.01341641 0.03980118 -0.02635104 0.0341743 -0.03832357 -0.04353895
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are weight bearing exercises aerobic | many aerobic exercises are also weight bearing the kind where you stand on your feet and exercise weight bearing aerobic exercises include walking aerobics dancing tennis climbing stairs and running weight bearing exercise stimulates the cells that make new bone and boost bone strength this is especially important for teenagers because bone mass peaks between the ages of 25 and 30 adolescence is the time to build the strongest bones possible | [-0.00281017 0.02575343 -0.03587869 0.04542044 -0.03708065 0.07157326
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why should people wash their hands after using the restroom my child told me i wipe with toilet paper not my hand i would like a proper medical response to give her so she fully understands instead of me just telling her to do it | it is just not your bottom that has germs in a bathroom there are diseas causing germs on every surface the countertops toilet seat handles etc while an extremely agile and careful person may not touch their genitals or anal area they do touch surfaces contaminated hands spread germs to other surfaces and other people washing hands is the most important and basic of all hygiene practices only a fool would not wash their hands | [-4.43992027e-03 -4.43442965e-03 3.88783816e-02 2.20200544e-02
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i have a white growth lump in the side of my throat | your throat is soar and seems like an inflamed tonsil stone is there try salt water gargling betadine water gargling get a broad spectrum antibiotic and if they do not work …see an ent specialist | [-1.88753488e-02 3.96460094e-03 -3.83447338e-02 3.89694614e-02
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what kind of doctor do you see to diagnose silent reflux | if you are talking about silent acid reflux from the stomach then the answer to your question is an ear nose & throat doctor however your primary care provider should be able to get you started on the path to diagnosis your question was categorized under vision so if you are referring to a different type of reflux please respond and i will try to get you a better answer for an overview of silent reflux which is also called laryngopharyngeal reflux check out this topic on webmd it is worth noting silent reflux is highly treatable adults can self treat the problem by losing weight quitting smoking avoiding alcohol raising the head of the bed among other things but your best bet is to get a thorough medical assessment starting with your primary care provider and then moving on to a specialist if necessary good luck | [ 0.01195367 0.02314992 -0.04264783 -0.00473028 -0.03686667 0.05373921
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can i get an std through urine contacting an open wound i was helping clean out a friends car and grabbed a sticky bottle of muscle milk i went to rinse off my hand with what i thought was water but turned out to be sour urine i had a cut on my hand from a few days before is it possible for me to contract and sti or any other form of disease this way | most helpful answer i never heard of a case where an std was contracted from a bottle of old urine i think you are safe even if you recently had an open wound on your hand needless to say i assume that you wash your hands thoroughly after this exposure as long as you are not showing any signs of a skin infection around this wound you are in the clear urine is typically sterile unless the person has a urinary tract infection but i still would not want to have this old pee on my hands you are wise to be concerned but it would not be likely you can catch any disease from this exposure even if you did get a minor wound infection it would not be an std | [-0.03084741 0.00294975 0.01736684 0.0425878 -0.0425141 -0.04346918
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what is a definte sign of a uti | i think you are asking about symptoms urinary tract infection uti symptoms can include burning when urinating peeing frequent urination blood in the urine pain low in the abdomen where the bladder is located and back pain the only positive way to tell if you have a uti is to get a urine culture performed this test will tell if there are bacteria in your urine if there are you will need to take an antibiotic prescription to kill off those bacteria whenever you receive a prescription for antibiotics such as penicillin keflex etc you should be sure to take it exactly as prescribed most importantly be sure to take all the pills even if you start feeling better before you finish the prescription never save antibiotic pills or stop taking them early this type of behavior contributes to the rise of bacteria that are resistant to antibiotics wishing you well | [ 0.01292304 -0.0233675 -0.02836463 0.03570706 -0.03828864 -0.0207045
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does taking beta blockers affect heart rate during exercise | beta blockers will slow your heart rate therefore when you are swimming or doing any kind of physical activity or exertion your heart rate will not increase much as it did when you were off the meds it is a whole different experience now that should not stop you from doing your activities you just cannot use the heart rate range rules to see if you are getting the caloric or fat burn you want or if you are an athlete on a beta blocker the same holds you can not use your heart rate to determine your overall activity efficiency or performance | [ 0.02159159 0.03168231 -0.03329758 0.05277528 -0.03939674 0.08177454
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eating olives directly during the pregnancy is a problem or how many olives is good for baby found lot of articles about olive oils but not on having olives directly i dont like olive oil but i like to eat olives directly can that be a problem for me or my baby should i stop having olives or i can have 3 4 olives daily | hi if its just 3 or 4 then your ok but you must stop there olives are brined for 3 weeks and we change it each week for fresh brine so there quite high in salt and to much salt is not good for us or your baby but olive oil extra virgin is very good for us you just take 2 table spoons a day you can use it on your skin or as a pre hair tonic about an hour before washing it use as a sexual lubricant its one of the oldest there is for sex ok good luck | [ 0.03759813 0.00839945 -0.0085564 0.04540448 -0.04504701 0.04565561
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what nutritional supplements can be used to treat osteoarthritis | several nutritional supplements are used to relieve arthritis pain a couple of the most promising are glucosamine and chondroitin these are the building blocks of cartilage the smooth covering that cushion joints so people often take these supplements for arthritis pain relief do they work it is debatable while researchers are still studying whether they help rebuild cartilage some studies have shown that they have helped relieve knee osteoarthritis pain and stiffness for some people a multi center federally funded study found that when taken together they were most helpful for people with moderate to severe oa osteoarthritis pain another study found that a 1 500 mg daily dose of glucosamine relieved knee oa pain significantly more than a 3 000 mg daily dose of acetaminophen tylenol or placebo but other studies have found that they did not reduce pain if you decide to try glucosamine and chondroitin talk to your doctor about dosing and beware of taking glucosamine if you have fish allergies because it is most often made from shellfish chondroitin is made from shark or pork cartilage or made in a lab omega 3 fatty acids you can get these “good fats” by eating cold water fish such as salmon or by taking fish oil capsules these healthy fats have been shown to reduce joint pain and inflammation in people with arthritis | [-1.23724836e-02 2.27502320e-02 -3.03033677e-02 4.86071902e-02
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can gallstones cause pain in the kidney area | since your gallbladder is located on the right upper quadrant of your abdomen just under your ribs in most cases and since your right kidney is also in close proximity the answer is yes | [ 1.11576014e-02 1.18634000e-02 -4.20393165e-02 3.35002323e-02
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i have been diagnosed with chiari malformation type 1 and am also having seizures can chiari cause seizures | chiari 1 malformations are usually asymptomatic meaning that it is found on an mri done for unrelated reasons a chiari 1 malformation is the shifting of a small amount of the cerebellum down below the base of the skull when severe it can be associated with headaches and upper extremity weakness but in the great majority of cases it does not cause any symptoms so you should be very reluctant to have surgery for a chiari malformation unless multiple physicians agree that it is appropriate in addition chiari 1 is not associated with seizures seizures arise from the cortex over the two cerebral hemispheres seizures do not arise from the base of the brain that is involved with the chiari malformation to avoid having another seizure it is important to work with your doctor to adjust the anti seizure medicines to lessen the risk of recurrent seizures | [-1.73288119e-02 -1.80541045e-02 -1.21014517e-02 2.33396603e-02
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what causes a high white blood cell count & a high platelet count | because of the high number of possible conditions that could cause these blood test results it is impossible to tell you in a forum like this exactly what the cause is i suggest you consult the health care provider who ordered the test for an explanation your personal medical history plays a big role in interpreting any test results and your primary health care provider is in the best position to tell you what these results mean for you take care | [ 0.01877416 0.03628969 -0.03912103 0.05163147 -0.04194781 0.07227112
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i am a pilot suffering from a weird left ear pressure | hi you need not worry if the ear examination results were normal deep breathing exercises with yoga and multi vitamin tablets will be quite helpful thanks | [-0.03116659 0.00119971 -0.03929079 0.03675315 -0.01916891 0.03752438
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i have unexplained acute onset of tingling in both my legs nerve test shows no problem | from your history i do not think that there is something clear enough can diagnose a specific case tingling in the arms goes away by changing position is nothing serious then vitamin b deficiency the old tingling you have been suffering from yes almost caused by hypertension and i recommend doing lipid profile analysis to test 4 arterial changes you can also try doing an x ray of the cervical region | [-2.60179140e-02 -1.15002314e-02 -3.78844839e-02 3.66110047e-02
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i went to the er on tuesday because i was coughing up blood | bronchiectasis pneumonia or consolidation or laryngeal infections can cause blood in sputum get detailed bronchoscopy done if indicated a mucosal biopsy can be done to confirm the diagnosis | [ 5.33448685e-03 2.24145196e-02 -4.14008591e-02 3.06917783e-02
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can my dog catch my cold i have a cold for a couple days now and i am just worried that my dog might get sick with me being around them so much they have not shown any symptoms of being sick please answer my question i really would not want my dog to get sick | dogs are not usually susceptible to human respiratory viruses this is why they are called lucky dogs besides cold viruses tend to be more contagious a day before you know you have a cold and for about two days afterwards | [-3.49967868e-03 3.74071991e-02 1.52082834e-03 3.04050828e-02
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can i do pilates if i have osteroporosis | if you have low bone density or osteoporosis you can still make pilates a part of your regular exercise program however you should avoid or modify certain movements to prevent too much stress on your spine ribs and hips it is important to work with an instructor who is knowledgeable about osteoporosis to develop a program that is safe and appropriate for your individual needs here are some tips avoid flexion of the spine many movements in pilates involve flexion or bending which causes the back to round into a c curve forward flexion brings the head and shoulders closer to the abdomen people with osteoporosis or low bone density should avoid or modify movements with flexion the most common pilates exercise that involves forward flexion is called the hundred the position of the head neck and back are not safe if you have low bone density or osteoporosis other exercises that involve flexion or bending include ab prep and scissors you can modify these movements by keeping your head down this will actually make these exercises more challenging you should not feel pain in your lower back only do what you are comfortable with if you have low bone density or osteoporosis you should avoid pilates movements that involve flexion of the spine and cannot be modified some of the exercises to avoid include roll up rolling like a ball seal criss cross teaser roll over shoulder stand saw spine stretch jackknife bicycle boomerang double leg stretch single leg stretch open leg rocker crab corkscrew and neck pull choose extension exercises people with osteoporosis or low bone density should focus on extension exercises these include exercises that involve backward bending some examples are breast stroke prep one leg kick breast stroke double leg kick swan and swimming you can put a pillow under your lowest ribs to protect them when lying face down be careful with exercises that involve side bending and twisting a little side bending and twisting is fine but you should not push yourself to a point of strain keep these movements small when bending and twisting it is important to keep your spine as straight as possible to do this imagine you are standing against a wall with your head middle back and buttocks touching the wall you should only have a slight curve inward in your lower back when doing movements with bending and twisting your instructor can help you make sure your form is correct | [ 0.02276685 0.0296384 -0.03417949 0.05341844 -0.03978862 0.08311934
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can you whiten your teeth while pregnant | no there has not been sufficient testing done on the effects of using a whitening gel while pregnant until such studies have been done on a larger scale it is best to err on the side of caution manufacturers of teeth whitening products and teeth bleaching products generally recommend against using them during pregnancy for liability reasons however common sense dictates that unnecessarily ingesting anything should be especially avoided during pregnancy | [-0.01436253 -0.00291896 0.02650101 0.03215147 -0.04241555 -0.04428954
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what are some of the criteria you should use to determine if you should stay on a small group health insurance plan or to determine if you should go onto an individual plan less than 5 employees for small group plan | there are a couple things you need to think about if your employer pays part of your premium you will lose that contribution if you buy a plan on the marketplace in addition if you are eligible for employer sponsored insurance and your plan does not cost more than 9 5 of your income you will not be eligible for a federal subsidy to help you with your premium | [-6.41631151e-03 3.42064444e-02 -6.05121770e-03 4.08560491e-02
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when is thyroidectomy the answer after 5 years of unregulated thyroid counts when would a thyroidectomy be the best alternative tired of constant mood swings lethargy being angry all the time it is time for some results forgot to mention i have hashimoto is disease | i am sorry to hear you are going through this it sounds very frustrating as you know hashimoto thyroiditis is a genetic condition in which the body is own immune system attacks the thyroid gland this makes it difficult for the gland to produce enough thyroid hormone to meet the body is needs although there is no cure for hashimoto is the usual treatment is thyroid hormone pills to keep thyroid levels steady i am not positive but i do not believe surgical removal of the thyroid thyroidectomy or destruction of the gland by radioactive iodine is a typical treatment for hypothyroidism in the absence of some other indication such as thyroid cancer an overactive thyroid gland hyperthyroidism that does not respond to other treatments may be treated by thyroidectomy i suggest you work more closely with an endocrinologist to get your medications adjusted perhaps you need to be monitored every three months for example also i would not be too quick to blame mood swings lethargy and chronic anger solely on hypothyroidism many many conditions physical and psychological can cause those types of symptoms perhaps seeing a counselor would be a good idea he or she could make sure you do not have any underlying depression and could also help you cope emotionally with the ups and downs of hashimoto is wishing you well | [ 0.03061963 0.02268828 -0.03853592 0.0414759 -0.04120994 0.0897325
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im exoeruencing side effects from a dtap vacine what should i do symptoms nausia severe aches and pain over entire body not able to sleep due to the pain weakness | you are to call your doctor or the clinic that administered the vaccine to you while these are not signs of an allergic reaction they may indeed be related or due to something else unfortunately without knowing your medical history or have the ability to examine you it would be impossible for me or any medical provider to make a direct association with the vaccine or determine any other possible cause of your symptoms | [ 1.57733794e-02 1.35764184e-02 5.27931124e-03 4.28986390e-02
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what do i do if my baby cries so hard he seems to stop breathing | crying is not dangerous to your baby it is not going to cause brain damage and they are not going to stop breathing there is however something called breath holding spells where a baby may cry so hard that they stop breathing for a moment or two and then start breathing again if this happens you do want to see your pediatrician to see if there is something going on but a breath holding spell is all it usually is if they really seem to stop breathing or turn blue call your pediatrician but it could also be that the baby just cried so hard that mucus got stuck in the throat and he or she did not know how to clear it for a moment | [ 3.11537594e-02 1.50512665e-03 -2.04375818e-02 -9.75162650e-04
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what is a cataract | a cataract is a clouding of the lens in the eye that affects vision most cataracts are related to aging cataracts are very common in older people by age 80 more than half of all americans either have a cataract or have had cataract surgery a cataract can occur in either or both eyes it cannot spread from one eye to the other what is the lens the lens is a clear part of the eye that helps to focus light or an image on the retina the retina is the light sensitive tissue at the back of the eye in a normal eye light passes through the transparent lens to the retina once it reaches the retina light is changed into nerve signals that are sent to the brain the lens must be clear for the retina to receive a sharp image if the lens is cloudy from a cataract the image you see will be blurred are there other types of cataract yes although most cataracts are related to aging there are other types of cataracts secondary cataract cataracts can form after surgery for other eye problems such as glaucoma cataracts also can develop in people who have other health problems such as diabetes cataracts are sometimes linked to steroid use traumatic cataract cataracts can develop after an eye injury sometimes years later congenital cataract some babies are born with cataracts or develop them in childhood often in both eyes these cataracts may be so small that they do not affect vision if they do the lenses may need to be removed radiation cataract cataracts can develop after exposure to some types of radiation | [-2.54675128e-02 -6.80874109e-03 -8.88186859e-04 3.20669608e-02
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are regular menstrual periods triggered by regular ovulation | a woman can have apparently regular flows and yet still not be having regular ovulation how can this happen in a cycle without an ovulation estrogen stimulation assisted by the hormone fsh will continue to make the lining of the uterus grow thicker and thicker in the absence of an lh luteinizing hormone surge no ovulation will occur the progesterone level will not rise when the follicle that contains the un ovulated egg involutes shrinks the woman is blood estrogen level will drop this triggers much of the lining to be shed thus if it takes two to three weeks for the follicle and un ovulated egg to regress the woman may have somewhat regular bleeds how often does this happen in the first year after menstrual periods begin up to 55 of the cycles may occur without ovulation mansfield & emans 1984 in a study of 20 to 35 year old women who had regular cycles but were infertile an average of 30 of women were not ovulating among these 123 women with regular cycles the highest incidence of not ovulating was 41 this highest incidence occurred among women who had never had a conception women who had at least one documented pregnancy had a lower incidence of non ovulation despite regular periods hegab 1987 finally the presence of very regular periods accompanied by common premenstrual symptoms “molimena” suggests an ovulatory cycle — especially when there are menstrual cramps yet this may not always be the case in as many as 5 of these “classic for ovulation” cycles ovulation may not have occurred speroff 1999 | [ 2.72171914e-02 -3.34642435e-02 -8.33895077e-03 3.92829332e-02
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what can happen by giving a 4 year old child albuterol because she coughs and is not prescribed to this medication my son yes who is 3 years old does from time to time have to use albuterol and is also on pulmicort because of bronchial tube infection when was an infant and done through nebulizer treatments my daughter who is 4 years old come to me begging for a puff of albuterol because she had a chest cold with a little cough here and there but nothing bad at all my ex wife is playing dr and giving her the albuterol for a simple cough and is definitely not been prescribed to her by the pediatrician help | i do not think that four year old should be using albuterol or pulmicort from a siblings prescription unless it was specifically prescribed by a medical professional coughs due to cold are not the same a a reactive airway requiring a potent bronchiodilator or steroid the cough due to a cold is simply the way the body clears the airway of irritating mucous it does not need albuterol just because the four year old asks for an inhaler in no way implies she needs it four year old know very little about pulmonology they are really soliciting attention so the cough should be addressed in a safer way perhaps with a teaspoonful of honey not albuterol | [ 2.00642161e-02 2.35096797e-02 3.60904764e-02 3.73724751e-02
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i have this thing on my face no clue what it is | hi you have 2 possibilitys 1 cold sore due to herbes simplex type 1 virus which you could have got from a kiss 2 infected insect bite in both cases use a local antibiotic try not to touch it good luck | [-0.02326812 -0.00608045 -0.02461116 0.03857862 -0.032602 -0.03878304
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what is postpartum depression | postpartum depression is a complex mix of physical emotional and behavioral changes that happen in a woman after giving birth according to the dsm iv a manual used to diagnose mental disorders ppd is a form of major depression that has its onset within four weeks after delivery the diagnosis of postpartum depression is based not only on the length of time between delivery and onset but also on the severity of the depression | [ 3.36643010e-02 -2.83365256e-02 -2.84849616e-02 3.62890198e-02
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does it make a difference how long it is been since last ejaculation does sperm have to be kept fresh to be fertile | hello hope this answer finds you all health and happy further i do like to share that it is really very important for the sperm to be fresh for fertility as having sex or by other way keeping your sperm fresh this helps in keeping sperms clear from the testicles and the natural built up dna damage dna damage lessened in the sperm of men who had daily sex old sperm was cleared and replaced by fresh cells thanks | [ 1.53557828e-02 -3.33742779e-02 8.59737741e-05 4.21897162e-02
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a year ago i found a large lump top of my right breast | hi if it is painless and if there are no palpable lymph nodes then i do not feel that the lump is significant sometimes blocked lactating glands and ducts cause milk to accumulate giving it a feeling of a lump however thorough examination by a doctor and mammogram high resolution ultrasound is a must thanks | [ 1.53104478e-03 -2.55729054e-02 -4.05770298e-02 3.91712115e-02
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how is a baker is cyst treated | baker is cyst can be annoying because of the pain and discomfort while walking or bending your knee the fluid itself is not a problem but the tension of the tissue because of the fluid is the cause of the symptoms the cyst can surgically be fixed or the cyst can be drained with a needle the cyst can sometimes be a sign of a meniscal tear if there was not a tear on your mri that is good news | [-1.84477105e-02 -2.23838804e-02 -2.02790509e-02 3.89649058e-02
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is moving to a warm dry climate like arizona good for arthritis | hi it seems that you have picked the perfect place in arizona nice warm and dry it should do you well good luck | [-1.44403332e-02 2.66344692e-02 3.13669566e-02 3.19744130e-02
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i have athlete is foot on the hands and feet or eczema | hi that is mostly athletes foot… nothing more antifungals will not help avoid dryness drink plenty of water and consult a dermatologist for creams that helps you without causing an allergy for your skin regards | [-0.02365419 0.00713615 -0.02000843 0.03772137 -0.01957936 -0.03838964
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i am trying to get pregnant but got a yeast infection can vaginal yeast infection prevent me from getting pregnant i am trying to get pregnant but just got a yeast infection while on my fertile days can vaginal yeast infection prevent me from getting pregnant | hi i would think by the actions of a yeast infection why having one would not be a good time to try and get pregnant if this is a re occurring problem get you and your man to the doctors at the same time and both get medications for it its either that or try sea salt google sea salt and yeast infections your find some interesting info do hope this helps good luck | [-2.60360971e-02 1.43849332e-03 1.91259160e-02 4.50268041e-02
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can arthritis spread i was diagnosed with having arthritis in my lower back at the same time i was beginning to have symptoms in the middle of my back and now on the top of my back i was wondering if the arthritis is spreading through my back the symptoms are all the same and now it is affecting my whole back | yes a person can have arthritis symptoms in just about any joint there are several different types of arthritis and i do not know what type you have so i would suggest that you address this question to your medical provider someone who knows you and your medical history yes as disease progress the arthritis may spread affecting different joints better get yourself tested every 6 months to check the progression of arthritis the progression can be effectively managed with changes to diet and routine herbs like boswellia curcuma withania may help to control arthritis these herbal mix powder in equal proportion can be consumed at dose of 2 3 gms twice per day with lukewarm water | [-0.03351949 -0.00114165 -0.03887691 0.03666026 -0.0174962 0.03571379
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with lyme disease does the red target like rash appear only at the site of the bite or multiple places i have developed several target shaped red circular rash areas along with the other symptoms my though was lyme disease i have the rashes is multiple and varied locations | hi i really think you should consult a doctor for this since i am not a medical professional i do not want to give advice that might hurt you inadvertently to do this you should go on healthtap where you can access a doctor through a video consultation really easily and can give you legit advice goodluck <link> | [-0.03120584 0.03064064 -0.03081713 0.04076545 -0.040645 -0.04211199
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i have nausea hot flashes chills and sometimes i feel light headed what could this be do i need to see my doctor | hi i would go see your doctor get a blood test done for your hormones could the menopause kicking in a blood test will tell all hope this helps you good luck | [ 3.39617412e-02 1.37781298e-04 -4.30710505e-02 3.00470421e-02
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i have fracture in 5th metatarsal bone in my right foot do i need to go for surgery | no need for surgery at all just stay in cast until your doctor says enough… later you may need some physiotherapy … take enough calcium … | [-0.02940264 -0.00894015 -0.03717395 0.03646202 -0.01742251 0.02964171
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do you have to have anesethia when having a hip replacment can a nerve block be used instead my mom needs a hip replacement and has severe reactions to anesthesia is it possible to have a nerve block for this procedure instead of the anesthesia she has been putting if off and now is in a lot of pain and needs to have this done any information would be helpful thank you | a hip replacement requires general anesthesia a local nerve block will not do it have a discussion with the anesthesiologist about her past reactions to anesthesia quite common in fact and do some research on which drug combination was used in the past there are certainly more than just one way of giving anesthesia | [-2.63511881e-02 -3.00651248e-02 6.23405107e-03 2.77226984e-02
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what causes extreme chills my husband woke up in the middle of the night with extreme violent chills after taking 3 aspirins they subsided after about 20 minutes his temperature was first 97 2 and then 100 5 now he has no fever just feels washed out | could be just sick or even heart attack | [ 2.56584964e-02 2.66195150e-02 -2.59846682e-02 2.56796817e-02
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how can i keep my child from smoking drinking and using drugs | every day 3 600 young people try cigarettes for the first time over 10 million adolescents drink alcohol so it is important to model good behavior do not smoke drink to excess or use drugs if you do now quit start young with children under age 7 or 8 take advantage of teachable moments to talk about the consequences of these behaviors as your child gets older ask them what they think about drinking smoking or drugs ask open ended nonjudgmental questions keep the lines of communication open schedule time for you and your child to spend together and show that you are really listening preteens want to feel grown up and substance use can seem like the way to do that offer other opportunities for your child to feel like they are maturing junior high and high school kids are likely to know people who are drinking smoking and using drugs let your child know that they never have to accept a ride with someone who is not sober this may mean you have to pick them up at 3 a m but their safety is worth it | [ 3.17216765e-02 2.08040913e-03 2.47475544e-02 2.12742955e-02
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how do you tell the difference between poison ivy and shingles | shingles is only on one side of the body following a nerve pathway it is very painful poison ivy can occur anywhere on the body both sides it is very itchy not painful they are both blistering skin eruptions but shingles tends to be hemorrhagic bloody looking and occurs in clusters poison ivy tends to have clear blisters and likely as some linear line like patterns where part of the plant contact occurred | [-0.03015413 0.03167881 -0.01953436 0.04077574 -0.0405804 -0.04197633
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what is an aneurysm | an aneurysm is a balloon like bulging of a portion of a blood vessel most commonly occurring in arteries aneurysms occur in places where the muscular wall of the artery is weak when the heart contracts and pushes blood pressure to its maximal point the weak part of the artery bulges and swells the main areas where aneurysms can cause problems in adults are the arteries in the brain and the aorta the main artery in the center of the body the cause of aneurysms is unknown but high blood pressure and smoking are risk factors aneurysms are dangerous because they can burst rupture causing rapid life threatening bleeding doctors often recommend observation for small aneurysms larger aneurysms are more likely to rupture and doctors may recommend surgery or another procedure to reduce the risk | [-2.06889192e-02 3.31978669e-03 -4.03109875e-02 3.76697308e-02
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my 6 12 month old has not been vaccinated for flu yet and his doctor says he should be what is your advice | this is great time to get a flu shot for your baby this season the flu vaccine is being recommended for all individuals 6 months and older for children under 9 years old who have not received a flu vaccine before it is recommended that they receive two doses 1 month apart in order to have maximum immunity this season the sooner you get the first round the sooner you can get the second the flu vaccine will not prevent you from getting sick with the common cold or stomach flu but it can provide up to 80 90 protection against influenza which is a virus responsible for many deaths and hospitalizations each winter season side effects are minimal possibly some redness or soreness at the site or a mild fever for a day the injectable flu vaccine is made from a killed virus so there is no chance of your baby catching the flu from the flu vaccine i hope some of this information is helpful your pediatrician should be able help answer your questions as well i always remind my families that the more close contacts who receive the flu vaccine the better insulated from the flu their baby will be | [-7.05815084e-03 3.99713626e-02 -2.52354240e-02 3.17488468e-02
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did ohio accept the medicare expansion | medicare is the federal insurance program for people with disabilities and those older than 65 you are referring to medicaid and yes ohio did decide to expand it is medicaid program ohio expanded it is medicaid program medicare is for people with disabilities and those over 65 under the affordable care act it is medicaid that is up for expansion not medicare and yes ohio did ultimately decide to expand its program here is a website that provides information about how you can apply <link> | [-0.00537856 0.03542351 -0.01081455 0.04211335 -0.02600551 0.02407932
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chiropractor trying to take me for a ride turns out i have phase 1 degeneration in my neck and lower back which he says can be completely fixed with therapy the chiropractor said the way to do that would be to see him 2 3x per week for at least a year my insurance only covers 12 visits per year so obviously that would get really expensive if that is really what i have to do then i will find a way to pay for it but i wanted to get an expert opinion on whether that would really be necessary | i have no way of confirming or disputing this chiropractor is diagnosis but i do have issues with the treatment plan degeneration by definition is wear and tear often due to aging i do not believe it is possible to reverse aging by chiropractic adjustments but then again i am not a chiropractor who believes in those things before mortgaging your house see an orthopedist for a medical opinion and have some imaging studies read by a radiologist i think you will find a different perspective on your neck and low back issues | [-0.030442 0.007099 0.00968926 0.02183604 0.02092673 0.03368213
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bleeding from anus blood in urine pain in lower back | diverticulosis and polyps is a strong causes fir the bleeding and fir the abdominal pain i reccomend you to do bariem enema of barium all through to check the whole pathway of the git…stool and urine analysis and pelviabdominal ultrasiund must be done as wellbest regards | [ 1.04495064e-02 -8.59560334e-03 -4.10679123e-02 3.40066969e-02
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i am 64 years old retired and will not be 65 for 11 more months i have a pre existing condition leukemia 17 years ago and am in good health not overweight do not smoke exercise daily and eat a healthy diet 85 of the time we moved to illinois in feb of this year from arizona i have az blue cross blue shield presently but il blue cross blue shield denied me coverage in the spring of this year will il blue cross blue shield have to offer me coverage if i apply to them after jan 1 2014 | you will need to shop your insurance options in illinois where you now live starting january 1 2014 insurers can no longer deny anyone insurance so you are guaranteed coverage | [-0.00725716 0.03482226 -0.0078741 0.04074596 -0.03058406 0.0239881
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i have had chestneckback pain recently with bad headaches does this sound like stress or something more last night i had a lot of chest and back pain with no apparent cause i have been having neck aches and headaches over the past week and i know it was not a panic attack i have had them before is this just stress related or should i be more concerned about 2 months ago i got a new job which has been a stressful adjustment i have also been very tired recently and it almost feels like my brain is not working correctly it is like i can feel something is missing mentally that used to be there | i am sorry to hear you are suffering like this it is bad enough to take on a new job without then coming down with mysterious physical symptoms unfortunately it is impossible to tell whether this is serious or not obviously you should know the symptoms of a heart attack and also know the risk factors for heart disease while anyone can have a heart attack it is more likely among people with multiple risk factors i would suggest you make an appointment with your primary health care provider to evaluate your symptoms your provider probably will want to run some tests such as blood work or possibly and ekg many medical conditions could cause the symptoms you describe including low thyroid your health care provider can correlate your health history with your new symptoms to arrive at a diagnosis i hope you feel better soon | [ 0.01336274 -0.01109497 -0.02449758 0.02331644 -0.03040227 0.06559716
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what should i do if i have dirrhea with black tar like stools with horrible odor i know that pepto can darken stools but i had just taken it about 5 minutes before the first black stool | pepto bismol can cause the stools to be darker but not black and tarry and not likely five minutes after you took it this may be a sign of a gastrointestinal bleed especially the stomach i would strongly suggest that you see or consult your medical provider as soon as possible | [ 3.11930655e-02 1.36381769e-02 -3.06206694e-02 2.04340271e-02
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if i had yeast infection or bv could either one cause trich i was reading online that sexual transmitted infection trich can he caused by bv or yeast infections i have a history of yeast and bacterial infections i just recently got over strep throat i had it twice back to back i may not have gotten rid of it the first time i have been treated for bv 2years ago and 3 years ago i was treated for yeast infection twice | you are talking about three different types of vaginitis yeast is fungal bv is bacterial and trich is a parasite bv or yeast does not cause trich of course you can catch all three at the same time | [-3.30395583e-02 2.40576801e-02 2.58137142e-03 4.11177855e-02
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i have diverticula recently i have alot of bright red blood in first b m of morning had polyp removed 8 months ago i was diagnosed with diverticula in 2013 and had a polyp removed that was hyperplastic recently i am experiencing a lot of blood during my first bowel movement of the day it is bright red in color and there is not too much pain any other b m is later are fine no blood this just started occurring within the last 3 5 days what is going on | bright red blood is almost always coming from the distal parts of the gi tract namely the rectum or anal area the blood can be from a polyp again a hemorrhoid internal or external an anal fissure tiny tear that opens when you have a bm or there is no way to be sure what is going on unless you see your medical provider and have the source of this blood determined by an exam this is too important to just guess | [ 0.01294631 0.00285685 -0.04161103 0.02694079 -0.02170487 0.04072359
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i had cold coagulation for cin cervical intraepithelial neoplasia i have bleeding since that day | hi the brown blessings coagulated are probably side effects from contraceptive injection cervix bleeding would be the pink ones so i see no reason to worry follow up with your gynecologist good luck | [ 0.02856219 -0.02869166 -0.03978916 0.03459277 -0.03731272 0.04619813
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can obstructive sleep apnea cause erectile dysfunction | a new study links sleep disorders and sexual impotency specifically the study examined the relationship between obstructive sleep apnea osa and erectile dysfunction osa afflicts more than 12 million americans and is characterized by repeated stops and starts of breathing during sleep when throat muscles relax and block the airway left untreated those with sleep apnea suffer from poor quality sleep and chronic sleep deprivation leading to health issues that can be life threatening weight gain diabetes and cardiovascular problems the study found that men with erectile dysfunction were more than twice as likely to have osa than those without erectile dysfunction the more severe the erectile dysfunction the greater the likelihood of having osa men with erectile dysfunction should probably be screened for osa yes | [ 0.04176282 -0.02669351 -0.01757692 0.00865907 -0.04268312 0.02594107
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ecp nordette taken 12 hrs after unpro sex pulled out 5 6 seconds before eruption a week before period last aug 26 2014 hi may i just ask i had unprotected sex and its a week before my normal menstrual cycle last aug 26 2014 my partner thinks he pulled out on time roughly around 4 5 seconds before he actually erupted i took nordette 0 15mg now 12 hours after intercourse as a contraceptive ecp i am not sure about the dose but it says on the internet that in emergencies like this it is 4 pills every 12 hours should i take it with food is there a high risk for pregnancy | hi scared so you were 21 days through your cycle what is called the safe side unprotected sex before day 14 is not good so please remember that bit and also remember it takes male sperm 3 days to reach the womb but please stop taken these worrying ways of trying not to get pregnant without any bc time to make a change in your sex life sex can be fun but do it safely good luck | [ 2.80996050e-02 -3.11884787e-02 -1.49696959e-03 3.93253114e-02
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i am 65 with medicare and a secondary through my former employer do i need to sign up or register with the obamacare do all americans need to register for obama care | no you do not you have adequate coverage under the law | [-7.78488780e-03 3.47113914e-02 -8.32285781e-03 4.00365474e-02
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why is everyone paying more for health insurance why do people have to switch doctors and companies why are my rates going through the roof if i get the bare bones offered i lose the president promised none of what is happening would happen so why is it happening | a lot of people are upset about the cost of health care under the law the fact is the price of health plans are going up for several reasons including the fact that insurers are now required to offer richer benefits and because many of the underwriting practices insurers used to limit their risk like denying coverage to people with pre existing conditions are now illegal for lower income people who qualify for a subsidy the cost of insurance may be quite affordable actually many will have access to very low or in some cases no cost coverage but if your income is above the threshold to qualify you for financial help you will likely find your costs going up those optimistic about the long term effects of the law believe that with millions more americans insured in time health care costs will slow but that remains to be seen | [-0.00165411 0.03390854 -0.00595248 0.04210009 -0.02937203 0.01541003
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can you develop genital warts if you have not been sexually active recently i am 24 years old and just developed these warts recently they are on my shaft and have a red color i did not believe they were genital warts as i have not been sexually active in the past 2 years i spoke to my primary care physician and he referred me to a dermatologist who diagnosed me with hpv genital warts i am very worried as these are developing after not being sexually active is this uncommon is there any other way i could have gotten the hpv | hi take a trip down to your local sexual healthgum clinic and ask what they think they are its the best place to as its there field of work ok good luck | [-0.02990752 -0.0223855 0.01591067 0.04315552 -0.04319495 -0.04381937
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why could my healthy athletic 17 yr old grandson have lost almost 10 pounds in a month his appetite has decreased he used to be hungry about every two hours after eating like a normal teenager a lot he is playing varsity football and has been experiencing what appears to be acid reflux | in some cases active teenagers are so busy and stressed that they do not get adequate nutrition and calories it sounds like your grandson is appetite is down and reflux is suspected it is best to get him to a doctor so he can find out if it is acid reflux another gastro intestinal issue or something else for now small frequent wholesome meals that are not fried greasy or spicy and are free of caffeine may improve tolerance and appetite for more on symptoms of acid reflux see this webmd article <link> | [ 0.033373 0.02713863 -0.04092911 0.03971285 -0.04197341 0.09426832
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i have a small herniated disk c5c6 does not touch the main nerve but the pain is incredible i can not work i can not practice sport anymore i can not even walk | hi can you upload your mri can you describe the area were pain is concentrated and if it is radiating to your arms or causing headache in the back of your head also the pain peak us it in the morning or at the end of the day did you do physical therapy i hope you can answer my questions to help you thanks | [-3.03563798e-02 -1.72494765e-02 -3.76165800e-02 3.64850504e-02
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in carpal tunnel surgery they cut the ligament on the wrist do not we need this to function | the cut a little of the ligament the part that is compressing the nerve they do not completely sever the ligament so that you will not have normal wrist function all they need to do is make that tunnel a bit wider | [-3.03174782e-02 -1.12370008e-02 -2.71262619e-02 3.52460774e-02
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a patient required to take 5 5 mg of warfarin everyday each warfarin is 5 mg how many tablet that will be | i suggest you call and speak to the pharmacist who fills your warfarin prescription i do not want to try to specifically answer your question because you are talking about a tiny fraction of a pill it would be very difficult to get the correct dosage using 5mg pills however your pharmacist may be able to advise you about how to obtain your prescription in pills of a smaller dosage wishing you all the best with this | [ 2.74865076e-02 2.02615292e-02 1.27752762e-02 5.67622778e-02
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can my three year old take childrens multi symptom triaminicwith antihistamine and zyrtec on the same day | the american academy of pediatrics and the american academy of family practice both pooh pooh the use of cold medications in children under the age of 6 even though many of these medications have been used for decades prior to this edict zyrtec is an antihistamine and it can be used safely in children over two but those multi symptom cold conconctions tend to be a bit too much for three year olds to handle most have decongestants that make the nose run like a faucet or stimulate them like they drank a cup of coffee things that you do not need to experience in a three year old | [ 0.01466513 0.00718948 0.06694574 0.0341842 -0.04343242 -0.04488967
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why do i now have a lack of sensitivity in my penis it is not numb but takes a longer time to achieve orgasm i do not have difficulty getting an erection i have plenty of energy throughout the day and t tests ok i have not taken medications for 4 6 months celebrex percocet tramadol effexor i currently take 2000iu of vitamin d daily vaginal intercourse works fine but oral sensation lack of is what seems unexplainable to me over the last 2 5 years i have had a few cortizone injections in my shoulder and knee but no major injury to my back | this happens to a lot of guys with age what you want to use is a penis health creme called man1 man oil it contains the amino acid acetyl l carnitine which repairs nerve endings and restores penile sensitivity it is safe and works great google it and see for yourself hope this helps and good luck | [ 0.01991556 -0.03838338 0.00786936 0.02323599 -0.04067787 -0.02927323
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is there a benefit to taking both aircept and namenda for alzheimer is | yes there is some evidence that taking both can be helpful for some individuals unfortunately not everyone is symptoms will improve but these medications may delay progression aricept is inexpensive now but namenda can be pricey | [ 0.02260315 -0.01213212 0.0334411 0.03581262 -0.04341672 0.0057045
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tumor on lung pet scan show suspicious but no cancer diagnsis what cam it be | hi if its confirmed that its not cancer then it can be consolidation of lung a old healed infection or inflammation that may have undergone transformation into fibrous tissue can also show similar findings on a pet scan he needs to undergo spirometry to see the functionality of the affected lung thanks | [-0.00485701 0.0120046 -0.04166924 0.03591697 -0.01509802 0.040685
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i drank 4 cups of fruit soda so i have anxiety i drank 4 cups of carbonated fruit soda now you know when carbonated droplets splash up your nose so they did splash now i have been thinking could this cause secondary drowning plz explain thx | your over indulgence in drinking soda would not cause you to drown from carbonated droplets in your nose | [ 2.80687819e-02 -7.21969507e-03 -2.29512413e-02 -1.46632412e-02
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does diet sodas make arthritis worse | diet sodas should not make arthritis worse otherwise the sales of these popular drinks would plummet there are new studies all of the time linking various things to bodily ailments but i have no heard of a diet sodaarthritis link if i did i would certainly stop the diet sodas for my own arthritis there is no nutritional value in them and the use of artificial sweeteners in them is of enough concern that i would try & find a healthier way to quench my thirst not to mention the cancer causing caramel coloring found in them the artificial sweetner has been shown to make some people feel like they have the flu its just a general achiness not any stomach problems | [ 3.56299954e-03 2.75336974e-02 -2.94052358e-02 4.47919706e-02
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what surgery options do i have for hepatitis c | if chronic hepatitis c damages your liver so severely that it no longer works well end stage liver failure you may need a liver transplant to extend your life liver transplants are not common surgery choices a liver transplant is the only surgical treatment that can help people with end stage liver failure what to think about liver transplantation is a risky expensive procedure and donor organs are hard to come by most of the time only people who are in good health other than having liver disease are considered for a transplant you will not be considered if you are using alcohol or drugs or have certain mental health problems after a liver transplant you will need lifelong follow up care by a specialist you also will need to take immunosuppressant medicine to keep your body from rejecting the new liver this medicine may cause other problems hepatitis c almost always infects the newly transplanted liver recurring liver disease after a transplant can be a serious problem and may cause the new organ to fail but most patients do very well after a liver transplant and are able to live normal lives webmd medical reference from healthwise this information is not intended to replace the advice of a doctor healthwise disclaims any liability for the decisions you make based on this information © 1995 2011 healthwise incorporated healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated | [-1.39716984e-02 3.86817472e-02 -4.37601228e-02 3.77891543e-02
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what should determine whether i leave my current retirement plan for one the company offers through the exchange if i leave the company plan i am not able to return to it nor will the company offer the exchange at a later date | you need to look at a combination of all costs premiums co pays co insurance and deductibles take a look at the specific services you most use and need and how they are covered look to see that the medications you take are covered and before you drop your employer is retiree plan you may want to talk to a professional who can help you evaluate your options in detail it does not cost you anything to work with an agent look for one near you at nahu org | [-0.00540622 0.03195662 -0.00469623 0.03923394 -0.02736115 0.01578308
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i can not keep an erection when using a condom if i take the condom off i regain erection what can i do to fix this when having sex i will have a healthy erection and after time my erection gets weaker when using a condom if i take the condom off i am able to regain a strong erection again what is causing this and what can i do to fix this problem i want to be able to please my partner as well as be safe | try a different brand of condom some are thicker and less sensitive than others have a condom on during foreplay and get used to it if you are losing your erection just relax and allow your partner to help you out it will most likely come back they always do as you may know there is nothing physically wrong with you or your condom use this is just psychological with a caring and understanding partner your sexual exploits can last longer and actually be more interesting by repeatedly getting and losing an erection besides there are many more ways to please your partner than with your penis do not stop using he condom no matter what your confused brain is trying to tell you safe sexual practices are absolutely essential do not compromise | [ 2.25438799e-02 -3.89661479e-02 2.16296630e-02 3.21607071e-02
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i have stabbing pain along my cheekbone to the jaw and upper section of my teeth is it that common in fibromyalgia | facial and jaw pain is common in fm several structures including the head scalp and brain neck tmj and facialjaw muscles all have nerve branches to the face that can lead to pain numbness and altered sensations called dysesthesias if the pain comes and goes in relationship to another area of pain i e tmj jaw neck then it may be referred pain from myospasms or tm joint etc if it comes spontaneously and feels like shocks or stabs then it could be more neuralgia mediated like trigeminal neuralgia rarely in someone with fm a different cause such as ms bell is palsy acoustic neuroma or even a viral infection cold can cause face and jaw pain but these other conditions are usually evident by additional symptoms or a different clinical course that your doctor can determine by evaluating you i try various treatments on my patients with facial pain including meds that block nerve pain i e anti seizure meds snris [serotonin and norepinephrine reuptake inhibitors] tricyclics and topicals with helpful meds patches compounded cream therapies including tns trail or injections or bite splints or other treatments can be tried depending on the individual is cause of pain as usual i can not provide specific advice for anyone here but i encourage you to work together with your doctor for your symptoms | [-0.03230497 -0.01283639 -0.03979639 0.03680209 -0.02004245 0.0276697
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will herbal supplements enlarge my penis | no you are born a certain way based on your genetics if you do not like your genitals then choose different parents if you are fat down there then you can lose weight and improve the length of your penis but there is nothing you can do taking herbs will not improve your penile length weights on the end of your bed while you sleep will not improve it the vacuum devices that they sell will not do it you are born with what you are born with and rather than stress and fret about problems or perceived inadequacies you really should be focusing on ways of finessing what you have got to make yourself and your partners happy what you can do is be healthy take care of yourself learn other techniques to enhance the relationship it is not just all about penile length there is other things that you can do during lovemaking that will enhance pleasure for the female partner if that is what it is all about if it is just simply wanting to feel proud in the shower in front of other guys then you just have to understand that that is who you are that is how you were born and rather than spending your energy and time focusing on what you do not have focus on what you do have | [ 4.80228455e-03 -3.02558882e-02 3.36328210e-02 3.18900003e-02
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if i have pid is it too late did it affect my fertility it is been 3 12 years and i am scared last time i had sex was 3 12 yrs ago guy told me next day he had gonorrhea blamed it on me though i never had it i did not go to a doctor and just got antibiotics from a pharmacy i am scared now do not really have colored discharge but sometimes smell is not too pleasant and i am scared that i might have pid and be infertile is it too late how long does the pid have to go untreated for it to affect fertility the thought of never being able to have children scares me | hii think the best thing you can do is get to an stdgum clinic get them to do some tests this will highlight any kind of infections you may now have this guy you last had sex with may have been a carrier and he could have passed it on to you you can be a carrier and not know it it has a thing about hiding in tests gonorrhea that is but p[lease get tested yourself this would be a big release for you to know how you stand if you clear then you can get back to having a sex life there is nothing better for us humans than having a good sex life very good for us do hope this helps good luck | [ 0.02136397 -0.03588924 -0.00729792 0.03997029 -0.04303606 -0.03514246
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when should we consider a fertility evaluation and what is involved | couples should consider seeing a doctor if they have been trying to conceive for a year without success 6 months for women over 35 the beginnings of a fertility evaluation focus on eggs tubes and sperm with regards to eggs your doctor will want to confirm that you are releasing your egg and determine how many eggs remain signs that you are releasing an egg are regular predictable menstrual cycles positive ovulation predictor kits shifts in basal body temperature andor a high progesterone level approximately one week before your period ovarian reserve the number of eggs remaining in the ovary can be evaluated with blood tests fsh amh and ultrasound for antral follicle count fallopian tubes can be evaluated by a hysterosalpingogram an x ray test where x ray dye is injected into the cervix the x ray shows the cavity of the uterus and whether the tubes are open sperm are evaluated with a semen analysis to look for sperm number and motion if a semen analysis is not normal it will be repeated to rule out normal fluctuations if it is normal either the first or second time no further evaluation is needed if it is abnormal twice you will be referred to urology for further evaluation the next steps in fertility evaluation and treatment will be based on results to the above tests while these tests can identify some fertility factors mother nature is more complex occasionally all the tests will be normal despite a continued delay to pregnancy therefore your doctor will discuss fertility treatment in the context of the evaluation you have completed | [ 2.54197075e-02 -3.58639902e-02 -6.96348567e-03 3.68337584e-02
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i had an ectopic pregnancy and my right fallopian tube was removed since then i have ovary pain | hi in my opinion you have endometriosis almost 100 sure which was the original cause of ectopic pregnancy since your pain is in both sides i will rule out the ruptured cyst being the cause if it is pms then drugs of choice should be ssris good luck | [ 0.02831675 -0.03286717 -0.03778257 0.03590017 -0.0387102 0.02764381
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i cover my daughter through my employer but will be retiring march 2014 my daughter is 23 and will be dropped from my insurance should i have her apply through the exchange now or should i cover her until my retirement date then have her purchase her own insurance | your daughter has until march to purchase coverage on the exchange so she can wait till january or february to sign up for coverage that will take affect when she loses coverage under your plan while she could purchase coverage on the exchange anytime if she is your dependent she will not be eligible for a tax subsidy on the exchange until she loses access to your coverage in march if your daughter is not a dependent for tax purposes you may want to begin exploring her options on the exchange now she may be eligible for a subsidy that could make it less costly for her to enroll in a plan that begins in january | [-4.05832313e-03 3.36165036e-02 -8.45063944e-03 3.72373241e-02
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can i take moltrin pm and alka selzer plus together | this is an excellent question to ask your pharmacist they are the experts on medication interactions and adverse effects in general without looking at the ingredient list of either preparation you describe i think you would get a lot of overlap in dosing with those two products one probably includes ibuprofen while the other probably includes aspirin you generally do not want to mix those two drugs when choosing over the counter medications take care to look at the ingredient list on each package many cough and cold type remedies contain multiple active ingredients you want to verify exactly what you are taking wishing you well | [ 2.76933336e-02 -7.41261750e-03 4.35725294e-02 5.54968288e-02
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i currently pay over 1 800 per month to my former employer to continue my health insurance coverage it is not cobra but it is basically the same thing i pay 100 of the premium will i be able to take advantage of the new premiums and subsidy when would i have to cancel my current policy | yes you can drop your cobra or cobra like policy for another plan and if your income qualifies you get a premium subsidy to lower the cost of coverage health plans purchased through the marketplaces by december 15 2013 will take effect january 1 2014 you will want to time the cancelling of your current policy to coincide with the start of your new plan | [-4.63946137e-03 3.51699071e-02 -7.15558366e-03 4.13535813e-02
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Subsets and Splits