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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>> I am not feeling to well and am trying to figure out what could be wrong. What is narcissistic-personality-disorder and explain in detail? [/INST] If your symtopms are extreme please call 911. Symptoms of narcissistic personality disorder and how severe they are can vary. People with the disorder can: Have an unreasonably high sense of self-importance and require constant, excessive admiration. Feel that they deserve privileges and special treatment. Expect to be recognized as superior even without achievements. Make achievements and talents seem bigger than they are. Be preoccupied with fantasies about success, power, brilliance, beauty or the perfect mate. Believe they are superior to others and can only spend time with or be understood by equally special people. Be critical of and look down on people they feel are not important. Expect special favors and expect other people to do what they want without questioning them. Take advantage of others to get what they want. Have an inability or unwillingness to recognize the needs and feelings of others. Be envious of others and believe others envy them. Behave in an arrogant way, brag a lot and come across as conceited. Insist on having the best of everything — for instance, the best car or office. At the same time, people with narcissistic personality disorder have trouble handling anything they view as criticism. They can: Become impatient or angry when they don't receive special recognition or treatment. Have major problems interacting with others and easily feel slighted. React with rage or contempt and try to belittle other people to make themselves appear superior. Have difficulty managing their emotions and behavior. Experience major problems dealing with stress and adapting to change. Withdraw from or avoid situations in which they might fail. Feel depressed and moody because they fall short of perfection. Have secret feelings of insecurity, shame, humiliation and fear of being exposed as a failure. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is angiosarcoma and explain in detail? [/INST] If your symtopms are extreme please call 911. Angiosarcoma signs and symptoms may vary based on where the cancer occurs. Angiosarcoma that affects the skin Most often, angiosarcoma occurs in the skin on the head and neck. It often happens on the scalp. Symptoms of this form of angiosarcoma include: A raised area of skin that looks like a bruise A bruise-like lesion that grows larger over time A lesion that may bleed when scratched or bumped Swelling in the skin around the lesion Angiosarcoma that affects organs When angiosarcoma affects organs, such as the liver or the heart, it often causes pain. Other symptoms depend on the location of the angiosarcoma. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is radiation-enteritis and explain in detail? [/INST] If your symtopms are extreme please call 911. The symptoms of radiation enteritis include diarrhea, nausea, vomiting and stomach cramps. Symptoms occur because of irritation of the intestines from radiation therapy for cancer. Symptoms usually go away several weeks after treatment ends. But sometimes they last longer. Radiation enteritis that goes on for longer can cause anemia and bowel obstruction. Risk factors The risk of radiation enteritis is higher in people undergoing radiation treatments for cancers in the belly and the pelvis. Radiation enteritis occurs because radiation therapy can cause irritation of the intestines. By Mayo Clinic Staff By Mayo Clinic Staff Radiation enteritis care at Mayo Clinic </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>> I am not feeling to well and am trying to figure out what could be wrong. What is sars and explain in detail? [/INST] If your symtopms are extreme please call 911. SARS usually begins with flu-like signs and symptoms — fever, chills, muscle aches, headache and occasionally diarrhea. After about a week, signs and symptoms include: SARS Fever of 100.5 F (38 C) or higher Dry cough Shortness of breath </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>> I am not feeling to well and am trying to figure out what could be wrong. What is trigger-finger and explain in detail? [/INST] If your symtopms are extreme please call 911. Symptoms of trigger finger may progress from mild to severe and include: Finger stiffness, particularly in the morning. A popping or clicking sensation as the finger moves. Tenderness or a bump in the palm at the base of the affected finger. Finger catching or locking in a bent position, which suddenly pops straight. Finger locked in a bent position. Trigger finger can affect any finger, including the thumb. More than one finger may be affected at a time, and both hands might be involved. Triggering is usually worse in the morning. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is heat-rash and explain in detail? [/INST] If your symtopms are extreme please call 911. Sweat glands Open pop-up dialog box Close Sweat glands Sweat glands Eccrine sweat glands occur over most of the body and open directly onto the skin's surface. Apocrine glands open into the hair follicle, leading to the surface of the skin. Apocrine glands develop in areas with many hair follicles, such as on the scalp, armpits and groin. Eccrine sweat glands are involved in hyperhidrosis, though apocrine glands may play a role as well. Sweat glands Open pop-up dialog box Sweat glands Open pop-up dialog box Open pop-up dialog box Close Sweat glands Sweat glands Eccrine sweat glands occur over most of the body and open directly onto the skin's surface. Apocrine glands open into the hair follicle, leading to the surface of the skin. Apocrine glands develop in areas with many hair follicles, such as on the scalp, armpits and groin. Eccrine sweat glands are involved in hyperhidrosis, though apocrine glands may play a role as well. Close Sweat glands Sweat glands Eccrine sweat glands occur over most of the body and open directly onto the skin's surface. Apocrine glands open into the hair follicle, leading to the surface of the skin. Apocrine glands develop in areas with many hair follicles, such as on the scalp, armpits and groin. Eccrine sweat glands are involved in hyperhidrosis, though apocrine glands may play a role as well. Close Sweat glands Sweat glands Eccrine sweat glands occur over most of the body and open directly onto the skin's surface. Apocrine glands open into the hair follicle, leading to the surface of the skin. Apocrine glands develop in areas with many hair follicles, such as on the scalp, armpits and groin. Eccrine sweat glands are involved in hyperhidrosis, though apocrine glands may play a role as well. Close Close Close Sweat glands Sweat glands Eccrine sweat glands occur over most of the body and open directly onto the skin's surface. Apocrine glands open into the hair follicle, leading to the surface of the skin. Apocrine glands develop in areas with many hair follicles, such as on the scalp, armpits and groin. Eccrine sweat glands are involved in hyperhidrosis, though apocrine glands may play a role as well. Sweat glands Eccrine sweat glands occur over most of the body and open directly onto the skin's surface. Apocrine glands open into the hair follicle, leading to the surface of the skin. Apocrine glands develop in areas with many hair follicles, such as on the scalp, armpits and groin. Eccrine sweat glands are involved in hyperhidrosis, though apocrine glands may play a role as well. Eccrine sweat glands occur over most of the body and open directly onto the skin's surface. Apocrine glands open into the hair follicle, leading to the surface of the skin. Apocrine glands develop in areas with many hair follicles, such as on the scalp, armpits and groin. Eccrine sweat glands are involved in hyperhidrosis, though apocrine glands may play a role as well. Adults usually develop heat rash in skin folds and where clothing rubs against the skin. In infants, the rash is mainly found on the neck, shoulders and chest. It can also show up in the armpits, elbow creases and groin. Types of heat rash The types of heat rash are classified according to how deep the sweat is trapped in the skin. Signs and symptoms for each type vary. The mildest form of heat rash is called miliaria crystallina. It occurs when the opening of the sweat duct on the surface of the skin (sweat pore) is blocked. This form is marked by tiny, clear, fluid-filled bumps that break easily. A type that occurs deeper in the skin is called miliaria rubra. It is sometimes called prickly heat. Signs and symptoms include small, inflamed blister-like bumps and itching or prickling in the affected area. Occasionally, the inflamed bumps of miliaria rubra fill with pus. This form is called miliaria pustulosa. A less common form of heat rash is called miliaria profunda. It affects the deepest layer of the skin (dermis). It causes firm, painful or itchy inflamed bumps that look like goose bumps and may break open. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is toxic-epidermal-necrolysis and explain in detail? [/INST] If your symtopms are extreme please call 911. Toxic epidermal necrolysis signs and symptoms include: Widespread skin pain A spreading rash covering more than 30% of the body Blisters and large areas of peeling skin Sores, swelling and crusting on the mucous membranes, including the mouth, eyes and vagina </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>> I am not feeling to well and am trying to figure out what could be wrong. What is obsessive-compulsive-disorder and explain in detail? [/INST] If your symtopms are extreme please call 911. Obsessive-compulsive disorder usually includes both obsessions and compulsions. But it's also possible to have only obsession symptoms or only compulsion symptoms. You may or may not realize that your obsessions and compulsions are excessive or unreasonable, but they take up a great deal of time and interfere with your daily routine and social, school or work functioning. Obsession symptoms OCD obsessions are repeated, persistent and unwanted thoughts, urges or images that are intrusive and cause distress or anxiety. You might try to ignore them or get rid of them by performing a compulsive behavior or ritual. These obsessions typically intrude when you're trying to think of or do other things. OCD Obsessions often have themes to them, such as: Fear of contamination or dirt Doubting and having difficulty tolerating uncertainty Needing things orderly and symmetrical Aggressive or horrific thoughts about losing control and harming yourself or others Unwanted thoughts, including aggression, or sexual or religious subjects Examples of obsession signs and symptoms include: Fear of being contaminated by touching objects others have touched Doubts that you've locked the door or turned off the stove Intense stress when objects aren't orderly or facing a certain way Images of driving your car into a crowd of people Thoughts about shouting obscenities or acting inappropriately in public Unpleasant sexual images Avoidance of situations that can trigger obsessions, such as shaking hands Compulsion symptoms OCD compulsions are repetitive behaviors that you feel driven to perform. These repetitive behaviors or mental acts are meant to reduce anxiety related to your obsessions or prevent something bad from happening. However, engaging in the compulsions brings no pleasure and may offer only a temporary relief from anxiety. OCD You may make up rules or rituals to follow that help control your anxiety when you're having obsessive thoughts. These compulsions are excessive and often are not realistically related to the problem they're intended to fix. As with obsessions, compulsions typically have themes, such as: Washing and cleaning Checking Counting Orderliness Following a strict routine Demanding reassurance Examples of compulsion signs and symptoms include: Hand-washing until your skin becomes raw Checking doors repeatedly to make sure they're locked Checking the stove repeatedly to make sure it's off Counting in certain patterns Silently repeating a prayer, word or phrase Arranging your canned goods to face the same way Severity varies OCD usually begins in the teen or young adult years, but it can start in childhood. Symptoms usually begin gradually and tend to vary in severity throughout life. The types of obsessions and compulsions you experience can also change over time. Symptoms generally worsen when you experience greater stress. OCD, usually considered a lifelong disorder, can have mild to moderate symptoms or be so severe and time-consuming that it becomes disabling. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is kyphosis and explain in detail? [/INST] If your symtopms are extreme please call 911. Mild kyphosis may produce no noticeable signs or symptoms. In fact, the upper back naturally has a little kyphosis. People who have excessive curvature may experience back pain and stiffness. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is orchitis and explain in detail? [/INST] If your symtopms are extreme please call 911. Orchitis signs and symptoms usually develop suddenly and can include: Swelling in one or both testicles Pain ranging from mild to severe Fever Nausea and vomiting General feeling of unwellness (malaise) The terms "testicle pain" and "groin pain" are sometimes used interchangeably. But groin pain occurs in the fold of skin between the thigh and abdomen — not in the testicle. The causes of groin pain are different from the causes of testicle 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>> I am not feeling to well and am trying to figure out what could be wrong. What is temporal-lobe-seizure and explain in detail? [/INST] If your symtopms are extreme please call 911. An unusual sensation (aura) may precede a temporal lobe seizure, acting as a warning. Not everyone who has temporal lobe seizures has auras, and not everyone who has auras remembers them. The aura is actually the first part of a focal seizure before consciousness is impaired. Examples of auras include: A sudden sense of unprovoked fear or joy A deja vu experience — a feeling that what's happening has happened before A sudden or strange odor or taste A rising sensation in the abdomen, similar to being on a roller coaster Sometimes temporal lobe seizures impair your ability to respond to others. This type of temporal lobe seizure usually lasts 30 seconds to two minutes. Characteristic signs and symptoms include: Loss of awareness of surroundings Staring Lip smacking Repeated swallowing or chewing Unusual finger movements, such as picking motions After a temporal lobe seizure, you may have: A period of confusion and difficulty speaking Inability to recall what occurred during the seizure Unawareness of having had a seizure Extreme sleepiness In extreme cases, what starts as a temporal lobe seizure evolves into a generalized tonic-clonic (grand mal) seizure — featuring convulsions and loss of consciousness. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is nightmare-disorder and explain in detail? [/INST] If your symtopms are extreme please call 911. You're more likely to have a nightmare in the second half of your night. Nightmares may occur rarely or more frequently, even several times a night. Episodes are generally brief, but they cause you to awaken, and returning to sleep can be difficult. A nightmare may involve these features: Your dream seems vivid and real and is very upsetting, often becoming more disturbing as the dream unfolds. Your dream storyline is usually related to threats to safety or survival, but it can have other disturbing themes. Your dream awakens you. You feel scared, anxious, angry, sad or disgusted as a result of your dream. You feel sweaty or have a pounding heartbeat while in bed. You can think clearly upon awakening and can recall details of your dream. Your dream causes distress that keeps you from falling back to sleep easily. Nightmares are only considered a disorder if you experience: Frequent occurrences Major distress or impairment during the day, such as anxiety or persistent fear, or bedtime anxiety about having another nightmare Problems with concentration or memory, or you can't stop thinking about images from your dreams Daytime sleepiness, fatigue or low energy Problems functioning at work or school or in social situations Behavior problems related to bedtime or fear of the dark Having a child with nightmare disorder can cause significant sleep disturbance and distress for parents or caregivers. When to see a doctor Occasional nightmares aren't usually a cause for concern. If your child has nightmares, you can simply mention them at a routine well-child exam. However, consult your doctor if nightmares: Occur frequently and persist over time Routinely disrupt sleep Cause fear of going to sleep Cause daytime behavior problems or difficulty functioning </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>> I am not feeling to well and am trying to figure out what could be wrong. What is tooth-abscess and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of a tooth abscess include: Severe, constant, throbbing toothache that can spread to your jawbone, neck or ear Pain or discomfort with hot and cold temperatures Pain or discomfort with the pressure of chewing or biting Fever Swelling in your face, cheek or neck that may lead to difficulty breathing or swallowing Tender, swollen lymph nodes under your jaw or in your neck Foul odor in your mouth Sudden rush of foul-smelling and foul-tasting, salty fluid in your mouth and pain relief, if the abscess ruptures </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>> I am not feeling to well and am trying to figure out what could be wrong. What is congenital-diaphragmatic-hernia and explain in detail? [/INST] If your symtopms are extreme please call 911. Congenital diaphragmatic hernia ranges in severity. It may be mild and have few or no effects on the baby, or it can be more serious and affect the ability to bring oxygen to the rest of the body. Babies born with CDH may have: CDH Severe trouble breathing due to small lungs that don't work well (pulmonary hypoplasia). A type of high blood pressure that affects the arteries in the lungs and the right side of the heart (pulmonary hypertension). Problems with development of the heart. Damage to the intestines, stomach, liver and other abdominal organs if they move through the hernia into the chest. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is fibromyalgia and explain in detail? [/INST] If your symtopms are extreme please call 911. The primary symptoms of fibromyalgia include: Widespread pain. The pain associated with fibromyalgia often is described as a constant dull ache that has lasted for at least three months. To be considered widespread, the pain must occur on both sides of your body and above and below your waist. Fatigue. People with fibromyalgia often awaken tired, even though they report sleeping for long periods of time. Sleep is often disrupted by pain, and many patients with fibromyalgia have other sleep disorders, such as restless legs syndrome and sleep apnea. Cognitive difficulties. A symptom commonly referred to as "fibro fog" impairs the ability to focus, pay attention and concentrate on mental tasks. Fibromyalgia often co-exists with other conditions, such as: Irritable bowel syndrome Chronic fatigue syndrome Migraine and other types of headaches Interstitial cystitis or painful bladder syndrome Temporomandibular joint disorders Anxiety Depression Postural tachycardia syndrome </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>> I am not feeling to well and am trying to figure out what could be wrong. What is common-warts and explain in detail? [/INST] If your symtopms are extreme please call 911. Common warts usually occur on your fingers or hands and may be: Small, fleshy, grainy bumps Rough to the touch Sprinkled with black pinpoints, which are small, clotted blood vessels </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>> I am not feeling to well and am trying to figure out what could be wrong. What is boils-and-carbuncles and explain in detail? [/INST] If your symtopms are extreme please call 911. Boils Boils can occur anywhere on your skin, but appear mainly on the face, back of the neck, armpits, thighs and buttocks — hair-bearing areas where you're most likely to sweat or experience friction. Signs and symptoms of a boil usually include: A painful, red bump that starts out small and can enlarge to more than 2 inches (5 centimeters) Reddish or purplish, swollen skin around the bump An increase in the size of the bump over a few days as it fills with pus Development of a yellow-white tip that eventually ruptures and allows the pus to drain out Carbuncles A carbuncle is a cluster of boils that form a connected area of infection. Compared with single boils, carbuncles cause a deeper and more severe infection and are more likely to leave a scar. People who have a carbuncle often feel unwell in general and may experience a fever and chills. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is primary-cough-headaches and explain in detail? [/INST] If your symtopms are extreme please call 911. Symptoms of cough headaches: Begin suddenly with and just after coughing or other types of straining Typically last a few seconds to a few minutes — some can last up to two hours Cause sharp, stabbing, splitting or "bursting" pain Usually affect both sides of your head and may be worse in the back of your head May be followed by a dull, aching pain for hours Secondary cough headaches often present with only a cough headache, but you may also experience: Longer lasting headaches Dizziness Unsteadiness Fainting Ringing in the ears or hearing loss Blurred vision or double vision Tremor A cough headache only happens right after coughing. Other headache pain is not a cough headache if you already had a headache when you coughed, or if you have a headache condition such as migraine. For example, people with migraine might find that their headaches get worse when they cough. This is normal, and not a cough headache. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is tay-sachs-disease and explain in detail? [/INST] If your symtopms are extreme please call 911. There are three forms of Tay-Sachs disease: infantile, juvenile and late onset/adult. Infantile form In the most common and severe form, called infantile form, an infant typically begins showing signs and symptoms by about 3 to 6 months of age. Survival is usually only a few years. Signs and symptoms can include: Exaggerated startle response when the baby hears loud noises "Cherry-red" spots in the eyes Loss of motor skills, including turning over, crawling and sitting up Muscle weakness, progressing to paralysis Movement problems Seizures Vision loss and blindness Hearing loss and deafness Problems swallowing Loss of mental functions and a lack of response to surroundings Growth in head size (progressive macrocephaly) Juvenile form The juvenile form of Tay-Sachs disease is less common. Signs and symptoms vary in severity and begin in childhood. Survival is typically into the teen years. Signs and symptoms can include: Behavior problems Gradual loss of skills and movement control Frequent respiratory infections Slow loss of vision and speech Decline in mental function and responsiveness Seizures Last onset/adult form This is a rare and less severe form with signs and symptoms beginning in late childhood to adulthood. Severity of symptoms varies greatly, and this form does not always impact life expectancy. Signs and symptoms progress slowly and can include: Muscle weakness Clumsiness and loss of coordination Tremors and muscle spasms Loss of the ability to walk Problems speaking and swallowing Psychiatric disorders Sometimes loss of mental function </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>> I am not feeling to well and am trying to figure out what could be wrong. What is frontotemporal-dementia and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of frontotemporal dementia can be different from one individual to the next. Signs and symptoms get progressively worse over time, usually over years. Clusters of symptom types tend to occur together, and people may have more than one cluster of symptom types. Behavioral changes The most common signs of frontotemporal dementia involve extreme changes in behavior and personality. These include: Increasingly inappropriate social behavior Loss of empathy and other interpersonal skills, such as having sensitivity to another's feelings Lack of judgment Loss of inhibition Lack of interest (apathy), which can be mistaken for depression Repetitive compulsive behavior, such as tapping, clapping or smacking lips A decline in personal hygiene Changes in eating habits, usually overeating or developing a preference for sweets and carbohydrates Eating inedible objects Compulsively wanting to put things in the mouth Speech and language problems Some subtypes of frontotemporal dementia lead to language problems or impairment or loss of speech. Primary progressive aphasia, semantic dementia and progressive agrammatic (nonfluent) aphasia are all considered to be frontotemporal dementia. Problems caused by these conditions include: Increasing difficulty in using and understanding written and spoken language, such as having trouble finding the right word to use in speech or naming objects Trouble naming things, possibly replacing a specific word with a more general word such as "it" for pen No longer knowing word meanings Having hesitant speech that may sound telegraphic Making mistakes in sentence construction Motor disorders Rarer subtypes of frontotemporal dementia are characterized by problems with movement similar to those associated with Parkinson's disease or amyotrophic lateral sclerosis (ALS). Motor-related problems may include: Tremor Rigidity Muscle spasms or twitches Poor coordination Difficulty swallowing Muscle weakness Inappropriate laughing or crying Falls or walking problems Causes In frontotemporal dementia, the frontal and temporal lobes of the brain shrink. In addition, certain substances accumulate in the brain. What causes these changes is usually unknown. There are genetic mutations that have been linked to frontotemporal dementia. But more than half of the people who develop frontotemporal dementia have no family history of dementia. Recently, researchers have confirmed shared genetics and molecular pathways between frontotemporal dementia and amyotrophic lateral sclerosis (ALS). More research needs to be done to understand the connection between these conditions, however. Risk factors Your risk of developing frontotemporal dementia is higher if you have a family history of dementia. There are no other known risk factors. By Mayo Clinic Staff By Mayo Clinic Staff Frontotemporal dementia care at Mayo Clinic </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>> I am not feeling to well and am trying to figure out what could be wrong. What is costochondritis and explain in detail? [/INST] If your symtopms are extreme please call 911. The pain associated with costochondritis usually: Occurs on the left side of your breastbone Is sharp, aching or pressure-like Affects more than one rib Can radiate to arms and shoulders Worsens when taking a deep breath, coughing, sneezing or with any chest wall movement </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>> I am not feeling to well and am trying to figure out what could be wrong. What is vitiligo and explain in detail? [/INST] If your symtopms are extreme please call 911. Vitiligo signs include: Patchy loss of skin color, which usually first appears on the hands, face, and areas around body openings and the genitals Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard Loss of color in the tissues that line the inside of the mouth and nose (mucous membranes) Vitiligo can start at any age, but usually appears before age 30. Depending on the type of vitiligo you have, it may affect: Nearly all skin surfaces. With this type, called universal vitiligo, the discoloration affects nearly all skin surfaces. Many parts of the body. With this most common type, called generalized vitiligo, the discolored patches often progress similarly on corresponding body parts (symmetrically). Only one side or part of the body. This type, called segmental vitiligo, tends to occur at a younger age, progress for a year or two, then stop. One or only a few areas of the body. This type is called localized (focal) vitiligo. The face and hands. With this type, called acrofacial vitiligo, the affected skin is on the face and hands, and around body openings, such as the eyes, nose and ears. It's difficult to predict how this disease will progress. Sometimes the patches stop forming without treatment. In most cases, pigment loss spreads and eventually involves most of the skin. Occasionally, the skin gets its color back. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is head-lice and explain in detail? [/INST] If your symtopms are extreme please call 911. Common signs and symptoms of head lice may include: Itching. The most common symptom of head lice is itching on the scalp, neck and ears. This is an allergic reaction to louse bites. When a person has head lice for the first time, itching may not occur for 4 to 6 weeks. Lice on scalp. You may be able to see the lice, but they're often hard to spot because they're small, avoid light and move quickly. Lice eggs (nits) on hair shafts. Nits stick to hair shafts and may be hard to see because they're very tiny. They're easiest to spot around the ears and the hairline of the neck. Empty nits may be easier to spot because they're lighter in color and further from the scalp. However, the presence of nits doesn't mean there are live lice. Sores on the scalp, neck and shoulders. Scratching can lead to small, red bumps that may sometimes get infected with bacteria. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is breast-cysts and explain in detail? [/INST] If your symtopms are extreme please call 911. Breast cysts may be found in one or both breasts. Signs and symptoms of a breast cyst include: A smooth, easily movable round or oval lump that may have smooth edges — which typically, though not always, indicates it's benign Nipple discharge that may be clear, yellow, straw colored or dark brown Breast pain or tenderness in the area of the breast lump An increase in breast lump size and breast tenderness just before your period A decrease in breast lump size and resolution of other symptoms after your period Having breast cysts doesn't increase your risk of breast cancer. But having cysts may make it harder to find new breast lumps or other changes that might need evaluation by your doctor. Your breasts may feel lumpy and painful when you're menstruating, so it's important to be familiar with how your breasts feel throughout your menstrual cycle so that you'll know if something changes. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is wilsons-disease and explain in detail? [/INST] If your symtopms are extreme please call 911. Wilson's disease is present at birth, but signs and symptoms don't appear until the copper builds up in the brain, liver or other organ. Signs and symptoms vary depending on the parts of your body affected by the disease. They can include: Fatigue, lack of appetite or abdominal pain A yellowing of the skin and the whites of the eye (jaundice) Golden-brown eye discoloration (Kayser-Fleischer rings) Fluid buildup in the legs or abdomen Problems with speech, swallowing or physical coordination Uncontrolled movements or muscle stiffness When to see a doctor Make an appointment with your doctor if you have signs and symptoms that worry you, especially if a family member has Wilson's 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>> I am not feeling to well and am trying to figure out what could be wrong. What is pulmonary-hypertension and explain in detail? [/INST] If your symtopms are extreme please call 911. The signs and symptoms of pulmonary hypertension develop slowly. You may not notice them for months or even years. Symptoms get worse as the disease progresses. Pulmonary hypertension signs and symptoms include: Blue lips and skin (cyanosis) Chest pressure or pain Dizziness or fainting spells (syncope) Fast pulse or pounding heartbeat (palpitations) Fatigue Shortness of breath (dyspnea), initially while exercising and eventually while at rest Swelling (edema) in the ankles, legs and eventually the belly area (abdomen) </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>> I am not feeling to well and am trying to figure out what could be wrong. What is bedbugs and explain in detail? [/INST] If your symtopms are extreme please call 911. Bedbug bites Open pop-up dialog box Close Bedbug bites Bedbug bites It can be difficult to tell bedbug bites from other types of insect bites. However, they are typically itchy, and they may appear clustered or lined up in rough rows. Bedbug bites Open pop-up dialog box Bedbug bites Open pop-up dialog box Open pop-up dialog box Close Bedbug bites Bedbug bites It can be difficult to tell bedbug bites from other types of insect bites. However, they are typically itchy, and they may appear clustered or lined up in rough rows. Close Bedbug bites Bedbug bites It can be difficult to tell bedbug bites from other types of insect bites. However, they are typically itchy, and they may appear clustered or lined up in rough rows. Close Bedbug bites Bedbug bites It can be difficult to tell bedbug bites from other types of insect bites. However, they are typically itchy, and they may appear clustered or lined up in rough rows. Close Close Close Bedbug bites Bedbug bites It can be difficult to tell bedbug bites from other types of insect bites. However, they are typically itchy, and they may appear clustered or lined up in rough rows. Bedbug bites It can be difficult to tell bedbug bites from other types of insect bites. However, they are typically itchy, and they may appear clustered or lined up in rough rows. It can be difficult to tell bedbug bites from other types of insect bites. However, they are typically itchy, and they may appear clustered or lined up in rough rows. Symptoms of bedbug bites are similar to symptoms of other insect bites and rashes. Bedbug bites are usually: Inflamed spots, often with a darker spot in the middle Itchy Arranged in a rough line or in a cluster Located on the face, neck, arms and hands Some people have no reaction to bedbug bites, while others experience an allergic reaction that can include severe itching, blisters or hives. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is hyperoxaluria and explain in detail? [/INST] If your symtopms are extreme please call 911. Often, the first sign of hyperoxaluria is a kidney stone. Symptoms of a kidney stone can include: Severe or sudden back pain Pain in the area below the ribs on the back (flank) that doesn't go away Blood in the urine Frequent urge to urinate Pain when urinating Chills or fever </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>> I am not feeling to well and am trying to figure out what could be wrong. What is low-sperm-count and explain in detail? [/INST] If your symtopms are extreme please call 911. The main sign of low sperm count is the inability to conceive a child. There might be no other obvious signs or symptoms. In some men, an underlying problem such as an inherited chromosomal abnormality, a hormonal imbalance, dilated testicular veins or a condition that blocks the passage of sperm may cause signs and symptoms. Low sperm count symptoms might include: Problems with sexual function — for example, low sex drive or difficulty maintaining an erection (erectile dysfunction) Pain, swelling or a lump in the testicle area Decreased facial or body hair or other signs of a chromosome or hormone abnormality </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>> I am not feeling to well and am trying to figure out what could be wrong. What is anaphylaxis and explain in detail? [/INST] If your symtopms are extreme please call 911. Anaphylaxis symptoms usually occur within minutes of exposure to an allergen. Sometimes, however, anaphylaxis can occur a half-hour or longer after exposure. In rare cases, anaphylaxis may be delayed for hours. Signs and symptoms include: Skin reactions, including hives and itching and flushed or pale skin Low blood pressure (hypotension) Constriction of the airways and a swollen tongue or throat, which can cause wheezing and trouble breathing A weak and rapid pulse Nausea, vomiting or diarrhea Dizziness or fainting </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>> I am not feeling to well and am trying to figure out what could be wrong. What is neck-pain and explain in detail? [/INST] If your symtopms are extreme please call 911. Symptoms include: Pain that's often worsened by holding the head in one place for long periods, such as when driving or working at a computer Muscle tightness and spasms Decreased ability to move the head Headache </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>> I am not feeling to well and am trying to figure out what could be wrong. What is itchy-skin and explain in detail? [/INST] If your symtopms are extreme please call 911. Itchy skin can affect small areas, such as the scalp, an arm or a leg. Or it can cover the whole body. Itchy skin can occur without any other noticeable changes on the skin. Or it may come with: Inflamed skin Scratch marks Bumps, spots or blisters Dry, cracked skin Leathery or scaly patches Sometimes itchiness lasts a long time and can be intense. As you rub or scratch the area, it gets itchier. And the more it itches, the more you scratch. Breaking this itch-scratch cycle can be difficult. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is endometriosis and explain in detail? [/INST] If your symtopms are extreme please call 911. The primary symptom of endometriosis is pelvic pain, often associated with menstrual periods. Although many experience cramping during their menstrual periods, those with endometriosis typically describe menstrual pain that's far worse than usual. Pain also may increase over time. Common signs and symptoms of endometriosis include: Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and extend several days into a menstrual period. You may also have lower back and abdominal pain. Pain with intercourse. Pain during or after sex is common with endometriosis. Pain with bowel movements or urination. You're most likely to experience these symptoms during a menstrual period. Excessive bleeding. You may experience occasional heavy menstrual periods or bleeding between periods (intermenstrual bleeding). Infertility. Sometimes, endometriosis is first diagnosed in those seeking treatment for infertility. Other signs and symptoms. You may experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods. The severity of your pain may not be a reliable indicator of the extent of your condition. You could have mild endometriosis with severe pain, or you could have advanced endometriosis with little or no pain. Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as pelvic inflammatory disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is colic and explain in detail? [/INST] If your symtopms are extreme please call 911. Babies have been known to fuss and cry, especially during the first three months of life. The range for what's considered typical crying is difficult to pin down. In general, colic is defined as crying for three or more hours a day, three or more days a week, for three or more weeks. Features of colic may include the following: Intense crying that may seem more like screaming or an expression of pain Crying for no apparent reason, unlike crying to express hunger or the need for a diaper change Extreme fussiness even after crying has diminished Predictable timing, with episodes often occurring in the evening Facial discoloring, such as skin flushing or blushing Body tension, such as pulled up or stiffened legs, stiffened arms, clenched fists, arched back, or tense abdomen Sometimes there is relief in symptoms after the infant passes gas or has a bowel movement. Gas is likely the result of swallowed air during prolonged crying. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is spinal-cord-injury and explain in detail? [/INST] If your symtopms are extreme please call 911. Spinal cord injuries Open pop-up dialog box Close Spinal cord injuries Spinal cord injuries Paralysis of the lower half of the body is called paraplegia. Paralysis below the neck, including both arms and legs, is called quadriplegia. Spinal cord injuries Open pop-up dialog box Spinal cord injuries Open pop-up dialog box Open pop-up dialog box Close Spinal cord injuries Spinal cord injuries Paralysis of the lower half of the body is called paraplegia. Paralysis below the neck, including both arms and legs, is called quadriplegia. Close Spinal cord injuries Spinal cord injuries Paralysis of the lower half of the body is called paraplegia. Paralysis below the neck, including both arms and legs, is called quadriplegia. Close Spinal cord injuries Spinal cord injuries Paralysis of the lower half of the body is called paraplegia. Paralysis below the neck, including both arms and legs, is called quadriplegia. Close Close Close Spinal cord injuries Spinal cord injuries Paralysis of the lower half of the body is called paraplegia. Paralysis below the neck, including both arms and legs, is called quadriplegia. Spinal cord injuries Paralysis of the lower half of the body is called paraplegia. Paralysis below the neck, including both arms and legs, is called quadriplegia. Paralysis of the lower half of the body is called paraplegia. Paralysis below the neck, including both arms and legs, is called quadriplegia. Your ability to control your limbs after a spinal cord injury depends on two factors: where the injury occurred on your spinal cord and the severity of injury. The lowest part of your spinal cord that remains undamaged after an injury is referred to as the neurological level of your injury. The severity of the injury is often called "the completeness" and is classified as either of the following: Complete. If all feeling (sensory) and all ability to control movement (motor function) are lost below the spinal cord injury, your injury is called complete. Incomplete. If you have some motor or sensory function below the affected area, your injury is called incomplete. There are varying degrees of incomplete injury. Additionally, paralysis from a spinal cord injury can be referred to as: Tetraplegia. Also known as quadriplegia, this means that your arms, hands, trunk, legs and pelvic organs are all affected by your spinal cord injury. Paraplegia. This paralysis affects all or part of the trunk, legs and pelvic organs. Your health care team will perform a series of tests to determine the neurological level and completeness of your injury. Spinal cord injuries can cause one or more of the following signs and symptoms: Loss of movement Loss of or altered sensation, including the ability to feel heat, cold and touch Loss of bowel or bladder control Exaggerated reflex activities or spasms Changes in sexual function, sexual sensitivity and fertility Pain or an intense stinging sensation caused by damage to the nerve fibers in your spinal cord Difficulty breathing, coughing or clearing secretions from your lungs Emergency signs and symptoms Emergency signs and symptoms of a spinal cord injury after an accident include: Extreme back pain or pressure in your neck, head or back Weakness, incoordination or paralysis in any part of your body Numbness, tingling or loss of sensation in your hands, fingers, feet or toes Loss of bladder or bowel control Difficulty with balance and walking Impaired breathing after injury An oddly positioned or twisted neck or back </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>> I am not feeling to well and am trying to figure out what could be wrong. What is cardiomyopathy and explain in detail? [/INST] If your symtopms are extreme please call 911. There might be no signs or symptoms in the early stages of cardiomyopathy. But as the condition advances, signs and symptoms usually appear, including: Breathlessness with activity or even at rest Swelling of the legs, ankles and feet Bloating of the abdomen due to fluid buildup Cough while lying down Difficulty lying flat to sleep Fatigue Heartbeats that feel rapid, pounding or fluttering Chest discomfort or pressure Dizziness, lightheadedness and fainting Signs and symptoms tend to get worse unless treated. In some people, the condition worsens quickly; in others, it might not worsen for a long 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>> I am not feeling to well and am trying to figure out what could be wrong. What is dsrct and explain in detail? [/INST] If your symtopms are extreme please call 911. Desmoplastic small round cell tumor symptoms vary depending on where the cancer begins. Most often it begins in the abdomen. Signs and symptoms of desmoplastic small round cell tumors in the abdomen include: Swelling of the abdomen Abdominal pain Constipation Difficulty urinating </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>> I am not feeling to well and am trying to figure out what could be wrong. What is osteoarthritis and explain in detail? [/INST] If your symtopms are extreme please call 911. Bone spurs on spine Open pop-up dialog box Close Bone spurs on spine Bone spurs on spine In osteoarthritis of the spine, disks narrow and bone spurs form. Bone spurs on spine Open pop-up dialog box Bone spurs on spine Open pop-up dialog box Open pop-up dialog box Close Bone spurs on spine Bone spurs on spine In osteoarthritis of the spine, disks narrow and bone spurs form. Close Bone spurs on spine Bone spurs on spine In osteoarthritis of the spine, disks narrow and bone spurs form. Close Bone spurs on spine Bone spurs on spine In osteoarthritis of the spine, disks narrow and bone spurs form. Close Close Close Bone spurs on spine Bone spurs on spine In osteoarthritis of the spine, disks narrow and bone spurs form. Bone spurs on spine In osteoarthritis of the spine, disks narrow and bone spurs form. In osteoarthritis of the spine, disks narrow and bone spurs form. Osteoarthritis of the hip Open pop-up dialog box Close Osteoarthritis of the hip Osteoarthritis of the hip The hip joint shown on the left side of the image is normal, but the hip joint shown on the right side of the image shows deterioration of cartilage and the formation of bone spurs due to osteoarthritis. Osteoarthritis of the hip Open pop-up dialog box Osteoarthritis of the hip Open pop-up dialog box Open pop-up dialog box Close Osteoarthritis of the hip Osteoarthritis of the hip The hip joint shown on the left side of the image is normal, but the hip joint shown on the right side of the image shows deterioration of cartilage and the formation of bone spurs due to osteoarthritis. Close Osteoarthritis of the hip Osteoarthritis of the hip The hip joint shown on the left side of the image is normal, but the hip joint shown on the right side of the image shows deterioration of cartilage and the formation of bone spurs due to osteoarthritis. Close Osteoarthritis of the hip Osteoarthritis of the hip The hip joint shown on the left side of the image is normal, but the hip joint shown on the right side of the image shows deterioration of cartilage and the formation of bone spurs due to osteoarthritis. Close Close Close Osteoarthritis of the hip Osteoarthritis of the hip The hip joint shown on the left side of the image is normal, but the hip joint shown on the right side of the image shows deterioration of cartilage and the formation of bone spurs due to osteoarthritis. Osteoarthritis of the hip The hip joint shown on the left side of the image is normal, but the hip joint shown on the right side of the image shows deterioration of cartilage and the formation of bone spurs due to osteoarthritis. The hip joint shown on the left side of the image is normal, but the hip joint shown on the right side of the image shows deterioration of cartilage and the formation of bone spurs due to osteoarthritis. Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of osteoarthritis include: Pain. Affected joints might hurt during or after movement. Stiffness. Joint stiffness might be most noticeable upon awakening or after being inactive. Tenderness. Your joint might feel tender when you apply light pressure to or near it. Loss of flexibility. You might not be able to move your joint through its full range of motion. Grating sensation. You might feel a grating sensation when you use the joint, and you might hear popping or crackling. Bone spurs. These extra bits of bone, which feel like hard lumps, can form around the affected joint. Swelling. This might be caused by soft tissue inflammation around the joint. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is chagas-disease and explain in detail? [/INST] If your symtopms are extreme please call 911. Chagas disease can cause a sudden, brief illness (acute), or it may be a long-lasting (chronic) condition. Symptoms range from mild to severe, although many people don't experience symptoms until the chronic stage. Acute phase The acute phase of Chagas disease, which lasts for weeks or months, is often symptom-free. When signs and symptoms do occur, they are usually mild and may include: Swelling at the infection site Fever Fatigue Rash Body aches Eyelid swelling Headache Loss of appetite Nausea, diarrhea or vomiting Swollen glands Enlargement of your liver or spleen Signs and symptoms that develop during the acute phase usually go away on their own. In some cases, if the infection isn't treated, Chagas disease will advance to the chronic phase. Chronic phase Signs and symptoms of the chronic phase of Chagas disease may occur 10 to 20 years after initial infection, or they may never occur. In severe cases, Chagas disease signs and symptoms may include: Irregular heartbeat Heart failure Sudden cardiac arrest Difficulty swallowing due to enlarged esophagus Stomach pain or constipation due to enlarged colon </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>> I am not feeling to well and am trying to figure out what could be wrong. What is black-hairy-tongue and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of black hairy tongue include: Black discoloration of the tongue, although the color may be brown, tan, green, yellow or white A hairy or furry appearance of the tongue Altered taste or metallic taste in your mouth Bad breath (halitosis) Gagging or tickling sensation, if the overgrowth of the papillae is excessive </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>> I am not feeling to well and am trying to figure out what could be wrong. What is cervical-cancer and explain in detail? [/INST] If your symtopms are extreme please call 911. Female reproductive system Open pop-up dialog box Close Female reproductive system Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. Female reproductive system Open pop-up dialog box Female reproductive system Open pop-up dialog box Open pop-up dialog box Close Female reproductive system Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. Close Female reproductive system Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. Close Female reproductive system Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. Close Close Close Female reproductive system Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. Early-stage cervical cancer generally produces no signs or symptoms. Signs and symptoms of more-advanced cervical cancer include: Vaginal bleeding after intercourse, between periods or after menopause Watery, bloody vaginal discharge that may be heavy and have a foul odor Pelvic pain or pain during intercourse </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>> I am not feeling to well and am trying to figure out what could be wrong. What is cradle-cap and explain in detail? [/INST] If your symtopms are extreme please call 911. Common signs of cradle cap include: Patchy scaling or thick crusts on the scalp Oily or dry skin covered with flaky white or yellow scales Skin flakes Possibly mild redness Similar scales may also be present on the ears, eyelids, nose and groin. Cradle cap is common in newborns. It usually isn't itchy. Cradle cap is the common term for infantile seborrheic dermatitis. It's sometimes confused with another skin condition, atopic dermatitis. A major difference between these conditions is that atopic dermatitis usually causes significant itching. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is skin-cancer and explain in detail? [/INST] If your symtopms are extreme please call 911. Where skin cancer develops Basal cell carcinoma on white skin Open pop-up dialog box Close Basal cell carcinoma on white skin Basal cell carcinoma on white skin Basal cell carcinoma is a type of skin cancer that most often develops on areas of skin exposed to the sun, such as the face. On white skin, basal cell carcinoma often looks like a bump that's skin-colored or pink. Basal cell carcinoma on white skin Open pop-up dialog box Basal cell carcinoma on white skin Open pop-up dialog box Open pop-up dialog box Close Basal cell carcinoma on white skin Basal cell carcinoma on white skin Basal cell carcinoma is a type of skin cancer that most often develops on areas of skin exposed to the sun, such as the face. On white skin, basal cell carcinoma often looks like a bump that's skin-colored or pink. Close Basal cell carcinoma on white skin Basal cell carcinoma on white skin Basal cell carcinoma is a type of skin cancer that most often develops on areas of skin exposed to the sun, such as the face. On white skin, basal cell carcinoma often looks like a bump that's skin-colored or pink. Close Basal cell carcinoma on white skin Basal cell carcinoma on white skin Basal cell carcinoma is a type of skin cancer that most often develops on areas of skin exposed to the sun, such as the face. On white skin, basal cell carcinoma often looks like a bump that's skin-colored or pink. Close Close Close Basal cell carcinoma on white skin Basal cell carcinoma on white skin Basal cell carcinoma is a type of skin cancer that most often develops on areas of skin exposed to the sun, such as the face. On white skin, basal cell carcinoma often looks like a bump that's skin-colored or pink. Basal cell carcinoma on white skin Basal cell carcinoma is a type of skin cancer that most often develops on areas of skin exposed to the sun, such as the face. On white skin, basal cell carcinoma often looks like a bump that's skin-colored or pink. Basal cell carcinoma is a type of skin cancer that most often develops on areas of skin exposed to the sun, such as the face. On white skin, basal cell carcinoma often looks like a bump that's skin-colored or pink. Squamous cell carcinoma of the skin Open pop-up dialog box Close Squamous cell carcinoma of the skin Squamous cell carcinoma of the skin Sun-exposed areas such as the lips and ears are especially likely to develop squamous cell carcinoma of the skin. Squamous cell carcinoma of the skin Open pop-up dialog box Squamous cell carcinoma of the skin Open pop-up dialog box Open pop-up dialog box Close Squamous cell carcinoma of the skin Squamous cell carcinoma of the skin Sun-exposed areas such as the lips and ears are especially likely to develop squamous cell carcinoma of the skin. Close Squamous cell carcinoma of the skin Squamous cell carcinoma of the skin Sun-exposed areas such as the lips and ears are especially likely to develop squamous cell carcinoma of the skin. Close Squamous cell carcinoma of the skin Squamous cell carcinoma of the skin Sun-exposed areas such as the lips and ears are especially likely to develop squamous cell carcinoma of the skin. Close Close Close Squamous cell carcinoma of the skin Squamous cell carcinoma of the skin Sun-exposed areas such as the lips and ears are especially likely to develop squamous cell carcinoma of the skin. Squamous cell carcinoma of the skin Sun-exposed areas such as the lips and ears are especially likely to develop squamous cell carcinoma of the skin. Sun-exposed areas such as the lips and ears are especially likely to develop squamous cell carcinoma of the skin. Melanoma Open pop-up dialog box Close Melanoma Melanoma The first sign of melanoma is often a mole that changes size, shape or color. This melanoma shows color variations and an irregular border, both of which are melanoma warning signs. Melanoma Open pop-up dialog box Melanoma Open pop-up dialog box Open pop-up dialog box Close Melanoma Melanoma The first sign of melanoma is often a mole that changes size, shape or color. This melanoma shows color variations and an irregular border, both of which are melanoma warning signs. Close Melanoma Melanoma The first sign of melanoma is often a mole that changes size, shape or color. This melanoma shows color variations and an irregular border, both of which are melanoma warning signs. Close Melanoma Melanoma The first sign of melanoma is often a mole that changes size, shape or color. This melanoma shows color variations and an irregular border, both of which are melanoma warning signs. Close Close Close Melanoma Melanoma The first sign of melanoma is often a mole that changes size, shape or color. This melanoma shows color variations and an irregular border, both of which are melanoma warning signs. Melanoma The first sign of melanoma is often a mole that changes size, shape or color. This melanoma shows color variations and an irregular border, both of which are melanoma warning signs. The first sign of melanoma is often a mole that changes size, shape or color. This melanoma shows color variations and an irregular border, both of which are melanoma warning signs. Merkel cell carcinoma Open pop-up dialog box Close Merkel cell carcinoma Merkel cell carcinoma Merkel cell carcinoma is a rare, aggressive skin cancer. It appears as a painless, flesh-colored or bluish-red nodule growing on your skin. Merkel cell carcinoma Open pop-up dialog box Merkel cell carcinoma Open pop-up dialog box Open pop-up dialog box Close Merkel cell carcinoma Merkel cell carcinoma Merkel cell carcinoma is a rare, aggressive skin cancer. It appears as a painless, flesh-colored or bluish-red nodule growing on your skin. Close Merkel cell carcinoma Merkel cell carcinoma Merkel cell carcinoma is a rare, aggressive skin cancer. It appears as a painless, flesh-colored or bluish-red nodule growing on your skin. Close Merkel cell carcinoma Merkel cell carcinoma Merkel cell carcinoma is a rare, aggressive skin cancer. It appears as a painless, flesh-colored or bluish-red nodule growing on your skin. Close Close Close Merkel cell carcinoma Merkel cell carcinoma Merkel cell carcinoma is a rare, aggressive skin cancer. It appears as a painless, flesh-colored or bluish-red nodule growing on your skin. Merkel cell carcinoma Merkel cell carcinoma is a rare, aggressive skin cancer. It appears as a painless, flesh-colored or bluish-red nodule growing on your skin. Merkel cell carcinoma is a rare, aggressive skin cancer. It appears as a painless, flesh-colored or bluish-red nodule growing on your skin. Skin cancer develops primarily on areas of sun-exposed skin, including the scalp, face, lips, ears, neck, chest, arms and hands, and on the legs in women. But it can also form on areas that rarely see the light of day — your palms, beneath your fingernails or toenails, and your genital area. Skin cancer affects people of all skin tones, including those with darker complexions. When melanoma occurs in people with dark skin tones, it's more likely to occur in areas not normally exposed to the sun, such as the palms of the hands and soles of the feet. Basal cell carcinoma signs and symptoms Basal cell carcinoma usually occurs in sun-exposed areas of your body, such as your neck or face. Basal cell carcinoma may appear as: A pearly or waxy bump A flat, flesh-colored or brown scar-like lesion A bleeding or scabbing sore that heals and returns Squamous cell carcinoma signs and symptoms Most often, squamous cell carcinoma occurs on sun-exposed areas of your body, such as your face, ears and hands. People with darker skin are more likely to develop squamous cell carcinoma on areas that aren't often exposed to the sun. Squamous cell carcinoma may appear as: A firm, red nodule A flat lesion with a scaly, crusted surface Melanoma signs and symptoms Melanoma can develop anywhere on your body, in otherwise normal skin or in an existing mole that becomes cancerous. Melanoma most often appears on the face or the trunk of affected men. In women, this type of cancer most often develops on the lower legs. In both men and women, melanoma can occur on skin that hasn't been exposed to the sun. Melanoma can affect people of any skin tone. In people with darker skin tones, melanoma tends to occur on the palms or soles, or under the fingernails or toenails. Melanoma signs include: A large brownish spot with darker speckles A mole that changes in color, size or feel or that bleeds A small lesion with an irregular border and portions that appear red, pink, white, blue or blue-black A painful lesion that itches or burns Dark lesions on your palms, soles, fingertips or toes, or on mucous membranes lining your mouth, nose, vagina or anus Signs and symptoms of less common skin cancers Other, less common types of skin cancer include: Kaposi sarcoma. This rare form of skin cancer develops in the skin's blood vessels and causes red or purple patches on the skin or mucous membranes. Kaposi sarcoma mainly occurs in people with weakened immune systems, such as people with AIDS, and in people taking medications that suppress their natural immunity, such as people who've undergone organ transplants. Other people with an increased risk of Kaposi sarcoma include young men living in Africa or older men of Italian or Eastern European Jewish heritage. Merkel cell carcinoma. Merkel cell carcinoma causes firm, shiny nodules that occur on or just beneath the skin and in hair follicles. Merkel cell carcinoma is most often found on the head, neck and trunk. Sebaceous gland carcinoma. This uncommon and aggressive cancer originates in the oil glands in the skin. Sebaceous gland carcinomas — which usually appear as hard, painless nodules — can develop anywhere, but most occur on the eyelid, where they're frequently mistaken for other eyelid problems. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is hemophilia and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of hemophilia vary, depending on your level of clotting factors. If your clotting-factor level is mildly reduced, you might bleed only after surgery or trauma. If your deficiency is severe, you can bleed easily for seemingly no reason. Signs and symptoms of spontaneous bleeding include: Unexplained and excessive bleeding from cuts or injuries, or after surgery or dental work Many large or deep bruises Unusual bleeding after vaccinations Pain, swelling or tightness in your joints Blood in your urine or stool Nosebleeds without a known cause In infants, unexplained irritability Bleeding into the brain A simple bump on the head can cause bleeding into the brain for some people who have severe hemophilia. This rarely happens, but it's one of the most serious complications that can occur. Signs and symptoms include: Painful, prolonged headache Repeated vomiting Sleepiness or lethargy Double vision Sudden weakness or clumsiness Convulsions or seizures </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>> I am not feeling to well and am trying to figure out what could be wrong. What is childhood-schizophrenia and explain in detail? [/INST] If your symtopms are extreme please call 911. Schizophrenia involves a range of problems with thinking, behavior or emotions. Signs and symptoms may vary, but usually involve delusions, hallucinations or disorganized speech, and reflect an impaired ability to function. The effect can be disabling. In most people with schizophrenia, symptoms generally start in the mid- to late 20s, though it can start later, up to the mid-30s. Schizophrenia is considered early onset when it starts before the age of 18. Onset of schizophrenia in children younger than age 13 is extremely rare. Symptoms can vary in type and severity over time, with periods of worsening and remission of symptoms. Some symptoms may always be present. Schizophrenia can be difficult to recognize in the early phases. Early signs and symptoms Schizophrenia signs and symptoms in children and teenagers are similar to those in adults, but the condition may be more difficult to recognize in this age group. Early signs and symptoms may include problems with thinking, behavior and emotions. Thinking: Problems with thinking and reasoning Bizarre ideas or speech Confusing dreams or television for reality Behavior: Withdrawal from friends and family Trouble sleeping Lack of motivation — for example, showing up as a drop in performance at school Not meeting daily expectations, such as bathing or dressing Bizarre behavior Violent or aggressive behavior or agitation Recreational drug or nicotine use Emotions: Irritability or depressed mood Lack of emotion, or emotions inappropriate for the situation Strange anxieties and fears Excessive suspicion of others Later signs and symptoms As children with schizophrenia age, more typical signs and symptoms of the disorder begin to appear. Signs and symptoms may include: Delusions. These are false beliefs that are not based in reality. For example, you think that you're being harmed or harassed; that certain gestures or comments are directed at you; that you have exceptional ability or fame; that another person is in love with you; or that a major catastrophe is about to occur. Delusions occur in most people with schizophrenia. Hallucinations. These usually involve seeing or hearing things that don't exist. Yet for the person with schizophrenia, hallucinations have the full force and impact of a normal experience. Hallucinations can be in any of the senses, but hearing voices is the most common hallucination. Disorganized thinking. Disorganized thinking is inferred from disorganized speech. Effective communication can be impaired, and answers to questions may be partially or completely unrelated. Rarely, speech may include putting together meaningless words that can't be understood, sometimes known as word salad. Extremely disorganized or abnormal motor behavior. This may show in several ways, from childlike silliness to unpredictable agitation. Behavior is not focused on a goal, which makes it hard to do tasks. Behavior can include resistance to instructions, inappropriate or bizarre posture, a complete lack of response, or useless and excessive movement. Negative symptoms. This refers to reduced or lack of ability to function normally. For example, the person may neglect personal hygiene or appear to lack emotion — doesn't make eye contact, doesn't change facial expressions, speaks in a monotone, or doesn't add hand or head movements that normally occur when speaking. Also, the person may avoid people and activities or lack the ability to experience pleasure. Compared with schizophrenia symptoms in adults, children and teens may be: Less likely to have delusions More likely to have visual hallucinations Symptoms may be difficult to interpret When childhood schizophrenia begins early in life, symptoms may build up gradually. Early signs and symptoms may be so vague that you can't recognize what's wrong. Some early signs can be mistaken for typical development during early teen years, or they could be symptoms of other mental or physical conditions. As time goes on, signs may become more severe and more noticeable. Eventually, your child may develop the symptoms of psychosis, including hallucinations, delusions and difficulty organizing thoughts. As thoughts become more disorganized, there's often a "break from reality" (psychosis) frequently requiring hospitalization and treatment with medication. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is legionnaires-disease and explain in detail? [/INST] If your symtopms are extreme please call 911. Legionnaires' disease usually develops two to 10 days after exposure to legionella bacteria. It frequently begins with the following signs and symptoms: Headache Muscle aches Fever that may be 104 F (40 C) or higher By the second or third day, you'll develop other signs and symptoms that can include: Cough, which might bring up mucus and sometimes blood Shortness of breath Chest pain Gastrointestinal symptoms, such as nausea, vomiting and diarrhea Confusion or other mental changes Although Legionnaires' disease primarily affects the lungs, it occasionally can cause infections in wounds and in other parts of the body, including the heart. A mild form of Legionnaires' disease — known as Pontiac fever — can produce fever, chills, headache and muscle aches. Pontiac fever doesn't infect your lungs, and symptoms usually clear within two to five days. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is muscle-strains and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms will vary, depending on the severity of the injury, and may include: Pain or tenderness Redness or bruising Limited motion Muscle spasms Swelling Muscle weakness When to see the doctor Mild strains can be treated at home. See a doctor if your symptoms worsen despite treatment — especially if your pain becomes intolerable, or you experience numbness or tingling. Causes Acute strains can be caused by one event, such as using poor body mechanics to lift something heavy. Chronic muscle strains can result from repetitive injuries when you stress a muscle by doing the same motion over and over. Risk factors Participating in contact sports — such as soccer, football, hockey, boxing and wrestling — can increase your risk of muscle strains. Certain parts of the body are more susceptible to strains during participation in certain sports. Examples include: Legs and ankles. Sports that feature quick starts and jumping, such as hurdling and basketball, can be particularly tough on the Achilles tendon in your ankle. Hands. Gripping sports, such as gymnastics or golf, can increase your risk of muscle strains in your hands. Elbows. Elbow strains are often caused by throwing sports and racquet sports. Prevention Regular stretching and strengthening exercises for your sport, fitness or work activity, as part of an overall physical conditioning program, can help to minimize your risk of muscle strains. Try to be in shape to play your sport; don't play your sport to get in shape. If you have a physically demanding occupation, regular conditioning can help prevent injuries. By Mayo Clinic Staff By Mayo Clinic Staff Request an appointment Request an appointment Diagnosis & treatment Diagnosis & treatment Diagnosis & treatment Oct. 11, 2022 Print Print Share on: FacebookTwitter Facebook Twitter Show references Sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/sprains-and-strains/advanced. Accessed April 27, 2018. Walls RM, et al., eds. General principles of orthopedic injuries. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed April 27, 2018. Safran MR, et al. Strain. In: Instructions for Sports Medicine Patients. 2nd ed. Philadelphia, Pa.: Elsevier Saunders; 2012. https://www.clinicalkey.com. Accessed April 27, 2018. Sprains, strains and other soft-tissue injuries. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/sprains-strains-and-other-soft-tissue-injuries. Accessed April 27, 2018. Show references Sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/sprains-and-strains/advanced. Accessed April 27, 2018. Walls RM, et al., eds. General principles of orthopedic injuries. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed April 27, 2018. Safran MR, et al. Strain. In: Instructions for Sports Medicine Patients. 2nd ed. Philadelphia, Pa.: Elsevier Saunders; 2012. https://www.clinicalkey.com. Accessed April 27, 2018. Sprains, strains and other soft-tissue injuries. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/sprains-strains-and-other-soft-tissue-injuries. Accessed April 27, 2018. Sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/sprains-and-strains/advanced. Accessed April 27, 2018. Walls RM, et al., eds. General principles of orthopedic injuries. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed April 27, 2018. Safran MR, et al. Strain. In: Instructions for Sports Medicine Patients. 2nd ed. Philadelphia, Pa.: Elsevier Saunders; 2012. https://www.clinicalkey.com. Accessed April 27, 2018. Sprains, strains and other soft-tissue injuries. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/sprains-strains-and-other-soft-tissue-injuries. Accessed April 27, 2018. Sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/sprains-and-strains/advanced. Accessed April 27, 2018. Walls RM, et al., eds. General principles of orthopedic injuries. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed April 27, 2018. Safran MR, et al. Strain. In: Instructions for Sports Medicine Patients. 2nd ed. Philadelphia, Pa.: Elsevier Saunders; 2012. https://www.clinicalkey.com. Accessed April 27, 2018. Sprains, strains and other soft-tissue injuries. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/sprains-strains-and-other-soft-tissue-injuries. Accessed April 27, 2018. Related Associated Procedures Ultrasound Products & Services Book: Mayo Clinic Book of Home Remedies Related Associated Procedures Ultrasound Associated Procedures Ultrasound </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>> I am not feeling to well and am trying to figure out what could be wrong. What is pouchitis and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of pouchitis can include diarrhea, abdominal pain, joint pain, cramps and fever. Other signs and symptoms include an increased number of bowel movements, nighttime stool leakage, difficulty controlling bowel movements and a strong urge to have a bowel movement. Clinical trials Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Explore Mayo Clinic studies By Mayo Clinic Staff By Mayo Clinic Staff Pouchitis care at Mayo Clinic </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>> I am not feeling to well and am trying to figure out what could be wrong. What is invasive-lobular-carcinoma and explain in detail? [/INST] If your symtopms are extreme please call 911. At its earliest stages, invasive lobular carcinoma may cause no signs and symptoms. As it grows larger, invasive lobular carcinoma may cause: An area of thickening in part of the breast A new area of fullness or swelling in the breast A change in the texture or appearance of the skin over the breast, such as dimpling or thickening A newly inverted nipple Invasive lobular carcinoma is less likely than other forms of breast cancer to cause a firm or distinct breast 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>> I am not feeling to well and am trying to figure out what could be wrong. What is carcinoma-unknown-primary and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of carcinoma of unknown primary depend on what part of the body is involved. In general, they might include: A lump that can be felt through the skin Pain Changes in bowel habits, such as new and persistent constipation or diarrhea Frequent urination Cough Fever Night sweats Losing weight without trying </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>> I am not feeling to well and am trying to figure out what could be wrong. What is dengue-fever and explain in detail? [/INST] If your symtopms are extreme please call 911. Many people experience no signs or symptoms of a dengue infection. When symptoms do occur, they may be mistaken for other illnesses — such as the flu — and usually begin four to 10 days after you are bitten by an infected mosquito. Dengue fever causes a high fever — 104 F (40 C) — and any of the following signs and symptoms: Headache Muscle, bone or joint pain Nausea Vomiting Pain behind the eyes Swollen glands Rash Most people recover within a week or so. In some cases, symptoms worsen and can become life-threatening. This is called severe dengue, dengue hemorrhagic fever or dengue shock syndrome. Severe dengue happens when your blood vessels become damaged and leaky. And the number of clot-forming cells (platelets) in your bloodstream drops. This can lead to shock, internal bleeding, organ failure and even death. Warning signs of severe dengue fever — which is a life-threatening emergency — can develop quickly. The warning signs usually begin the first day or two after your fever goes away, and may include: Severe stomach pain Persistent vomiting Bleeding from your gums or nose Blood in your urine, stools or vomit Bleeding under the skin, which might look like bruising Difficult or rapid breathing Fatigue Irritability or restlessness </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>> I am not feeling to well and am trying to figure out what could be wrong. What is rosacea and explain in detail? [/INST] If your symtopms are extreme please call 911. Rhinophyma Open pop-up dialog box Close Rhinophyma Rhinophyma Over time, rosacea can thicken the skin on the nose, causing the nose to appear bulbous (rhinophyma). This occurs more often in men than in women. Rhinophyma Open pop-up dialog box Rhinophyma Open pop-up dialog box Open pop-up dialog box Close Rhinophyma Rhinophyma Over time, rosacea can thicken the skin on the nose, causing the nose to appear bulbous (rhinophyma). This occurs more often in men than in women. Close Rhinophyma Rhinophyma Over time, rosacea can thicken the skin on the nose, causing the nose to appear bulbous (rhinophyma). This occurs more often in men than in women. Close Rhinophyma Rhinophyma Over time, rosacea can thicken the skin on the nose, causing the nose to appear bulbous (rhinophyma). This occurs more often in men than in women. Close Close Close Rhinophyma Rhinophyma Over time, rosacea can thicken the skin on the nose, causing the nose to appear bulbous (rhinophyma). This occurs more often in men than in women. Rhinophyma Over time, rosacea can thicken the skin on the nose, causing the nose to appear bulbous (rhinophyma). This occurs more often in men than in women. Over time, rosacea can thicken the skin on the nose, causing the nose to appear bulbous (rhinophyma). This occurs more often in men than in women. Signs and symptoms of rosacea include: Facial blushing or flushing. Rosacea can cause a persistent blushing or flushing in the central part of your face. This sign of the condition may be difficult to see on brown and Black skin. Visible veins. Small blood vessels of your nose and cheeks break and become visible (spider veins). Swollen bumps. Many people with rosacea also develop pimples on their face that resemble acne. These bumps sometimes contain pus. Burning sensation. The skin of the affected area may feel hot and tender. Eye problems. Many people with rosacea also experience dry, irritated, swollen eyes and eyelids. This is known as ocular rosacea. In some people, the eye symptoms precede the skin symptoms. Enlarged nose. Over time, rosacea can thicken the skin on the nose, causing the nose to appear bulbous (rhinophyma). This occurs more often in men than in 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>> I am not feeling to well and am trying to figure out what could be wrong. What is infertility and explain in detail? [/INST] If your symtopms are extreme please call 911. The main symptom of infertility is not getting pregnant. There may be no other obvious symptoms. Sometimes, women with infertility may have irregular or absent menstrual periods. In some cases, men with infertility may have some signs of hormonal problems, such as changes in hair growth or sexual function. Most couples will eventually conceive, with or without treatment. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is lymphedema and explain in detail? [/INST] If your symtopms are extreme please call 911. Parts of the immune system Open pop-up dialog box Close Parts of the immune system Parts of the immune system The lymphatic system is part of the body's immune system, which protects against infection and disease. The lymphatic system includes the spleen, thymus, lymph nodes and lymph channels, as well as the tonsils and adenoids. Parts of the immune system Open pop-up dialog box Parts of the immune system Open pop-up dialog box Open pop-up dialog box Close Parts of the immune system Parts of the immune system The lymphatic system is part of the body's immune system, which protects against infection and disease. The lymphatic system includes the spleen, thymus, lymph nodes and lymph channels, as well as the tonsils and adenoids. Close Parts of the immune system Parts of the immune system The lymphatic system is part of the body's immune system, which protects against infection and disease. The lymphatic system includes the spleen, thymus, lymph nodes and lymph channels, as well as the tonsils and adenoids. Close Parts of the immune system Parts of the immune system The lymphatic system is part of the body's immune system, which protects against infection and disease. The lymphatic system includes the spleen, thymus, lymph nodes and lymph channels, as well as the tonsils and adenoids. Close Close Close Parts of the immune system Parts of the immune system The lymphatic system is part of the body's immune system, which protects against infection and disease. The lymphatic system includes the spleen, thymus, lymph nodes and lymph channels, as well as the tonsils and adenoids. Parts of the immune system The lymphatic system is part of the body's immune system, which protects against infection and disease. The lymphatic system includes the spleen, thymus, lymph nodes and lymph channels, as well as the tonsils and adenoids. The lymphatic system is part of the body's immune system, which protects against infection and disease. The lymphatic system includes the spleen, thymus, lymph nodes and lymph channels, as well as the tonsils and adenoids. Leg lymphedema Open pop-up dialog box Close Leg lymphedema Leg lymphedema Lymphedema is swelling in an arm or a leg. In rare circumstances, it affects both arms or both legs. It can also affect the chest wall and abdomen. Leg lymphedema Open pop-up dialog box Leg lymphedema Open pop-up dialog box Open pop-up dialog box Close Leg lymphedema Leg lymphedema Lymphedema is swelling in an arm or a leg. In rare circumstances, it affects both arms or both legs. It can also affect the chest wall and abdomen. Close Leg lymphedema Leg lymphedema Lymphedema is swelling in an arm or a leg. In rare circumstances, it affects both arms or both legs. It can also affect the chest wall and abdomen. Close Leg lymphedema Leg lymphedema Lymphedema is swelling in an arm or a leg. In rare circumstances, it affects both arms or both legs. It can also affect the chest wall and abdomen. Close Close Close Leg lymphedema Leg lymphedema Lymphedema is swelling in an arm or a leg. In rare circumstances, it affects both arms or both legs. It can also affect the chest wall and abdomen. Leg lymphedema Lymphedema is swelling in an arm or a leg. In rare circumstances, it affects both arms or both legs. It can also affect the chest wall and abdomen. Lymphedema is swelling in an arm or a leg. In rare circumstances, it affects both arms or both legs. It can also affect the chest wall and abdomen. Lymphedema signs and symptoms include: Swelling of part or all of the arm or leg, including fingers or toes A feeling of heaviness or tightness Restricted range of motion Recurring infections Hardening and thickening of the skin (fibrosis) Signs and symptoms can range from mild to severe. Lymphedema caused by cancer treatment may not occur until months or years after treatment. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is turner-syndrome and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of Turner syndrome may vary among girls and women with the disorder. For some girls, the presence of Turner syndrome may not be readily apparent, but in other girls, several physical features are apparent early. Signs and symptoms can be subtle, developing slowly over time, or significant, such as heart defects. Before birth Turner syndrome may be suspected prenatally based on prenatal cell-free DNA screening ― a method to screen for certain chromosomal abnormalities in a developing baby using a blood sample from the mother ― or prenatal ultrasound. Prenatal ultrasound of a baby with Turner syndrome may show: Large fluid collection on the back of the neck or other abnormal fluid collections (edema) Heart abnormalities Abnormal kidneys At birth or during infancy Signs of Turner syndrome at birth or during infancy may include: Wide or weblike neck Low-set ears Broad chest with widely spaced nipples High, narrow roof of the mouth (palate) Arms that turn outward at the elbows Fingernails and toenails that are narrow and turned upward Swelling of the hands and feet, especially at birth Slightly smaller than average height at birth Slowed growth Cardiac defects Low hairline at the back of the head Receding or small lower jaw Short fingers and toes In childhood, teens and adulthood The most common signs in almost all girls, teenagers and young women with Turner syndrome are short stature and ovarian insufficiency due to ovarian failure. Failure of the ovaries to develop may occur at birth or gradually during childhood, the teen years or young adulthood. Signs and symptoms of these include: Slowed growth No growth spurts at expected times in childhood Adult height significantly less than might be expected for a female member of the family Failure to begin sexual changes expected during puberty Sexual development that "stalls" during teenage years Early end to menstrual cycles not due to pregnancy For most females with Turner syndrome, inability to conceive a child without fertility treatment </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>> I am not feeling to well and am trying to figure out what could be wrong. What is seborrheic-keratosis and explain in detail? [/INST] If your symtopms are extreme please call 911. A seborrheic keratosis grows gradually. Signs and symptoms might include: A round or oval-shaped waxy or rough bump, typically on the face, chest, a shoulder or the back A flat growth or a slightly raised bump with a scaly surface, with a characteristic "pasted on" look Varied size, from very small to more than 1 inch (2.5 centimeters) across Varied number, ranging from a single growth to multiple growths Very small growths clustered around the eyes or elsewhere on the face, sometimes called flesh moles or dermatosis papulosa nigra, common on Black or brown skin Varied in color, ranging from light tan to brown or black Itchiness </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>> I am not feeling to well and am trying to figure out what could be wrong. What is atrial-fibrillation and explain in detail? [/INST] If your symtopms are extreme please call 911. Some people with atrial fibrillation (A-fib) don't notice any symptoms. Those who do have atrial fibrillation symptoms may have signs and symptoms such as: Sensations of a fast, fluttering or pounding heartbeat (palpitations) Chest pain Dizziness Fatigue Lightheadedness Reduced ability to exercise Shortness of breath Weakness Atrial fibrillation may be: Occasional (paroxysmal atrial fibrillation). A-fib symptoms come and go, usually lasting for a few minutes to hours. Sometimes symptoms occur for as long as a week and episodes can happen repeatedly. Symptoms might go away on their own. Some people with occasional A-fib need treatment. Persistent. With this type of atrial fibrillation, the heart rhythm doesn't go back to normal on its own. If a person has A-fib symptoms, cardioversion or treatment with medications may be used to restore and maintain a normal heart rhythm. Long-standing persistent. This type of atrial fibrillation is continuous and lasts longer than 12 months. Permanent. In this type of atrial fibrillation, the irregular heart rhythm can't be restored. Medications are needed to control the heart rate and to prevent blood clots. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is dementia and explain in detail? [/INST] If your symtopms are extreme please call 911. Dementia symptoms vary depending on the cause, but common signs and symptoms include: Cognitive changes Memory loss, which is usually noticed by someone else Difficulty communicating or finding words Difficulty with visual and spatial abilities, such as getting lost while driving Difficulty reasoning or problem-solving Difficulty handling complex tasks Difficulty with planning and organizing Difficulty with coordination and motor functions Confusion and disorientation Psychological changes Personality changes Depression Anxiety Inappropriate behavior Paranoia Agitation Hallucinations </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>> I am not feeling to well and am trying to figure out what could be wrong. What is addisons-disease and explain in detail? [/INST] If your symtopms are extreme please call 911. Addison's disease symptoms usually happen slowly, often over months. The disease can move so slowly that people who have it may ignore the symptoms at first. Then a stress, such as illness or injury, makes symptoms worse. Symptoms may include: Extreme fatigue Weight loss and loss of appetite Areas of darkened skin Low blood pressure, even fainting Salt craving Low blood sugar, also called hypoglycemia Nausea, diarrhea or vomiting Abdominal pain Muscle and joint pain Irritability Depression Body hair loss or sexual issues in some people Acute adrenal failure, known as addisonian crisis Sometimes the symptoms of Addison's disease appear suddenly. Acute adrenal failure can lead to life-threatening shock. Seek emergency treatment for the following: Severe weakness Confusion Pain in the lower back or legs Severe abdominal pain, vomiting and diarrhea, leading to dehydration Reduced consciousness or delirium Low blood pressure </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>> I am not feeling to well and am trying to figure out what could be wrong. What is stress-incontinence and explain in detail? [/INST] If your symtopms are extreme please call 911. If you have stress incontinence, you may leak urine when you: Cough or sneeze Laugh Bend over Lift something heavy Exercise Have sex You may not leak urine every time you do one of these things. But, any activity that puts pressure on your bladder can make involuntary urine loss more likely, particularly when your bladder is full. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is cluster-headache and explain in detail? [/INST] If your symtopms are extreme please call 911. Common signs and symptoms Cluster headache Open pop-up dialog box Close Cluster headache Cluster headache Cluster headaches usually occur in cyclical patterns called cluster periods . Possible symptoms include severe pain in or around one eye or on one side of your head. There may be tearing, nasal stuffiness and a runny nostril on the affected side of the head. Cluster headache Open pop-up dialog box Cluster headache Open pop-up dialog box Open pop-up dialog box Close Cluster headache Cluster headache Cluster headaches usually occur in cyclical patterns called cluster periods . Possible symptoms include severe pain in or around one eye or on one side of your head. There may be tearing, nasal stuffiness and a runny nostril on the affected side of the head. Close Cluster headache Cluster headache Cluster headaches usually occur in cyclical patterns called cluster periods . Possible symptoms include severe pain in or around one eye or on one side of your head. There may be tearing, nasal stuffiness and a runny nostril on the affected side of the head. Close Cluster headache Cluster headache Cluster headaches usually occur in cyclical patterns called cluster periods . Possible symptoms include severe pain in or around one eye or on one side of your head. There may be tearing, nasal stuffiness and a runny nostril on the affected side of the head. Close Close Close Cluster headache Cluster headache Cluster headaches usually occur in cyclical patterns called cluster periods . Possible symptoms include severe pain in or around one eye or on one side of your head. There may be tearing, nasal stuffiness and a runny nostril on the affected side of the head. Cluster headache Cluster headaches usually occur in cyclical patterns called cluster periods . Possible symptoms include severe pain in or around one eye or on one side of your head. There may be tearing, nasal stuffiness and a runny nostril on the affected side of the head. Cluster headaches usually occur in cyclical patterns called cluster periods . Possible symptoms include severe pain in or around one eye or on one side of your head. There may be tearing, nasal stuffiness and a runny nostril on the affected side of the head. A cluster headache strikes quickly, usually without warning, although you might first have migraine-like nausea and aura. Common signs and symptoms during a headache include: Excruciating pain that is generally situated in, behind or around one eye, but may radiate to other areas of your face, head and neck One-sided pain Restlessness Excessive tearing Redness of your eye on the affected side Stuffy or runny nose on the affected side Forehead or facial sweating on the affected side Pale skin (pallor) or flushing on your face Swelling around your eye on the affected side Drooping eyelid on the affected side People with cluster headache, unlike those with migraine, are likely to pace or sit and rock back and forth. Some migraine-like symptoms — including sensitivity to light and sound — can occur with a cluster headache, though usually on one side. Cluster period characteristics A cluster period generally lasts for several weeks to months. The starting date and the duration of each cluster period might be consistent from period to period. For example, cluster periods can occur seasonally, such as every spring or every fall. Most people have episodic cluster headaches. In episodic cluster headaches, the headaches occur for one week to a year, followed by a pain-free remission period lasting 3 months or longer before another cluster headache develops. Chronic cluster periods might continue for more than a year, or pain-free periods might last less than one month. During a cluster period: Headaches usually occur every day, sometimes several times a day A single attack can last from 15 minutes to three hours The attacks often occur at the same time each day Most attacks occur at night, usually 1 to 2 hours after you go to bed The pain usually ends as suddenly as it began, with rapidly decreasing intensity. After attacks, most people are pain-free but exhausted. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is pseudobulbar-affect and explain in detail? [/INST] If your symtopms are extreme please call 911. The primary sign of pseudobulbar affect (PBA) is frequent, involuntary and uncontrollable outbursts of crying or laughing that are exaggerated or not connected to your emotional state. Laughter often turns to tears. Your mood will appear normal between episodes, which can occur at any time. Crying appears to be a more common sign of PBA than laughing. The degree of the emotional response caused by PBA is often striking, with crying or laughing lasting up to several minutes. For example, you might laugh uncontrollably in response to a mildly amusing comment. Or you might laugh or cry in situations that others don't see as funny or sad. These emotional responses typically represent a change from how you would have previously responded. Because pseudobulbar affect often involves crying, the condition is frequently mistaken for depression. However, PBA episodes tend to be short in duration, while depression causes a persistent feeling of sadness. Also, people with PBA often lack certain features of depression, such as sleep disturbances or a loss of appetite. But depression is common among those who have pseudobulbar affect. When to see a doctor If you think you have PBA, talk to your doctor. If you have a neurological condition, you might already be treated by a doctor who can diagnose PBA. Helpful specialists include neuropsychologists, neurologists and psychiatrists. It's suspected that many cases of pseudobulbar affect go unreported and undiagnosed due to a lack of awareness about the condition. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is incompetent-cervix and explain in detail? [/INST] If your symtopms are extreme please call 911. If you have an incompetent cervix, you may not have any signs or symptoms during early pregnancy. Some women have mild discomfort or spotting over the course of several days or weeks starting between 14 and 20 weeks of pregnancy. Be on the lookout for: A sensation of pelvic pressure A new backache Mild abdominal cramps A change in vaginal discharge Light vaginal bleeding </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>> I am not feeling to well and am trying to figure out what could be wrong. What is pulmonary-valve-stenosis and explain in detail? [/INST] If your symtopms are extreme please call 911. Pulmonary valve stenosis symptoms depend on how much blood flow is blocked. Some people with mild pulmonary stenosis do not have symptoms. Those with more-severe pulmonary stenosis may first notice symptoms while exercising. Pulmonary valve stenosis symptoms may include: A whooshing sound called a heart murmur that can be heard with a stethoscope. Fatigue. Shortness of breath, especially during activity. Chest pain. Fainting. Babies with pulmonary valve stenosis may have blue or gray skin due to low oxygen levels. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is chronic-cough and explain in detail? [/INST] If your symtopms are extreme please call 911. A chronic cough can occur with other signs and symptoms, which may include: A runny or stuffy nose A feeling of liquid running down the back of your throat (postnasal drip) Frequent throat clearing and sore throat Hoarseness Wheezing and shortness of breath Heartburn or a sour taste in your mouth In rare cases, coughing up blood </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>> I am not feeling to well and am trying to figure out what could be wrong. What is stress-fractures and explain in detail? [/INST] If your symtopms are extreme please call 911. At first, you might barely notice the pain associated with a stress fracture, but it tends to worsen with time. The tenderness usually starts at a specific spot and decreases during rest. You might have swelling around the painful area. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is heart-arrhythmia and explain in detail? [/INST] If your symtopms are extreme please call 911. Heart arrhythmias may not cause any signs or symptoms. A doctor may notice the irregular heartbeat when examining you for another health reason. In general, signs and symptoms of arrhythmias may include: A fluttering in the chest A racing heartbeat (tachycardia) A slow heartbeat (bradycardia) Chest pain Shortness of breath Other symptoms may include: Anxiety Fatigue Lightheadedness or dizziness Sweating Fainting (syncope) or near fainting </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>> I am not feeling to well and am trying to figure out what could be wrong. What is chronic-daily-headaches and explain in detail? [/INST] If your symtopms are extreme please call 911. By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. True (primary) chronic daily headaches aren't caused by another condition. There are short-lasting and long-lasting chronic daily headaches. Long-lasting headaches last more than four hours. They include: Chronic migraine Chronic tension-type headache New daily persistent headache Hemicrania continua Chronic migraine This type typically occurs in people with a history of episodic migraines. Chronic migraines tend to: Affect one side or both sides of your head Have a pulsating, throbbing sensation Cause moderate to severe pain And they cause at least one of the following: Nausea, vomiting or both Sensitivity to light and sound Chronic tension-type headache These headaches tend to: Affect both sides of your head Cause mild to moderate pain Cause pain that feels pressing or tightening, but not pulsating New daily persistent headache These headaches come on suddenly, usually in people without a headache history. They become constant within three days of your first headache. They: Often affect both sides of your head Cause pain that feels like pressing or tightening, but not pulsating Cause mild to moderate pain Might have features of chronic migraine or chronic tension-type headache Hemicrania continua These headaches: Affect only one side of your head Are daily and continuous with no pain-free periods Cause moderate pain with spikes of severe pain Respond to the prescription pain reliever indomethacin (Indocin) Can become severe with development of migraine-like symptoms In addition, hemicrania continua headaches are associated with at least one of the following: Tearing or redness of the eye on the affected side Nasal congestion or runny nose Drooping eyelid or pupil narrowing Sensation of restlessness </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>> I am not feeling to well and am trying to figure out what could be wrong. What is type-1-diabetes-in-children and explain in detail? [/INST] If your symtopms are extreme please call 911. The signs and symptoms of type 1 diabetes in children usually develop quickly, and may include: Increased thirst Frequent urination, possibly bed-wetting in a toilet-trained child Extreme hunger Unintentional weight loss Fatigue Irritability or behavior changes Fruity-smelling breath </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>> I am not feeling to well and am trying to figure out what could be wrong. What is intussusception and explain in detail? [/INST] If your symtopms are extreme please call 911. Children The first sign of intussusception in an otherwise healthy infant may be sudden, loud crying caused by belly pain. Infants who have belly pain may pull their knees to their chests when they cry. The pain of intussusception comes and goes, usually every 15 to 20 minutes at first. These painful episodes last longer and happen more often as time passes. Other symptoms of intussusception include: Stool mixed with blood and mucus — sometimes referred to as currant jelly stool because of its appearance. Vomiting. A lump in the belly. Weakness or lack of energy. Diarrhea. Not everyone has all of the symptoms. Some infants have no obvious pain. Some children don't pass blood or have a lump in the belly. And some older children have pain but no other symptoms. Adults Intussusception is rare in adults. Also, because symptoms of the disorder often overlap with the symptoms of other disorders, it's more challenging to identify. The most common symptom is belly pain that comes and goes. Nausea and vomiting also may occur. People sometimes have symptoms for weeks before seeking medical attention. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is esophageal-cancer and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of esophageal cancer include: Difficulty swallowing (dysphagia) Weight loss without trying Chest pain, pressure or burning Worsening indigestion or heartburn Coughing or hoarseness Early esophageal cancer typically causes no signs or 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>> I am not feeling to well and am trying to figure out what could be wrong. What is cervical-dystonia and explain in detail? [/INST] If your symtopms are extreme please call 911. The muscle contractions involved in cervical dystonia can cause your head to twist in a variety of directions, including: Chin toward shoulder Ear toward shoulder Chin straight up Chin straight down The most common type of twisting associated with cervical dystonia is when your chin is pulled toward your shoulder. Some people experience a combination of abnormal head postures. A jerking motion of the head also may occur. Many people who have cervical dystonia also experience neck pain that can radiate into the shoulders. The disorder can also cause headaches. In some people, the pain from cervical dystonia can be exhausting and disabling. Causes In most people with cervical dystonia, the cause is unknown. Some people who have cervical dystonia have a family history of the disorder. Researchers have found gene mutations associated with cervical dystonia. Cervical dystonia is also sometimes linked to head, neck or shoulder injuries. Risk factors Risk factors for cervical dystonia include: Age. While the disorder can occur in people of any age, it most commonly begins after age 30. Your sex. Women are more likely to develop cervical dystonia than are men. Family history. If a close family member has cervical dystonia or some other type of dystonia, you are at higher risk of developing the disorder. Complications In some cases, the involuntary muscle contractions associated with cervical dystonia can spread to nearby areas of your body. The most common locations include the face, jaw, arms and trunk. People who have cervical dystonia may also develop bone spurs that may reduce the amount of space in the spinal canal. This can cause tingling, numbness and weakness in the arms, hands, legs or feet. By Mayo Clinic Staff By Mayo Clinic Staff Request an appointment Request an appointment Diagnosis & treatment Diagnosis & treatment Diagnosis & treatment Sept. 03, 2021 Print Print Share on: FacebookTwitter Facebook Twitter Show references Dystonias fact sheet. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Dystonias-Fact-Sheet. Accessed July 23, 2019. Frontera WR, et al., eds. Cervical dystonia. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed July 23, 2019. Comella C. Classification and evaluation of dystonia. https://www.uptodate.com/contents/search. Accessed July 23, 2019. AskMayoExpert. Cervical dystonia (spasmodic torticollis). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2019. Comella C. Treatment of dystonia. https://www.uptodate.com/contents/search. Accessed July 23, 2019. Botulinum toxins. Facts & Comparisons eAnswers. https://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed July 25, 2019. Show references Dystonias fact sheet. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Dystonias-Fact-Sheet. Accessed July 23, 2019. Frontera WR, et al., eds. Cervical dystonia. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed July 23, 2019. Comella C. Classification and evaluation of dystonia. https://www.uptodate.com/contents/search. Accessed July 23, 2019. AskMayoExpert. Cervical dystonia (spasmodic torticollis). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2019. Comella C. Treatment of dystonia. https://www.uptodate.com/contents/search. Accessed July 23, 2019. Botulinum toxins. Facts & Comparisons eAnswers. https://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed July 25, 2019. Dystonias fact sheet. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Dystonias-Fact-Sheet. Accessed July 23, 2019. Frontera WR, et al., eds. Cervical dystonia. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed July 23, 2019. Comella C. Classification and evaluation of dystonia. https://www.uptodate.com/contents/search. Accessed July 23, 2019. AskMayoExpert. Cervical dystonia (spasmodic torticollis). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2019. Comella C. Treatment of dystonia. https://www.uptodate.com/contents/search. Accessed July 23, 2019. Botulinum toxins. Facts & Comparisons eAnswers. https://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed July 25, 2019. Dystonias fact sheet. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Dystonias-Fact-Sheet. Accessed July 23, 2019. Frontera WR, et al., eds. Cervical dystonia. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed July 23, 2019. Comella C. Classification and evaluation of dystonia. https://www.uptodate.com/contents/search. Accessed July 23, 2019. AskMayoExpert. Cervical dystonia (spasmodic torticollis). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2019. Comella C. Treatment of dystonia. https://www.uptodate.com/contents/search. Accessed July 23, 2019. Botulinum toxins. Facts & Comparisons eAnswers. https://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed July 25, 2019. Related Associated Procedures Deep brain stimulation Electromyography (EMG) MRI Products & Services Book: Back and Neck Health Related Associated Procedures Deep brain stimulation Electromyography (EMG) MRI Associated Procedures Deep brain stimulation Electromyography (EMG) MRI </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>> I am not feeling to well and am trying to figure out what could be wrong. What is adrenal-cancer and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of adrenal cancer include: Weight gain Muscle weakness Pink or purple stretch marks on the skin Hormone changes in women that might cause excess facial hair, hair loss on the head and irregular periods Hormone changes in men that might cause enlarged breast tissue and shrinking testicles Nausea Vomiting Abdominal bloating Back pain Fever Loss of appetite Loss of weight without trying Causes It's not clear what causes adrenal cancer. Adrenal cancer forms when something creates changes (mutations) in the DNA of an adrenal gland cell. A cell's DNA contains the instructions that tell a cell what to do. The mutations can tell the cell to multiply uncontrollably and to continue living when healthy cells would die. When this happens, the abnormal cells accumulate and form a tumor. The tumor cells can break away and spread (metastasize) to other parts of the body. Risk factors Adrenal cancer happens more often in people with inherited syndromes that increase the risk of certain cancers. These inherited syndromes include: Beckwith-Wiedemann syndrome Carney complex Li-Fraumeni syndrome Lynch syndrome Multiple endocrine neoplasia, type 1 (MEN 1) By Mayo Clinic Staff By Mayo Clinic Staff Adrenal cancer care at Mayo Clinic </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>> I am not feeling to well and am trying to figure out what could be wrong. What is hangovers and explain in detail? [/INST] If your symtopms are extreme please call 911. Hangover symptoms typically begin when your blood alcohol content drops significantly and is at or near zero. They're usually in full effect the morning after a night of heavy drinking. Depending on what and how much you drank, you may notice: Fatigue and weakness Excessive thirst and dry mouth Headaches and muscle aches Nausea, vomiting or stomach pain Poor or decreased sleep Increased sensitivity to light and sound Dizziness or a sense of the room spinning Shakiness Decreased ability to concentrate Mood disturbances, such as depression, anxiety and irritability Rapid heartbeat </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>> I am not feeling to well and am trying to figure out what could be wrong. What is pelvic-inflammatory-disease and explain in detail? [/INST] If your symtopms are extreme please call 911. The signs and symptoms of pelvic inflammatory disease might be mild and difficult to recognize. Some women don't have any signs or symptoms. When signs and symptoms of PID are present, they most often include: PID Pain — ranging from mild to severe — in your lower abdomen and pelvis Unusual or heavy vaginal discharge that may have an unpleasant odor Unusual bleeding from the vagina, especially during or after sex, or between periods Pain during sex Fever, sometimes with chills Painful, frequent or difficult urination </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>> I am not feeling to well and am trying to figure out what could be wrong. What is sweating-and-body-odor and explain in detail? [/INST] If your symtopms are extreme please call 911. Some people naturally sweat more or less than other people. Body odor also can vary from person to person. See a doctor if: You suddenly begin to sweat much more or less than usual Sweating disrupts your daily routine You experience night sweats for no apparent reason You notice a change in your body odor Causes Sweating and body odor are caused by sweat glands in your body. The two main types of sweat glands are eccrine glands and apocrine glands. Eccrine glands occur over most of your body and open directly onto the surface of the skin. When your body temperature rises, these glands release fluids that cool your body as they evaporate. Apocrine glands are found in areas where you have hair, such as your armpits and groin. These glands release a milky fluid when you're stressed. This fluid is odorless until it combines with bacteria on your skin. By Mayo Clinic Staff By Mayo Clinic Staff Request an appointment Request an appointment Diagnosis & treatment Diagnosis & treatment Diagnosis & treatment Oct. 27, 2021 Print Print Share on: FacebookTwitter Facebook Twitter Show references Goldsmith LA, et al., eds. Biology of eccrine and apocrine glands. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed July 6, 2016. Perspiration. Natural Medicines. https://naturalmedicines.therapeuticresearch.com/. Accessed July 7, 2016. Kanlayavattanakul M, et al. Body malodours and their topical treatment agents. International Journal of Cosmetic Science. 2011;33:298. Shirasu M, et al. The scent of disease: Volatile organic compounds of the human body related to disease and disorder. Journal of Biochemistry. 2011;150:257. Hyperhidrosis. American Osteopathic College of Dermatology. http://aocd.site-ym.com/?page=Hyperhidrosis. Accessed July 6, 2016. Smith CC, et al. Primary focal hyperhidrosis. http://www.uptodate.com/home. Accessed July 6, 2016. Show references Goldsmith LA, et al., eds. Biology of eccrine and apocrine glands. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed July 6, 2016. Perspiration. Natural Medicines. https://naturalmedicines.therapeuticresearch.com/. Accessed July 7, 2016. Kanlayavattanakul M, et al. Body malodours and their topical treatment agents. International Journal of Cosmetic Science. 2011;33:298. Shirasu M, et al. The scent of disease: Volatile organic compounds of the human body related to disease and disorder. Journal of Biochemistry. 2011;150:257. Hyperhidrosis. American Osteopathic College of Dermatology. http://aocd.site-ym.com/?page=Hyperhidrosis. Accessed July 6, 2016. Smith CC, et al. Primary focal hyperhidrosis. http://www.uptodate.com/home. Accessed July 6, 2016. Goldsmith LA, et al., eds. Biology of eccrine and apocrine glands. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed July 6, 2016. Perspiration. Natural Medicines. https://naturalmedicines.therapeuticresearch.com/. Accessed July 7, 2016. Kanlayavattanakul M, et al. Body malodours and their topical treatment agents. International Journal of Cosmetic Science. 2011;33:298. Shirasu M, et al. The scent of disease: Volatile organic compounds of the human body related to disease and disorder. Journal of Biochemistry. 2011;150:257. Hyperhidrosis. American Osteopathic College of Dermatology. http://aocd.site-ym.com/?page=Hyperhidrosis. Accessed July 6, 2016. Smith CC, et al. Primary focal hyperhidrosis. http://www.uptodate.com/home. Accessed July 6, 2016. Goldsmith LA, et al., eds. Biology of eccrine and apocrine glands. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed July 6, 2016. Perspiration. Natural Medicines. https://naturalmedicines.therapeuticresearch.com/. Accessed July 7, 2016. Kanlayavattanakul M, et al. Body malodours and their topical treatment agents. International Journal of Cosmetic Science. 2011;33:298. Shirasu M, et al. The scent of disease: Volatile organic compounds of the human body related to disease and disorder. Journal of Biochemistry. 2011;150:257. Hyperhidrosis. American Osteopathic College of Dermatology. http://aocd.site-ym.com/?page=Hyperhidrosis. Accessed July 6, 2016. Smith CC, et al. Primary focal hyperhidrosis. http://www.uptodate.com/home. Accessed July 6, 2016. Related Sweat test Associated Procedures Urinalysis Products & Services Book: Mayo Clinic Book of Home Remedies Related Sweat test Sweat test </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>> I am not feeling to well and am trying to figure out what could be wrong. What is tinnitus and explain in detail? [/INST] If your symtopms are extreme please call 911. Tinnitus is most often described as a ringing in the ears, even though no external sound is present. However, tinnitus can also cause other types of phantom noises in your ears, including: Buzzing Roaring Clicking Hissing Humming Most people who have tinnitus have subjective tinnitus, or tinnitus that only you can hear. The noises of tinnitus may vary in pitch from a low roar to a high squeal, and you may hear it in one or both ears. In some cases, the sound can be so loud it interferes with your ability to concentrate or hear external sound. Tinnitus may be present all the time, or it may come and go. In rare cases, tinnitus can occur as a rhythmic pulsing or whooshing sound, often in time with your heartbeat. This is called pulsatile tinnitus. If you have pulsatile tinnitus, your doctor may be able to hear your tinnitus when he or she does an examination (objective tinnitus). </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>> I am not feeling to well and am trying to figure out what could be wrong. What is paraneoplastic-syndromes and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of paraneoplastic syndromes of the nervous system can develop relatively quickly, often over days to weeks. Signs and symptoms of paraneoplastic syndromes of the nervous system often begin even before a cancer is diagnosed. Signs and symptoms vary depending on the body part being injured, and may include: Difficulty walking Difficulty maintaining balance Loss of muscle coordination Loss of muscle tone or weakness Loss of fine motor skills, such as picking up objects Difficulty swallowing Slurred speech or stuttering Memory loss and other thinking (cognitive) impairment Vision problems Sleep disturbances Seizures Hallucinations Unusual involuntary movements Types of paraneoplastic syndromes Examples of paraneoplastic syndromes of the nervous system include: Cerebellar degeneration (cerebellar ataxia). This is the loss of nerve cells in the area of the brain that controls muscle functions and balance (cerebellum). Signs and symptoms may include unsteady or impaired walking, lack of muscle coordination in your limbs, inability to maintain your trunk posture, dizziness, nausea, involuntary eye movement, double vision, difficulty speaking, or difficulty swallowing. Limbic encephalitis. This is inflammation affecting a region of the brain known as the limbic system, which controls emotions, behaviors and certain memory functions. People with this disorder may experience personality changes or mood disturbances, memory loss, seizures, hallucinations, or drowsiness. Encephalomyelitis. This syndrome refers to inflammation of the brain and spinal cord. There may be a wide variety of symptoms and signs depending on the area affected. Opsoclonus-myoclonus. This syndrome is due to dysfunction of the cerebellum or its connections. It can cause rapid, irregular eye movements (opsoclonus) and involuntary, chaotic muscle jerks (myoclonus) in your limbs and trunk. Stiff person syndrome. Previously called stiff man syndrome, this syndrome is characterized by progressive, severe muscle stiffness or rigidity, mainly affecting your spine and legs. It may also cause painful muscle spasms. Myelopathy. This term refers to a syndrome of injury limited to the spinal cord. Depending on the level of spinal cord injury, you may have changes in bowel and bladder function, and severe weakness and numbness up to a certain level in your body. If the level of injury includes your neck, you can have severe disability affecting all four limbs. Lambert-Eaton myasthenic syndrome. This is a syndrome caused by disrupted communication between nerves and muscles. Signs and symptoms include pelvic and lower extremity muscle weakness, fatigue, difficulty swallowing, difficulty speaking, irregular eye movement, and double vision. Autonomic nervous system problems can include dry mouth and erectile dysfunction in males. When it occurs as a paraneoplastic syndrome, Lambert-Eaton myasthenic syndrome is typically associated with lung cancer. Myasthenia gravis. Myasthenia gravis is also related to disrupted communication between nerves and muscles and also characterized by weakness and rapid fatigue of any of the muscles that are under voluntary control, including muscles in your face, eyes, arms and legs. The muscles involved in chewing, swallowing, talking and breathing may be affected as well. When myasthenia gravis occurs as a paraneoplastic syndrome, it is typically associated with cancer of the thymus gland (thymoma). Neuromyotonia. Neuromyotonia — also known as Isaacs' syndrome — is characterized by abnormal impulses in nerve cells outside the brain and spinal cord (peripheral nerve hyperexcitability) that control muscle movement. These impulses can cause twitching, muscle rippling that looks like a "bag of worms," progressive stiffness, muscle cramps, slowed movement and other muscle impairments. Peripheral neuropathy. This condition refers to patterns of damage to nerves that transmit messages from the brain or spinal column to the rest of your body. When damage involves only the sensory nerves of the peripheral nervous system, you can have pain and disturbances in sensation anywhere in your body. Dysautonomia. Dysautonomia refers to a wide range of signs and symptoms resulting from injury to the nerves that regulate involuntary body functions (autonomic nervous system), such as heart rate, blood pressure, sweating, and bowel and bladder functions. When this part of the nervous system is affected, common symptoms are low blood pressure, irregular heartbeats and trouble breathing. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is meningioma and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of a meningioma typically begin gradually and may be very subtle at first. Depending on where in the brain or, rarely, spine the tumor is situated, signs and symptoms may include: Changes in vision, such as seeing double or blurriness Headaches, especially those that are worse in the morning Hearing loss or ringing in the ears Memory loss Loss of smell Seizures Weakness in your arms or legs Language difficulty </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>> I am not feeling to well and am trying to figure out what could be wrong. What is pseudogout and explain in detail? [/INST] If your symtopms are extreme please call 911. Pseudogout most commonly affects the knees. Less often, it affects the wrists and ankles. When a pseudogout attack occurs, the affected joints are usually: Swollen Warm Severely painful </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>> I am not feeling to well and am trying to figure out what could be wrong. What is migraine-headache and explain in detail? [/INST] If your symtopms are extreme please call 911. Migraines, which affect children and teenagers as well as adults, can progress through four stages: prodrome, aura, attack and post-drome. Not everyone who has migraines goes through all stages. Prodrome One or two days before a migraine, you might notice subtle changes that warn of an upcoming migraine, including: Constipation Mood changes, from depression to euphoria Food cravings Neck stiffness Increased urination Fluid retention Frequent yawning Aura For some people, an aura might occur before or during migraines. Auras are reversible symptoms of the nervous system. They're usually visual but can also include other disturbances. Each symptom usually begins gradually, builds up over several minutes and can last up to 60 minutes. Examples of migraine auras include: Visual phenomena, such as seeing various shapes, bright spots or flashes of light Vision loss Pins and needles sensations in an arm or leg Weakness or numbness in the face or one side of the body Difficulty speaking Attack A migraine usually lasts from 4 to 72 hours if untreated. How often migraines occur varies from person to person. Migraines might occur rarely or strike several times a month. During a migraine, you might have: Pain usually on one side of your head, but often on both sides Pain that throbs or pulses Sensitivity to light, sound, and sometimes smell and touch Nausea and vomiting Post-drome After a migraine attack, you might feel drained, confused and washed out for up to a day. Some people report feeling elated. Sudden head movement might bring on the pain again briefly. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is prolactinoma and explain in detail? [/INST] If your symtopms are extreme please call 911. A prolactinoma might not cause any signs or symptoms. However, too much prolactin in your blood (hyperprolactinemia) can cause symptoms. So can pressure on surrounding tissues from a large tumor. Because too much prolactin can disrupt the reproductive system (hypogonadism), some of the signs and symptoms of a prolactinoma are specific to females or males. In females, prolactinoma can cause: Irregular menstrual periods or no menstrual periods Milky discharge from the breasts when not pregnant or breastfeeding Painful intercourse due to vaginal dryness Acne and excessive body and facial hair growth In males, prolactinoma can cause: Erectile dysfunction Decreased body and facial hair Smaller muscles Enlarged breasts In both females and males, prolactinoma can cause: Infertility Weak and brittle bones that break easily (osteoporosis) Loss of interest in sexual activity Pressure from tumor growth can cause: Vision problems Headache Reduction of other hormones produced by the pituitary gland Females who are premenopausal tend to notice signs and symptoms early, when tumors are smaller in size. This is probably because of missed or irregular menstrual periods. Females who are postmenopausal are more likely to notice signs and symptoms later, when tumors are larger and more likely to cause headache or vision problems. Males are also more likely to notice signs and symptoms later. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is low-sex-drive-in-women and explain in detail? [/INST] If your symtopms are extreme please call 911. If you want to have sex less often than your partner does, neither one of you is necessarily outside the norm for people at your stage in life — although your differences may cause distress. Similarly, even if your sex drive is weaker than it once was, your relationship may be stronger than ever. Bottom line: There is no magic number to define low sex drive. It varies among women. Symptoms of low sex drive in women include: Having no interest in any type of sexual activity, including masturbation Never or only seldom having sexual fantasies or thoughts Being concerned by your lack of sexual activity or fantasies </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>> I am not feeling to well and am trying to figure out what could be wrong. What is anorexia-nervosa and explain in detail? [/INST] If your symtopms are extreme please call 911. The physical signs and symptoms of anorexia nervosa are related to starvation. Anorexia also includes emotional and behavioral issues involving an unrealistic perception of body weight and an extremely strong fear of gaining weight or becoming fat. It may be difficult to notice signs and symptoms because what is considered a low body weight is different for each person, and some individuals may not appear extremely thin. Also, people with anorexia often disguise their thinness, eating habits or physical problems. Physical symptoms Physical signs and symptoms of anorexia may include: Extreme weight loss or not making expected developmental weight gains Thin appearance Abnormal blood counts Fatigue Insomnia Dizziness or fainting Bluish discoloration of the fingers Hair that thins, breaks or falls out Soft, downy hair covering the body Absence of menstruation Constipation and abdominal pain Dry or yellowish skin Intolerance of cold Irregular heart rhythms Low blood pressure Dehydration Swelling of arms or legs Eroded teeth and calluses on the knuckles from induced vomiting Some people who have anorexia binge and purge, similar to individuals who have bulimia. But people with anorexia generally struggle with an abnormally low body weight, while individuals with bulimia typically are normal to above normal weight. Emotional and behavioral symptoms Behavioral symptoms of anorexia may include attempts to lose weight by: Severely restricting food intake through dieting or fasting Exercising excessively Bingeing and self-induced vomiting to get rid of food, which may include the use of laxatives, enemas, diet aids or herbal products Emotional and behavioral signs and symptoms may include: Preoccupation with food, which sometimes includes cooking elaborate meals for others but not eating them Frequently skipping meals or refusing to eat Denial of hunger or making excuses for not eating Eating only a few certain "safe" foods, usually those low in fat and calories Adopting rigid meal or eating rituals, such as spitting food out after chewing Not wanting to eat in public Lying about how much food has been eaten Fear of gaining weight that may include repeated weighing or measuring the body Frequent checking in the mirror for perceived flaws Complaining about being fat or having parts of the body that are fat Covering up in layers of clothing Flat mood (lack of emotion) Social withdrawal Irritability Insomnia Reduced interest in sex </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>> I am not feeling to well and am trying to figure out what could be wrong. What is placenta-accreta and explain in detail? [/INST] If your symtopms are extreme please call 911. Placenta accreta often causes no signs or symptoms during pregnancy — although vaginal bleeding during the third trimester might occur. Occasionally, placenta accreta is detected during a routine ultrasound. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is soft-tissue-sarcoma and explain in detail? [/INST] If your symtopms are extreme please call 911. A soft tissue sarcoma may not cause any signs and symptoms in its early stages. As the tumor grows, it may cause: A noticeable lump or swelling Pain, if a tumor presses on nerves or muscles </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>> I am not feeling to well and am trying to figure out what could be wrong. What is depersonalization-derealization-disorder and explain in detail? [/INST] If your symtopms are extreme please call 911. Persistent and recurrent episodes of depersonalization or derealization or both cause distress and problems functioning at work or school or in other important areas of your life. During these episodes, you are aware that your sense of detachment is only a feeling and not reality. The experience and feelings of the disorder can be difficult to describe. Worry about "going crazy" can cause you to become preoccupied with checking that you exist and determining what's actually real. Symptoms usually begin in the mid- to late teens or early adulthood. Depersonalization-derealization disorder is rare in children and older adults. Depersonalization symptoms Symptoms of depersonalization include: Feelings that you're an outside observer of your thoughts, feelings, your body or parts of your body — for example, as if you were floating in air above yourself Feeling like a robot or that you're not in control of your speech or movements The sense that your body, legs or arms appear distorted, enlarged or shrunken, or that your head is wrapped in cotton Emotional or physical numbness of your senses or responses to the world around you A sense that your memories lack emotion, and that they may or may not be your own memories Derealization symptoms Symptoms of derealization include: Feelings of being alienated from or unfamiliar with your surroundings — for example, like you're living in a movie or a dream Feeling emotionally disconnected from people you care about, as if you were separated by a glass wall Surroundings that appear distorted, blurry, colorless, two-dimensional or artificial, or a heightened awareness and clarity of your surroundings Distortions in perception of time, such as recent events feeling like distant past Distortions of distance and the size and shape of objects Episodes of depersonalization-derealization disorder may last hours, days, weeks or even months at a time. In some people, these episodes turn into ongoing feelings of depersonalization or derealization that may periodically get better or 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>> I am not feeling to well and am trying to figure out what could be wrong. What is suicide and explain in detail? [/INST] If your symtopms are extreme please call 911. Suicide warning signs or suicidal thoughts include: Talking about suicide — for example, making statements such as "I'm going to kill myself," "I wish I were dead" or "I wish I hadn't been born" Getting the means to take your own life, such as buying a gun or stockpiling pills Withdrawing from social contact and wanting to be left alone Having mood swings, such as being emotionally high one day and deeply discouraged the next Being preoccupied with death, dying or violence Feeling trapped or hopeless about a situation Increasing use of alcohol or drugs Changing normal routine, including eating or sleeping patterns Doing risky or self-destructive things, such as using drugs or driving recklessly Giving away belongings or getting affairs in order when there's no other logical explanation for doing this Saying goodbye to people as if they won't be seen again Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above Warning signs aren't always obvious, and they may vary from person to person. Some people make their intentions clear, while others keep suicidal thoughts and feelings secret. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is cutaneous-t-cell-lymphoma and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of cutaneous T-cell lymphoma include: Round patches of skin that may be raised or scaly and might be itchy Patches of skin that appear lighter in color than surrounding skin Lumps that form on the skin and may break open Enlarged lymph nodes Hair loss Thickening of the skin on the palms of the hands and soles of the feet A rash-like skin redness over the entire body that is intensely itchy Causes The exact cause of cutaneous T-cell lymphoma isn't known. In general, cancer begins when cells develop changes (mutations) in their DNA. A cell's DNA contains instructions that tell a cell what to do. The DNA mutations tell the cells to grow and multiply rapidly, creating many abnormal cells. In cutaneous T-cell lymphoma, the mutations cause too many abnormal T cells that attack the skin. T cells are part of your immune system, and they normally help your body fight germs. Doctors don't know why the cells attack the skin. By Mayo Clinic Staff By Mayo Clinic Staff Cutaneous T-cell lymphoma care at Mayo Clinic </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>> I am not feeling to well and am trying to figure out what could be wrong. What is gender-dysphoria and explain in detail? [/INST] If your symtopms are extreme please call 911. Gender dysphoria might cause adolescents and adults to experience a marked difference between inner gender identity and assigned gender that lasts for at least six months. The difference is shown by at least two of the following: A difference between gender identity and genitals or secondary sex characteristics, such as breast size, voice and facial hair. In young adolescents, a difference between gender identity and anticipated secondary sex characteristics. A strong desire to be rid of these genitals or secondary sex characteristics, or a desire to prevent the development of secondary sex characteristics. A strong desire to have the genitals and secondary sex characteristics of another gender. A strong desire to be or to be treated as another gender. A strong belief of having the typical feelings and reactions of another gender. Gender dysphoria may also cause significant distress that affects how you function in social situations, at work or school, and in other areas of life. Gender dysphoria might start in childhood and continue into adolescence and adulthood. Or you might have periods in which you no longer experience gender dysphoria. You might also experience gender dysphoria around the time of puberty or much later in life. Complications Gender dysphoria can affect many aspects of life, including daily activities. People experiencing gender dysphoria might have difficulty in school due to pressure to dress in a way that's associated with their sex assigned at birth or out of fear of being harassed or teased. If gender dysphoria impairs the ability to function at school or at work, the result may be school dropout or unemployment. Relationship difficulties are common. Anxiety, depression, self-harm, eating disorders, substance misuse and other problems can occur. People who have gender dysphoria also often experience discrimination, resulting in stress. Accessing health services and mental health services can be difficult due to fear of stigma and a lack of experienced care providers. Adolescents and adults with gender dysphoria without gender-affirming treatment might be at risk of thinking about or attempting suicide. By Mayo Clinic Staff By Mayo Clinic Staff Gender dysphoria care at Mayo Clinic </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>> I am not feeling to well and am trying to figure out what could be wrong. What is dcis and explain in detail? [/INST] If your symtopms are extreme please call 911. DCIS doesn't typically have any signs or symptoms. However, DCIS can sometimes cause signs such as: A breast lump Bloody nipple discharge DCIS is usually found on a mammogram and appears as small clusters of calcifications that have irregular shapes and sizes. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is hyperhidrosis and explain in detail? [/INST] If your symtopms are extreme please call 911. The main symptom of hyperhidrosis is heavy sweating. This goes beyond the sweating from being in a hot environment, exercising, or feeling anxious or stressed. The type of hyperhidrosis that usually affects the hands, feet, underarms or face causes at least one episode a week when you're awake. And the sweating usually happens on both sides of 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>> I am not feeling to well and am trying to figure out what could be wrong. What is mastitis and explain in detail? [/INST] If your symtopms are extreme please call 911. Signs and symptoms of mastitis can appear suddenly. They may include: Breast tenderness or warmth to the touch Breast swelling Thickening of breast tissue, or a breast lump Pain or a burning sensation continuously or while breast-feeding Skin redness, often in a wedge-shaped pattern Generally feeling ill Fever of 101 F (38.3 C) or greater </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>> I am not feeling to well and am trying to figure out what could be wrong. What is impetigo and explain in detail? [/INST] If your symtopms are extreme please call 911. Bullous impetigo Open pop-up dialog box Close Bullous impetigo Bullous impetigo Bullous impetigo causes fluid-filled blisters — often on the trunk, arms and legs of infants and children younger than 2 years. Bullous impetigo Open pop-up dialog box Bullous impetigo Open pop-up dialog box Open pop-up dialog box Close Bullous impetigo Bullous impetigo Bullous impetigo causes fluid-filled blisters — often on the trunk, arms and legs of infants and children younger than 2 years. Close Bullous impetigo Bullous impetigo Bullous impetigo causes fluid-filled blisters — often on the trunk, arms and legs of infants and children younger than 2 years. Close Bullous impetigo Bullous impetigo Bullous impetigo causes fluid-filled blisters — often on the trunk, arms and legs of infants and children younger than 2 years. Close Close Close Bullous impetigo Bullous impetigo Bullous impetigo causes fluid-filled blisters — often on the trunk, arms and legs of infants and children younger than 2 years. Bullous impetigo Bullous impetigo causes fluid-filled blisters — often on the trunk, arms and legs of infants and children younger than 2 years. Bullous impetigo causes fluid-filled blisters — often on the trunk, arms and legs of infants and children younger than 2 years. Ecthyma Open pop-up dialog box Close Ecthyma Ecthyma A more serious form of impetigo, called ecthyma, penetrates deeper into the skin — causing painful fluid- or pus-filled sores that turn into deep ulcers. Ecthyma Open pop-up dialog box Ecthyma Open pop-up dialog box Open pop-up dialog box Close Ecthyma Ecthyma A more serious form of impetigo, called ecthyma, penetrates deeper into the skin — causing painful fluid- or pus-filled sores that turn into deep ulcers. Close Ecthyma Ecthyma A more serious form of impetigo, called ecthyma, penetrates deeper into the skin — causing painful fluid- or pus-filled sores that turn into deep ulcers. Close Ecthyma Ecthyma A more serious form of impetigo, called ecthyma, penetrates deeper into the skin — causing painful fluid- or pus-filled sores that turn into deep ulcers. Close Close Close Ecthyma Ecthyma A more serious form of impetigo, called ecthyma, penetrates deeper into the skin — causing painful fluid- or pus-filled sores that turn into deep ulcers. Ecthyma A more serious form of impetigo, called ecthyma, penetrates deeper into the skin — causing painful fluid- or pus-filled sores that turn into deep ulcers. A more serious form of impetigo, called ecthyma, penetrates deeper into the skin — causing painful fluid- or pus-filled sores that turn into deep ulcers. The main symptom of impetigo is reddish sores, often around the nose and mouth. The sores quickly rupture, ooze for a few days and then form a honey-colored crust. Sores can spread to other areas of the body through touch, clothing and towels. Itching and soreness are generally mild. A less common form of the condition called bullous impetigo causes larger blisters on the trunk of infants and young children. Ecthyma is a serious form of impetigo that causes painful fluid- or pus-filled sores. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is goiter and explain in detail? [/INST] If your symtopms are extreme please call 911. Most people with goiters have no signs or symptoms other than a swelling at the base of the neck. In many cases, the goiter is small enough that it's only discovered during a routine medical exam or an imaging test for another condition. Other signs or symptoms depend on whether thyroid function changes, how quickly the goiter grows and whether it obstructs breathing. Underactive thyroid (hypothyroidism) Signs and symptoms of hypothyroidism include: Fatigue Increased sensitivity to cold Increased sleepiness Dry skin Constipation Muscle weakness Problems with memory or concentration Overactive thyroid (hyperthyroidism) Signs and symptoms of hyperthyroidism include: Weight loss Rapid heartbeat (tachycardia) Increased sensitivity to heat Excess sweating Tremors Irritability and nervousness Muscle weakness Frequent bowel movements Changes in menstrual patterns Sleep difficulty High blood pressure Increased appetite Children with hyperthyroidism might also have the following: Rapid growth in height Changes in behavior Bone growth that outpaces expected growth for the child's age Obstructive goiter The size or position of a goiter may obstruct the airway and voice box. Signs and symptoms may include: Difficulty swallowing Difficulty breathing with exertion Cough Hoarseness Snoring </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>> I am not feeling to well and am trying to figure out what could be wrong. What is indigestion and explain in detail? [/INST] If your symtopms are extreme please call 911. If you have indigestion, you may have: Early fullness during a meal. You haven't eaten much of your meal, but you already feel full and may not be able to finish eating. Uncomfortable fullness after a meal. The feeling of fullness lasts longer than it should. Discomfort in the upper abdomen. You feel a mild to severe pain in the area between the bottom of your breastbone and your bellybutton. Burning in the upper abdomen. You feel an uncomfortable heat or burning sensation between the bottom of your breastbone and your bellybutton. Bloating in the upper abdomen. You feel an uncomfortable sensation of tightness in your upper abdomen. Nausea. You feel as if you want to vomit. Less frequent signs and symptoms include vomiting and belching. Sometimes people with indigestion also experience heartburn. Heartburn is a pain or burning feeling in the center of your chest that may radiate into your neck or back during or after eating. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is bee-stings and explain in detail? [/INST] If your symtopms are extreme please call 911. Bee stings can produce different reactions, ranging from temporary pain and discomfort to a severe allergic reaction. Having one type of reaction doesn't mean you'll always have the same reaction every time you're stung or that the next reaction will necessarily be more severe. Mild reaction Most of the time, bee sting symptoms are minor and include: Instant, sharp burning pain at the sting site A red welt at the sting area Slight swelling around the sting area In most people, the swelling and pain go away within a few hours. Moderate reaction Some people who get stung by a bee or other insect have a bit stronger reaction, with signs and symptoms such as: Extreme redness Swelling at the site of the sting that gradually enlarges over the next day or two Moderate reactions tend to resolve over five to 10 days. Having a moderate reaction doesn't mean you'll have a severe allergic reaction the next time you're stung. But some people develop similar moderate reactions each time they're stung. If this happens to you, talk to your doctor about treatment and prevention, especially if the reaction becomes more severe each time. Severe allergic reaction A severe allergic reaction (anaphylaxis) to bee stings is potentially life-threatening and requires emergency treatment. A small percentage of people who are stung by a bee or other insect quickly develop anaphylaxis. Signs and symptoms of anaphylaxis include: Skin reactions, including hives and itching and flushed or pale skin Difficulty breathing Swelling of the throat and tongue A weak, rapid pulse Nausea, vomiting or diarrhea Dizziness or fainting Loss of consciousness People who have a severe allergic reaction to a bee sting have a 25% to 65% chance of anaphylaxis the next time they're stung. Talk to your doctor or an allergy specialist about prevention measures such as immunotherapy ("allergy shots") to avoid a similar reaction in case you get stung again. Multiple bee stings Generally, insects such as bees and wasps aren't aggressive and only sting in self-defense. In most cases, this results in one or perhaps a few stings. In some cases a person will disrupt a hive or swarm of bees and get multiple stings. Some types of bees — such as Africanized honeybees — are more likely than are other bees to swarm, stinging in a group. If you get stung more than a dozen times, the accumulation of venom may induce a toxic reaction and make you feel quite sick. Signs and symptoms include: Nausea, vomiting or diarrhea Headache A feeling of spinning (vertigo) Convulsions Fever Dizziness or fainting Multiple stings can be a medical emergency in children, older adults, and people who have heart or breathing problems. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is tennis-elbow and explain in detail? [/INST] If your symtopms are extreme please call 911. The pain associated with tennis elbow may radiate from the outside of your elbow into your forearm and wrist. Pain and weakness may make it difficult to: Shake hands or grip an object Turn a doorknob Hold a coffee cup When to see a doctor Talk to your doctor if self-care steps such as rest, ice and use of over-the-counter pain relievers don't ease your elbow pain and tenderness. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is sex-headaches and explain in detail? [/INST] If your symtopms are extreme please call 911. There are two types of sex headaches: A dull ache in the head and neck that intensifies as sexual excitement increases A sudden, severe, throbbing headache that occurs just before or at the moment of orgasm In some people, both types of headaches are combined. Most sex headaches last at least several minutes. Others may linger for hours or even 2 to 3 days. Many people who have sex headaches will experience them in clusters over a few months, and then they may go for a year or more without having any. Up to half of all people with sex headaches experience them over the course of about six months. Some people may only have one attack during their lives. </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>> I am not feeling to well and am trying to figure out what could be wrong. What is teen-depression and explain in detail? [/INST] If your symtopms are extreme please call 911. Teen depression signs and symptoms include a change from the teenager's previous attitude and behavior that can cause significant distress and problems at school or home, in social activities, or in other areas of life. Depression symptoms can vary in severity, but changes in your teen's emotions and behavior may include the examples below. Emotional changes Be alert for emotional changes, such as: Feelings of sadness, which can include crying spells for no apparent reason Frustration or feelings of anger, even over small matters Feeling hopeless or empty Irritable or annoyed mood Loss of interest or pleasure in usual activities Loss of interest in, or conflict with, family and friends Low self-esteem Feelings of worthlessness or guilt Fixation on past failures or exaggerated self-blame or self-criticism Extreme sensitivity to rejection or failure, and the need for excessive reassurance Trouble thinking, concentrating, making decisions and remembering things Ongoing sense that life and the future are grim and bleak Frequent thoughts of death, dying or suicide Behavioral changes Watch for changes in behavior, such as: Tiredness and loss of energy Insomnia or sleeping too much Changes in appetite — decreased appetite and weight loss, or increased cravings for food and weight gain Use of alcohol or drugs Agitation or restlessness — for example, pacing, hand-wringing or an inability to sit still Slowed thinking, speaking or body movements Frequent complaints of unexplained body aches and headaches, which may include frequent visits to the school nurse Social isolation Poor school performance or frequent absences from school Less attention to personal hygiene or appearance Angry outbursts, disruptive or risky behavior, or other acting-out behaviors Self-harm — for example, cutting or burning Making a suicide plan or a suicide attempt What's normal and what's not It can be difficult to tell the difference between ups and downs that are just part of being a teenager and teen depression. Talk with your teen. Try to determine whether he or she seems capable of managing challenging feelings, or if life seems overwhelming. </s>