<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

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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.

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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.

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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.

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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.

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 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.
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 </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.
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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 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
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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 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
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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
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	    Bullous impetigo
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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.

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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.

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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.

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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
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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
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	    Ecthyma
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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.

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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.

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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>


<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 preeclampsia and explain in detail? [/INST] If your symtopms are extreme please call 911. The defining feature of preeclampsia is high blood pressure, proteinuria, or other signs of damage to the kidneys or other organs. You may have no noticeable symptoms. The first signs of preeclampsia are often detected during routine prenatal visits with a health care provider. Along with high blood pressure, preeclampsia signs and symptoms may include:
Excess protein in urine (proteinuria) or other signs of kidney problems
Decreased levels of platelets in blood (thrombocytopenia)
Increased liver enzymes that indicate liver problems
Severe headaches
Changes in vision, including temporary loss of vision, blurred vision or light sensitivity
Shortness of breath, caused by fluid in the lungs
Pain in the upper belly, usually under the ribs on the right side
Nausea or vomiting
 Weight gain and swelling (edema) are typical during healthy pregnancies. However, sudden weight gain or a sudden appearance of edema — particularly in your face and hands — may be a sign of preeclampsia. </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 arteriosclerosis-atherosclerosis and explain in detail? [/INST] If your symtopms are extreme please call 911. Mild atherosclerosis usually doesn't have any symptoms. Atherosclerosis symptoms usually don't happen until an artery is so narrowed or clogged that it can't supply enough blood to organs and tissues. Sometimes a blood clot completely blocks blood flow. The clot may break apart and can trigger a heart attack or stroke. Symptoms of moderate to severe atherosclerosis depend on which arteries are affected. For example:
If you have atherosclerosis in your heart arteries, you may have chest pain or pressure (angina).
If you have atherosclerosis in the arteries leading to your brain, you may have sudden numbness or weakness in your arms or legs, difficulty speaking or slurred speech, temporary loss of vision in one eye, or drooping muscles in your face. These signal a transient ischemic attack (TIA). Untreated, a TIA can lead to a stroke.
If you have atherosclerosis in the arteries in your arms and legs, you may have symptoms of peripheral artery disease, such as leg pain when walking (claudication) or decreased blood pressure in an affected limb.
If you have atherosclerosis in the arteries leading to your kidneys, you may develop high blood pressure or kidney 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 aortic-dissection and explain in detail? [/INST] If your symtopms are extreme please call 911. Aortic dissection symptoms may be similar to those of other heart problems, such as a heart attack. Typical signs and symptoms include:
Sudden severe chest or upper back pain, often described as a tearing or ripping sensation, that spreads to the neck or down the back
Sudden severe stomach pain
Loss of consciousness
Shortness of breath
Symptoms similar to those of a stroke, including sudden vision problems, difficulty speaking, and weakness or loss of movement (paralysis) on one side of your body
Weak pulse in one arm or thigh compared with the other
Leg pain
Difficulty walking
 </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 lichen-sclerosus and explain in detail? [/INST] If your symtopms are extreme please call 911.

	    Lichen sclerosus
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Lichen sclerosus

Lichen sclerosus
Lichen sclerosus is a skin condition characterized by discolored, blotchy patches of skin.

	    Lichen sclerosus
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	    Lichen sclerosus
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Lichen sclerosus

Lichen sclerosus
Lichen sclerosus is a skin condition characterized by discolored, blotchy patches of skin.

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Lichen sclerosus

Lichen sclerosus
Lichen sclerosus is a skin condition characterized by discolored, blotchy patches of skin.

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Lichen sclerosus

Lichen sclerosus
Lichen sclerosus is a skin condition characterized by discolored, blotchy patches of skin.

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Lichen sclerosus
Lichen sclerosus is a skin condition characterized by discolored, blotchy patches of skin.
 Lichen sclerosus Lichen sclerosus is a skin condition characterized by discolored, blotchy patches of skin. Lichen sclerosus is a skin condition characterized by discolored, blotchy patches of skin.

	    Lichen sclerosus in genital area
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Lichen sclerosus in genital area

Lichen sclerosus in genital area
Lichen sclerosus may affect skin on any part of your body but often involves the skin of the genital area.

	    Lichen sclerosus in genital area
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	    Lichen sclerosus in genital area
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Lichen sclerosus in genital area

Lichen sclerosus in genital area
Lichen sclerosus may affect skin on any part of your body but often involves the skin of the genital area.

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Lichen sclerosus in genital area

Lichen sclerosus in genital area
Lichen sclerosus may affect skin on any part of your body but often involves the skin of the genital area.

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Lichen sclerosus in genital area

Lichen sclerosus in genital area
Lichen sclerosus may affect skin on any part of your body but often involves the skin of the genital area.

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Lichen sclerosus in genital area
Lichen sclerosus may affect skin on any part of your body but often involves the skin of the genital area.

 Lichen sclerosus in genital area Lichen sclerosus may affect skin on any part of your body but often involves the skin of the genital area.
 Lichen sclerosus may affect skin on any part of your body but often involves the skin of the genital area. It's possible to have mild lichen sclerosus with no symptoms. When symptoms do occur, they usually affect the skin of the genital and anal areas. The back, shoulders, upper arms and breasts may also be affected. Symptoms may include:
Smooth discolored skin patches
Blotchy, wrinkled skin patches
Itching
Soreness or a burning feeling
Easy bruising
Fragile skin
Changes in the tube for urine flow (urethra)
Bleeding, blistering or open sores
Painful 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 gallbladder-cancer and explain in detail? [/INST] If your symtopms are extreme please call 911. Gallbladder cancer signs and symptoms may include:
Abdominal pain, particularly in the upper right portion of the abdomen
Abdominal bloating
Losing weight without trying
Yellowing of the skin and whites of the eyes (jaundice)
 </s>