Druvith/medqa1 huggingface dataset:
Question:  What to do for Irritable Bowel Syndrome in Children ?
Answer: - Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder, meaning it is a problem caused by changes in how the GI tract works. Children with a functional GI disorder have frequent symptoms, but the GI tract does not become damaged.  - IBS is not a disease; it is a group of symptoms that occur together.  - The most common symptoms of IBS are abdominal pain or discomfort, often reported as cramping, along with diarrhea, constipation, or both.  - The causes of IBS are not well understood. The possible causes of IBS in children include brain-gut signal problems, GI motor problems, hypersensitivity, mental health problems, bacterial gastroenteritis, small intestinal bacterial overgrowth, and genetics.  - To diagnose IBS, a health care provider will conduct a physical exam and take a complete medical history. The medical history will include questions about the childs symptoms, family members with GI disorders, recent infections, medications, and stressful events related to the onset of symptoms. IBS is diagnosed when the physical exam does not show any cause for the childs symptoms and the child meets all of the following criteria:      - has had symptoms at least once per week for at least 2 months    - is growing as expected    - is not showing any signs that suggest another cause for the symptoms    - Though there is no cure for IBS, the symptoms can be treated with a combination of the following:      - changes in eating, diet, and nutrition    - medications    - probiotics    - therapies for mental health problems
Question:  What is (are) What I need to know about Gestational Diabetes ?
Answer: Gestational* diabetes is a type of diabetes that develops only during pregnancy. Diabetes means your blood glucose, also called blood sugar, is too high. Your body uses glucose for energy. Too much glucose in your blood is not good for you or your baby.
                
Gestational diabetes is usually diagnosed during late pregnancy. If you are diagnosed with diabetes earlier in your pregnancy, you may have had diabetes before you became pregnant.
                
Treating gestational diabetes can help both you and your baby stay healthy. You can protect your baby and yourself by taking action right away to control your blood glucose levels.
                
If you have gestational diabetes, a health care team will likely be part of your care. In addition to your obstetrician-gynecologist, or OB/GYNthe doctor who will deliver your babyyour team might include a doctor who treats diabetes, a diabetes educator, and a dietitian to help you plan meals.
                
For Women with Type 1 or Type 2 Diabetes   If you already have type 1 or type 2 diabetes and are thinking about having a baby, talk with your doctor before you get pregnant. Untreated or poorly controlled diabetes can cause serious problems for your baby. More information is provided in the NIDDK health topic, What I need to know about Preparing for Pregnancy if I Have Diabetes or call 18008608747 and request a copy.
                
*See the Pronunciation Guide for tips on how to say the words in bold type.
Question:  What causes What I need to know about Gestational Diabetes ?
Answer: Gestational diabetes happens when your body can't make enough insulin during pregnancy. Insulin is a hormone made in your pancreas, an organ located behind your stomach. Insulin helps your body use glucose for energy and helps control your blood glucose levels.
                
During pregnancy, your body makes more hormones and goes through other changes, such as weight gain. These changes cause your body's cells to use insulin less effectively, a condition called insulin resistance. Insulin resistance increases your body's need for insulin. If your pancreas can't make enough insulin, you will have gestational diabetes.
                
All pregnant women have some insulin resistance during late pregnancy. However, some women have insulin resistance even before they get pregnant, usually because they are overweight. These women start pregnancy with an increased need for insulin and are more likely to have gestational diabetes.
                

                
What are my chances of getting gestational diabetes?   Your chances of getting gestational diabetes are higher if you   - are overweight   - have had gestational diabetes before   - have given birth to a baby weighing more than 9 pounds   - have a parent, brother, or sister with type 2 diabetes   - have prediabetes, meaning your blood glucose levels are higher than normal yet not high enough for a diagnosis of diabetes   - are African American, American Indian, Asian American, Hispanic/Latina, or Pacific Islander American   - have a hormonal disorder called polycystic ovary syndrome, also known as PCOS
Question:  What is (are) What I need to know about Gestational Diabetes ?
Answer: Your chances of getting gestational diabetes are higher if you
                
- are overweight  - have had gestational diabetes before  - have given birth to a baby weighing more than 9 pounds  - have a parent, brother, or sister with type 2 diabetes  - have prediabetes, meaning your blood glucose levels are higher than normal yet not high enough for a diagnosis of diabetes  - are African American, American Indian, Asian American, Hispanic/Latina, or Pacific Islander American  - have a hormonal disorder called polycystic ovary syndrome, also known as PCOS
Question:  How to diagnose What I need to know about Gestational Diabetes ?
Answer: Doctors use blood tests to diagnose gestational diabetes. All diabetes blood tests involve drawing blood at a doctor's office or a commercial facility. Blood samples are sent to a lab for analysis.
                

                
Screening Glucose Challenge Test
                
For this test, you will drink a sugary beverage and have your blood glucose level checked an hour later. This test can be done at any time of the day. If the results are above normal, you may need to have an oral glucose tolerance test.
                
Oral Glucose Tolerance Test
                
You will need to fast for at least 8 hours before the test. Fasting means having nothing to eat or drink except water. Your doctor will give you other instructions to follow before the test.
                
Your fasting blood glucose level will be checked before the test begins. Then you will drink a sugary beverage. Your blood glucose levels will be checked 1 hour, 2 hours, and possibly 3 hours later. Your doctor will use your test results to find out whether you have gestational diabetes.
Question:  How to diagnose What I need to know about Gestational Diabetes ?
Answer: If you have gestational diabetes, your doctor may recommend that you have some extra tests to check your baby's health, such as
                
- ultrasound exams, which use sound waves to make images that show your baby's growth and whether your baby is larger than normal  - a nonstress test, which uses a monitor placed on your abdomen to check whether your baby's heart rate increases as it should when your baby is active  - kick counts to check the time between your baby's movements
Question:  What are the treatments for What I need to know about Gestational Diabetes ?
Answer: Treating gestational diabetes means taking steps to keep your blood glucose levels in a target range. Targets are numbers you aim for. Your doctor will help you set your targets. You will learn how to control your blood glucose using
                
- healthy eating  - physical activity  - insulin shots, if needed
Question:  What to do for What I need to know about Gestational Diabetes ?
Answer: Your health care team will help you make a healthy eating plan with food choices that are good for both you and your baby. These choices are good for you to follow throughout pregnancy and after, as you raise your family.
                
Using a healthy eating plan will help your blood glucose stay in your target range. The plan will help you know which foods to eat, how much to eat, and when to eat. Food choices, amounts, and timing are all important in keeping your blood glucose levels in your target range.
                
More information is provided in the NIDDK health topic, What I need to know about Eating and Diabetes.
                

                
Physical Activity
                
Physical activity can help you reach your blood glucose targets. Talk with your doctor about the type of activity that is best for you. If you are already active, tell your doctor what you do. Being physically active will also help lower your chances of having type 2 diabetesand its problemsin the future. Now is the time to develop good habits for you and your baby.
                
For more information about physical activity and pregnancy, visit www.womenshealth.gov/pregnancy.
                
Insulin Shots
                
If you have trouble meeting your blood glucose targets, you may need to take a medicine called insulin, along with following a healthy meal plan and being physically active. Your health care team will show you how to give yourself insulin shots. Insulin will not harm your baby.
Question:  How to diagnose What I need to know about Gestational Diabetes ?
Answer: Your health care team may teach you how to test for chemicals called ketones in your morning urine or in your blood. High levels of ketones are a sign that your body is using your body fat for energy instead of the food you eat. Using fat for energy is not recommended during pregnancy. Ketones may be harmful for your baby.
                
If your ketone levels are high, your doctor may suggest that you change the type or amount of food you eat. Or you may need to change your meal or snack times.
Question:  How to prevent What I need to know about Gestational Diabetes ?
Answer: You can do a lot to prevent or delay type 2 diabetes by making these lifestyle changes:
                
- Reach and stay at a healthy weight. Try to reach your prepregnancy weight 6 to 12 months after your baby is born. Then, if you still weigh too much, work to lose at least 5 to 7 percent of your body weight and keep it off. For example, if you weigh 200 pounds, losing 10 to 14 pounds can greatly reduce your chance of getting diabetes.  - Be physically active for at least 30 minutes most days of the week.  - Follow a healthy eating plan. Eat more grains, fruits, and vegetables. Cut down on fat and calories. Your health care team can help you design a meal plan.  - Ask your doctor if you should take the diabetes medicine metformin. Metformin can lower your chances of having type 2 diabetes, especially if you are younger and heavier and have prediabetes or if you have had gestational diabetes.
                
These changes can help you enjoy a longer, healthier life. Your health care team can give you information and support to help you make these changes.
                
By delaying or preventing type 2 diabetes, you will also lower your chances of having heart and blood vessel disease and other problems as you get older.
                
Talk with your doctor if you are thinking about having another baby. For the safety of your baby, your blood glucose needs to be at healthy levels before you get pregnant again. Your doctor can help ensure you are ready for your next child.
Question:  What to do for What I need to know about Gestational Diabetes ?
Answer: - Gestational diabetes is a type of diabetes that develops only during pregnancy. Diabetes means your blood glucose, also called blood sugar, is too high.  - Gestational diabetes happens when your body can't make enough insulin during pregnancy. Insulin is a hormone made in your pancreas, an organ located behind your stomach. Insulin helps your body use glucose for energy and helps control your blood glucose levels.  - You will probably be tested for gestational diabetes between weeks 24 and 28 of your pregnancy. If you have a higher chance of getting gestational diabetes, your doctor may test you for diabetes during your first visit after you become pregnant.  - If you have high blood glucose levels because your gestational diabetes is not under control, your baby will also have high blood glucose.  - Untreated or uncontrolled gestational diabetes can cause problems for your baby.  - Treating gestational diabetes means taking steps to keep your blood glucose levels in a target range.  - Even if your blood glucose levels return to normal after your pregnancy, your chances of getting diabetesusually type 2 diabeteslater in life are high. Therefore, you should be tested at least every 3 years for diabetes or prediabetes.  - You can give your baby a healthy start by breastfeeding.  - You can help your child be healthy by showing your child how to make healthy lifestyle choices, including being physically active, limiting screen time in front of the TV or video games, eating a healthy diet, and staying at a healthy weight.
Question:  What is (are) Human Growth Hormone and Creutzfeldt-Jakob Disease Resource List ?
Answer: MAGIC (Major Aspects of Growth in Children) Foundation is a national, nonprofit organization that provides support and education about growth disorders in children and growth hormone deficiency in adults. Staff will help connect people who have similar interests or concerns.
                
The Human Growth Foundation (HGF) is a nonprofit organization concerned with childrens growth disorders and adult growth hormone deficiency. The HGF offers a brochure about adult growth hormone deficiency. The foundation also sponsors adult and pediatric Internet discussion forums to support the exchange of information about growth hormone deficiency and growth hormone replacement therapy. To subscribe, follow the instructions at www.hgfound.org.
                
The Creutzfeldt-Jakob Disease (CJD) Foundation, Inc. was created in 1993 by two families who lost relatives to CJD and the neurologist who treated the patients. This nonprofit corporation seeks to promote awareness of CJD through research and education and to reach out to people who have lost loved ones to this illness.
Question:  What is (are) Human Growth Hormone and Creutzfeldt-Jakob Disease Resource List ?
Answer: Health Alert: Adrenal Crisis Causes Death in Some People Who Were Treated with Human Growth Hormone
                
National Hormone and Pituitary Program (NHPP): Information for People Treated with Pituitary Human Growth Hormone (Summary)
                
National Hormone and Pituitary Program (NHPP): Information for People Treated with Pituitary Human Growth Hormone (Comprehensive Report)
                
Creutzfeldt-Jakob Disease. Fact sheet of the National Institute of Neurological Disorders and Stroke, National Institutes of Health (NIH)
                
NIH and Italian Scientists Develop Nasal Test for Human Prion Disease
                
What is a prion?from Scientific American: Ask the Experts
Question:  What is (are) Liver (Hepatocellular) Cancer ?
Answer: Key Points
                    - Liver cancer is a disease in which malignant (cancer) cells form in the tissues of the liver.    - Liver cancer is less common in the United States than in other parts of the world.    - Having hepatitis or cirrhosis can increase the risk of developing liver cancer.
                
                
                    Liver cancer is a disease in which malignant (cancer) cells form in the tissues of the liver.
                    The liver is one of the largest organs in the body. It has four lobes and fills the upper right side of the abdomen inside the rib cage. Three of the many important functions of the liver are:         - To filter harmful substances from the blood so they can be passed from the body in stools and urine.    - To make bile to help digest fats from food.    - To store glycogen (sugar), which the body uses for energy.         See the following PDQ summaries for more information about liver (hepatocellular) cancer:         -  Liver (Hepatocellular) Cancer Prevention     -  Adult Primary Liver Cancer Treatment     -  Childhood Liver Cancer Treatment
                
                
                    Liver cancer is less common in the United States than in other parts of the world.
                    Liver cancer is uncommon in the United States, but is the fourth most common cancer in the world. In the United States, men, especially Chinese American men, have a greater risk of developing liver cancer.
Question:  Who is at risk for Liver (Hepatocellular) Cancer? ?
Answer: Having hepatitis or cirrhosis can increase the risk of developing liver cancer. Anything that increases the chance of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer. People who think they may be at risk should discuss this with their doctor. Risk factors for liver cancer include:         - Having hepatitis B or hepatitis C; having both hepatitis B and hepatitis C increases the risk even more.    - Having cirrhosis, which can be caused by:                -  hepatitis (especially hepatitis C); or      - drinking large amounts of alcohol for many years or being an alcoholic.             - Eating foods tainted with aflatoxin (poison from a fungus that can grow on foods, such as grains and nuts, that have not been stored properly).
Question:  What is (are) Ovarian Epithelial, Fallopian Tube, and Primary Peritoneal Cancer ?
Answer: Key Points
                    - Ovarian epithelial cancer, fallopian tube cancer, and primary peritoneal cancer are diseases in which malignant (cancer) cells form in the tissue covering the ovary or lining the fallopian tube or peritoneum.     - Ovarian epithelial cancer, fallopian tube cancer, and primary peritoneal cancer form in the same type of tissue and are treated the same way.    - Women who have a family history of ovarian cancer are at an increased risk of ovarian cancer.    - Some ovarian, fallopian tube, and primary peritoneal cancers are caused by inherited gene mutations (changes).    - Women with an increased risk of ovarian cancer may consider surgery to lessen the risk.    - Signs and symptoms of ovarian, fallopian tube, or peritoneal cancer include pain or swelling in the abdomen.    - Tests that examine the ovaries and pelvic area are used to detect (find) and diagnose ovarian, fallopian tube, and peritoneal cancer.    - Certain factors affect treatment options and prognosis (chance of recovery).
                
                
                    Ovarian epithelial cancer, fallopian tube cancer, and primary peritoneal cancer are diseases in which malignant (cancer) cells form in the tissue covering the ovary or lining the fallopian tube or peritoneum.
                    The ovaries are a pair of organs in the female reproductive system. They are in the pelvis, one on each side of the uterus (the hollow, pear-shaped organ where a fetus grows). Each ovary is about the size and shape of an almond. The ovaries make eggs and female hormones (chemicals that control the way certain cells or organs work).    The fallopian tubes are a pair of long, slender tubes, one on each side of the uterus. Eggs pass from the ovaries, through the fallopian tubes, to the uterus. Cancer sometimes begins at the end of the fallopian tube near the ovary and spreads to the ovary.   The peritoneum is the tissue that lines the abdominal wall and covers organs in the abdomen. Primary peritoneal cancer is cancer that forms in the peritoneum and has not spread there from another part of the body. Cancer sometimes begins in the peritoneum and spreads to the ovary.       Ovarian epithelial cancer is one type of cancer that affects the ovary. See the following PDQ treatment summaries for information about other types of ovarian tumors:         -  Ovarian Germ Cell Tumors     -  Ovarian Low Malignant Potential Tumors     -  Unusual Cancers of Childhood Treatment (ovarian cancer in children)
                
                
                    Ovarian epithelial cancer, fallopian tube cancer, and primary peritoneal cancer form in the same type of tissue and are treated the same way.
Question:  Who is at risk for Ovarian Epithelial, Fallopian Tube, and Primary Peritoneal Cancer? ?
Answer: Women who have a family history of ovarian cancer are at an increased risk of ovarian cancer. Anything that increases your risk of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer. Talk with your doctor if you think you may be at risk.   Women who have one first-degree relative (mother, daughter, or sister) with a history of ovarian cancer have an increased risk of ovarian cancer. This risk is higher in women who have one first-degree relative and one second-degree relative (grandmother or aunt) with a history of ovarian cancer. This risk is even higher in women who have two or more first-degree relatives with a history of ovarian cancer.
Question:  Is Ovarian Epithelial, Fallopian Tube, and Primary Peritoneal Cancer inherited ?
Answer: Some ovarian, fallopian tube, and primary peritoneal cancers are caused by inherited gene mutations (changes). The genes in cells carry the hereditary information that is received from a persons parents. Hereditary ovarian cancer makes up about 20% of all cases of ovarian cancer. There are three hereditary patterns: ovarian cancer alone, ovarian and breast cancers, and ovarian and colon cancers.    Fallopian tube cancer and peritoneal cancer may also be caused by certain inherited gene mutations.   There are tests that can detect gene mutations. These genetic tests are sometimes done for members of families with a high risk of cancer. See the following PDQ summaries for more information:          -  Ovarian, Fallopian Tube, and Primary Peritoneal Cancer Prevention     -  Genetics of Breast and Gynecologic Cancers (for health professionals)
Question:  How to prevent Ovarian Epithelial, Fallopian Tube, and Primary Peritoneal Cancer ?
Answer: Women with an increased risk of ovarian cancer may consider surgery to lessen the risk. Some women who have an increased risk of ovarian cancer may choose to have a risk-reducing oophorectomy (the removal of healthy ovaries so that cancer cannot grow in them). In high-risk women, this procedure has been shown to greatly decrease the risk of ovarian cancer. (See the PDQ summary on Ovarian, Fallopian Tube, and Primary Peritoneal Cancer Prevention for more information.)
Question:  What are the symptoms of Ovarian Epithelial, Fallopian Tube, and Primary Peritoneal Cancer ?
Answer: Signs and symptoms of ovarian, fallopian tube, or peritoneal cancer include pain or swelling in the abdomen. Ovarian, fallopian tube, or peritoneal cancer may not cause early signs or symptoms. When signs or symptoms do appear, the cancer is often advanced. Signs and symptoms may include the following:         - Pain, swelling, or a feeling of pressure in the abdomen or pelvis.    -  Vaginal bleeding that is heavy or irregular, especially after menopause.    - Vaginal discharge that is clear, white, or colored with blood.    - A lump in the pelvic area.    -  Gastrointestinal problems, such as gas, bloating, or constipation.        These signs and symptoms also may be caused by other conditions and not by ovarian, fallopian tube, or peritoneal cancer. If the signs or symptoms get worse or do not go away on their own, check with your doctor so that any problem can be diagnosed and treated as early as possible.