Vanquish44/Healthcare_NLP huggingface dataset:
Question: How to diagnose What I need to know about Interstitial Cystitis/Painful Bladder Syndrome ?
Answer: Finding the cause of bladder pain may require several tests.
                
While tests may aid your doctor in making a diagnosis of IC/PBS, a careful review of your symptoms and a physical exam in the office are generally the most important parts of the evaluation.

Topic: What I need to know about Interstitial Cystitis/Painful Bladder Syndrome
Source: NIDDK
Question: What to do for What I need to know about Interstitial Cystitis/Painful Bladder Syndrome ?
Answer: - Bladder problems have many possible causes.  - Your doctor will need to do tests to find the cause of your bladder problems. If all the test results are normal, you may have IC/PBS.  - No one treatment option for IC/PBS works for everybody.  - Treatments for IC/PBS may include changing your diet and exercising.  - Medicines for IC/PBS may be taken by mouth or put directly into the bladder through a tube by a doctor.  - Nerve stimulation helps some people with IC/PBS.  - Surgery is a last resort for treating IC/PBS.

Topic: What I need to know about Interstitial Cystitis/Painful Bladder Syndrome
Source: NIDDK
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.

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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.

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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.

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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.

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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.

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
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.

Topic: What I need to know about Gestational Diabetes
Source: NIDDK
Question: What are the symptoms of Dermatitis Herpetiformis: Skin Manifestation of Celiac Disease (For Health Care Professionals) ?
Answer: Dermatitis herpetiformis is characterized by small, clustered papules and vesicles that erupt symmetrically on the elbows, knees, buttocks, back, or scalp. The face and groin can also be involved. A burning sensation may precede lesion formation. Lesions are usually scratched off by the time a patient comes in for a physical exam, and the rash may appear as erosions and excoriations.
                
Patients with DH may also experience dental enamel defects to permanent teeth, which is another manifestation of celiac disease. Less than 20 percent of people with DH have symptoms of celiac disease.3

Topic: Dermatitis Herpetiformis: Skin Manifestation of Celiac Disease (For Health Care Professionals)
Source: NIDDK
Question: What causes Dermatitis Herpetiformis: Skin Manifestation of Celiac Disease (For Health Care Professionals) ?
Answer: Dermatitis herpetiformis is caused by the deposit of immunoglobulin A (IgA) in the skin, which triggers further immunologic reactions resulting in lesion formation. DH is an external manifestation of an abnormal immune response to gluten, in which IgA antibodies form against the skin antigen epidermal transglutaminase.
                
Family studies show that 5 percent of first-degree relatives of a person with DH will also have DH. An additional 5 percent of first-degree relatives of a person with DH will have celiac disease.4 Various other autoimmune diseases are associated with DH, the most common being hypothyroidism.

Topic: Dermatitis Herpetiformis: Skin Manifestation of Celiac Disease (For Health Care Professionals)
Source: NIDDK
Question: How to diagnose Dermatitis Herpetiformis: Skin Manifestation of Celiac Disease (For Health Care Professionals) ?
Answer: A skin biopsy is the first step in diagnosing DH. Direct immunofluorescence of clinically normal skin adjacent to a lesion shows granular IgA deposits in the upper dermis. Histology of lesional skin may show microabscesses containing neutrophils and eosinophils. However, histology may reveal only excoriation due to the intense itching that patients experience.
                
Blood tests for antiendomysial or anti-tissue transglutaminase antibodies may also suggest celiac disease. Blood tests for epidermal transglutaminase antibodies are positive in more than 90 percent of cases.5 All of these tests will become negative with prolonged adherence to a gluten-free diet.
                
A positive biopsy and serology confirm DH and should be taken as indirect evidence of small bowel damage. A biopsy of the small bowel is usually not needed for DH diagnosis. However, if clinical signs of gastrointestinal disease are evident on examination, further workup may be required.2 Whether or not intestinal damage is evident, a gluten-free diet should be implemented because the rash of DH is gluten sensitive.4

Topic: Dermatitis Herpetiformis: Skin Manifestation of Celiac Disease (For Health Care Professionals)
Source: NIDDK
Question: What are the treatments for Dermatitis Herpetiformis: Skin Manifestation of Celiac Disease (For Health Care Professionals) ?
Answer: The sulfone dapsone can provide immediate relief of symptoms. For patients who cannot tolerate dapsone, sulfapyridine or sulfamethoxypyridazine may be used, although these medications are less effective than dapsone. A strict gluten-free diet is the only treatment for the underlying disease. Even with a gluten-free diet, medication therapy may need to be continued from a few months to 2 years.
                
DH can go into remission, which is defined as absence of skin lesions and symptoms of DH for more than 2 years while not taking sulfones or other treatments and not adhering to a gluten-free diet. Cohort studies showing DH remission provide support for reducing sulfone therapy and weaning from a gluten-free diet in patients with well-controlled DH.6

Topic: Dermatitis Herpetiformis: Skin Manifestation of Celiac Disease (For Health Care Professionals)
Source: NIDDK
Question: What is (are) Your Guide to Diabetes: Type 1 and Type 2 ?
Answer: Diabetes is when your blood glucose, also called blood sugar, is too high. Blood glucose is the main type of sugar found in your blood and your main source of energy. Glucose comes from the food you eat and is also made in your liver and muscles. Your blood carries glucose to all of your bodys cells to use for energy.
                
Your pancreasan organ, located between your stomach and spine, that helps with digestionreleases a hormone it makes, called insulin, into your blood. Insulin helps your blood carry glucose to all your bodys cells. Sometimes your body doesnt make enough insulin or the insulin doesnt work the way it should. Glucose then stays in your blood and doesnt reach your cells. Your blood glucose levels get too high and can cause diabetes or prediabetes.
                
Over time, having too much glucose in your blood can cause health problems.
                
*See the Pronunciation Guide for tips on how to say the the words in bold type.

Topic: Your Guide to Diabetes: Type 1 and Type 2
Source: NIDDK
Question: What is (are) Your Guide to Diabetes: Type 1 and Type 2 ?
Answer: Prediabetes is when the amount of glucose in your blood is above normal yet not high enough to be called diabetes. With prediabetes, your chances of getting type 2 diabetes, heart disease, and stroke are higher. With some weight loss and moderate physical activity, you can delay or prevent type 2 diabetes. You can even return to normal glucose levels, possibly without taking any medicines.

Topic: Your Guide to Diabetes: Type 1 and Type 2
Source: NIDDK
Question: What are the symptoms of Your Guide to Diabetes: Type 1 and Type 2 ?
Answer: The signs and symptoms of diabetes are
                
- being very thirsty  - urinating often  - feeling very hungry  - feeling very tired  - losing weight without trying  - sores that heal slowly  - dry, itchy skin  - feelings of pins and needles in your feet  - losing feeling in your feet  - blurry eyesight
                
Some people with diabetes dont have any of these signs or symptoms. The only way to know if you have diabetes is to have your doctor do a blood test.

Topic: Your Guide to Diabetes: Type 1 and Type 2
Source: NIDDK
Question: What is (are) Urinary Tract Infection In Adults ?
Answer: A UTI is an infection in the urinary tract. Infections are caused by microbesorganisms too small to be seen without a microscopeincluding fungi, viruses, and bacteria. Bacteria are the most common cause of UTIs. Normally, bacteria that enter the urinary tract are rapidly removed by the body before they cause symptoms. However, sometimes bacteria overcome the bodys natural defenses and cause infection. An infection in the urethra is called urethritis. A bladder infection is called cystitis. Bacteria may travel up the ureters to multiply and infect the kidneys. A kidney infection is called pyelonephritis.

Topic: Urinary Tract Infection In Adults
Source: NIDDK
Question: What is (are) Urinary Tract Infection In Adults ?
Answer: The urinary tract is the body's drainage system for removing wastes and extra water. The urinary tract includes two kidneys, two ureters, a bladder, and a urethra. The kidneys are a pair of bean-shaped organs, each about the size of a fist and located below the ribs, one on each side of the spine, toward the middle of the back. Every minute, a persons kidneys filter about 3 ounces of blood, removing wastes and extra water. The wastes and extra water make up the 1 to 2 quarts of urine a person produces each day. The urine travels from the kidneys down two narrow tubes called the ureters. The urine is then stored in a balloonlike organ called the bladder and emptied through the urethra, a tube at the bottom of the bladder.
                
When the bladder empties, a muscle called the sphincter relaxes and urine flows out of the body through the urethra. The opening of the urethra is at the end of the penis in males and in front of the vagina in females.

Topic: Urinary Tract Infection In Adults
Source: NIDDK
Question: What causes Urinary Tract Infection In Adults ?
Answer: Most UTIs are caused by bacteria that live in the bowel. The bacterium Escherichia coli (E. coli) causes the vast majority of UTIs. Microbes called Chlamydia and Mycoplasma can infect the urethra and reproductive system but not the bladder. Chlamydia and Mycoplasma infections may be sexually transmitted and require treatment of sexual partners.
                
The urinary tract has several systems to prevent infection. The points where the ureters attach to the bladder act like one-way valves to prevent urine from backing up toward the kidneys, and urination washes microbes out of the body. In men, the prostate gland produces secretions that slow bacterial growth. In both sexes, immune defenses also prevent infection. But despite these safeguards, infections still occur. Certain bacteria have a strong ability to attach themselves to the lining of the urinary tract.

Topic: Urinary Tract Infection In Adults
Source: NIDDK
Question: How many people are affected by Urinary Tract Infection In Adults ?
Answer: Urinary tract infections are the second most common type of infection in the body, accounting for about 8.1 million visits to health care providers each year.1 Women are especially prone to UTIs for anatomical reasons. One factor is that a womans urethra is shorter, allowing bacteria quicker access to the bladder. Also, a womans urethral opening is near sources of bacteria from the anus and vagina. For women, the lifetime risk of having a UTI is greater than 50 percent.2 UTIs in men are not as common as in women but can be serious when they occur.

Topic: Urinary Tract Infection In Adults
Source: NIDDK
Question: What are the symptoms of Urinary Tract Infection In Adults ?
Answer: Symptoms of a UTI vary by age, gender, and whether a catheter is present. Among young women, UTI symptoms typically include a frequent and intense urge to urinate and a painful, burning feeling in the bladder or urethra during urination. The amount of urine may be very small. Older women and men are more likely to be tired, shaky, and weak and have muscle aches and abdominal pain. Urine may look cloudy, dark, or bloody or have a foul smell. In a person with a catheter, the only symptom may be fever that cannot be attributed to any other cause. Normally, UTIs do not cause fever if they are in the bladder. A fever may mean the infection has reached the kidneys or has penetrated the prostate. Other symptoms of a kidney infection include pain in the back or side below the ribs, nausea, and vomiting.

Topic: Urinary Tract Infection In Adults
Source: NIDDK