anand-s/m_qalm huggingface dataset:
Question: How can exercise help you feel better when you have primary biliary cholangitis (PBC)?
Answer: The disease can change your metabolism, too, so you may be eating less because you just don't feel hungry. Primary biliary cholangitis affects your immune system, so you're more likely to get this kind of infection. The dry mouth that comes with PBC can raise your odds of problems like tooth decay.
Question: Are there ways to manage the symptoms of Felty's syndrome?
Answer: If your RA is under control, you may not need treatment for FS. If you do need help with your symptoms, there are ways to manage them: Drugs that slow down the disease: low-dose methotrexate ( Rheumatrex, Otrexup, Trexall) is often used to stop your FS from getting worse.
Question: What causes Felty's syndrome?
Answer: Doctors aren't sure what causes FS. Your white blood cells may have stopped fighting infections like they should. Or your bone marrow could be making abnormal white blood cells. Another theory is that your immune system attacks your white blood cells by mistake. FS doesn't always run in families, but some genes that raise your chances of getting it could be passed down to you.
Question: Is surgery used to treat Felty's syndrome?
Answer: Surgery: If your FS is severe and other treatments don't work, your doctor may recommend that your spleen be taken out. This could return your red and white blood cells to normal levels and may lower your risk of infection for an indefinite amount of time.
Question: Are there typical signs of Felty's syndrome?
Answer: Signs of FS are similar to those of rheumatoid arthritis. They also overlap other autoimmune diseases -- a disease in which your immune system attacks your own healthy cells -- like lupus. Because of that, FS can be hard to diagnose.
Question: Are blood tests used to diagnose Felty's syndrome?
Answer: Your doctor will also have you take a blood test. People with FS have very low levels of special white blood cells called neutrophils. These are important for fighting off bacterial infections.
Question: What drugs are used to treat Felty's syndrome?
Answer: Doctors aren't sure what causes FS. It can cause some side effects, such as nausea and mouth ulcers. You'll also need regular tests to make sure MTX isn't hurting your liver. Other drugs your doctor might advise you to take include glucocorticoids or disease-modifying antirheumatic drugs ( DMARDs) that are used to treat RA, such as abatacept ( Orencia) and leflunomide ( Arava ). Drugs that affect your immune system: Rituximab ( Rituxan) is also a preferred treatment for FS and can shut off the part of your immune system that isn't working as it should. They're given by IV but may take up to a few weeks to work. Drugs that stimulate your white blood cells: Granulocyte colony-stimulating factor ( G- CSF) can help increase the number of white blood cells and help fight infection. Home care: Your doctor will tell you how much physical activity and rest you need. A heating pad may help with mild aches and pains. A nonsteroidal anti-inflammatory drug ( NSAID) such as ibuprofen can also help. Surgery: If your FS is severe and other treatments don't work, your doctor may recommend that your spleen be taken out. This could return your red and white blood cells to normal levels and may lower your risk of infection for an indefinite amount of time.
Question: What can I do to understand my medical information while Iâm coping with cancer?
Answer: Don't be afraid to ask your doctor, nurse, or other health care provider to repeat and explain any instructions or medical terms that you don't understand. They should be available to answer your questions and address your concerns. Make use of resources and support services offered by your hospital and in the community. Learning more about your disease will help you feel more comfortable with your treatment. Ask your family and friends to help you sort through the information you receive. Talk with other patients and families about cancer and its treatment.
Question: How can counseling help after a cancer diagnosis?
Answer: Counseling services can help cancer patients and families: Discuss issues of concern Develop and enhance coping abilities Gain a sense of control Enjoy a quality of life In addition, mental health care providers are available to create a treatment plan to meet your specific needs. Strategies can be designed to help you regain a sense of control over your life and improve your quality of life -- something everyone deserves. At times, if depression is present, medications other than those treating your cancer may be prescribed.
Question: Iâve been diagnosed with cancer. What are some tips for coping with the stress associated with that?
Answer: You may find yourself having trouble sleeping at night, your body aches, your head hurts, and you just feel exhausted. Here are some tips that may help, but it is also important to talk to a member of your cancer care team about how you are feeling. Here are some tips for reducing stress: Keep a positive attitude. Accept that there are events you cannot control. Be assertive instead of aggressive. " Learn to relax. Exercise regularly. Eat well-balanced meals. Rest and sleep. Don't rely on alcohol or drugs to reduce stress.
Question: What are advance directives, and what do they include?
Answer: These are special documents that describe your wishes regarding your medical care, and include the following: Living will. This document exercises your right to accept or refuse medical treatment that artificially prolongs your life. This is a document in which you appoint a person to speak on your behalf if you should become incapable of expressing medical treatment preferences. An attorney should create this document so that it conforms to state laws and other legal regulations. In addition, consider writing a will to ensure that those who survive you will know how to carry out your wishes. This document should be prepared with an attorney.
Question: Iâm coping with cancer. Where can I get more support?
Answer: There are many resources available to provide support for cancer patients and their families. Among them are: Patient navigators and Social workers. They can provide education, counseling regarding lifestyle changes, and referrals to community or national agencies and support groups. They can also help your family find temporary lodging, provide information about community resources, and help you with other needs. Individual counseling. They provide an environment in which you can learn new ways of dealing with your illness from others who are facing your same challenges.
Question: What is a rotablation procedure?
Answer: Rotablation: A special catheter, with an acorn-shaped, diamond-coated tip, is guided to the point of the narrowing in your coronary artery. The tip spins at a high speed and grinds away the plaque on your artery walls. The microscopic particles are washed away in your bloodstream. This process is repeated as needed to improve blood flow. This is rarely used because balloon angioplasty and stenting have much better results.
Question: What should you let your doctor or nurse know about after an angioplasty?
Answer: Let your doctor or nurse know right away if you get a fever or have: Chest pain Swelling Pain in your groin or leg If your groin starts to bleed after you get back home, call 911 and lie down right away. Take the dressing off and push down where you can feel your pulse in the affected area.
Question: What should you tell your doctor that you are allergic to before having an angioplasty?
Answer: Also let them know if you are allergic to anything, especially: Iodine Shellfish X-ray dye Latex or rubber products (such as rubber gloves or balloons) Penicillin-type medications.
Question: What is the cutting balloon procedure?
Answer: Cutting balloon: This catheter has a special balloon tip with small blades. When the balloon is inflated, the blades are activated. The small blades score the plaque, then the balloon presses the plaque against the artery wall.
Question: How long will it take to go back to regular activities after an angioplasty?
Answer: You should be able to resume your normal stuff after about a week.
Question: What happens after an angioplasty?
Answer: After the sheath is removed, you'll have to lie flat for about 6 hours to prevent bleeding, but your nurse can raise your head about two pillows high after 2 hours. Your nurse will tell you when you can get out of bed. It may be sooner than 6 hours if a collagen "plug" was put into your artery. Your team will let you know.
Question: How long does an angioplasty last?
Answer: The whole thing lasts from 1 to 3 hours, but the preparation and recovery can add much more time. You may stay in the hospital overnight for observation.
Question: What is atherectomy?
Answer: Atherectomy: The catheter used here has a hollow cylinder on the tip with an open window on one side and a balloon on the other. When the catheter is put into the narrowed artery, the balloon is inflated, pushing the window against the plaque. A blade in the cylinder rotates and shaves off any plaque that protrudes into the window. The shavings are caught in the catheter chamber and removed. This process is repeated as needed to allow for better blood flow. Like rotablation, this procedure isn't used much.
Question: What is a balloon procedure in angioplasty?
Answer: They include: Balloon: A catheter with a small balloon tip is guided to the narrowing in your artery. Once in place, the balloon is inflated to push the plaque and stretch the artery open to boost blood flow to the heart.
Question: What happens during angioplasty?
Answer: Medication will be given to relax you, then the doctor will numb where the catheter will go with anesthesia. !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Next, a thin plastic tube called a sheath is inserted into an artery -- sometimes in your groin, sometimes in your arm. A long, narrow, hollow tube called a catheter is passed through the sheath and guided up a blood vessel to the arteries surrounding the heart. A small amount of contrast liquid is put into your blood vessel through the catheter. It's photographed with an X-ray as it moves through your heart's chambers, valves, and major vessels.
Question: What should you avoid after an angioplasty?
Answer: You may stay in the hospital overnight for observation. If your catheter was put into the artery at your wrist or arm, your doctor will put a special bandage on to make sure it heals properly. You'll wear this for a couple of hours. The doctor or a nurse will remove it and check to see if your artery has healed enough.
Question: Can angioplasty cure coronary artery disease?
Answer: These are often placed during angioplasty to help keep the coronary artery open. You'll need to take aspirin before the procedure. You'll be given an exercise program to follow. You may need to take one or more medicines, too.
Question: What can I expect before an angioplasty?
Answer: Most people will need a routine blood test and electrocardiogram. Please tell your doctor or nurse if you are taking diuretics (water pills), insulin, or warfarin ( Coumadin). You'll need to take aspirin before the procedure. Make sure to tell your doctor or nurse if you didn't. You should be able to resume your normal stuff after about a week.
Question: What are the different kinds of mastectomy for breast cancer?
Answer: There are different kinds of mastectomy: Simple or total mastectomy takes off the whole breast, including your nipple. Modified radical mastectomy removes the whole breast and nipple and many of the lymph nodes under your arm. Radical mastectomy takes off the whole breast, lymph nodes, and the chest wall muscles under the breast. Partial mastectomy or lumpectomy removes just the tumor and some of the tissue around it. This is also called breast-conserving surgery. It's not used as often in men, because men have very little breast tissue.
Question: What is a male mastectomy?
Answer: Just like mastectomy in women, this surgery is done to remove a breast affected by cancer. Because men have so little breast tissue, doctors usually remove the whole breast. Your doctor may also remove some nearby lymph nodes. Those are tiny glands that are part of your body's immune system. He also might recommend that you have the other breast removed to keep you from getting cancer there as well. The earlier you're treated, the better your chances of being cured. If you have a mastectomy, your doctor can do another surgery afterward to help afterward to help reconstruct the area.
Question: What happens before a male mastectomy?
Answer: Discuss all your options with your doctor and find out about the benefits and risks of surgery and other treatments before you make a decision. You'll meet with your surgeon to find out what to expect. Let him know all the medicines and supplements you take, especially if you're on aspirin or blood thinners. You might have to stop taking certain medicines a week or two before the procedure.
Question: How can you check if your breast cancer has spread?
Answer: To see if your cancer has spread, you might have one of these during your surgery or afterward: Sentinel lymph node biopsy ( SLNB): Your doctor takes only a few lymph nodes from where the cancer is most likely to have spread. To find them, she puts a radioactive substance or a blue dye into the area around the tumor. Then a special device helps her find radioactivity in the nodes or nodes that have turned blue. A specialist will look at them under a microscope. If there are signs of cancer, your surgeon may do an ALND. Axillary lymph node dissection ( ALND): Your doctor takes 10 to 40 lymph nodes from under your arm. These are checked under a microscope to see if there are signs of cancer.
Question: What happens after a male mastectomy?
Answer: Once your surgery is done, you'll wake up from the anesthesia in a recovery room. If you don't have any issues, you'll go home later the same day or the next day. You'll have a bandage around your chest. Plastic or rubber tubes will drain fluid from your breast area or underarm. Your medical team will show you how to care for and empty the drains and measure the fluid that comes out. They'll probably need to stay in place for 1 to 2 weeks after your surgery.
Question: What can help your decision on getting a male mastectomy?
Answer: Discuss all your options with your doctor and find out about the benefits and risks of surgery and other treatments before you make a decision. Your medical team will show you how to care for and empty the drains and measure the fluid that comes out.
Question: How common is reconstructive surgery after a male mastectomy?
Answer: Because men have so little breast tissue, doctors usually remove the whole breast. If you have a mastectomy, your doctor can do another surgery afterward to help afterward to help reconstruct the area. Modified radical mastectomy removes the whole breast and nipple and many of the lymph nodes under your arm.
Question: What are the risks of a male mastectomy?
Answer: This is also called breast-conserving surgery. Possible side effects include: Pain Swelling Bleeding Infection Change in the look of your chest Swelling of your arm, called lymphedema (caused by taking out lymph nodes) Trouble moving your arm and shoulder Buildup of blood in the wound, called hematoma Buildup of fluid in the wound, called seroma
Question: What should I do if I am pregnant and still have migraines?
Answer: If you still get headaches, don't take any drugs. Many migraine medicines are bad for your baby. An over-the-counter pain reliever like acetaminophen should be safe, but check with your doctor before you take it.
Question: What drugs are most often used to treat a menstrual migraine?
Answer: Medicines that treat migraines: The drugs used most often to treat menstrual migraines can also help prevent them. These include NSAIDs and triptans, such as: Eletriptan ( Relpax) Frovatriptan ( Frova) Naratriptan ( Amerge) Rizatriptan ( Maxalt) Sumatriptan ( Imitrex, Onzetra Xsail, Sumavel, Zembrace) Sumatriptan/naproxen sodium ( Treximet) ( Zomig) Medicines that prevent migraines: If you don't respond to other treatments and you have 4 or more migraine days a month, your doctor may suggest preventive medicines.
Question: Are migraines linked to a women's period?
Answer: About 60% of women with migraine get a type of headache called menstrual migraines.
Question: Are nonsteroidal anti-inflammatory drugs and triptans used together to treat migraines in women?
Answer: Your doctor may suggest that you take both an NSAID and a triptan to get relief.
Question: When should women start using nonsteroidal anti-inflammatory drugs and triptans to treat migraines?
Answer: If your period comes every month like clockwork, you can start these drugs a few days before your bleeding starts and continue for up to a week. This often prevents the migraine from coming on. If your period doesn't always stick to a schedule, your doctor may suggest you try a different type of drug that will prevent a headache from happening in the first place.
Question: Do birth control methods treat migraines in women?
Answer: Hormonal : Birth control pills or estrogen patches and vaginal rings may help lower the number of menstrual migraines you have or make them less severe. But they don't work for everyone. In some cases, they could make your migraines worse.
Question: How does pregnancy cause migraines?
Answer: Pregnancy: During the first trimester, estrogen levels rise quickly, then level out. Because of this, many women notice that their migraines get better or go away after their third month of pregnancy.
Question: How does a period trigger a migraine headache?
Answer: Right before your period, the amount of estrogen and progesterone, two female hormones, in your body drops. This drastic change can trigger throbbing headaches.
Question: Does birth control contribute to my headaches?
Answer: Birth control: The pill can make migraines worse for some women and lessen them for others. Three weeks out of every month, they keep the hormones in your body steady. When you take placebo pills or no pills at all, during the week of your period, your estrogen levels plummet and your head can pound. If you're prone to hormonal migraines, taking birth control that contains low amounts of estrogen or only progestin may help. Hormone replacement therapy : This type of medicine women take during menopause to control their hormones can also set off headaches.
Question: Will my doctor assign other drugs different than birth control to treat migraines?
Answer: These include NSAIDs and triptans, such as: Eletriptan ( Relpax) Frovatriptan ( Frova) Naratriptan ( Amerge) Rizatriptan ( Maxalt) Sumatriptan ( Imitrex, Onzetra Xsail, Sumavel, Zembrace) Sumatriptan/naproxen sodium ( Treximet) ( Zomig) Medicines that prevent migraines: If you don't respond to other treatments and you have 4 or more migraine days a month, your doctor may suggest preventive medicines. You can take these regularly to make the headaches less severe or less frequent. These could include: Seizure medicines Blood pressure medicines (like beta-blockers and calcium channel blockers), and some antidepressants. CGRP inhibitors Devices: Two devices may bring relief. Cefaly: This small headband device sends electrical pulses through your forehead to stimulate a nerve linked with migraines. Spring TMS or e Neura s TMS: You place this magnet on the back of your head, and a split-second pulse interrupts abnormal electrical activity that could lead to a migraine.
Question: Do birth control pills cause migraines in women?
Answer: Birth control: The pill can make migraines worse for some women and lessen them for others. Three weeks out of every month, they keep the hormones in your body steady. When you take placebo pills or no pills at all, during the week of your period, your estrogen levels plummet and your head can pound. If you're prone to hormonal migraines, taking birth control that contains low amounts of estrogen or only progestin may help.
Question: What is leuprolide acetate and how does it treat migraines for women?
Answer: Other reasons your doctor may not want you to take birth control for your menstrual migraines: A history of smoking High blood pressure Obesity Diabetes If nothing else works, your doctor may prescribe a drug called leuprolide acetate ( Eligard, Lupron Depot). It drops the estrogen levels in your body, but it does have side effects. Because of this, it's often thought of as a last resort.
Question: Are triptans used to treat migraines and headaches in women?
Answer: Triptans are another option. These drugs block pain signals in your brain. They can start to work as soon as 2 hours after you take them.
Question: How can I prevent headaches during my period?
Answer: Hormonal : Birth control pills or estrogen patches and vaginal rings may help lower the number of menstrual migraines you have or make them less severe. But they don't work for everyone. In some cases, they could make your migraines worse. Your doctor might tell you to stay on birth control for 3 to 6 months without taking any placebo pills. This will prevent you from having a period and may stop your headaches.
Question: What drugs can prevent these headaches during your period?
Answer: Medicines that treat migraines: The drugs used most often to treat menstrual migraines can also help prevent them. These include NSAIDs and triptans, such as: Eletriptan ( Relpax) Frovatriptan ( Frova) Naratriptan ( Amerge) Rizatriptan ( Maxalt) Sumatriptan ( Imitrex, Onzetra Xsail, Sumavel, Zembrace) Sumatriptan/naproxen sodium ( Treximet) ( Zomig) Medicines that prevent migraines: If you don't respond to other treatments and you have 4 or more migraine days a month, your doctor may suggest preventive medicines. You can take these regularly to make the headaches less severe or less frequent. These could include: Seizure medicines Blood pressure medicines (like beta-blockers and calcium channel blockers), and some antidepressants. CGRP inhibitors Devices: Two devices may bring relief. Cefaly: This small headband device sends electrical pulses through your forehead to stimulate a nerve linked with migraines. Spring TMS or e Neura s TMS: You place this magnet on the back of your head, and a split-second pulse interrupts abnormal electrical activity that could lead to a migraine.
Question: What causes the headaches during my period?
Answer: Right before your period, the amount of estrogen and progesterone, two female hormones, in your body drops. This drastic change can trigger throbbing headaches.
Question: When should I start taking drugs for my headache during my period?
Answer: If your period comes every month like clockwork, you can start these drugs a few days before your bleeding starts and continue for up to a week. This often prevents the migraine from coming on. If your period doesn't always stick to a schedule, your doctor may suggest you try a different type of drug that will prevent a headache from happening in the first place.
Question: Why won't my menstrual headache go away even though I have tried everything?
Answer: Other reasons your doctor may not want you to take birth control for your menstrual migraines: A history of smoking High blood pressure Obesity Diabetes If nothing else works, your doctor may prescribe a drug called leuprolide acetate ( Eligard, Lupron Depot). It drops the estrogen levels in your body, but it does have side effects. Because of this, it's often thought of as a last resort.
Question: Can eating too many salty foods lead to a headache or a migraine?
Answer: Eating too many salty foods could also lead to headaches. It's wise to limit the amount of salt you eat around the time of your period. There are a few methods your doctor might suggest.
Question: Are alternative treatments used to treat migraines?
Answer: An over-the-counter pain reliever like acetaminophen should be safe, but check with your doctor before you take it. Biofeedback. Magnesium.