anand-s/m_qalm huggingface dataset:
Question: What communication milestones should you expect in your 9-month-old?
Answer: If your 9-month-old is like many babies at this age, he may be babbling away nonstop. Those babbles might sound almost like real sentences, although no one will understand them but your baby. However, you may start to recognize a couple of real words, such as â Mama,â â Dada,â or âhi.â Your baby's understanding of language is improving, too. If you ask, â Where's the ball?â your baby may go pick up a ball. Or you might ask, â Where's the cow?" and he may point to a picture of a cow. In the brief pauses between babbles your baby is becoming a good listener and reader of body language. You may notice that your baby brings you a favorite toy to see you smile in response. Some babies are effective comedians, even at this young age. They'll blow bubbles and make funny sounds, just to elicit a laugh from the grown-ups around them. At other times, your baby will be a lot less happy -- especially when you're about to leave the room. Separation anxiety is starting to be an issue at this age and so is stranger anxiety. Your baby may express a fear of people and things that never bothered him before. For instance, he may suddenly start crying whenever grandma comes to visit or the lights go out at bedtime. This is because your baby's awareness and memory are improving. For the same reason, you'll probably see a few tears when you try to take something away from him. The good news is that 9-month-old babies are easily distracted and the tears shouldn't last long.
Question: What motor skills milestones should you expect in your 9-month-old?
Answer: At nine months, your baby has likely become an expert crawler. Some can even crawl up and down stairs with ease. At nine months, babies are also becoming experts at quickly changing position. They can push up to a crawl position, sit back down, and pivot to pick up a toy. Your little one may even be able to pull to a stand, and may soon start cruising around the room while holding onto furniture. In addition to getting ready for walking, 9-month-old babies are also improving their fine motor skills. With their pincer grasp, they're able to pick up smaller toys, and they can better coordinate the movement of both hands. These little sleuths will use their newfound motor skills to try to figure out how everything works -- which peg fits in the round hole, how cups fit inside one another, and which end of the toy telephone goes over their ear. Remember that each baby's motor skills develop differently.
Question: What are symptoms of hammertoes?
Answer: The most common complaint with hammertoes is rubbing and irritation on the top of the bent toe.
Question: How do I know if I have hammertoes?
Answer: Usually, an X-ray is part of this exam to assess the extent of the deformity. You should see a doctor if you have a hammertoe.
Question: How can I treat my hammertoes?
Answer: In the meantime, there are steps you can take to relieve the pain and discomfort: Wear only shoes that are high and broad across the toes, called a wide toe-box shoe. There should be at least one-half inch of space between your longest toe and the tip of the shoe. Don't wear heels higher than 2 inches. Wear the appropriate shoe for the activity you are doing. You can buy non-medicated hammertoe pads. Some brands have a gel lining that can prevent irritation of the toe by the shoe. Gently massaging the toe may help relieve pain. Put ice packs on the hammertoe to reduce painful swelling.
Question: What are common causes of constipation?
Answer: The most common causes of constipation are pretty easy to remedy, including: Too little fiber in your diet -- eat more fruits, vegetables, and whole grains A lack of fluids -- drink more water and less liquids that contain caffeine (which can be constipating), such as soda and coffee Too little exercise -- increase the amount of physical activity you do each day Ignoring the urge to go to the bathroom -- schedule a specific time to go each day The use of certain medicines, such as antacids, blood pressure medicines, pain relievers, antidepressants, iron supplements, and anticonvulsants; talk to your doctor about switching to a different medicine.
Question: What happens if constipation is untreated?
Answer: Also see your doctor if: You've never been constipated before now You have stomach pain You've noticed blood in your stools You're losing weight without trying Don't let constipation go unchecked for too long. When untreated, constipation can lead to unpleasant complications such as hemorrhoids and rectal prolapse, a condition in which part of the intestine pushes out through the anus from too much straining.
Question: What questions should you ask your doctor during an exam for constipation?
Answer: The most common causes of constipation are pretty easy to remedy, including: Too little fiber in your diet -- eat more fruits, vegetables, and whole grains A lack of fluids -- drink more water and less liquids that contain caffeine (which can be constipating), such as soda and coffee Too little exercise -- increase the amount of physical activity you do each day Ignoring the urge to go to the bathroom -- schedule a specific time to go each day The use of certain medicines, such as antacids, blood pressure medicines, pain relievers, antidepressants, iron supplements, and anticonvulsants; talk to your doctor about switching to a different medicine. How much fiber do I need to eat? How soon should my constipation improve? Do I need to see a gastroenterologist? When should I make an appointment to see you again?
Question: When should you get a check-up for constipation?
Answer: Also see your doctor if: You've never been constipated before now You have stomach pain You've noticed blood in your stools You're losing weight without trying Don't let constipation go unchecked for too long. During the exam, the doctor may insert a gloved, lubricated finger into your anus to check for a blockage or signs of blood.
Question: What will your doctor ask during an exam for constipation?
Answer: Also see your doctor if: You've never been constipated before now You have stomach pain You've noticed blood in your stools You're losing weight without trying Don't let constipation go unchecked for too long. Once the cause of your constipation has been determined, your doctor will discuss treatments with you.
Question: How is constipation treated?
Answer: The most common causes of constipation are pretty easy to remedy, including: Too little fiber in your diet -- eat more fruits, vegetables, and whole grains A lack of fluids -- drink more water and less liquids that contain caffeine (which can be constipating), such as soda and coffee Too little exercise -- increase the amount of physical activity you do each day Ignoring the urge to go to the bathroom -- schedule a specific time to go each day The use of certain medicines, such as antacids, blood pressure medicines, pain relievers, antidepressants, iron supplements, and anticonvulsants; talk to your doctor about switching to a different medicine. Do I need to see a gastroenterologist? Once the cause of your constipation has been determined, your doctor will discuss treatments with you. Stay in touch with your doctor while following your constipation treatment. It's possible to become dependent on laxatives and need them to have a bowel movement. In that case, your doctor may have to wean you off laxatives to get your system back to normal.
Question: What happens during an exam for constipation?
Answer: He or she will ask questions about your constipation, including: When your constipation started How often you normally have bowel movements The consistency of your stools and whether you have to strain during bowel movements Whether you've noticed blood in your stools What other constipation symptoms you're experiencing (abdominal pain, vomiting, unexplained weight loss) What, if anything, seems to relieve your constipation or make it worse Your eating habits Your family and personal history of colon cancer or digestive problems such as irritable bowel syndrome What medicines you're taking These questions may sound personal, but they're the only way your doctor can learn why you're constipated and find the best constipation treatment for you. Sometimes, your doctor may recommend that you have tests such as a barium enema X-ray, sigmoidoscopy, or colonoscopy. These diagnostic tests allow your doctor to look for problems in your intestines, colon, and rectum.
Question: Is it normal to be constipated?
Answer: Often, constipation will go away on its own within a few days or get better after you use laxatives or another constipation treatment. He or she will ask questions about your constipation, including: When your constipation started How often you normally have bowel movements The consistency of your stools and whether you have to strain during bowel movements Whether you've noticed blood in your stools What other constipation symptoms you're experiencing (abdominal pain, vomiting, unexplained weight loss) What, if anything, seems to relieve your constipation or make it worse Your eating habits Your family and personal history of colon cancer or digestive problems such as irritable bowel syndrome What medicines you're taking These questions may sound personal, but they're the only way your doctor can learn why you're constipated and find the best constipation treatment for you.
Question: Is it healthy for people with diabetes to swap meals for meal replacement bars?
Answer: Losing weight can help, and meal replacement bars may seem like an easy way to slim down. Many meal replacement products are aimed at athletes. So they can be high in calories. Others contain ingredients like sugar alcohols (sorbitol and mannitol, for example), which can cause stomach trouble. Occasionally, munching on a bar for breakfast when you're pressed for time is OK as long as you pay attention to the nutrition info. But it's smarter to stick with real meals or calorie-restricted bars that are complete meals and nutritionally balanced .
Question: Is it healthy for people with diabetes to buy "sugar-free" foods?
Answer: The supermarket is full of things that appear to be diabetes-friendly because they don't have added sugar. But many have sugar substitutes that contain carbs. That means they could send your blood sugar levels soaring. Before you put something in your cart, check the nutrition facts to see how many grams of carbs are in each serving and how much sugar is added.
Question: Can people with diabetes drink diet soda?
Answer: It may be calorie-free, carbohydrate-free, and sugar-free, but you can still overdo it. One study found that overweight people who rely on diet soda end up taking in more calories from food. Why? Diet-drink lovers may think they're "saving" calories on drinks and can afford to splurge on food. Artificial sweeteners also confuse your body because they taste sweet but don't provide calories. If you're craving a cola once in a while, it's fine to treat yourself.
Question: Is it healthy for people with diabetes to avoid all high-fat foods?
Answer: A little fat is good for you, assuming you choose the right kinds. You should limit saturated fats (found in meat and dairy products) and avoid trans fats completely. But monounsaturated and polyunsaturated fats are healthy. In fact, certain high-fat foods seem to help people who have diabetes. Eating nuts along with higher-carb foods may prevent blood sugar levels from going up too sharply. Other studies have shown that people who eat avocados are less likely to get metabolic syndrome. That's a cluster of symptoms that includes high blood sugar. Just remember to keep portion sizes small.
Question: How should you load up on vitamins and supplements to manage type 2 diabetes?
Answer: A diet with lots of fruits and vegetables should give you all the nutrients you need. A multivitamin may help fill in the gaps, but it still can't match the real thing -- food. Some people take supplements like cinnamon or chromium to try to keep their blood sugar levels stable. It's unclear whether these work. If you choose to try them -- or any supplement -- tell your doctor. He can make sure it's safe for you and won't interact with any medication you're taking.
Question: How can you avoid high-fat foods if you have type 2 diabetes?
Answer: A little fat is good for you, assuming you choose the right kinds. You should limit saturated fats (found in meat and dairy products) and avoid trans fats completely. But monounsaturated and polyunsaturated fats are healthy. In fact, certain high-fat foods seem to help people who have diabetes. Eating nuts along with higher-carb foods may prevent blood sugar levels from going up too sharply. Other studies have shown that people who eat avocados are less likely to get metabolic syndrome. That's a cluster of symptoms that includes high blood sugar. Just remember to keep portion sizes small. The calories can add up quickly.
Question: Is it healthy for people with diabetes to drink juice?
Answer: Natural doesn't always mean healthy. One cup of apple juice, for example, has 25 grams of sugar and just 0.5 grams of fiber. An apple, on the other hand, has less sugar (19 grams) and more fiber (4.5 grams). It will satisfy you longer and help stabilize your blood sugar. What's more, a study found that drinking juice every day can raise the risk of getting diabetes.
Question: How should you swap meals for meal replacement bars to manage type 2 diabetes?
Answer: Losing weight can help, and meal replacement bars may seem like an easy way to slim down. Many meal replacement products are aimed at athletes. So they can be high in calories. Others contain ingredients like sugar alcohols (sorbitol and mannitol, for example), which can cause stomach trouble. Occasionally, munching on a bar for breakfast when you're pressed for time is OK as long as you pay attention to the nutrition info. But it's smarter to stick with real meals or calorie-restricted bars that are complete meals and nutritionally balanced .
Question: How should you buy sugar-free foods to manage type 2 diabetes?
Answer: The supermarket is full of things that appear to be diabetes-friendly because they don't have added sugar. But many have sugar substitutes that contain carbs. That means they could send your blood sugar levels soaring. Before you put something in your cart, check the nutrition facts to see how many grams of carbs are in each serving and how much sugar is added.
Question: Are 100-calorie snack packs healthy for people with diabetes?
Answer: They may seem like they're good for you, but they could actually be sabotaging your efforts. So they can be high in calories. One study found that overweight people who rely on diet soda end up taking in more calories from food. So be honest with yourself: Can you really stop after one?
Question: What causes neurofibromatosis?
Answer: Neurofibromatosis is often inherited (passed on by family members through our genes), but about 50% of people newly diagnosed with the disorder have no family history of the condition, which can arise spontaneously through a mutation (change) in the genes. Once this change has taken place, the mutant gene can be passed on to future generations.
Question: What is the outlook for a person with neurofibromatosis?
Answer: Often, the symptoms of NF1 are mild and people who have it are able to lead full and productive lives. Sometimes, however, pain and deformity can result leading to significant disability. The outlook for people with NF2 depends of the person's age at onset of the diseases and on the number and location of tumors. Some can be life-threatening. Often, those with schwannomatosis have severe pain, and this can be very debilitating.
Question: How can you raise your blood sugar level if you have low blood sugar (hyperglycemia)?
Answer: Give the person a high-sugar food such as: ½ cup fruit juice ½ cup regular (non diet) soda pop 3 glucose tablets Then follow with a more substantial food like a sandwich that offers protein, fat, and complex carbohydrates. If non-diabetic hypoglycemia is recurrent, see a health care provider.
Question: When should I call 911 for low blood sugar?
Answer: A person who has low blood sugar not related to diabetes loses consciousness.
Question: How is anaphylaxis treated?
Answer: Inhalers and antihistamines won't work. Epinephrine reverses the more serious problems with breathing (wheezing and shortness of breath and the dangerous drop in blood pressure seen in anaphylaxis). The faster it is given, the better. If you're allergic to insect stings or any of the foods that cause anaphylaxis, or if you ever have had an anaphylactic reaction, ask your doctor to prescribe an epinephrine injection kit. Carry two injections at all times, and know how to use them. Make sure your family members, friends, and colleagues know the signs of anaphylaxis and can give you an injection if they need to. Don't hesitate to use it if you start to show any symptoms of anaphylaxis. It won't hurt you to take the shot as a precaution.
Question: What can lower risks of atherosclerosis?
Answer: Both medications and changes in lifestyle can improve cholesterol level and reduce the risks that come with atherosclerosis: Exercise with or without weight loss increases "good" HDL cholesterol and reduces the risk of heart attacks and strokes. A diet high in fiber and low in fats can lower "bad" LDL cholesterol. Oily fish and other foods high in omega 3 fatty acids can raise âgoodâ HDL cholesterol. Statins are the medicines most-often prescribed for high cholesterol. They can dramatically lower "bad" LDL cholesterol, by up to 60% or more. They can also increase HDL.
Question: Can statins help with atherosclerosis?
Answer: Studies have shown that statins can reduce the rates of heart attacks, strokes, and death from atherosclerosis. But to be effective, statins need to be part of a larger personalized strategy you and your doctor work out together. Among other things, that strategy will be based on your level of risk for heart attack and stroke as well as your own personal life-style choices. If you know or think your cholesterol is high or if you have a family history of high cholesterol, talk to your doctor about ways you can lower it.
Question: What should my blood glucose levels be if I am diabetic and pregnant?
Answer: Keep blood glucose levels within the ideal range: 70 to 100 mg/d L before meals Less than 120 mg/d L 2 hours after eating 100-140 mg/d L before your bedtime snack Use your meals, exercise, and diabetes medications to keep a healthy balance.
Question: What are the risks of diabetes in pregnancy?
Answer: Other medical tests can help prevent complications during pregnancy: Urinalysis to check for kidney problems Cholesterol and triglyceride blood tests Eye exam to see if you have glaucoma, cataracts, or retinopathy Electrocardiogram Blood work to make sure your kidneys and liver are working Foot exam High blood sugar levels early in the pregnancy (before 13 weeks) can cause birth defects. They also can increase the risks of miscarriage and diabetes-related complications. But many women don't know they're pregnant until the baby has been growing for 2 to 4 weeks. That's why you should have good control of your blood sugar before you start trying to conceive.
Question: What can I expect the effects of my diabetes to be on my baby when he or she is born?
Answer: If you regularly have high blood sugar levels while you're pregnant (and especially in the 24 hours before delivery), your baby may get dangerously low blood sugar right after they're born. Their insulin is based on your high sugar, and when it's suddenly taken away, their blood sugar level drops quickly and they'll need glucose to balance it out. Their calcium and magnesium levels may be off, too. Those can be fixed with medication. Some babies are too big to be delivered vaginally, and you'll need a cesarean delivery or c-section. Your doctor will keep an eye on your baby's size so you can plan for the safest way to give birth.
Question: Should I change my diet if I am pregnant and have diabetes?
Answer: Changing what and how you eat will help you avoid problems with your blood sugar levels. You'll also need to include more calories for your growing baby. Your doctor or diabetes educator can help you figure out how to do that safely.
Question: How can you prepare for diabetes and pregnancy?
Answer: A pre-conception counseling appointment will help you be physically and emotionally prepared for pregnancy. Meet with your doctor to find out if your diabetes is controlled well enough for you to stop your birth control method. A blood test called the glycosylated hemoglobin test ( Hb A1c, or just A1c) can show how well it's been going over the past 8 to 12 weeks.
Question: What can high blood sugar levels early in pregnancy cause?
Answer: Other medical tests can help prevent complications during pregnancy: Urinalysis to check for kidney problems Cholesterol and triglyceride blood tests Eye exam to see if you have glaucoma, cataracts, or retinopathy Electrocardiogram Blood work to make sure your kidneys and liver are working Foot exam High blood sugar levels early in the pregnancy (before 13 weeks) can cause birth defects. They also can increase the risks of miscarriage and diabetes-related complications. But many women don't know they're pregnant until the baby has been growing for 2 to 4 weeks. That's why you should have good control of your blood sugar before you start trying to conceive.
Question: What medical tests can help prevent complications during pregnancy?
Answer: Other medical tests can help prevent complications during pregnancy: Urinalysis to check for kidney problems Cholesterol and triglyceride blood tests Eye exam to see if you have glaucoma, cataracts, or retinopathy Electrocardiogram Blood work to make sure your kidneys and liver are working Foot exam High blood sugar levels early in the pregnancy (before 13 weeks) can cause birth defects.
Question: Can I keep using my diabetes medications if I am pregnant?
Answer: If you use insulin to control your diabetes, your doctor can tell you how to adjust your dose. Your body will probably need more while you're pregnant, especially during the last 3 months. If you take a pill, you may need to switch to insulin. It may not be safe to use some drugs, or you may get better sugar control.
Question: Do most women with mild diabetes carry their baby to full-term?
Answer: Women with well controlled diabetes often go full-term without any problems. However, many doctors prefer to plan for an early delivery, usually around weeks 38-39.
Question: What tests can help prevent diabetes-related pregnancy complications?
Answer: Other medical tests can help prevent complications during pregnancy: Urinalysis to check for kidney problems Cholesterol and triglyceride blood tests Eye exam to see if you have glaucoma, cataracts, or retinopathy Electrocardiogram Blood work to make sure your kidneys and liver are working Foot exam High blood sugar levels early in the pregnancy (before 13 weeks) can cause birth defects.
Question: Will you carry your baby to term if you have diabetes and are pregnant?
Answer: Women with well controlled diabetes often go full-term without any problems. However, many doctors prefer to plan for an early delivery, usually around weeks 38-39.
Question: How will your medications change during pregnancy?
Answer: If you use insulin to control your diabetes, your doctor can tell you how to adjust your dose. Your body will probably need more while you're pregnant, especially during the last 3 months. If you take a pill, you may need to switch to insulin. It may not be safe to use some drugs, or you may get better sugar control.
Question: How will my diabetes affect labor?
Answer: It may not be safe to use some drugs, or you may get better sugar control. Labor can be a stressful time for you and the baby. If you've been using insulin during your pregnancy, insulin needs will continue through labor. Right after delivery, your need for insulin will likely drop quickly.