anand-s/m_qalm huggingface dataset:
Question: What are the side effects or risks of Prednisone ?
Answer: Prednisone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:   - headache  - dizziness  - difficulty falling asleep or staying asleep  - inappropriate happiness  - extreme changes in mood  - changes in personality  - bulging eyes  - acne  - thin, fragile skin  - red or purple blotches or lines under the skin  - slowed healing of cuts and bruises  - increased hair growth  - changes in the way fat is spread around the body  - extreme tiredness  - weak muscles  - irregular or absent menstrual periods  - decreased sexual desire  - heartburn  - increased sweating  Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately:   - vision problems  - eye pain, redness, or tearing  - sore throat, fever, chills, cough, or other signs of infection  - seizures  - depression  - loss of contact with reality  - confusion  - muscle twitching or tightening  - shaking of the hands that you cannot control  - numbness, burning, or tingling in the face, arms, legs, feet, or hands  - upset stomach  - vomiting  - lightheadedness  - irregular heartbeat  - sudden weight gain  - shortness of breath, especially during the night  - dry, hacking cough  - swelling or pain in the stomach  - swelling of the eyes, face, lips, tongue, throat, arms, hands, feet, ankles, or lower legs  - difficulty breathing or swallowing  - rash  - hives  - itching   Prednisone may slow growth and development in children. Your child's doctor will watch his or her growth carefully. Talk to your child's doctor about the risks of giving prednisone to your child.  Prednisone may increase the risk that you will develop osteoporosis. Talk to your doctor about the risks of taking prednisone and about things that you can do to decrease the chance that you will develop osteoporosis.  Some patients who took prednisone or similar medications developed a type of cancer called Kaposi's sarcoma. Talk to your doctor about the risks of taking prednisone.  Prednisone may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication.  If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).)
Question: What are the symptoms of Electrical injury ? (Also called: Electrical shock)
Answer: Symptoms depend on many things, including:  - Type and strength of voltage  - How long you were in contact with the electricity  - How the electricity moved through your body  - Your overall health   Symptoms may include:  - Changes in alertness (consciousness)  - Broken bones  - Heart attack (chest, arm, neck, jaw, or back pain)  - Headache  - Problems with swallowing, vision, or hearing  - Irregular heartbeat  - Muscle spasms and pain  - Numbness or tingling  - Breathing problems or lung failure  - Seizures  - Skin burns)
Question: What should I know about storage and disposal of Calcitonin Salmon Nasal Spray ?
Answer: Keep this medication in the container it came in, tightly closed, and out of reach of children. Store unopened calcitonin salmon nasal spray in the refrigerator; do not freeze. Store opened bottles at room temperature in an upright position. Replace the plastic cover to keep the nozzle clean. Opened calcitonin salmon stored at room temperature should be disposed of after 35 days.  Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.)
Question: What is (are) Isolated sleep paralysis ? (Also called: Sleep paralysis - isolated; Parasomnia - isolated sleep paralysis)
Answer: Isolated sleep paralysis is a type of paralysis that occurs when a person just goes to sleep or upon waking from sleep. It is not associated with another sleep disorder.)
Question: What are the symptoms of Isolated sleep paralysis ? (Also called: Sleep paralysis - isolated; Parasomnia - isolated sleep paralysis)
Answer: Episodes of isolated sleep paralysis last from a few seconds to 1 or 2 minutes. During these episodes the person isunable to move or speak. Breathing is not affected. These spells end on their own or when the person is touched or moved. In rare cases, the person may have dream-like sensations or hallucinations, which may be scary to them.)
Question: How to diagnose Isolated sleep paralysis ? (Also called: Sleep paralysis - isolated; Parasomnia - isolated sleep paralysis)
Answer: Sleep paralysis can be a symptom of narcolepsy. But if you do not have other symptoms of narcolepsy, there is usually no need tohavesleep studies done.)
Question: What are the treatments for Isolated sleep paralysis ? (Also called: Sleep paralysis - isolated; Parasomnia - isolated sleep paralysis)
Answer: In most cases, isolated sleep paralysis occurs so rarely that treatment is not needed. If the cause is known, for example due to lack of sleep, correcting the cause, such as getting enough sleep, often resolves the condition.  In persons with mental health conditions, medicine and behavioral therapy (talk therapy) to help treat the mental condition may resolve sleep paralysis.)
Question: What is (are) progressive familial heart block ? (Also called: bundle branch block; HBBD; hereditary bundle branch defect; hereditary bundle branch system defect; Lenegre Lev disease; Lev-Lengre disease; Lev syndrome; Lev's disease; PCCD; progressive cardiac conduction defect)
Answer: Progressive familial heart block is a genetic condition that alters the normal beating of the heart. A normal heartbeat is controlled by electrical signals that move through the heart in a highly coordinated way. These signals begin in a specialized cluster of cells called the sinoatrial node (the heart's natural pacemaker) located in the heart's upper chambers (the atria). From there, a group of cells called the atrioventricular node carries the electrical signals to another cluster of cells called the bundle of His. This bundle separates into multiple thin spindles called bundle branches, which carry electrical signals into the heart's lower chambers (the ventricles). Electrical impulses move from the sinoatrial node down to the bundle branches, stimulating a normal heartbeat in which the ventricles contract slightly later than the atria.  Heart block occurs when the electrical signaling is obstructed anywhere from the atria to the ventricles. In people with progressive familial heart block, the condition worsens over time: early in the disorder, the electrical signals are partially blocked, but the block eventually becomes complete, preventing any signals from passing through the heart. Partial heart block causes a slow or irregular heartbeat (bradycardia or arrhythmia, respectively), and can lead to the buildup of scar tissue (fibrosis) in the cells that carry electrical impulses. Fibrosis contributes to the development of complete heart block, resulting in uncoordinated electrical signaling between the atria and the ventricles and inefficient pumping of blood in the heart. Complete heart block can cause a sensation of fluttering or pounding in the chest (palpitations), shortness of breath, fainting (syncope), or sudden cardiac arrest and death.  Progressive familial heart block can be divided into type I and type II, with type I being further divided into types IA and IB. These types differ in where in the heart signaling is interrupted and the genetic cause. In types IA and IB, the heart block originates in the bundle branch, and in type II, the heart block originates in the atrioventricular node. The different types of progressive familial heart block have similar signs and symptoms.  Most cases of heart block are not genetic and are not considered progressive familial heart block. The most common cause of heart block is fibrosis of the heart, which occurs as a normal process of aging. Other causes of heart block can include the use of certain medications or an infection of the heart tissue.)
Question: Are there safety concerns or special precautions about Cephalexin ?
Answer: Before taking cephalexin,  - tell your doctor and pharmacist if you are allergic to cephalexin or any other cephalosporin antibiotic such as cefadroxil (Duricef) or cephradine (Velosef), penicillin, or any other drugs.  - tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other antibiotics, anticoagulants ('blood thinners') such as warfarin (Coumadin), probenecid (Benemid), and vitamins.  - tell your doctor if you have or have ever had kidney or liver disease, colitis, or stomach problems.  - tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking cephalexin, call your doctor.  - if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking cephalexin.)
Question: What causes Hepatitis A ? (Also called: Viral hepatitis; Infectious hepatitis)
Answer: The hepatitis A virus is found mostly in the stools and blood of an infected person. The virus is present about 15 to 45 days before symptoms occur and during the first week of illness.  You can catch hepatitis A if:  - You eat or drink food or water that has been contaminated by stools (feces) containing the hepatitis A virus. Fruits, vegetables, shellfish, ice, and water are common sources of the disease.  - You come in contact with the stool or blood of a person who currently has the disease.  - A person with hepatitis A passes the virus to an object or food due to poor hand-washing after using the bathroom.  - You take part in sexual practices that involve oral-anal contact.    Not everyone has symptoms with hepatitis A infection. Therefore, many more people are infected than are diagnosed or reported.   Risk factors include:   - Overseas travel, especially to Asia or South or Central America  - IV drug use  - Living in a nursing home center  - Working in a health care, food, or sewage industry    Other common hepatitis virus infections include hepatitis B and hepatitis C. Hepatitis A is the least serious and mildest of these diseases.)
Question: How to prevent Hepatitis A ? (Also called: Viral hepatitis; Infectious hepatitis)
Answer: The following tips can help reduce your risk of spreading or catching the virus:  - Always wash your hands well after using the restroom, and when you come in contact with an infected person's blood, stools, or other bodily fluid.  - Avoid unclean food and water.    The virus may spread more rapidly through day care centers and other places where people are in close contact. Thorough hand washing before and after each diaper change, before serving food, and after using the restroom may help prevent such outbreaks.  Ask your provider about getting either immune globulin or the hepatitis A vaccine if you are exposed to the disease and have not had hepatitis A or the hepatitis A vaccine.  Common reasons for getting one or both of these treatments include:  - You live with someone who has hepatitis A.  - You recently had sexual contact with someone who has hepatitis A.  - You recently shared illegal drugs, either injected or noninjected, with someone who has hepatitis A.  - You have had close personal contact over a period of time with someone who has hepatitis A.  - You have eaten in a restaurant where food or food handlers were found to be infected or contaminated with hepatitis    Vaccines that protect against hepatitis A infection are available. The vaccine begins to protect 4 weeks after you get the first dose. You will need to get a booster shot 6 to 12 months later for long-term protection.  Travelers should take the following steps to protect against getting the disease:  - Avoid dairy products.  - Avoid raw or undercooked meat and fish.  - Beware of sliced fruit that may have been washed in unclean water. Travelers should peel all fresh fruits and vegetables themselves.  - DO NOT buy food from street vendors.  - Get vaccinated against hepatitis A (and possibly hepatitis B) if traveling to countries where outbreaks of the disease occur.  - Use only carbonated bottled water for brushing teeth and drinking. (Remember that ice cubes can carry infection.)  - If bottled water is not available, boiling water is the best way to get rid of hepatitis A. Bring the water to a full boil for at least 1 minute to make it safe to drink.  - Heated food should be hot to the touch and eaten right away.)
Question: What causes Hepatitis C ? (Also called: Sustained virologic response - hepatitis C; SVR - hepatitis C)
Answer: Hepatitis C infection is caused by the hepatitis C virus (HCV).    You can catch hepatitis C if the blood of someone who has hepatitis C enters your body. Exposure may occur:  - After a needle stick or sharps injury  - If blood from someone who has hepatitis Ccontacts a cut on your skin or contacts your eyes or mouth    People at risk of hepatitis C are those who:  - Inject street drugs or share a needle with someone who has hepatitis C  - Have been on long-term kidney dialysis  - Have regular contact with blood at work (such as a health care worker)  - Have unprotected sexual contact with a person who has hepatitis C  - Were born to a mother who had hepatitis C  - Received a tattoo or acupuncture with needles that were not disinfected properly after being used on another person (risk is very low with practitioners who have a tattoo license or permit or an acupuncture license)  - Received an organ transplantfrom a donor who has hepatitis C  - Share personal items, such as toothbrushes and razors, with someone who has hepatitis C (less common)  - Received a blood transfusion (rare in the United States since blood screening became available in 1992))
Question: What causes Ribcage pain ? (Also called: Pain - ribcage)
Answer: Ribcage pain may be caused by any of the following:  - Bruised, cracked, or fractured rib  - Inflammation of cartilage near the breastbone (costochondritis)  - Osteoporosis  - Pleurisy (the pain is worse when breathing deeply))
Question: What is (are) Hantavirus ? (Also called: Hantavirus pulmonary syndrome; Hemorrhagic fever with renal syndrome)
Answer: Hantavirus is a life-threatening viral infection spread to humans by rodents. It has symptoms similar to influenza.)
Question: What is the outlook for Hantavirus ? (Also called: Hantavirus pulmonary syndrome; Hemorrhagic fever with renal syndrome)
Answer: Hantavirus is a serious infection that gets worse quickly. Lung failure can occur and may lead to death. Even with aggressive treatment, more than half of people who have this disease in their lungs die.)
Question: What are the complications of Hantavirus ? (Also called: Hantavirus pulmonary syndrome; Hemorrhagic fever with renal syndrome)
Answer: Complications of hantavirus may include:  - Kidney failure  - Heart and lung failure   These complications can lead to death.)
Question: what are the symptoms for Hantavirus ?
Answer: Due to the small number of HPS cases, the "incubation time" is not positively known. However, on the basis of limited information, it appears that symptoms may develop between 1 and 5 weeks after exposure to fresh urine, droppings, or saliva of infected rodents.
  Early Symptoms
  
    
   
Early symptoms include fatigue, fever and muscle aches, especially in the large muscle groups—thighs, hips, back, and sometimes shoulders. These symptoms are universal.
   
There may also be headaches, dizziness, chills, and abdominal problems, such as nausea, vomiting, diarrhea, and abdominal pain. About half of all HPS patients experience these symptoms.
  
  Late Symptoms
  
    
   
Four to 10 days after the initial phase of illness, the late symptoms of HPS appear. These include coughing and shortness of breath, with the sensation of, as one survivor put it, a "...tight band around my chest and a pillow over my face" as the lungs fill with fluid.
  
  Is the Disease Fatal?
  
Yes. HPS can be fatal. It has a mortality rate of 38%.)
Question: What are the symptoms of Appendicitis ?
Answer: The symptoms of appendicitis can vary. It can be hard to diagnose appendicitis in young children, the elderly, and women of childbearing age.  The first symptom is often pain around the belly button. Pain may be minor at first, but becomes more sharp and severe. You may also have a loss of appetite, nausea, vomiting, and a low fever.  The pain tends to move into the right lower part of your belly. The pain tends to focus at a spot directly above the appendix called McBurney's point. This most often occurs 12 to 24 hours after the illness starts.  If your appendix breaks open (ruptures), you may have less pain for a short time and you may feel better. However, the pain soon gets worse and you will feel sicker.  Your pain may be worse when you walk, cough, or make sudden movements. Later symptoms include:  - Chills and shaking  - Hard stools  - Diarrhea  - Fever  - Nausea and vomiting)
Question: What is (are) Appendicitis ?
Answer: The appendix is a small, tube-like organ attached to the first part of the large intestine. It is located in the lower right part of the abdomen. It has no known function. A blockage inside of the appendix causes appendicitis. The blockage leads to increased pressure, problems with blood flow, and inflammation. If the blockage is not treated, the appendix can burst and spread infection into the abdomen. This causes a condition called peritonitis.    The main symptom is pain in the abdomen, often on the right side. It is usually sudden and gets worse over time. Other symptoms may include       -  Swelling in the abdomen    -  Loss of appetite    -  Nausea and vomiting    -  Constipation or diarrhea    -  Inability to pass gas    -  Low fever        Not everyone with appendicitis has all these symptoms.    Appendicitis is a medical emergency. Treatment almost always involves removing the appendix. Anyone can get appendicitis, but it is more common among people 10 to 30 years old.    NIH: National Institute of Diabetes and Digestive and Kidney Diseases)
Question: How should Oxybutynin be used and what is the dosage ?
Answer: Oxybutynin comes as a tablet, a syrup, and an extended-release (long-acting) tablet to take by mouth. The tablets and syrup are usually taken two to four times a day. The extended-release tablet is usually taken once a day with or without food. Take oxybutynin at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take oxybutynin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.  Swallow the extended-release tablets whole with plenty of water or other liquid. Do not split, chew, or crush the extended-release tablets. Tell your doctor if you cannot swallow tablets.  Use a dose-measuring spoon or cup to measure the correct amount of liquid for each dose, not a household spoon.  Your doctor may start you on a low dose of oxybutynin and gradually increase your dose, not more than once every week.  Oxybutynin may control your symptoms but will not cure your condition. Continue to take oxybutynin even if you feel well. Do not stop taking oxybutynin without talking to your doctor.  You may notice some improvement in your symptoms within the first 2 weeks of your treatment. However, it may take 68 weeks to experience the full benefit of oxybutynin. Talk to your doctor if your symptoms do not improve at all within 8 weeks.)
Question: What is the outlook for Trisomy 13 ? (Also called: Patau syndrome)
Answer: More than 90% of children with trisomy 13 die in the first year.)
Question: What are the complications of Trisomy 13 ? (Also called: Patau syndrome)
Answer: Complications begin almost immediately. Most infants with trisomy 13 have congenital heart disease.   Complications may include:  - Breathing difficulty or lack of breathing (apnea)  - Deafness  - Feeding problems  - Heart failure  - Seizures  - Vision problems)
Question: What is (are) trisomy 13 ? (Also called: Bartholin-Patau syndrome; complete trisomy 13 syndrome; Patau syndrome; Patau's syndrome; trisomy 13 syndrome)
Answer: Trisomy 13, also called Patau syndrome, is a chromosomal condition associated with severe intellectual disability and physical abnormalities in many parts of the body. Individuals with trisomy 13 often have heart defects, brain or spinal cord abnormalities, very small or poorly developed eyes (microphthalmia), extra fingers or toes, an opening in the lip (a cleft lip) with or without an opening in the roof of the mouth (a cleft palate), and weak muscle tone (hypotonia). Due to the presence of several life-threatening medical problems, many infants with trisomy 13 die within their first days or weeks of life. Only five percent to 10 percent of children with this condition live past their first year.)
Question: What are the treatments for trisomy 13 ? (Also called: Bartholin-Patau syndrome; complete trisomy 13 syndrome; Patau syndrome; Patau's syndrome; trisomy 13 syndrome)
Answer: These resources address the diagnosis or management of trisomy 13:  - Genetic Testing Registry: Complete trisomy 13 syndrome  - MedlinePlus Encyclopedia: Trisomy 13   These resources from MedlinePlus offer information about the diagnosis and management of various health conditions:  - Diagnostic Tests  - Drug Therapy  - Surgery and Rehabilitation  - Genetic Counseling   - Palliative Care)
Question: What causes Low blood sugar - newborns ? (Also called: Neonatal hypoglycemia)
Answer: Babies need blood sugar (glucose) for energy. Most of that glucose is used by the brain.  The baby gets glucose from the mother through the placenta before birth. After birth, the baby gets glucose from the mother through her milk or from formula, and the baby also produces it in the liver.  Glucose level can drop if:  - There is too much insulin in the blood (hyperinsulinism). Insulin is a hormone that pulls glucose from the blood.  - The baby is not producing enough glucose.  - The baby's body is using more glucose than is being produced.  - The baby is not able to feed enough to keep glucose level up.   Neonatal hypoglycemia occurs when the newborn's glucose level is below the level considered safe for the baby's age. It occurs in about 1 to 3 out of every 1,000 births.  Low blood sugar level ismore likely in infants with one or more of these risk factors:  - Born early, have a serious infection, or needed oxygen right after delivery  - Mother has diabetes (these infants are often larger than normal)  - Have slower than usual growth in the womb during pregnancy  - Are smaller in size than normal for their gestational age)
Question: What are the complications of Low blood sugar - newborns ? (Also called: Neonatal hypoglycemia)
Answer: Severe or persistent low blood sugar level may affect the baby's mental function. In rare cases, heart failure or seizures may occur.)
Question: How to prevent Low blood sugar - newborns ? (Also called: Neonatal hypoglycemia)
Answer: If you have diabetes during pregnancy, work with your health care provider to control your blood sugar level. Be sure that your newborn's blood sugar levelis monitored after birth.)