anand-s/m_qalm huggingface dataset:
Question: Which antidepressants can help irritable bowel syndrome (IBS) symptoms?
Answer: The American College of Gastroenterology says two types of antidepressants can help IBS symptoms: Tricyclic antidepressants, like amitriptyline ( Elavil, Vanatrip), desipramine ( Norpramin), or nortriptyline ( Pamelor) Selective serotonin reuptake inhibitors ( SSRIs), like citalopram ( Celexa), paroxetine ( Paxil), or sertraline ( Zoloft) But experts say they need more research to fully understand how safe and effective the drugs are for people with IBS.
Question: How do depression and irritable bowel syndrome (IBS) work together?
Answer: Some people are so worried that their diarrhea, constipation, or other symptoms will flare up that they avoid going to work, school, or out with friends. They may focus less on their social lives and lose interest in activities they once enjoyed. They may feel restless or irritable. All of these are symptoms of depression. On the other hand, the mood disorder may influence the way people handle IBS. They may feel too tired or hopeless to bother changing their diet to ease digestive symptoms or think they can't treat their constipation or diarrhea well enough. Also, emotional stress makes bowel symptoms worse.
Question: Is talk therapy helpful for those with IBS?
Answer: Many people with depression get help by working with a therapist to figure out conflicts and understand feelings. One type of talk therapy, called cognitive behavioral therapy, can help with IBS symptoms and the mood disorder. Cognitive behavioral therapy teaches you how to recognize negative and distorted thoughts, and replace them with positive, more realistic ones.
Question: Can support groups help people with IBS?
Answer: Support groups for people with IBS or the mood disorder can make a difference, too. When you talk with others who know what you're going through, you might feel less alone. To find support groups that meet in person or online, contact the International Foundation for Functional Gastrointestinal Disorders or tap into the IBS Self Help and Support Group. Talk with your doctor about what's right for you, too. Ask if meeting with a mental health professional will help.
Question: Are antidepressants used to treat IBS?
Answer: At the same time, treatments that usually relieve the mood disorder can help some people with their IBS symptoms, too. But they're used in different ways for each condition, so it's important to talk with your doctor to learn how you should take them. Even people with irritable bowel syndrome who aren't depressed can get relief from antidepressants. The drugs can help block how the brain processes pain.
Question: Are there any other ways to treat irritable bowel syndrome besides medicine and talk therapy?
Answer: One type of talk therapy, called cognitive behavioral therapy, can help with IBS symptoms and the mood disorder. Some people find that stress management techniques, like meditation or deep breathing, help them feel better. Regular exercise also helps some people recover from depression. So does a good diet for IBS, the right amount of sleep, and taking time to do something you enjoy each day.
Question: Is depression tied to IBS?
Answer: It can be a frustrating cycle. At the same time, treatments that usually relieve the mood disorder can help some people with their IBS symptoms, too. They can give you even more options to consider when you're looking for relief. The symptoms of irritable bowel syndrome can cause a level of distress that looks like depression. The American College of Gastroenterology says two types of antidepressants can help IBS symptoms: Tricyclic antidepressants, like amitriptyline ( Elavil, Vanatrip), desipramine ( Norpramin), or nortriptyline ( Pamelor) Selective serotonin reuptake inhibitors ( SSRIs), like citalopram ( Celexa), paroxetine ( Paxil), or sertraline ( Zoloft) But experts say they need more research to fully understand how safe and effective the drugs are for people with IBS. One type of talk therapy, called cognitive behavioral therapy, can help with IBS symptoms and the mood disorder.
Question: Will my doctor require a physical exam when testing for rheumatoid arthritis?
Answer: Physical exam : The doctor will check your joints for swelling, tenderness, and range of motion. RA tends to strike several joints.
Question: What surgery is used to treat rheumatoid arthritis?
Answer: Surgery: If you have major joint damage over time, you may want to talk to your doctor about surgery. Total joint replacements of the knee, hip, wrist, and elbow can help. Less serious surgeries may also be good options.
Question: What will your doctor check for during a physical exam for rheumatoid arthritis (RA)?
Answer: Physical exam : The doctor will check your joints for swelling, tenderness, and range of motion. RA tends to strike several joints.
Question: How do doctors diagnose rheumatoid arthritis (RA)?
Answer: Your regular doctor may order blood tests and X-rays to help confirm a diagnosis. Or you may be sent to someone who specializes in diagnosing and treating RA.
Question: Will my doctor ask me about my personal and family medical history when examining for rheumatoid arthritis?
Answer: Personal and family medical history: Your doctor will ask about your past and your relatives'. If someone in your family tree has RA, you may be more likely to have the disease.
Question: What imaging tests are used to treat rheumatoid arthritis?
Answer: Imaging tests: These can help your doctor judge how severe your disease is and track its progress over time. X-rays can show whether (and how much) joint damage you have, though damage may not show up early on. Magnetic resonance imaging ( MRI) and ultrasound give a more detailed picture of your joints. These scans aren't normally used to diagnose RA, but they can help doctors find it early.
Question: What's next after rheumatoid arthritis?
Answer: Don't panic if you learn you have rheumatoid arthritis. While there is no cure, people are living better now with RA than ever before. Your doctor will talk to you about all the ways you can treat the disease and manage your symptoms.
Question: What will your doctor look for in imaging tests for rheumatoid arthritis (RA)?
Answer: Imaging tests: These can help your doctor judge how severe your disease is and track its progress over time. X-rays can show whether (and how much) joint damage you have, though damage may not show up early on. Magnetic resonance imaging ( MRI) and ultrasound give a more detailed picture of your joints. These scans aren't normally used to diagnose RA, but they can help doctors find it early.
Question: What medicine is used to treat rheumatoid arthritis?
Answer: Medicines: There are several types: nonsteroidal anti-inflammatory drugs ( NSAIDs), corticosteroids, and disease-modifying drugs.
Question: What conditions may your doctor consider besides rheumatoid arthritis (RA)?
Answer: When a doctor thinks about how likely you are to have one disease over another, or over several others, this is called a differential diagnosis. There are many conditions your doctor may consider besides RA, and besides other forms of autoimmune arthritis: Viral arthritis: Rubella, parvovirus, and hepatitis B and C can lead to short-term arthritis symptoms that resemble RA. Palindromic rheumatism: Periodic joint inflammation that may lead to RA, lupus, and similar diseases Polymyalgia rheumatica : This is more common over age 50, generally less painful than RA, and associated more with shoulders and hips.
Question: What medicines are used to treat rheumatoid arthritis (RA)?
Answer: Medicines: There are several types: nonsteroidal anti-inflammatory drugs ( NSAIDs), corticosteroids, and disease-modifying drugs.
Question: How can I lower the stress on my joints if I have rheumatoid arthritis?
Answer: Lower the stress on your joints: Lose weight or stay at a healthy weight. Get some rest, but not too much -- moderate activity helps, too. Use canes and walkers to take pressure off your lower body.
Question: What diseases does rheumatoid arthritis resemble?
Answer: And in the early stages, RA can resemble other diseases like: Lupus Sjogren's syndrome Psoriatic arthritis Lyme arthritis Osteoarthritis That's why your doctor will rely on many things to help pinpoint the cause of your pain and other symptoms.
Question: What might I have if I donât have rheumatoid arthritis?
Answer: When a doctor thinks about how likely you are to have one disease over another, or over several others, this is called a differential diagnosis. There are many conditions your doctor may consider besides RA, and besides other forms of autoimmune arthritis: Viral arthritis: Rubella, parvovirus, and hepatitis B and C can lead to short-term arthritis symptoms that resemble RA. Palindromic rheumatism: Periodic joint inflammation that may lead to RA, lupus, and similar diseases Polymyalgia rheumatica : This is more common over age 50, generally less painful than RA, and associated more with shoulders and hips.
Question: What antibody blood tests are used to examine for rheumatoid arthritis?
Answer: Antibody blood tests: Doctors look for certain proteins that show up in your blood when you have RA.
Question: What other blood tests are used to treat rheumatoid arthritis?
Answer: Other blood tests: Besides RF and anti- CCP, other blood tests could include: Complete blood count: It helps your doctor find anemia (low red blood cells), which is common in RA. It looks for four things: White blood cells 4.8-10.8 Red blood cells 4.7-6.1 Hemoglobin 14.0-18.0 Hematocrit 42-52 Platelets 150-450 Erythrocyte sedimentation rate: This measures how fast your red blood cells clump and fall to the bottom of a glass tube within an hour. Your doctor might call it a sed rate. Don't panic if you learn you have rheumatoid arthritis.
Question: What will your doctor look for in antibody blood tests for rheumatoid arthritis (RA)?
Answer: Antibody blood tests: Doctors look for certain proteins that show up in your blood when you have RA. Rheumatoid factor ( RF): high levels (over 20 u/ml) Anti- CCP (anti-cyclic citrullinated peptide): high levels (over 20 u/ml) ANA, or antinuclear antibodies: the results are positive or negative Not all people with RA have these proteins.
Question: What will your doctor look for in other blood tests for rheumatoid arthritis (RA)?
Answer: Other blood tests: Besides RF and anti- CCP, other blood tests could include: Complete blood count: It helps your doctor find anemia (low red blood cells), which is common in RA. Normal ranges are: Men younger than 50: 0-15 mm/h Men older than 50: 0-20 mm/h Women younger than 50: 0-20 mm/h Women older than 50: 0-30 mm/h C-reactive protein : This test measures levels of a protein your liver makes when inflammation is present.
Question: When should you see a doctor about rheumatoid arthritis (RA)?
Answer: RA is a problem with your immune system. If you don't diagnose and treat it in time, it could harm your joints. Most people with RA do have some sort of joint damage. Most of it happens in the first 2 years. Don't panic if you learn you have rheumatoid arthritis.
Question: Does sleepwalking need medical treatment?
Answer: Medical treatment for sleepwalking is not usually necessary. For children and adults, sleepwalking is usually a sign of lack of sleep, intense emotional problems, stress, or fever. As these conditions resolve, sleepwalking stops.
Question: How can large meals or eating while you do something stressful lead to irritable bowel syndrome?
Answer: Again, these activities don't cause irritable bowel syndrome, but for those with a very sensitive colon, they can spell trouble.
Question: Do other digestive problems affect on individual's susceptibility to irritable bowel syndrome (IBS)?
Answer: Some scientists think these illnesses may trigger a person's first IBS symptoms. Talk to your doctor if you think you might have irritable bowel syndrome. She can discuss your symptoms with you and do some tests to find out what's going on.
Question: Do medications affect on individual's susceptibility to irritable bowel syndrome (IBS)?
Answer: Studies have shown a link between IBS symptoms and antibiotics, antidepressants, and drugs made with sorbitol.
Question: Do food sensitives affect an individual's susceptibility to irritable bowel syndrome (IBS)?
Answer: Some people may have digestive systems that rumble angrily when they eat dairy, wheat, a sugar in fruits called fructose, or the sugar substitute sorbitol. Fatty foods, carbonated drinks, and alcohol can also upset digestion. There's no proof any of these foods cause IBS, but they may trigger symptoms.
Question: How can medications lead to irritable bowel syndrome?
Answer: Studies have shown a link between IBS symptoms and antibiotics, antidepressants, and drugs made with sorbitol.
Question: How does age play a role in irritable bowel syndrome?
Answer: IBS can affect people of all ages, but it's more likely for people in their teens through their 40s.
Question: Are women at a higher risk for irritable bowel syndrome (IBS)?
Answer: About twice as many women as men have the condition. It's not clear why, but some researchers think the changing hormones in the menstrual cycle may have something to do with it.
Question: How can emotional trouble lead to irritable bowel syndrome?
Answer: Some people with IBS seem to have trouble with stress, have a mental disorder, or have been through a traumatic event in their lives, such as sexual abuse or domestic violence. It's not clear what comes first -- the stress or the IBS. But there's evidence that stress management and behavioral therapy can help relieve symptoms in some people with the condition.
Question: Does family history affect an individual's susceptibility to irritable bowel syndrome (IBS)?
Answer: The condition seems to run in families. Some studies have shown that your genes may play a role.
Question: How can food sensitivities lead to irritable bowel syndrome?
Answer: Some people may have digestive systems that rumble angrily when they eat dairy, wheat, a sugar in fruits called fructose, or the sugar substitute sorbitol. Fatty foods, carbonated drinks, and alcohol can also upset digestion. There's no proof any of these foods cause IBS, but they may trigger symptoms.
Question: How can being a woman affect your risk for irritable bowel syndrome?
Answer: It's not clear why, but some researchers think the changing hormones in the menstrual cycle may have something to do with it. The condition seems to run in families.
Question: What is the definition of supraventricular tachycardia?
Answer: The term has Latin roots. Supraventricular means âabove the ventricles,â which are the lower two sections of your heart. Tachycardia means âfast heart rate.â Rapid heart rates can start in various places of a heart. For you to get a diagnosis of SVT, your problem must start in the atria, the upper two chambers.
Question: What is supraventricular tachycardia (SVT)?
Answer: Most of the time, it doesn't cause any serious health problems, though it's natural that a really fast heartbeat would concern you. Be sure to make an appointment with your doctor if you've felt your heart racing when you haven't been exercising or feeling anxious. It's actually a group of several different heart conditions that have a few things in common. That's where SVT might come in.
Question: What is atrioventricular reciprocating tachycardia (AVRT)?
Answer: Like AVNRT above, this happens when cells in your heart are sending electrical impulses in an extra circle. That's what ends up causing the extra heartbeats.
Question: Can medication help back pain?
Answer: If needed, medication can help relieve pain allowing you to sleep better. These may include pain killers, nonsteroidal anti-inflammatory drugs, muscle relaxants, antidepressants, and topical treatments. Short-term use of sleep medications may also help some people with sleep problems.
Question: What are the symptoms of uterine fibroids?
Answer: In addition to an enlarged uterus, symptoms of uterine fibroids may include: Feeling of fullness or pressure in the lower abdomen Heavy, painful, and/or long-lasting periods, sometimes with the passage of blood clots Bleeding between periods Constipation Frequent urination Pain during intercourse Pregnancy or delivery complications If symptoms are severe, treatment may involve a procedure called uterine artery embolization to cut off the blood supply to the fibroids so that they shrink and eventually die, or surgery to remove the fibroids (myomectomy) or the entire uterus (hysterectomy).
Question: What causes fibroids?
Answer: The cause of fibroids is not known, but the tumors seem to rely on estrogen to grow. After menopause, they often shrink naturally and cause no symptoms.
Question: What are the symptoms of an enlarged uterus?
Answer: If you have an enlarged uterus, you won't necessarily notice it yourself. Your doctor may discover it during a physical exam or on imaging tests. Many conditions that cause an enlarged uterus are benign and don't require treatment unless symptoms are severe. If you experience problems such as irregular bleeding; painful, heavy periods; pain during intercourse; or feelings of fullness or pressure in the lower abdomen, see your doctor, who can help determine the cause and best treatment.
Question: What are some other causes of an enlarged uterus?
Answer: In some cases, an enlarged uterus can be a symptom of uterine cancers, including endometrial cancer (affecting the lining of the uterus) and cervical cancer (affecting the lower portion of the uterus where it joins the vagina). Treatment depends on the location, the extent of the cancer, and other factors.
Question: What should I know about an enlarged uterus?
Answer: But pregnancy isn't the only potential reason for an enlarged uterus. An enlarged uterus is common and can be a symptom of a variety of medical conditions, some of which require treatment. Two of the most common causes of an enlarged uterus are uterine fibroids and adenomyosis. The cause of fibroids is not known, but the tumors seem to rely on estrogen to grow.
Question: How can uterine fibroids lead to an enlarged uterus?
Answer: While the cause of adenomyosis is unknown, the condition usually occurs in women older than age 30 who have had children. It is more common in women who have had uterine surgery, including a cesarean section. In some cases, an enlarged uterus can be a symptom of uterine cancers, including endometrial cancer (affecting the lining of the uterus) and cervical cancer (affecting the lower portion of the uterus where it joins the vagina).
Question: How does a spine MRI scan work?
Answer: The MRI lets your doctor examine the small bones, called vertebrae, which make up your spinal column, as well as the spinal disks, spinal canal, and spinal cord. The test looks for: Unusual parts or curves in your spine Fractures in the vertebrae Injuries Infection Swelling Spinal cord problems Bulging or slipped spinal disks Tumors Your doctor may also use a spine MRI to help plan surgeries on the spine, like for a pinched nerve, or for procedures like epidural or steroid shots.
Question: What antidepressants can cause serotonin syndrome?
Answer: The most commonly prescribed class of antidepressants, which work by increasing serotonin, are the serotonin reuptake inhibitors ( SSRIs). These include citalopram ( Celexa), escitalopram ( Lexapro), fluoxetine ( Prozac), fluvoxamine ( Luvox), paroxetine ( Paxil), and sertraline ( Zoloft).
Question: What other prescription and over-the-counter drugs can lead to serotonin syndrome?
Answer: Other prescription and over-the-counter drugs that can raise serotonin levels alone or in combination to cause serotonin syndrome include: Serotonin and norepinephrine reuptake inhibitors ( SNRIs), a class of antidepressants including desvenlafaxine ( Khedezla), desvenlafaxine succinate ( Pristiq), duloxetine ( Cymbalta), levomilnacipran ( Fetzima), and venlafaxine ( Effexor). Monoamine oxidase inhibitors ( MAOIs), a class of antidepressants including isocarboxazid ( Marplan), phenelzine ( Nardil), tranylcypromine ( Parnate), and transdermal selegiline ( EMSAM) Buspirone ( Bu Spar), a drug used to treat anxiety disorders Desyrel ( Trazodone ), a drug prescribed for depression or insomnia Migraine treatments such as almotriptan ( Axert), Amerge (naratriptan), rizatriptan ( Maxalt), sumatriptan ( Imitrex), and zolmitriptan ( Zomig) Certain pain medications, including fentanyl ( Sublimaze, Fentora), fentanyl citrate ( Actiq), meperidine ( Demerol), pentazocine ( Talwin), and tramadol ( Ultram) Dextromethorphan , a cough suppressant found in many over-the-counter and prescription cough medicines or cold medicines Certain medications prescribed for nausea, such as granisetron ( Kytril), metoclopramide ( Reglan), and ondansetron ( Zofran) Antidepressants that affect multiple serotonin receptors, such as vortioxetine ( Trintellix -formerly Brintellix) and vilazodone ( Viibryd) Some illegal drugs, such as LSD and cocaine, and dietary supplements, including St. John's wort and ginseng, can also lead to serotonin syndrome when combined with antidepressants that affect serotonin.
Question: What are the symptoms of serotonin syndrome?
Answer: !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(); }); } Serotonin syndrome symptoms often begin within hours of taking a new medication that affects serotonin levels or excessively increasing the dose of one you are already taking. Symptoms may include: Confusion Agitation or restlessness Dilated pupils Headache Changes in blood pressure and/or temperature Nausea and/or vomiting Diarrhea Rapid heart rate Tremor Loss of muscle coordination or twitching muscles Shivering and goose bumps Heavy sweating In severe cases, serotonin syndrome can be life threatening.
Question: How is serotonin syndrome treated?
Answer: People with serotonin syndrome are typically hospitalized for observation and treatment of symptoms. For example, benzodiazepines are given to treat agitation and/or seizures. Intravenous fluids are given to maintain hydration. Removing the drug responsible for the serotonin syndrome is critical. Hydration by intravenous ( IV) fluids) is also common. In severe cases, a medication called cyproheptadine ( Periactin) that blocks serotonin production may be used.
Question: What role does illegal drugs play in serotonin syndrome?
Answer: Monoamine oxidase inhibitors ( MAOIs), a class of antidepressants including isocarboxazid ( Marplan), phenelzine ( Nardil), tranylcypromine ( Parnate), and transdermal selegiline ( EMSAM) Buspirone ( Bu Spar), a drug used to treat anxiety disorders Desyrel ( Trazodone ), a drug prescribed for depression or insomnia Migraine treatments such as almotriptan ( Axert), Amerge (naratriptan), rizatriptan ( Maxalt), sumatriptan ( Imitrex), and zolmitriptan ( Zomig) Certain pain medications, including fentanyl ( Sublimaze, Fentora), fentanyl citrate ( Actiq), meperidine ( Demerol), pentazocine ( Talwin), and tramadol ( Ultram) Dextromethorphan , a cough suppressant found in many over-the-counter and prescription cough medicines or cold medicines Certain medications prescribed for nausea, such as granisetron ( Kytril), metoclopramide ( Reglan), and ondansetron ( Zofran) Antidepressants that affect multiple serotonin receptors, such as vortioxetine ( Trintellix -formerly Brintellix) and vilazodone ( Viibryd) Some illegal drugs, such as LSD and cocaine, and dietary supplements, including St. John's wort and ginseng, can also lead to serotonin syndrome when combined with antidepressants that affect serotonin. The FDA recently asked drug manufacturers to include warning labels on their products to let patients know about the potential risk of serotonin syndrome. If you are uncertain about drugs you take or have been prescribed, check the label or speak with your doctor. Don't stop any medication before talking to your doctor.