anand-s/m_qalm huggingface dataset:
Question: What are the side effects of taking opioid (narcotic) pain medications?
Answer: One of the reasons why your doctor needs to manage pain medications so closely is that they can cause side effects, such as: Constipation Drowsiness Nausea and vomiting The drugs lubiprostone ( Amitiza), methylnaltrexone ( Relistor), naldemedine ( Symproic), and naloxegol ( Movantik) are approved to treat constipation due to opioid use in those with chronic pain.
Question: What should you do if you want to change your opioid (narcotic) pain medications?
Answer: Your doctor will need to know: How your pain is responding to the drug Whether you're having any side effects Whether you have any potential interactions or medical conditions that could make you more likely to have side effects, such as sleep apnea, alcohol use, or kidney problems Whether you're taking the drug properly Never change or stop taking any opioid medicine without first checking with your doctor. If a pain medication isn't working as well as it should, your doctor may switch you to a different dose -- or add on or try another drug. When you're ready to stop taking opioids, your doctor may help wean you off them slowly -- if you have taken them for a long time -- to give your body time to adjust. Otherwise, you may have withdrawal symptoms.
Question: Should you take opioid pain medications?
Answer: If you need to take opioids to control your pain, here are some ways to make sure you're taking them as safely as possible. They are used to treat moderate to severe pain that may not respond well to other pain medications.
Question: How can you work with your doctor to receive opioid (narcotic) pain medications?
Answer: If you need to take opioids to control your pain, here are some ways to make sure you're taking them as safely as possible. You may receive around-the-clock doses to manage pain throughout the day and night. And your doctor may prescribe opioids to be taken "as needed" in case you have "breakthrough" pain -- a flare of pain that you get despite round-the-clock doses.
Question: What will your doctor need to know while you're on opioid (narcotic) pain medications?
Answer: They tell your brain you're not in pain. Your doctor will need to know: How your pain is responding to the drug Whether you're having any side effects Whether you have any potential interactions or medical conditions that could make you more likely to have side effects, such as sleep apnea, alcohol use, or kidney problems Whether you're taking the drug properly Never change or stop taking any opioid medicine without first checking with your doctor.
Question: What is opioid tolerance and addiction?
Answer: That includes: Prescription drugs Over-the-counter drugs Herbal supplements After taking opioid pain medication for a while, you might find that you need more and more of the drug to achieve the same effect in easing pain. This is called tolerance. It's not the same as addiction, which involves a compulsive use of a drug. People who are addicted compulsively seek out the pain medications. Their behavior usually leads to negative consequences in their personal lives or workplace.
Question: What is holy basil?
Answer: Holy basil has a history of use for treating many diseases and conditions however, quality scientific research is needed to show how holy basil may benefit people is needed: The common cold Bronchitis Earache Fever Flu Some evidence of improvement of energy It's also been used to try to treat a range of other health concerns, including: Increased blood circulation Insect bites Kidney problems Skin problems Snake bites Stomach problems In addition, holy basil may be useful: As an antioxidant For protecting the liver For treating lowering blood sugar; in one study, people with diabetes had lower blood sugar while they were taking holy basil. Holy basil leaves, which have a spicy, lemony flavor, are used widely in food in Southeast Asia, such as in Thai stir-fried dishes.
Question: What foods use holy basil?
Answer: Holy basil leaves, which have a spicy, lemony flavor, are used widely in food in Southeast Asia, such as in Thai stir-fried dishes.
Question: What are some precautions about using holy basil?
Answer: Holy basil has a history of use for treating many diseases and conditions however, quality scientific research is needed to show how holy basil may benefit people is needed: The common cold Bronchitis Earache Fever Flu Some evidence of improvement of energy It's also been used to try to treat a range of other health concerns, including: Increased blood circulation Insect bites Kidney problems Skin problems Snake bites Stomach problems In addition, holy basil may be useful: As an antioxidant For protecting the liver For treating lowering blood sugar; in one study, people with diabetes had lower blood sugar while they were taking holy basil. Avoid using holy basil if you're allergic or sensitive to it or members of the Lamiaceae (mint) plant family. Side effects of holy basil also include upset stomach. You should be cautious about using holy basil if you: Have low blood sugar Are trying to get pregnant Take anticoagulant (blood-thinning) drugs Women who are pregnant should avoid holy basil, since it might cause the uterus to contract.
Question: Why do people take holy basil?
Answer: Holy basil has a history of use for treating many diseases and conditions however, quality scientific research is needed to show how holy basil may benefit people is needed: The common cold Bronchitis Earache Fever Flu Some evidence of improvement of energy It's also been used to try to treat a range of other health concerns, including: Increased blood circulation Insect bites Kidney problems Skin problems Snake bites Stomach problems In addition, holy basil may be useful: As an antioxidant For protecting the liver For treating lowering blood sugar; in one study, people with diabetes had lower blood sugar while they were taking holy basil. Research on animals suggests that holy basil might change the effect of many medications, including these drugs: Diazepam ( Valium) Pentobarbital ( Nembutal) Scopolamine (sold as generic only) Tell your doctor about any supplements you're taking, even if they're natural.
Question: What are the differences in men and women with multiple sclerosis?
Answer: In terms of all types of MS, at least twice as many women as men have the condition. But the ratio may be rising even higher. Some recent estimates place the number at 4 to 1 -- and suggest it is still going up. And ladies are more likely to have their first symptoms at younger ages. Three women for every man got MS before age 20.
Question: When does multiple sclerosis normally affect women?
Answer: Multiple sclerosis doesn't hit all women at the same time in life. But it almost always begins before menopause. Symptoms often get worse after childbirth or at the end of a menstrual cycle.
Question: How common is multiple sclerosis in women?
Answer: In terms of all types of MS, at least twice as many women as men have the condition. But the ratio may be rising even higher. Some recent estimates place the number at 4 to 1 -- and suggest it is still going up. And ladies are more likely to have their first symptoms at younger ages. Three women for every man got MS before age 20.
Question: When do men normally contract multiple sclerosis?
Answer: MS in men is usually worse than in women.
Question: What are the differences in the symptoms of primary progressive multiple sclerosis between men and women?
Answer: MS in men is usually worse than in women. But large studies of primary progressive MS show: Early on, the symptoms were just as severe and got worse just as fast for men as for women. After about 20 years of living with primary progressive MS, men's disease finally began to "outrun" the women's in terms of how bad their symptoms were. Why the differences? At this point, there are more questions than answers. Sex hormones may be one reason. Scientists are also studying clues in the body chemistry and brains of people with the condition. But research into this form of MS is only beginning.
Question: Does gender affect who contracts primary progressive multiple sclerosis?
Answer: Researchers don't know why it happens, but here's what scientists understand about this type: For people with primary progressive MS, there are no attacks followed by later improvement, as in the more common forms of MS. They found: Under age 30, equal numbers of men and women had the condition. In terms of all types of MS, at least twice as many women as men have the condition.
Question: What are the gender differences in the people who contract primary progressive multiple sclerosis?
Answer: In the largest studies done so far, scientists kept tabs on hundreds of men and women with primary progressive MS for decades. They found: Under age 30, equal numbers of men and women had the condition. There were more women than men who got it after age 45. Almost two women for each man were diagnosed with primary progressive MS after age 50 -- still short of the rates in other forms of MS. Why the differences?
Question: What are the gender differences in primary progressive multiple sclerosis?
Answer: In the largest studies done so far, scientists kept tabs on hundreds of men and women with primary progressive MS for decades. They found: Under age 30, equal numbers of men and women had the condition. There were more women than men who got it after age 45. Almost two women for each man were diagnosed with primary progressive MS after age 50 -- still short of the rates in other forms of MS. Why the differences?
Question: What is psychosis?
Answer: You might see, hear, or believe things that aren't real.
Question: How can supportive psychotherapy help with psychosis?
Answer: Supportive psychotherapy helps you learn to live with and manage psychosis.
Question: How is psychosis diagnosed?
Answer: You can see a psychologist, psychiatrist, or a social worker. They'll find out what might have caused your symptoms and look for related conditions. Doctors diagnose mental illnesses after ruling out other things that could be causing psychotic symptoms.
Question: How can psychotherapy help with psychosis?
Answer: Counseling, along with medicines, can also help manage psychosis.
Question: How can cognitive enhancement therapy help with psychosis?
Answer: Cognitive enhancement therapy ( CET) uses computer exercises and group work to help you think and understand better.
Question: How can cognitive behavioral therapy help with psychosis?
Answer: It also helps you figure out whether what you see and hear is real or imagined. This kind of therapy also stresses the importance of antipsychotic medications and sticking with your treatment. Cognitive enhancement therapy ( CET) uses computer exercises and group work to help you think and understand better.
Question: Do you need to get treated in a hospital if you have psychosis?
Answer: You or your family members may notice: A drop in grades or job performance Trouble thinking clearly or concentrating Suspiciousness or unease around others Lack of self-care or hygiene Spending more time alone than usual Stronger emotions than situations call for No emotions at all Signs of early psychosis: You may: Hear, see, or taste things others don't Hang on to unusual beliefs or thoughts no matter what others say Pull away from family and friends Stop taking care of yourself Not be able to think clearly or pay attention Symptoms of a psychotic episode: Usually you'll notice all of the above plus: Hallucinations: Auditory hallucinations: Hearing voices when no one is around Tactile hallucinations: Strange sensations or feelings you can't explain Visual hallucinations: You see people or things that aren't there, or you think the shape of things looks wrong Delusions: Beliefs that aren't in line with your culture and that don't make sense to others, like: Outside forces are in control of your feelings and actions Small events or comments have huge meaning You have special powers, are on a special mission, or actually are a god Doctors don't know exactly what causes psychosis, but some known risk factors include: Genetics: You can have the genes for it, but that doesn't always mean you'll get psychosis. The doctor will check your symptoms, look for causes, and suggest the best treatment for you. Some clinics and programs offer help just for young people.
Question: What does it mean if you have psychosis?
Answer: You might see, hear, or believe things that aren't real. Psychosis is a symptom, not an illness. A mental or physical illness, substance abuse, or extreme stress or trauma can cause it. Psychotic disorders, like schizophrenia, involve psychosis that usually affects you for the first time in the late teen years or early adulthood. Young people are especially likely to get it, but doctors don't know why. Even before what doctors call the first episode of psychosis ( FEP), you may show slight changes in the way you act or think. This is called the prodromal period and could last days, weeks, months, or even years. You or your family members may notice: A drop in grades or job performance Trouble thinking clearly or concentrating Suspiciousness or unease around others Lack of self-care or hygiene Spending more time alone than usual Stronger emotions than situations call for No emotions at all Signs of early psychosis: You may: Hear, see, or taste things others don't Hang on to unusual beliefs or thoughts no matter what others say Pull away from family and friends Stop taking care of yourself Not be able to think clearly or pay attention Symptoms of a psychotic episode: Usually you'll notice all of the above plus: Hallucinations: Auditory hallucinations: Hearing voices when no one is around Tactile hallucinations: Strange sensations or feelings you can't explain Visual hallucinations: You see people or things that aren't there, or you think the shape of things looks wrong Delusions: Beliefs that aren't in line with your culture and that don't make sense to others, like: Outside forces are in control of your feelings and actions Small events or comments have huge meaning You have special powers, are on a special mission, or actually are a god Doctors don't know exactly what causes psychosis, but some known risk factors include: Genetics: You can have the genes for it, but that doesn't always mean you'll get psychosis. You doctor may recommend coordinated specialty care ( CSC).
Question: What causes psychosis?
Answer: Psychosis is a symptom, not an illness. You or your family members may notice: A drop in grades or job performance Trouble thinking clearly or concentrating Suspiciousness or unease around others Lack of self-care or hygiene Spending more time alone than usual Stronger emotions than situations call for No emotions at all Signs of early psychosis: You may: Hear, see, or taste things others don't Hang on to unusual beliefs or thoughts no matter what others say Pull away from family and friends Stop taking care of yourself Not be able to think clearly or pay attention Symptoms of a psychotic episode: Usually you'll notice all of the above plus: Hallucinations: Auditory hallucinations: Hearing voices when no one is around Tactile hallucinations: Strange sensations or feelings you can't explain Visual hallucinations: You see people or things that aren't there, or you think the shape of things looks wrong Delusions: Beliefs that aren't in line with your culture and that don't make sense to others, like: Outside forces are in control of your feelings and actions Small events or comments have huge meaning You have special powers, are on a special mission, or actually are a god Doctors don't know exactly what causes psychosis, but some known risk factors include: Genetics: You can have the genes for it, but that doesn't always mean you'll get psychosis. Drugs: Triggers include some prescription medications and abuse of alcohol or drugs like marijuana, LSD, and amphetamines. Trauma: The death of a loved one, a sexual assault, or war can lead to psychosis.
Question: How can family psychoeducation and support help with psychosis?
Answer: It combines medicine and therapy with social services and work and education support. It helps you bond and improves the way you solve problems together.
Question: What is the treatment for psychosis?
Answer: Even before what doctors call the first episode of psychosis ( FEP), you may show slight changes in the way you act or think. That will help keep the symptoms from affecting your relationships, work, or school. It may also help you avoid more problems down the road. You doctor may recommend coordinated specialty care ( CSC). This is a team approach to treating schizophrenia when the first symptoms appear. It combines medicine and therapy with social services and work and education support. The family is involved as much as possible. What your doctor recommends will depend on the cause of your psychosis. Your doctor will prescribe antipsychotic drugs -- in pills, liquids, or shots -- to ease your symptoms. They'll also suggest you avoid using drugs and alcohol.
Question: Can you get overactive bladder symptoms from other conditions?
Answer: Added pounds are linked to OAB and urine leaks (your doctor will call this urinary incontinence). Try to hold your pee when you have the urge to pee. The main symptoms of OAB can also occur in other conditions: Urinary tract infection Enlarged prostate Bladder cancer Interstitial cystitis, prostatitis If you're living with what seems to be overactive bladder, but don't have an official diagnosis, it's time to see your doctor.
Question: What are symptoms of scarlet fever?
Answer: The namesake red rash usually starts out looking like a bad sunburn. When the rash goes away, the skin may peel around the fingertips, toes, and groin. There may be a pale, white area just around your mouth. " Strawberry" tongue. Other signs of scarlet fever can include: Very red sore throat Fever of 101 F or higher, sometimes with chills Swollen glands in the neck Whitish coating on the tonsils and throat Headache or body aches Nausea, vomiting, or stomach pain Difficulty swallowing Because scarlet fever symptoms can be similar to other conditions, always check with your doctor or pediatrician.
Question: What does scarlet fever rash look like?
Answer: The namesake red rash usually starts out looking like a bad sunburn. It typically starts on your neck and face and then spreads to the chest, the back, and the rest of the body. It's raised and looks a little like sandpaper. It can be itchy, and areas of the rash can turn white when you press on them. When the rash goes away, the skin may peel around the fingertips, toes, and groin. In the folds of skin where creases form, the rash forms red lines.
Question: How is a small-gauge vitrectomy done for vitreomacular adhesion (VMA)?
Answer: Small-gauge vitrectomy: Your eye surgeon may choose to use a more recently developed instrument of smaller size to remove the vitreous gel to relieve the pulling on the macula. You get local anesthesia. Because a smaller cutting/suction hand piece is used and the cut is smaller, you don't need any sutures or stitches. Recovery time is quicker. You may also have less discomfort afterward.
Question: How do you treat vitreomacular adhesion (VMA)?
Answer: But if you've noticed changes to your vision, you should see your eye doctor. First, she'll dilate your pupil and look inside your eye. You'll also get a test called optical coherence tomography ( OCT). That shows the back of your eye. She needs to do that to be sure you have VMA and to see if you have any damage inside your eye that needs treatment. OCT can show the jelly inside your eye, called the vitreous. It sticks to your retina if you have VMA. Your test can also show damage to something called your macula. That's the part of your retina that gives you clear, detailed eyesight. If you have that but don't have symptoms, you may start treatment.
Question: What is nocturia?
Answer: Nocturia means you have to get up a lot during the night to go to the bathroom.
Question: What mechanical aids treat bladder problems that arise from multiple sclerosis?
Answer: These drugs help control muscle movements that force urine out of the bladder: Darifenacin ( Enablex) Fesoterodine ( Toviaz) Imipramine ( Tofranil) Oxybutynin ( Ditropan, Gelnique gel, Oxytrol transdermal patch) Solifenacin ( Vesicare) Tolterodine ( Detrol) Trospium ( Sanctura) Mechanical aids such as: Catheters: Your doctor can put this thin, flexible, hollow tube through your urethra, the tube through which pee leaves your body, and into your bladder to drain urine. Urethral insert: A thin, flexible solid tube in the urethra that blocks the flow of leaking urine. External urethral barrier: A self-adhesive patch you can put over the opening where urine comes out.
Question: How does bladder training help treat bladder problems that arise from multiple sclerosis?
Answer: Some things you can try: Bladder training aims to let you go longer between your trips to the bathroom. You start by setting a schedule for when you'll pee. Then you train yourself to resist the first urge to go and refrain from going until your scheduled time. Eventually, the time between restroom visits lasts for several hours.
Question: How can absorbent products help treat bladder problems that arise from multiple sclerosis?
Answer: Absorbent products such as mini-shields that attach to underwear or plastic-backed diapers. These items help you guard against accidents. Most of them are disposable, but you can also buy absorbent cloths that you can wash and reuse.
Question: What drugs help control muscle movements that force urine out of the bladder?
Answer: These drugs help control muscle movements that force urine out of the bladder: Darifenacin ( Enablex) Fesoterodine ( Toviaz) Imipramine ( Tofranil) Oxybutynin ( Ditropan, Gelnique gel, Oxytrol transdermal patch) Solifenacin ( Vesicare) Tolterodine ( Detrol) Trospium ( Sanctura) Mechanical aids such as: Catheters: Your doctor can put this thin, flexible, hollow tube through your urethra, the tube through which pee leaves your body, and into your bladder to drain urine.
Question: Is surgery used to deal with multiple sclerosis?
Answer: Doctors usually recommend an operation only as a last resort when other treatments haven't worked.
Question: How does prompted voiding help treat bladder problems that arise from multiple sclerosis?
Answer: Prompted voiding trains a caregiver to remind someone to go to the bathroom. The goal is to have fewer accidents by making the person aware that they need to pee every so often. People often use timed voiding at the same time.
Question: How can medications help treat bladder problems that arise from multiple sclerosis?
Answer: If behavior changes don't work, your doctor may prescribe medicines to help with bladder control. You might also take them while you keep up your behavior training.
Question: Is it important to treat bladder problems that arise from multiple sclerosis?
Answer: A bladder problem is more than an inconvenience. If you don't get treatment, it can turn into other health issues, including bladder infections, kidney damage, and hygiene problems. It also can keep you from doing the things you'd normally do and make you feel isolated.
Question: What diet changes should I consider to treat bladder control that comes from multiple sclerosis?
Answer: One way to start is to change the liquid you put in your body every day. Your doctor may recommend that you: Drink no more than 2 quarts of liquids a day Steer clear of drinks with caffeine, such as coffee, tea, and sodas Have no more than one alcoholic drink per day Change your behavior.