anand-s/m_qalm huggingface dataset:
Question: How do I know which form of alprostadil is right for me?
Answer: Choosing between the injection and suppository is a personal choice. Talk to your doctor about the pros and cons. For example, the injection may be more painful, but it's more effective than the suppository.
Question: How effective is alprostadil?
Answer: The suppository form is called â MUSEâ (which stands for Medicated Urethral System for Erection). It produces an erection in about 30%-40% of men with ED.
Question: How quickly will alprostadil work?
Answer: Wait 10-30 minutes before you have sex. Your erection should last for about an hour and may continue after you ejaculate. Don't use it more than three times a week. Wait at least 24 hours between each use. Sit, stand, or walk for 10 minutes to boost blood flow to your penis to help with an erection.
Question: What are the side effects of using alprostadil?
Answer: If you are allergic to any other substances such as drugs, foods, preservatives, or dyes If you take any prescription or over-the-counter drugs including herbal and dietary supplements If you have a penile implant If you have a history of priapism (a painful and prolonged erection not linked to sexual stimulation) Also, tell your doctor if you have any medical problems, especially: Problems with your penis, such as curvature or birth defects Bleeding problems Penile infection Red or itchy penis Conditions that cause thickened or slower blood flow such as leukemia (cancer of the blood), sickle cell disease or trait, or thrombocythemia (high number of platelets) If you take a blood thinner or you bruise or bleed easily Peyronie's disease If you can't take this medicine, your doctor can recommend other treatments. Call your doctor immediately if you have any of these rarer problems: Curving of the penis with pain during an erection Erection lasts for 4 to 6 hours with severe and continuing pain in the penis Swelling or pain in the testes Bleeding or spotting from the urethra Stinging in the urethra
Question: What precautions should you take when using alprostadil?
Answer: Or you can use it as suppository, placing it into the opening at the tip of the penis. Don't store it -- you cannot use it later on. If you have any questions about how to use this medication, ask your doctor or pharmacist. The small amount of urine left in the urethra will help dissolve the suppository. The suppository is about half the size of a grain of rice. If you keep it in your fridge, don't let it freeze.
Question: How can an occupational therapist help to treat multiple sclerosis spasticity?
Answer: If physical and occupational therapy don't help, your doctor may want you to try medications.
Question: What does occupational therapy treatment for MS-related spasticity entail?
Answer: If physical and occupational therapy don't help, your doctor may want you to try medications.
Question: What can worsen MS-related spasticity?
Answer: The condition can get worse when it's too hot or cold, when you have an infection, or if you're wearing tight clothing.
Question: What questions might the doctor ask to diagnose muscle sclerosis-related spasticity?
Answer: Physical therapy, medications, surgery, or a mix of these treatments can ease spasticity when you have MS. To decide the best way to help you, your doctors will think about your overall health, how severe your symptoms are, and: Does the condition keep you from doing everyday tasks? Are you in pain? Which treatments have you tried, and how well did they work? How much will it cost? What are the side effects? Will the benefits outweigh the risks?
Question: When are medications needed for multiple sclerosis spasticity?
Answer: If physical and occupational therapy don't help, your doctor may want you to try medications.
Question: When does surgery help for multiple sclerosis spasticity?
Answer: When other treatments don't work, there are two types of surgery that can treat spasticity. In one type, a surgeon cuts away part of the spinal nerve. The operation is called rhizotomy. The goal is to relieve pain or ease muscle tension. Tendon release, also called a tenotomy, is the second type. A surgeon cuts severely tight tendons away from the muscles. It may make spasticity happen less often and make it less severe, depending on how old you are. Over time, you may need to have the surgery again. These surgeries can help, but they're usually only for extreme cases of spasticity and are rarely performed in patients with MS..
Question: How can a physical therapist help to treat multiple sclerosis spasticity?
Answer: Most of the time, a physical therapist will start treating MS spasticity with a basic physical therapy stretching program. The goal is to lengthen your muscles to ease the condition.
Question: What is spasticity in multiple sclerosis?
Answer: It happens mostly in the muscles of the legs and arms, and it may keep you from moving your limbs freely. You might feel spasticity either as stiffness that doesn't go away or as movements you can't control that come and go, especially at night. It can feel like a muscle tightening, or it can be very painful. Spasticity also can make you ache or feel tight in and around your joints and low back. How you feel can vary depending on your position, posture, and how relaxed you are.
Question: What causes spasticity in multiple sclerosis?
Answer: Spasticity happens because of an imbalance in the electrical signals coming from the brain and spinal cord, often when multiple sclerosis has damaged the nerves there. This unevenness makes your muscles contract on their own and makes them tense. The condition can get worse when it's too hot or cold, when you have an infection, or if you're wearing tight clothing.
Question: How is multiple sclerosis spasticity treated?
Answer: Physical therapy, medications, surgery, or a mix of these treatments can ease spasticity when you have MS. To decide the best way to help you, your doctors will think about your overall health, how severe your symptoms are, and: Does the condition keep you from doing everyday tasks? Are you in pain? Which treatments have you tried, and how well did they work? How much will it cost? What are the side effects? Will the benefits outweigh the risks?
Question: What are the most common medications to treat muscle sclerosis-related spasticity?
Answer: The most common medications to treat the condition include the muscle relaxants baclofen ( Gablofen, Kemstro, Lioresal) and tizanidine ( Zanaflex). Another option is diazepam ( Valium), which can help you sleep if nighttime spasms keep you awake.
Question: What is spasticity and how does it relate to multiple sclerosis?
Answer: It happens mostly in the muscles of the legs and arms, and it may keep you from moving your limbs freely.
Question: Is there a specific treatment for muscle sclerosis spasticity?
Answer: Physical therapy, medications, surgery, or a mix of these treatments can ease spasticity when you have MS. To decide the best way to help you, your doctors will think about your overall health, how severe your symptoms are, and: Does the condition keep you from doing everyday tasks?
Question: Can surgery help treat muscle sclerosis-related spasticity?
Answer: When other treatments don't work, there are two types of surgery that can treat spasticity.
Question: What is tendon release and how is it used to treat MS-related spasticity?
Answer: A surgeon cuts severely tight tendons away from the muscles. It may make spasticity happen less often and make it less severe, depending on how old you are. Over time, you may need to have the surgery again.
Question: What causes spasticity in people with multiple sclerosis?
Answer: Spasticity happens because of an imbalance in the electrical signals coming from the brain and spinal cord, often when multiple sclerosis has damaged the nerves there. This unevenness makes your muscles contract on their own and makes them tense.
Question: Do surgeries usually help in treating muscle spasticity?
Answer: These surgeries can help, but they're usually only for extreme cases of spasticity and are rarely performed in patients with MS..
Question: What treatments are available to treat muscle sclerosis spasticity if pills don't work?
Answer: The goal is to lengthen your muscles to ease the condition. You can also get shots of botulinum toxin (such as Botox or Myobloc) to relax your muscles.
Question: What is the physical therapy treatment for MS-related spasticity?
Answer: Physical therapy, medications, surgery, or a mix of these treatments can ease spasticity when you have MS. To decide the best way to help you, your doctors will think about your overall health, how severe your symptoms are, and: Does the condition keep you from doing everyday tasks? The goal is to lengthen your muscles to ease the condition.
Question: What medications are used to treat multiple sclerosis spasticity?
Answer: The goal is to lengthen your muscles to ease the condition. You can also get shots of botulinum toxin (such as Botox or Myobloc) to relax your muscles.
Question: What does spasticity feel like?
Answer: Spasticity also can make you ache or feel tight in and around your joints and low back. How you feel can vary depending on your position, posture, and how relaxed you are. The condition can get worse when it's too hot or cold, when you have an infection, or if you're wearing tight clothing.
Question: Why are lutein and zeaxanthin good for your eyes?
Answer: Another showed that if you have macular degeneration, which causes damage to the middle of your retina and can take away your central vision, supplements with lutein and zeaxanthin can slow its progress.
Question: What is a safe upper limit for lutein and zeaxanthin?
Answer: Safe upper limit: Researchers have not set an upper limit for either.
Question: Which other vitamins can be mixed with lutein and zeaxanthin?
Answer: Note: Many studies combine these two nutrients with others such as vitamins C and E. It may be that the mix of nutrients does more for your eyes than any single one of them.
Question: Which foods contain lutein and zeaxanthin?
Answer: Kale (1 cup) 23.8 mg Spinach (1 cup) 20.4 mg Collard greens (1 cup) 14.6 mg Turnip greens (1 cup) 12.2 mg Corn (1 cup) 2.2 mg Broccoli (1 cup) 1.6 mg
Question: Which foods are rich in lutein and zeaxanthin?
Answer: Diets rich in these two nutrients may help hold off age-related eye diseases. For example, one study found that people who ate foods rich in zeaxanthin -- think âgreen veggiesâ like spinach, kale, and broccoli -- may be half as likely to get cataracts. Another showed that if you have macular degeneration, which causes damage to the middle of your retina and can take away your central vision, supplements with lutein and zeaxanthin can slow its progress. Note: Many studies combine these two nutrients with others such as vitamins C and E. It may be that the mix of nutrients does more for your eyes than any single one of them.
Question: How do lutein and zeaxanthin help protect your eyes?
Answer: Lutein and zeaxanthin can help protect your eyes from harmful high-energy light waves like ultraviolet rays in sunlight. Studies suggest that a high level of both in eye tissue is linked with better vision, especially in dim light or where glare is a problem.
Question: What happens when you take too much lutein and zeaxanthin?
Answer: Potential risks: In excess, they may turn your skin slightly yellow. Research seems to show that up to 20 mg of lutein daily is safe.
Question: What is the safe upper limit for lutein and zeaxanthin for vision?
Answer: Safe upper limit: Researchers have not set an upper limit for either.
Question: What are the potential risks for lutein and zeaxanthin?
Answer: Potential risks: In excess, they may turn your skin slightly yellow. Research seems to show that up to 20 mg of lutein daily is safe.
Question: What is the recommended daily allowance for lutein and zeaxanthin for vision?
Answer: Recommended daily allowance: No RDA has been set for either nutrient.
Question: Why are lutein and zeaxanthin good for my eyes?
Answer: Lutein and zeaxanthin can help protect your eyes from harmful high-energy light waves like ultraviolet rays in sunlight. Studies suggest that a high level of both in eye tissue is linked with better vision, especially in dim light or where glare is a problem.
Question: What is the recommended daily allowance for lutein and zeaxanthin?
Answer: Recommended daily allowance: No RDA has been set for either nutrient.
Question: How should I keep my doctor informed about high blood pressure drugs?
Answer: But the more your doctor knows about you, the better he or she can help. Make sure your doctor knows about these things: Other drugs you take, either prescription or over the counter Vitamins or other supplements you take Herbs you might use Alcohol and any recreational drugs you use, or have used Other health problems, especially conditions such as diabetes Other factors in your life that could contribute to high blood pressure, such as difficult family issues, a high-stress job, or a sedentary lifestyle Why is it so important to take your high blood pressure drugs properly?
Question: How do I keep side effects of medications for bipolar disorder from affecting me at work?
Answer: Does your medication make you sleepy or jittery at work? It's not uncommon for people with bipolar disorder to need extra sleep -- 8 to 10 or even up to 12 -- hours a day. Your doctor may be able to change your dosing time or amount to help reduce drowsiness or other side effects at work. Ask about other ways to cope with side effects. For example, taking some medication with food can sometimes lessen nausea or upset stomach.
Question: What are continuing care communities?
Answer: Continuing care communities: These organizations offer independent living, assisted living, and skilled nursing all in one place. Healthy adults can live in apartments or homes until they need more help. They gradually get more assistance as they need it, without having to leave the community.
Question: What is palliative care?
Answer: Palliative care: The goal of palliative care is to tend to your whole self -- physical and emotional -- while you have a serious illness. It can help you and your loved ones with decision-making, understanding your situation, and taking care of your condition and the stresses and emotions it can bring up. There are doctors, nurses, and other medical professionals who have special training in this field and who can be part of your health care team.
Question: What is respite care for caregivers?
Answer: Respite care: When you need a break from caregiving, you can take a few hours or days off with the help of respite care. Your loved one can either get care at home or do a short-term stay in a skilled nursing facility.
Question: What are companion care services for caregivers?
Answer: Companion care services: With these, people come into the home and help with daily life. Services can range from preparing meals and giving baths to sorting mail and paying bills. They may also do housework and make sure your loved one eats and exercises.
Question: What is adult day care?
Answer: Adult day care: These centers offer seniors care or company during the day. Some have outings and social activities. Others may offer only health care.
Question: What is a geriatric care manager?
Answer: Care managers: A geriatric care manager is a hired nurse or social worker who looks at a family's caregiving situation and helps plan, coordinate, and see how care is going. They can help with a one-time assessment or manage care long-term. Some health care organizations or doctor's offices offer this as part of your care.
Question: How can workplace resources help with caregiving?
Answer: Workplace resources: Many caregivers also have a paying job. More and more workplaces are recognizing their needs. Ask your employer if your job has programs, including things like flexible working hours or telecommuting. Your company may also help you find skilled nursing help or other support.
Question: What's the village movement for caregiving?
Answer: Village movement: This grass-roots approach builds a network of support for people who want to keep living in their own homes, or "age in place." Members pay a fee (usually a few hundred dollars a year) for services that may range from transportation to home maintenance. It means older people don't have to call on family and friends for help all the time.
Question: What is skilled care to help with caregiving?
Answer: You may hear some in-home palliative care programs called âpre-hospice care,â but you can also have palliative care if you're in a hospital or as an outpatient (which means you're not staying in a hospital). Skilled care: Professionals -- usually nurses or physical or occupational therapists -- come to the home to provide health care. This might include giving medications, taking care of wounds, and giving shots.
Question: What do the grades of PCL injuries mean?
Answer: Doctors classify PCL injuries in these groups: Grade I: The PCL has a partial tear. Grade II: The ligament is partially torn and is looser than in Grade I. Grade III: The ligament is completely torn and the knee becomes unstable. Grade IV: The PCL is damaged along with another ligament in the knee.
Question: What kind of surgery do you need for a torn PCL?
Answer: Surgery for a torn PCL requires replacing it with new tissue rather than stitching together the torn ligament. The ligament may be replaced with: Tissue from a deceased donor Piece of tendon moved from somewhere else in the body, such as the back of the thigh or heel The operation is sometimes done as an "open" surgery. This requires a large incision in the knee. A less-invasive option involves a tool called an arthroscope.
Question: How do you diagnose a PCL injury?
Answer: He or she will also ask: If your knee was bent, straight, or twisted when it was injured How your knee felt after the injury If you've had any symptoms since you were injured Physical examination. In a common test for PCL injuries, you lie on your back with your knee bent. This presses against your leg to measure the ligament's tightness. Your doctor may also ask you to walk. Imaging.
Question: What are the symptoms of chronic lymphocytic leukemia (CLL)?
Answer: You may have no symptoms for a while. Over time, you may have: Swollen lymph nodes in your neck, armpits, stomach, or groin. Lymph nodes are pea-sized glands in these and other areas of your body. Shortness of breath Pain or fullness in your stomach, which may be because the disease has made your spleen bigger Fatigue Night sweats Fever and infections Loss of appetite and weight If you have one or more swollen lymph nodes, your doctor may ask: Have you had any recent infections?
Question: What are considerations about treatment for chronic lymphocytic leukemia (CLL)?
Answer: If yours is in the early stages or it's not causing any problems, you probably don't need treatment. Studies show that it doesn't help. Even so, you should keep up with all your doctor visits. Your doctor will closely check to make sure your condition hasn't changed. You may start treatment if your doctor notices a change, like the number of lymphocytes in your blood goes up quickly, there's a drop in the number of your red blood cells, or a lymph node is getting bigger.
Question: What are some questions for your doctor about chronic lymphocytic leukemia (CLL)?
Answer: What's the stage of my leukemia? Do I need treatment now? If not, how will we know when I need treatment? Will I need other tests before we decide? Should I get a second opinion? What are the side effects of treatment? How will it affect my daily life? What will we do if the leukemia returns?
Question: How should you take care of yourself if you have chronic lymphocytic leukemia (CLL)?
Answer: CLL treatment can cause side effects such as nausea and fatigue in some people. If it happens to you, let your doctor know, so you can manage the problems. Ask your doctor about anti-nausea drugs. Therapeutic massage and acupuncture may also help control nausea and vomiting. Try walking, restorative yoga, breathing exercises, and meditation to curb fatigue and boost energy. On days when your energy and mood are low, set one small goal for the day. Take a walk, talk with a friend, or take a relaxing shower.
Question: What causes chronic lymphocytic leukemia (CLL)?
Answer: In most cases, doctors don't know what causes CLL. You're more likely to get it if: You have a parent, sibling, or child who has CLL. You're middle-aged or older. You're a white man. You have relatives who are either Eastern European or Russian Jews.
Question: What is chronic lymphocytic leukemia (CLL)?
Answer: Chronic lymphocytic leukemia ( CLL) is a cancer that affects a type of white blood cell called a "lymphocyte." If you have CLL, your body makes an abnormally high number of lymphocytes that aren't working right. More adults get CLL than any other type of leukemia. They can also learn more about the genetic changes in the cells. Do I need treatment now? If you have a very high number of CLL cells in your blood when you get diagnosed, your doctor may use this treatment to lower them quickly. CLL usually grows slowly.
Question: What is the most common cause of dementia?
Answer: Alzheimer's disease is the most common cause of dementia. Between 60% to 80% of people with dementia have Alzheimer's. But there are as many as 50 other causes of dementia.
Question: What are cortical dementias?
Answer: Cortical dementias happen because of problems in the cerebral cortex, the outer layer of the brain. They play a critical role in memory and language. People with these types of dementia usually have severe memory loss and can't remember words or understand language. Alzheimer's and Creutzfeldt- Jakob disease are two forms of cortical dementia.
Question: What are subcortical dementias?
Answer: Between 60% to 80% of people with dementia have Alzheimer's. Cortical dementias happen because of problems in the cerebral cortex, the outer layer of the brain. People with these types of dementia usually have severe memory loss and can't remember words or understand language. Parkinson's disease, Huntington's disease, and HIV can cause these types of dementia.
Question: How do I talk to my child about bedwetting?
Answer: When you're ready to talk with your child about bedwetting, here are a few simple tips that can help. Letting your child know that other kids have the same problem can take the weight off his shoulders and help him feel he's not alone. Tell your child if you used to wet the bed. Tell them they're not to blame. Be encouraging. With the use of absorbent pants, medication, and the help of other parents, let your child know they can go on sleepovers or away to camp. Talk to your child about taking part in cleaning up.
Question: What are things I  should avoid talking about when I speak to my child about bedwetting?
Answer: Don't be shy. So make the time to talk about it. Don't blame your child. Don't shame your child. Don't blame yourself. Don't lose patience.
Question: What are home remedies for heat cramps?
Answer: Heat cramps usually go away on their own, but you can try one of these home remedies: Rest in a cool place and drink a sports drink, which has electrolytes and salt, or drink cool water. Make your own salt solution by mixing 1/4 to 1/2 teaspoon table salt dissolved in a quart of water.
Question: When should you call your doctor about heat cramps?
Answer: Muscle spasms that are: Painful Involuntary Brief Intermittent Usually self-limited (go away on their own) Heat cramps can be quite painful. Consider seeking medical attention if the symptoms do not go away with rest and after restoring fluid and electrolytes. Call your doctor if these conditions develop: If you are unable to drink sufficient fluids because you have nausea or are vomiting, you may need IV rehydration with normal saline. Heat cramps may accompany heat exhaustion. If you have more severe symptoms of heat illness, including dizziness, fatigue, vomiting, headache, fast heartbeat, shortness of breath, or a high temperature (greater than 104 degrees), get immediate medical care.