anand-s/m_qalm huggingface dataset:
Question: How can sclerotherapy help with treating varicose and spider veins?
Answer: Spider veins cannot be removed through surgery. Sometimes, they disappear when the larger varicose veins feeding the spider veins are removed. Remaining spider veins also can be treated with sclerotherapy. Sclerotherapy uses a fine needle to inject a solution directly into the vein. This solution irritates the lining of the vein, causing it to swell and the blood to clot. The vein turns into scar tissue that fades from view. Some doctors treat both varicose and spider veins with sclerotherapy. Today, the substances most commonly used in the U. S. are hypertonic saline, sodium tetradecyl sulfate ( Sotradecol) and aethoxysklerol/ Asclera ( Polidocanol).
Question: What causes varicose veins and spider veins?
Answer: In some instances, the absence or weakness of valves in the veins, which prevent the backward flow of blood away from the heart, may cause the poor circulation. In other cases, weaknesses in the vein walls may cause the pooling of the blood. Less commonly, varicose veins are caused by such diseases as phlebitis (inflammation of the veins) or congenital abnormalities of the veins.
Question: How does surgery help with treating varicose and spider veins?
Answer: Varicose veins are frequently treated by eliminating the "bad" veins. Here, the problematic veins are "stripped" out by passing a flexible device through the vein and removing it through an incision near the groin or ankle. Smaller tributaries of these veins also are stripped with this device or removed through a series of small incisions.
Question: How are varicose veins and spider veins treated?
Answer: Less commonly, varicose veins are caused by such diseases as phlebitis (inflammation of the veins) or congenital abnormalities of the veins. Laser or electro-cautery treatments have been used to treat the smallest spider veins, especially on the face. Surgery to treat varicose veins, commonly referred to as "stripping," is usually done under local or partial anesthesia, such as an epidural. This solution irritates the lining of the vein, causing it to swell and the blood to clot. Patients whose legs have been treated are put on walking regimens, which forces the blood to flow into other veins and prevents blood clots.
Question: What type of doctors provide treatments for varicose and spider veins?
Answer: In most cases, more than one treatment session will be required. Because surgery is performed under anesthesia, pain is not felt during the procedure. Doctors providing surgical treatment include general and vascular surgeons and dermatologic surgeons. Some general, vascular, and plastic surgeons also perform sclerotherapy treatments. People with allergies may want to be cautious.
Question: Do spider veins and varicose veins always need treatment?
Answer: In severe cases, varicose veins can rupture, or open sores (called "ulcers") can form on the skin. Thousands of people every year consider getting treatment for varicose veins and spider veins. Advertisements for treating venous disease often tout "unique," "permanent," "painless," or "absolutely safe" methods - making it difficult to decide on the best treatment. Check with a doctor if you are uncertain. Spider veins cannot be removed through surgery.
Question: What causes loss of libido in people with fibromyalgia?
Answer: Some of the medications used in the treatment of fibromyalgia, such as duloxetine ( Cymbalta) and milnacipran ( Savella), as well as SSRI antidepressants like paroxetine ( Paxil) and sertraline ( Zoloft), may cause reduced sex drive. If you take medication for fibromyalgia and have problems with libido, talk to your doctor. A simple change of medication or a reduction in dose may improve your sex drive and allow you to enjoy your relationships more. But don't stop or make any changes to your medicines unless your doctor tells you to. Also, for some patients, having to deal with the uncomfortable symptoms of fibromyalgia, including the ongoing pain, fatigue, anxiety, and stiffness, is difficult enough without thinking of being physically active with sexual activity. Learning to self-manage these symptoms with medications, exercise, and lifestyle habits may help to boost your sex life.
Question: How can I have sex if I hurt all over from fibromyalgia?
Answer: With fibromyalgia pain and tender points, you need to work with your partner to find the most comfortable position during sexual intercourse. For instance, if you have fibromyalgia with low back pain, you may find that having your partner on top or lying on his or her side is most comfortable for you. Or, if you're a woman who has fibromyalgia and hip pain, you might use a pillow to stabilize your body during sexual intercourse. Just because you've "always had sex this way," does not mean that's the only way.
Question: How can soaking in a warm bath before sex help my fibromyalgia pain?
Answer: Moist heat, including soaking in a warm bath, can help ease fibromyalgia pain and may allow you to enjoy sex -- or any exercise -- without added pain. Heat increases blood flow to the site and decreases stiffness, a key symptom of fibromyalgia. You might soak in a warm bath for at least 15 minutes before sex or other physical activity to get the full benefit. You may also soak in a warm bath after sexual intercourse or other physical activity. Other popular types of moist heat include a warm shower (sit on a chair, if needed), warm whirlpool or hot tub, heated swimming pool, and a moist heating pad.
Question: How does fibromyalgia affect my sex life?
Answer: You could be experiencing loss of libido or having difficulty with sexual performance. It's also possible your libido is healthy, but the deep muscle pain and stiffness of fibromyalgia keep you from enjoying sex the way you used to. Talking openly with your doctor and following a few practical tips can help you resolve problems associated with fibromyalgia, pain, and sex. Then you can begin to enjoy this aspect of your life again. If you have fibromyalgia, talk to your doctor and see if medications can boost libido and/or sexual performance.
Question: What foods have high amounts of isoflavones?
Answer: The following foods are high in isoflavone and may help symptoms of menopause: Isoflavone Amount ( Mg) In Food (100g) Soybeans, green, raw 151.17 Soy flour (textured) 148.61 Soybeans, dry roasted 128.35 Instant beverage soy, powder, not reconstituted 109.51 Miso soup mix, dry 60.39 Soybean chips 54.16 Tempeh, cooked 53.00 Soybean curd cheese 28.20 Tofu, silken 27.91 Tofu, yogurt 16.30 Soymilk 9.65 While safe when taken in moderate amounts through diet, there remains some questions about the safety of consuming extraordinary amounts of soy and isoflavone supplements in women with a history of estrogen-dependent cancer, like breast cancer.
Question: How can nutritional supplements help treat menopause symptoms?
Answer: Many women going through menopause try to get relief from their symptoms by including phytoestrogens, or natural estrogens, in their diet. There are also other nutritional supplements that are touted to help relieve menopausal symptoms, such as black cohosh and flaxseed.
Question: What questions should I ask my doctor about alternative therapies for menopause?
Answer: Ask yourself the following questions about alternative therapies: What is the treatment? What does it involve? How does it work? Why does it work? Are there any risks? What are the side effects? Is it effective? ( Ask for evidence or proof) How much does it cost?
Question: How can my doctor help me find the right alternative therapy for menopause?
Answer: Once you answer these questions, discuss the therapy with your doctor. Make sure your doctor knows what therapy you are considering in order to discuss possible interactions or side effects with your current treatment.
Question: What's the difference between alternative therapies and complementary therapies?
Answer: Alternative treatments are often used alone, while complementary treatments are alternative treatments that are used in combination with traditional treatments, such as medication or surgery.
Question: Can botanicals relieve menopause symptoms?
Answer: Some botanicals, such as phytoestrogens, may help relieve menopause symptoms, although research findings are contradictory and women who have their uterus or have had breast cancer should exercise caution.
Question: What are alternative therapies?
Answer: Complementary and alternative therapies are treatments that are considered nontraditional. They include dietary and herbal supplements, acupuncture, chiropractic, and massage therapy, biofeedback, homeopathy, and eating certain foods that are thought to prevent disease or heal.
Question: How can black cohosh help ease menopause symptoms?
Answer: The North American Menopause Society reports that black cohosh may be helpful in the very short term (six months or less) for treatment of hot flashes, night sweats, and vaginal dryness, but the evidence of its effectiveness is mixed. Safety beyond six months of use is not known.
Question: Can evening primrose oil help menopause symptoms?
Answer: Evening primrose oil is another botanical that is often used to treat hot flashes, although there is no scientific evidence to support this. Side effects include nausea, diarrhea, problems with the immune system, and blood clotting . Many women with other conditions, or those who take certain medications, should not take evening primrose oil.
Question: What botanicals are safe to take during menopause?
Answer: The following foods are high in isoflavone and may help symptoms of menopause: Isoflavone Amount ( Mg) In Food (100g) Soybeans, green, raw 151.17 Soy flour (textured) 148.61 Soybeans, dry roasted 128.35 Instant beverage soy, powder, not reconstituted 109.51 Miso soup mix, dry 60.39 Soybean chips 54.16 Tempeh, cooked 53.00 Soybean curd cheese 28.20 Tofu, silken 27.91 Tofu, yogurt 16.30 Soymilk 9.65 While safe when taken in moderate amounts through diet, there remains some questions about the safety of consuming extraordinary amounts of soy and isoflavone supplements in women with a history of estrogen-dependent cancer, like breast cancer. Clinical trials are underway to answer these questions. Because little is known about many botanicals, the best way to evaluate their safety and effectiveness is to become an educated consumer.
Question: How can my body temperature readings change?
Answer: Some things that cause your temperature to move around during the day include: How active you are What time of day it is Your age Your sex What you've eaten or had to drink ( If you're a woman) where you are in your menstrual cycle Your temperature reading changes based on where on your body you measure it. Underarm readings can be a degree lower than what you'd find from your mouth. Rectal temperatures usually are up to a degree higher than mouth readings.
Question: What can make my body temperature change?
Answer: A German doctor in the 19th century set the standard at 98.6 F, but more recent studies say the baseline for most people is closer to 98.2 F. For a typical adult, body temperature can be anywhere from 97 F to 99 F. Babies and children have a little higher range: 97.9 F to 100.4 F. Your temperature doesn't stay same all day, and it will vary throughout your lifetime, too. Some things that cause your temperature to move around during the day include: How active you are What time of day it is Your age Your sex What you've eaten or had to drink ( If you're a woman) where you are in your menstrual cycle Your temperature reading changes based on where on your body you measure it.
Question: What is a normal body temperature?
Answer: Not everyone's ânormalâ body temperature is the same. Yours could be a whole degree different than someone else's. A German doctor in the 19th century set the standard at 98.6 F, but more recent studies say the baseline for most people is closer to 98.2 F. For a typical adult, body temperature can be anywhere from 97 F to 99 F. Babies and children have a little higher range: 97.9 F to 100.4 F. Your temperature doesn't stay same all day, and it will vary throughout your lifetime, too.
Question: When should I call a doctor about a fever?
Answer: However, if your temperature is 103 F or higher or if you've had a fever for more than 3 days, call your doctor. Also call if you have a fever with symptoms like severe throat swelling, vomiting, headache, chest pain, stiff neck or rash.
Question: What can make you more likely to get hypothermia?
Answer: Other things can also make you more likely to get hypothermia. They include: Alcohol or drug use Hypothyroidism (an underactive thyroid) Anorexia Stroke Sepsis (overwhelming infection) Parkinson's disease Nerve damage Malnutrition Medicines such as antidepressants, antipsychotics, or sedatives Anesthesia
Question: When should I call a pediatrician about my child's fever?
Answer: For children, fevers are a bit more complicated. Call your pediatrician if your child is: Under 3 months and has a rectal temperatures of 100.4 F or higher Between 3 months and 3 years and has a rectal temperature over 102 F Older than 3 years and has an oral temperatures above 103 F Between 3 and 6 months and -- along with a fever -- is fussier or more uncomfortable than usual, or doesn't seem alert Sick enough for you to be concerned, regardless of what the thermometer says If your body loses too much heat, it can be very serious, even fatal.
Question: Who can get hypothermia?
Answer: Hypothermia is a special concern for newborns and the elderly. Babies may not be good at regulating their temperature. They can lose heat quickly. It's important to keep them warm. A temperature below 97 F is considered too low for babies. Older adults can also struggle to keep their body temperature in a normal range if they're somewhere with intense air conditioning or there's not enough heat. For both the elderly and young children, a below-normal body temperature can be a sign they're sick.
Question: What are warning signs of suicidal behavior in children?
Answer: Parents should be particularly vigilant for signs that may indicate that their child is at risk for suicide. Warning signs of suicidal behavior in children include: Many depressive symptoms (changes in eating, sleeping, activities) Social isolation, including isolation from the family Talk of suicide, hopelessness, or helplessness Increased acting-out of undesirable behaviors (sexual/behavioral) Increased risk-taking behaviors Frequent accidents Substance abuse Focus on morbid and negative themes Talk about death and dying Increased crying or reduced emotional expression Giving away possessions
Question: Do all children show the same symptoms of depression?
Answer: In fact, most will display different symptoms at different times and in different settings. Although some children may continue to function reasonably well in structured environments, most kids with significant depression will suffer a noticeable change in social activities, loss of interest in school and poor academic performance, or a change in appearance. Children may also begin using drugs or alcohol, especially if they are over age 12. Although relatively rare in youths under 12, young children do attempt suicide -- and may do so impulsively when they are upset or angry. Girls are more likely to attempt suicide, but boys are more likely to actually kill themselves when they make an attempt. Children with a family history of violence, alcohol abuse, or physical or sexual abuse are at greater risk for suicide, as are those with depressive symptoms.
Question: What are signs and symptoms of depression in children?
Answer: Signs and symptoms of depression in children include: Irritability or anger Continuous feelings of sadness and hopelessness Social withdrawal Increased sensitivity to rejection Changes in appetite -- either increased or decreased Changes in sleep -- sleeplessness or excessive sleep Vocal outbursts or crying Difficulty concentrating Fatigue and low energy Physical complaints (such as stomachaches, headaches) that don't respond to treatment Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests Feelings of worthlessness or guilt Impaired thinking or concentration Thoughts of death or suicide Not all children have all of these symptoms.
Question: What are the treatment options for depression in children?
Answer: Treatment options for children with depression are similar to those for adults, including psychotherapy (counseling) and medication. The role that family and the child's environment play in the treatment process is different from that of adults. Your child's doctor may suggest psychotherapy first, and consider antidepressant medicine as an additional option if there is no significant improvement. The best studies to date indicate that a combination of psychotherapy and medication is most effective at treating depression. Studies show that the antidepressant Prozac is effective in treating depression in children and teens. The drug is officially recognized by the FDA for treatment of children ages 8 to 18 with depression.
Question: How do you treat children with bipolar disorder?
Answer: Treating Children With Bipolar Disorder Children with bipolar disorder are usually treated with psychotherapy and a combination of medicines, usually an antidepressant and a mood stabilizer. Antidepressants need to be used with caution, as they can trigger bouts of manic or hyperactive behavior in children with bipolar disorder. Managing a child's medication must be part of an overall care plan that includes therapy and routine primary care appointments. The FDA warns that antidepressant medications may increase the risk of suicidal thinking and behavior in children and adolescents with depression and other psychiatric disorders.
Question: How is depression diagnosed in children?
Answer: There are no specific tests -- medical or psychological -- that can clearly show depression, but tools such as questionnaires (for both the child and parents) combined with personal information, can be very useful in helping diagnose depression in children. Sometimes those therapy sessions and questionnaires can uncover other concerns that contribute to the depression such as ADHD, conduct disorder, and OCD.
Question: How can I tell if my child is depressed?
Answer: The symptoms of depression in children vary. It is often undiagnosed and untreated because they are passed off as normal emotional and psychological changes that occur during growth. Early medical studies focused on "masked" depression, where a child's depressed mood was evidenced by acting out or angry behavior. While this does occur, particularly in younger children, many children display sadness or low mood similar to adults who are depressed. The primary symptoms of depression revolve around sadness, a feeling of hopelessness, and mood changes.
Question: Can children really suffer from depression?
Answer: Childhood depression is different from the normal "blues" and everyday emotions that occur as a child develops. Just because a child seems sad doesn't necessarily mean he or she has significant depression. If the sadness becomes persistent, or interferes with normal social activities, interests, schoolwork, or family life, it may indicate that he or she has a depressive illness. Keep in mind that while depression is a serious illness, it is also a treatable one.
Question: What causes depression in children?
Answer: Keep in mind that while depression is a serious illness, it is also a treatable one. As in adults, depression in children can be caused by any combination of factors that relate to physical health, life events, family history, environment, genetic vulnerability and biochemical disturbance. Depression is not a passing mood, nor is it a condition that will go away without proper treatment.
Question: Which children get depressed?
Answer: The symptoms of depression in children vary. Bipolar disorder is more common in adolescents than in younger children. Bipolar disorder in children can, however, be more severe than in adolescents. It may also occur with, or be hidden by, attention deficit hyperactivity disorder ( ADHD), obsessive-compulsive disorder ( OCD), or conduct disorder ( CD).
Question: How does finasteride (Propecia) work?
Answer: Popping a pill to thwart thinning hair may sound too good to be true, but it's possible with finasteride ( Propecia). The drug works by lowering levels of a hormone that shrinks hair follicles, called dihydrotestosterone ( DHT). It slows hair loss in about 88% of men and helps hair regrow in about 66%. You need a doctor's prescription to get finasteride, which you take every day. Be patient, though: It can take 6 months to see results, because hair loss and growth happen slowly.
Question: How does minoxidil (Rogaine) work?
Answer: You need a doctor's prescription to get finasteride, which you take every day. It's not as easy to use as a daily pill, but minoxidil ( Rogaine), a liquid or foam that you rub into your scalp, is another option. Studies show it can help hair grow, but it may also help you hold on to the strands you already have. The earlier you start using minoxidil, the more likely it is to help. You have to use it for at least 4 months, and possibly for up to a year, before you can see if it's working. Applicators make the process less messy. The main side effect is scalp irritation.
Question: Why are blood tests for epilepsy performed?
Answer: In the case of epilepsy, blood tests such as a CBC and chemistry panel help your doctor assess your overall health and identify conditions such as infections, anemia, or diabetes that may be triggering the seizures. Blood tests may also help identify conditions such as kidney or liver damage that may affect your treatment and to monitor for the possible occurrence of medication-induced side effects.
Question: How can a chemistry panel help in the diagnosis of epilepsy?
Answer: This test includes an evaluation of sodium, potassium, and blood sugar levels. Kidney and liver function tests are also often included, in what is known as a complete metabolic panel. This test will help your doctor identify conditions such as electrolyte (such as sodium) imbalances, kidney or liver damage, and diabetes, which may either be causing your seizures or may affect the choice of the appropriate anticonvulsant medications prescribed for you (including the doses needed). Your doctor may decide to run various other blood tests, including blood levels of medications you may be taking for seizure control.
Question: What does a complete blood count (CBC) do for epilepsy?
Answer: The CBC measures (among other things): The number of red blood cells (which carry oxygen from the lungs throughout the body) The number of white blood cells (which fight infection) Platelets (which help the blood clot in case of a injury or bleeding) Hemoglobin (the substance in red blood cells that carries oxygen) Hematocrit (the percentage of blood that is made up of red blood cells) Mean corpuscular volume (size of the red blood cells) Another important blood test is known as a chemistry panel.
Question: What are the symptoms of renal hypertension?
Answer: Renal hypertension usually causes no symptoms. The narrowing in the arteries can't be felt. Unless it's dangerously high, high blood pressure causes no symptoms, either. Symptoms of severely elevated blood pressure include: Headache Confusion Blurry or double vision Bloody (pink-colored) urine Nosebleed The vast majority of people with renal hypertension never experience these (or any) symptoms.
Question: What is a renal hypertension?
Answer: Renal hypertension, also called renovascular hypertension, is elevated blood pressure caused by kidney disease. It can usually be controlled by blood pressure drugs. Some people with renal hypertension can be helped by angioplasty, stenting, or surgery on the blood vessels of the kidney.