falan42/medcuad_data huggingface dataset:
Topic: Crohn's Disease
Question: What causes Crohn's Disease ?
Answer: The exact cause of Crohn's disease is unknown. Researchers believe the following factors may play a role in causing Crohn's disease:
                
- autoimmune reaction  - genes  - environment
                
Autoimmune reaction. Scientists believe one cause of Crohn's disease may be an autoimmune reactionwhen a person's immune system attacks healthy cells in the body by mistake. Normally, the immune system protects the body from infection by identifying and destroying bacteria, viruses, and other potentially harmful foreign substances. Researchers believe bacteria or viruses can mistakenly trigger the immune system to attack the inner lining of the intestines. This immune system response causes the inflammation, leading to symptoms.
                
Genes. Crohn's disease sometimes runs in families. Research has shown that people who have a parent or sibling with Crohn's disease may be more likely to develop the disease. Researchers continue to study the link between genes and Crohn's disease.
                
Environment. Some studies suggest that certain things in the environment may increase the chance of a person getting Crohn's disease, although the overall chance is low. Nonsteroidal anti-inflammatory drugs,1 antibiotics,2 and oral contraceptives2 may slightly increase the chance of developing Crohn's disease. A high-fat diet may also slightly increase the chance of getting Crohn's disease.3
                
Some people incorrectly believe that eating certain foods, stress, or emotional distress can cause Crohn's disease. Emotional distress and eating certain foods do not cause Crohn's disease. Sometimes the stress of living with Crohn's disease can make symptoms worse. Also, some people may find that certain foods can trigger or worsen their symptoms.
(Source: NIDDK)
Topic: Crohn's Disease
Question: What are the symptoms of Crohn's Disease ?
Answer: The most common signs and symptoms of Crohn's disease are
                
- diarrhea  - abdominal cramping and pain  - weight loss
                
Other general signs and symptoms include
                
- feeling tired  - nausea or loss of appetite  - fever  - anemiaa condition in which the body has fewer red blood cells than normal
                
Signs and symptoms of inflammation outside of the intestines include
                
- joint pain or soreness  - eye irritation  - skin changes that involve red, tender bumps under the skin
                
The symptoms a person experiences can vary depending on the severity of the inflammation and where it occurs.
(Source: NIDDK)
Topic: Crohn's Disease
Question: What to do for Crohn's Disease ?
Answer: Researchers have not found that eating, diet, and nutrition cause Crohn's disease symptoms. Good nutrition is important in the management of Crohn's disease, however. Dietary changes can help reduce symptoms. A health care provider may recommend that a person make dietary changes such as
                
- avoiding carbonated drinks  - avoiding popcorn, vegetable skins, nuts, and other high-fiber foods  - drinking more liquids  - eating smaller meals more often  - keeping a food diary to help identify troublesome foods
                
Health care providers may recommend nutritional supplements and vitamins for people who do not absorb enough nutrients.
                
To help ensure coordinated and safe care, people should discuss their use of complementary and alternative medical practices, including their use of dietary supplements and probiotics, with their health care provider. Read more at www.nccam.nih.gov/health/probiotics.
                
Depending on a person's symptoms or medications, a health care provider may recommend a specific diet, such as a
                
- high-calorie diet  - lactose-free diet  - low-fat diet  - low-fiber diet  - low-salt diet
                
People should speak with a health care provider about specific dietary recommendations and changes.
(Source: NIDDK)
Topic: Crohn's Disease
Question: What are the complications of Crohn's Disease ?
Answer: Complications of Crohn's disease can include
                
- bowel obstruction. Crohn's disease can thicken the wall of the intestine. Over time, the thickened areas of the intestine can narrow, which can block the intestine. A partial or complete obstruction, also called a bowel blockage, can block the movement of food or stool through the intestines. A complete bowel obstruction is life threatening and requires immediate medical attention and often surgery.  - fistulasabnormal passages, or tunnels, between two organs, or between an organ and the outside of the body. How a health care provider treats fistulas depends on their type and severity. For some people, fistulas heal with medication and diet changes, while other people will need to have surgery.  - anal fissuressmall tears in the anus that may cause itching, pain, or bleeding. Most anal fissures heal with medical treatment, including ointments, warm baths, and dietary changes.  - ulcers. Inflammation anywhere along the GI tract can lead to ulcers or open sores in a person's mouth, intestines, anus, and perineumthe area between the anus and the sex organs. In most cases, the treatment a health care provider prescribes for Crohn's disease will also treat the ulcers.  - malnutritiona condition that develops when the body does not get the right amount of vitamins, minerals, and nutrients it needs to maintain healthy tissues and organ function. Some people may need IV fluids or feeding tubes to replace lost nutrients and fluids.  - inflammation in other areas of the body. The immune system can trigger inflammation in the      - joints    - eyes    - skin
                
Health care providers can treat inflammation by adjusting medications or prescribing new medications.
                

                
Crohn's Disease and Colon Cancer   People with Crohn's disease in the large intestine may be more likely to develop colon cancer. People who receive ongoing treatment and remain in remission may reduce their chances of developing colon cancer.   People with Crohn's disease should talk with their health care provider about how often they should get screened for colon cancer. Screening can include colonoscopy with biopsies. Such screening does not reduce a person's chances of developing colon cancer. Instead, screening can help diagnose cancer early and improve chances for recovery.
(Source: NIDDK)
Topic: Crohn's Disease
Question: What to do for Crohn's Disease ?
Answer: - Crohn's disease is a chronic, or long lasting, disease that causes inflammationirritation or swellingin the gastrointestinal (GI) tract.  - The exact cause of Crohn's disease is unknown. Researchers believe that factors such as an autoimmune reaction, genes, and environment may play a role in causing Crohn's disease.  - Crohn's disease can occur in people of any age. However, it is more likely to develop in people      - between the ages of 20 and 29    - who have a family member, most often a sibling or parent, with inflammatory bowel disease (IBD)    - who smoke cigarettes    - The most common signs and symptoms of Crohn's disease are diarrhea, abdominal cramping and pain, and weight loss.  - A health care provider diagnoses Crohn's disease with the following:      - medical and family history    - physical exam    - lab tests    - upper GI series    - computerized tomography (CT) scan    - intestinal endoscopy    - Which treatment a person needs depends on the severity of the disease and symptoms.  - Good nutrition is important in the management of Crohn's disease. A health care provider may recommend that a person make dietary changes.  - People with Crohn's disease should talk with their health care provider about how often they should get screened for colon cancer.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: What is (are) What I need to know about Kidney Stones ?
Answer: A kidney* stone is a solid piece of material that forms in a kidney when there are high levels of certain substances in the urine. These substances are normally found in the urine and do not cause problems at lower levels.
                
A stone may stay in the kidney or travel down the urinary tract. Kidney stones vary in size. A small stone may pass on its own, causing little or no pain. A larger stone may get stuck along the urinary tract. A stone that gets stuck can block the flow of urine, causing severe pain or bleeding.
                
*See the Pronunciation Guide for tips on how to say the words in bold.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: What is (are) What I need to know about Kidney Stones ?
Answer: The urinary tract is the bodys drainage system for removing wastes and extra water. The urinary tract includes two kidneys, two ureters, a bladder, and a urethra. The kidneys are two bean-shaped organs, each about the size of a fist. They are located near the middle of the back, just below the rib cage, one on each side of the spine. Every day, the two kidneys process about 200 quarts of blood to produce about 1 to 2 quarts of urine, composed of wastes and extra water. The urine flows from the kidneys to the bladder through tubes called ureters.
                
The bladder stores urine until releasing it through urination. When the bladder empties, urine flows out of the body through a tube called the urethra at the bottom of the bladder.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: What causes What I need to know about Kidney Stones ?
Answer: Kidney stones are caused by high levels of calcium, oxalate, and phosphorus in the urine. Some foods may cause kidney stones in certain people. You may be more likely to get a kidney stone if you have
                
- a condition that affects levels of substances in your urine that can cause stones to form  - a family history of kidney stones  - repeating, or recurrent, urinary tract infections  - blockage of your urinary tract  - digestive problems
                
You may also be more likely to get a kidney stone if you dont drink enough fluids or if you take certain medicines.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: What is (are) What I need to know about Kidney Stones ?
Answer: Doctors have found four main types of kidney stones:
                
- The most common types of stones contain calcium. Calcium is a normal part of a healthy diet. Calcium that is not used by the bones and muscles goes to the kidneys. In most people, the kidneys flush out the extra calcium with the rest of the urine. People who have calcium stones keep the calcium in their kidneys. The calcium that stays behind joins with other waste products to form a stone. People can have calcium oxalate and calcium phosphate stones. Calcium oxalate stones are more common.  - A uric acid stone may form when the urine contains too much acid. People who eat a lot of meat, fish, and shellfish may get uric acid stones.  - A struvite stone may form after you have a kidney infection.  - Cystine stones result from a genetic disorder, meaning a problem passed from parent to child. The disorder causes cystine to leak through the kidneys and into the urine.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: What are the symptoms of What I need to know about Kidney Stones ?
Answer: You may have a kidney stone if you
                
- have pain while urinating  - see blood in your urine  - feel a sharp pain in your back or lower abdomenthe area between your chest and hips
                
The pain may last for a short or long time. You may have nausea and vomiting with the pain.
                
If you have a small stone that passes on its own easily, you may not have symptoms at all.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: How to diagnose What I need to know about Kidney Stones ?
Answer: To diagnose kidney stones, your doctor will do a physical exam and ask about your medical history. The doctor may ask if you have a family history of kidney stones and about your diet, digestive problems, and other health problems. The doctor may perform urine, blood, and imaging tests to complete the diagnosis.
                
- Urine tests can show whether you have an infection or your urine contains substances that form stones.  - Blood tests can show problems that lead to kidney stones.  - Imaging tests are used to find the location of kidney stones in your body. The tests may also be able to show problems that caused a kidney stone to form.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: What are the treatments for What I need to know about Kidney Stones ?
Answer: The treatment for kidney stones usually depends on their size and what they are made of. Kidney stones may be treated by your regular doctor or by a urologista doctor who specializes in the urinary tract. You may need treatment if you have symptoms or if a kidney stone is blocking your urinary tract. Small stones dont usually need treatment. Still, you may need pain medicine. You should also drink lots of fluids to help move the stone along. If you are vomiting often or dont drink enough fluids, you may need to go to the hospital and get fluids through a needle in your arm.
                
If you have a large kidney stone or your urinary tract is blocked, the urologist can remove the stone or break it into small pieces with the following treatments:
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: How to prevent What I need to know about Kidney Stones ?
Answer: To prevent kidney stones, you need to know what caused your kidney stone. Your doctor may ask you to try to catch the kidney stone as it passes in your urine. The kidney stone can then be sent to a lab to find out what type of stone it is. If you have treatment in the hospital and the doctor removes the stone, it will also be sent to a lab for testing.
                
Your doctor may ask you to collect your urine for 24 hours after the stone has passed or been removed. Your doctor can then measure how much urine you produce in a day and mineral levels in the urine. You are more likely to form stones if you dont make enough urine each day or have a problem with mineral levels.
                
Once you know what type of kidney stone you had, you can make changes in your eating, diet, and nutrition and take medicines to prevent future kidney stones.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: What to do for What I need to know about Kidney Stones ?
Answer: You can help prevent kidney stones by making changes in how much you consume of the following:
                
- fluids  - sodium  - animal protein  - calcium  - oxalate
                
Drinking enough fluids each day is the best way to help prevent most types of kidney stones. You should drink 2 to 3 liters of fluid a day. If you had cystine stones, you may need to drink even more.
                
Though water is best, other fluids may also help prevent kidney stones, such as orange juice or lemonade. Talk with your health care provider if you cant drink the recommended amount due to other health problems, such as urinary incontinence, urinary frequency, or kidney failure.
                
You can make the following changes to your diet based on the type of kidney stone you had:
                
Calcium Oxalate Stones
                
- reduce sodium  - reduce animal protein, such as meat, eggs, and fish  - get enough calcium from food or take calcium supplements with food  - avoid foods high in oxalate, such as spinach, rhubarb, nuts, and wheat bran
                
Calcium Phosphate Stones
                
- reduce sodium  - reduce animal protein  - get enough calcium from food or take calcium supplements with food
                
Uric Acid Stones
                
- limit animal protein
                
More information about how changes in diet affect kidney stone formation is provided in the NIDDK health topic, Diet for Kidney Stone Prevention.
                

                
Medicines
                
Your doctor may prescribe medicines based on the type of kidney stone you had and any health problems you have that make you more likely to form a stone.
(Source: NIDDK)
Topic: What I need to know about Kidney Stones
Question: What to do for What I need to know about Kidney Stones ?
Answer: - A kidney stone is a solid piece of material that forms in a kidney when there are high levels of certain substances in the urine. These substances are normally found in the urine and do not cause problems at lower levels.  - Kidney stones are caused by high levels of calcium, oxalate, and phosphorus in the urine.  - You may have a kidney stone if you      - have pain while urinating    - see blood in your urine    - feel a sharp pain in your back or lower abdomen    - If you have a small stone that passes on its own easily, you may not have symptoms at all.  - To diagnose kidney stones, your doctor will do a physical exam and ask about your medical history. The doctor may perform urine, blood, and imaging tests to complete the diagnosis.  - The treatment for kidney stones usually depends on their size and what they are made of. You may need pain medicine. You should also drink lots of fluids. If you have a large kidney stone or your urinary tract is blocked, the urologist can remove the stone or break it into small pieces with shock wave lithotripsy, ureteroscopy, or percutaneous nephrolithotomy.  - To prevent kidney stones, you need to know what caused your kidney stone.  - Once you know what type of kidney stone you had, you can make changes in your eating, diet, and nutrition and take medicines to prevent future kidney stones.
(Source: NIDDK)
Topic: Indigestion
Question: What is (are) Indigestion ?
Answer: Indigestion, also known as dyspepsia, is a term used to describe one or more symptoms including a feeling of fullness during a meal, uncomfortable fullness after a meal, and burning or pain in the upper abdomen.
                
Indigestion is common in adults and can occur once in a while or as often as every day.
(Source: NIDDK)
Topic: Indigestion
Question: What causes Indigestion ?
Answer: Indigestion can be caused by a condition in the digestive tract such as gastroesophageal reflux disease (GERD), peptic ulcer disease, cancer, or abnormality of the pancreas or bile ducts. If the condition improves or resolves, the symptoms of indigestion usually improve.
                
Sometimes a person has indigestion for which a cause cannot be found. This type of indigestion, called functional dyspepsia, is thought to occur in the area where the stomach meets the small intestine. The indigestion may be related to abnormal motilitythe squeezing or relaxing actionof the stomach muscle as it receives, digests, and moves food into the small intestine.
(Source: NIDDK)
Topic: Indigestion
Question: What are the symptoms of Indigestion ?
Answer: Most people with indigestion experience more than one of the following symptoms:
                
- Fullness during a meal. The person feels overly full soon after the meal starts and cannot finish the meal.  - Bothersome fullness after a meal. The person feels overly full after a mealit may feel like the food is staying in the stomach too long.  - Epigastric pain. The epigastric area is between the lower end of the chest bone and the navel. The person may experience epigastric pain ranging from mild to severe.  - Epigastric burning. The person feels an unpleasant sensation of heat in the epigastric area.
                
Other, less frequent symptoms that may occur with indigestion are nausea and bloatingan unpleasant tightness in the stomach. Nausea and bloating could be due to causes other than indigestion.
                
Sometimes the term indigestion is used to describe the symptom of heartburn, but these are two different conditions. Heartburn is a painful, burning feeling in the chest that radiates toward the neck or back. Heartburn is caused by stomach acid rising into the esophagus and may be a symptom of GERD. A person can have symptoms of both indigestion and heartburn.
(Source: NIDDK)
Topic: Indigestion
Question: How to diagnose Indigestion ?
Answer: To diagnose indigestion, the doctor asks about the person's current symptoms and medical history and performs a physical examination. The doctor may order x rays of the stomach and small intestine.
                
The doctor may perform blood, breath, or stool tests if the type of bacteria that causes peptic ulcer disease is suspected as the cause of indigestion.
                
The doctor may perform an upper endoscopy. After giving a sedative to help the person become drowsy, the doctor passes an endoscopea long, thin tube that has a light and small camera on the endthrough the mouth and gently guides it down the esophagus into the stomach. The doctor can look at the esophagus and stomach with the endoscope to check for any abnormalities. The doctor may perform biopsiesremoving small pieces of tissue for examination with a microscopeto look for possible damage from GERD or an infection.
                
Because indigestion can be a sign of a more serious condition, people should see a doctor right away if they experience
                
- frequent vomiting  - blood in vomit  - weight loss or loss of appetite  - black tarry stools  - difficult or painful swallowing  - abdominal pain in a nonepigastric area  - indigestion accompanied by shortness of breath, sweating, or pain that radiates to the jaw, neck, or arm  - symptoms that persist for more than 2 weeks
(Source: NIDDK)
Topic: Indigestion
Question: What to do for Indigestion ?
Answer: - Indigestion, also known as dyspepsia, is a term used to describe one or more symptoms including a feeling of fullness during a meal, uncomfortable fullness after a meal, and burning or pain in the upper abdomen.  - Indigestion can be caused by a condition in the digestive tract such as gastroesophageal reflux disease (GERD), peptic ulcer disease, cancer, or abnormality of the pancreas or bile ducts.  - Sometimes a person has indigestion for which a cause cannot be found. This type of indigestion is called functional dyspepsia.  - Indigestion and heartburn are different conditions, but a person can have symptoms of both.  - The doctor may order x rays; blood, breath, and stool tests; and an upper endoscopy with biopsies to diagnose indigestion.  - Some people may experience relief from indigestion by making some lifestyle changes and decreasing stress.  - The doctor may prescribe antacids, H2 receptor antagonists (H2RAs), proton pump inhibitors (PPIs), prokinetics, or antibiotics to treat the symptoms of indigestion.
(Source: NIDDK)
Topic: Kidney Stones in Adults
Question: What is (are) Kidney Stones in Adults ?
Answer: A kidney stone is a solid piece of material that forms in a kidney when substances that are normally found in the urine become highly concentrated. A stone may stay in the kidney or travel down the urinary tract. Kidney stones vary in size. A small stone may pass on its own, causing little or no pain. A larger stone may get stuck along the urinary tract and can block the flow of urine, causing severe pain or bleeding.
                
Kidney stones are one of the most common disorders of the urinary tract. Each year in the United States, people make more than a million visits to health care providers and more than 300,000 people go to emergency rooms for kidney stone problems.1
                
Urolithiasis is the medical term used to describe stones occurring in the urinary tract. Other frequently used terms are urinary tract stone disease and nephrolithiasis. Terms that describe the location of the stone in the urinary tract are sometimes used. For example, a ureteral stoneor ureterolithiasisis a kidney stone found in the ureter.
(Source: NIDDK)