fenil210/Med-Lamma huggingface dataset:
What are the symptoms of Primary Sclerosing Cholangitis ?
The main symptoms of PSC are itching, fatigue, and yellowing of the skin or whites of the eyes. An infection in the bile ducts can cause chills and fever. PSC progresses slowly, so a person can have the disease for years before symptoms develop. + NIDDK + Primary Sclerosing Cholangitis
What are the complications of Primary Sclerosing Cholangitis ?
PSC can lead to various complications, including
                
- deficiencies of vitamins A, D, E, and K  - infections of the bile ducts  - cirrhosisextensive scarring of the liver  - liver failure  - bile duct cancer + NIDDK + Primary Sclerosing Cholangitis
How to diagnose Primary Sclerosing Cholangitis ?
Blood tests to check levels of liver enzymes are the first step in diagnosing PSC. Doctors confirm the diagnosis using cholangiography, which provides pictures of the bile ducts.
                
Cholangiography can be performed in the following ways:
                
-  Endoscopic retrograde cholangiopancreatography (ERCP). ERCP uses an endoscopea long, flexible, lighted tubethat goes down the mouth, beyond the stomach, and into the duodenum to reach an area in the digestive tract where dye can be injected into the bile ducts. X rays are taken when the dye is injected. ERCP also can be used to take a tissue sample or to treat blocked ducts. More information about ERCP is provided in the NIDDK health topic, ERCP (Endoscopic Retrograde Cholangiopancreatography).  -  Percutaneous transhepatic cholangiography. This procedure involves inserting a needle through the skin and placing a thin tube into a duct in the liver. Dye is injected through the tube and x rays are taken.  -  Magnetic resonance cholangiopancreatography (MRCP). MRCP uses magnetic resonance imaging (MRI) to obtain pictures of the bile ducts. MRI machines use radio waves and magnets to scan internal organs and tissues. MRCP does not involve using x rays or inserting instruments into the body. This safe and painless test is increasingly used for diagnosis.
                
Other testing may include ultrasound exams and a liver biopsy. Ultrasound uses sound waves to create images of organs inside the body. A biopsy involves removal of a small piece of tissue for examination with a microscope. + NIDDK + Primary Sclerosing Cholangitis
What are the treatments for Primary Sclerosing Cholangitis ?
Although researchers have studied many treatments, none has been shown to cure or slow the progress of PSC. Treatment of PSC aims to relieve symptoms and manage complications. Medical treatment may include various medications to relieve itching, antibiotics to treat infections, and vitamin supplements. Instruments passed through an endoscope during ERCP can help open blocked bile ducts.
                
Liver transplantation may be an option if the liver begins to fail. + NIDDK + Primary Sclerosing Cholangitis
What to do for Primary Sclerosing Cholangitis ?
- Primary sclerosing cholangitis (PSC) inflames, scars, and blocks bile ducts inside and outside the liver.  - When bile ducts become blocked, bile builds up in the liver and damages liver cells.  - PSC can lead to vitamin deficiencies, infections, bile duct cancer, cirrhosis, liver failure, and the need for a liver transplant.  - The cause of PSC is not known.  - Many people with PSC also have ulcerative colitis, an inflammatory bowel disease.  - Treatment includes medications to treat symptoms and complications of PSC. + NIDDK + Primary Sclerosing Cholangitis
What is (are) Prevent diabetes problems: Keep your nervous system healthy ?
Your nervous system carries signals between your brain and other parts of your body through your spinal cord. Nerves are bundles of special tissues that transmit these signals.
                
The signals share information between your brain and body about how things feel. The signals also send information between your brain and body to control automatic body functions, such as breathing and digestion, and to move your body parts.
                
The nerves in your spinal cord branch out to all of your organs and body parts. All your nerves together make up your nervous system.
                
Your nervous system is composed of the
                
- central nervous systemyour brain and spinal cord  - cranial* nervesnerves that connect your brain to your head, neck, and face  - peripheral nervous systemnerves that connect your spinal cord to your entire body, including your organs and your arms, hands, legs, and feet
                
*See the Pronunciation Guide for tips on how to say the the words in bold type. + NIDDK + Prevent diabetes problems: Keep your nervous system healthy
What are the symptoms of Prevent diabetes problems: Keep your nervous system healthy ?
Nerve damage symptoms depend on which nerves have damage. Some people have no symptoms or mild symptoms. Other people have painful and long-lasting symptoms. As most nerve damage develops over many years, a person may not notice mild cases for a long time. In some people, the onset of pain may be sudden and severe. + NIDDK + Prevent diabetes problems: Keep your nervous system healthy
What are the treatments for Prevent diabetes problems: Keep your nervous system healthy ?
The treatment for nerve damage from diabetes is based on your symptoms. No treatment can reverse nerve damage; however, it can help you feel better. Your doctor might suggest taking low doses of medicines that both treat other health problems and help the pain of neuropathy. Some of these medicines include
                
- antidepressants  - anticonvulsants, or anti-seizure medicines
                
Other treatment options include
                
- creams or patches on your skin for burning pain  - over-the-counter pain medicines  - acupuncture, a form of pain treatment that uses needles inserted into your body at certain pressure points  - physical therapy, which helps with muscle weakness and loss of balance  - relaxation exercises, such as yoga  - special shoes to fit softly around sore feet or feet that have changed shape
                
Your doctor also can prescribe medicines to help with problems caused by nerve damage in other areas of your body, such as poor digestion, dizziness, sexual problems, and lack of bladder control.
                
Stopping smoking and drinking alcoholic beverages also may help with symptoms. + NIDDK + Prevent diabetes problems: Keep your nervous system healthy
What to do for Prevent diabetes problems: Keep your nervous system healthy ?
You can keep your nervous system healthy by taking these steps:
                
- Eat healthy meals and follow the meal plan that you and your doctor or dietitian have worked out.  - If you drink alcoholic beverages, limit your intake to no more than one drink per day for women and two drinks per day for men. Drinking too many alcoholic beverages can make nerve damage worse.
                
More information is provided in the NIDDK health topic, What I need to know about Eating and Diabetes. + NIDDK + Prevent diabetes problems: Keep your nervous system healthy
What is (are) Prevent diabetes problems: Keep your kidneys healthy ?
Your kidneys are two bean-shaped organs, each about the size of a fist. They are located just below your rib cage, one on each side of your spine. Every day, your two kidneys filter about 120 to 150 quarts of blood to produce about 1 to 2 quarts of urine. Urine flows from your kidneys to your bladder through tubes called ureters. Your bladder stores urine until releasing it through urination. + NIDDK + Prevent diabetes problems: Keep your kidneys healthy
What is (are) Prevent diabetes problems: Keep your kidneys healthy ?
Blood pressure is the force of blood flow inside your blood vessels. Blood pressure is written with two numbers separated by a slash. For example, a blood pressure result of 130/80 is said as 130 over 80. The first number is the pressure in your blood vessels as your heart beats and pushes blood through your blood vessels. The second number is the pressure as your blood vessels relax between heartbeats.
                
High blood pressure forces your heart to work harder to pump blood. High blood pressure can strain your heart, damage your blood vessels, and increase your risk of heart attack, stroke, eye problems, and kidney problems. + NIDDK + Prevent diabetes problems: Keep your kidneys healthy
What are the symptoms of Prevent diabetes problems: Keep your kidneys healthy ?
In the early stages, diabetic kidney disease does not have any symptoms. Kidney disease happens so slowly that you may not feel sick at all for many years. You may not feel sick even when your kidneys do only half the job of healthy kidneys. Only your doctor can tell if you have kidney disease by checking the protein, or albumin, level in your urine at least once a year.
                
The first symptom of diabetic kidney disease is often swelling in parts of your body, such as your hands, face, feet, or ankles. Also, large amounts of protein in your urine may cause urine to look foamy. Once your kidney function starts to decrease, other symptoms may include
                
- increased or decreased urination  - feeling drowsy or tired  - feeling itchy or numb  - dry skin  - headaches  - weight loss  - not feeling hungry  - feeling sick to your stomach  - vomiting  - sleep problems  - trouble staying focused  - darkened skin  - muscle cramps + NIDDK + Prevent diabetes problems: Keep your kidneys healthy
What to do for Prevent diabetes problems: Keep your kidneys healthy ?
Your dietitian or doctor may suggest a special eating plan for you. You may have to avoid a diet high in protein, fat, sodium, and potassium.
                
- Cut back on protein, especially animal products such as meat. Damaged kidneys may fail to remove protein waste products from your blood. Diets high in protein make your kidneys work harder and fail sooner.  - Avoid a high-fat diet. High-fat diets are high in cholesterol. Cholesterol is a type of fat found in your bodys cells, blood, and many foods. Your body needs some cholesterol to work the right way. For example, your body uses cholesterol to make certain essential hormones and maintain nerve function. However, your body makes all the cholesterol it needs. If you often eat foods that are high in cholesterol, or if high cholesterol runs in your family, extra cholesterol in your blood can build up over time in the walls of your blood vessels and arteries. High blood cholesterol can lead to heart disease and stroke, some of the biggest health problems for people with diabetes.  - Avoid high-sodium foods. Sodium is a mineral found in salt and other foods. High levels of sodium may raise your blood pressure. Some high-sodium foods include canned food, frozen dinners, and hot dogs. The amount of sodium is listed on the food label, so you can see which foods have the highest levels. Try to limit your sodium to less than a teaspoon a day, or about 2,300 milligrams (mg) a day. If you have high blood pressure or are African American, middle-aged, or older, aim for no more than 1,500 mg of sodium per day. Ask your doctor or your dietitian about how much sodium you can have.  - Ask your doctor about the amount of potassium you need. Potassium is a mineral that helps your heartbeat stay regular and muscles work right. Healthy kidneys keep the right amount of potassium in your body. However, if you have severe kidney damage, high levels of potassium may cause an abnormal heart rhythm or even make your heart stop, called cardiac arrest. Some high-potassium foods include apricots, bananas, oranges, and potatoes.
                
More information about healthy eating and kidney disease is provided in the NIDDK health topics:   - Eat Right to Feel Right on Hemodialysis   - Nutrition for Advanced Chronic Kidney Disease in Adults   - Nutrition for Early Chronic Kidney Disease in Adults   - What I need to know about Eating and Diabetes + NIDDK + Prevent diabetes problems: Keep your kidneys healthy
What is (are) Prevent diabetes problems: Keep your kidneys healthy ?
Kidney failure, also called end-stage kidney disease or ESRD, means your kidneys no longer work well enough to do their job. You will need treatment to replace the work your kidneys have stopped doing. + NIDDK + Prevent diabetes problems: Keep your kidneys healthy
What is (are) Proctitis ?
Proctitis is inflammation of the lining of the rectum, the lower end of the large intestine leading to the anus. The large intestine and anus are part of the gastrointestinal (GI) tract. The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus. The movement of muscles in the GI tract, along with the release of hormones and enzymes, allows for the digestion of food. With proctitis, inflammation of the rectal liningcalled the rectal mucosais uncomfortable and sometimes painful. The condition may lead to bleeding or mucous discharge from the rectum, among other symptoms. + NIDDK + Proctitis
What causes Proctitis ?
Proctitis has many causes, including acute, or sudden and short-term, and chronic, or long-lasting, conditions. Among the causes are the following:
                
- Sexually transmitted diseases (STDs). STDs that can be passed when a person is receiving anal sex are a common cause of proctitis. Common STD infections that can cause proctitis include gonorrhea, chlamydia, syphilis, and herpes. Herpes-induced proctitis may be particularly severe in people who are also infected with the HIV virus.  - Non-STD infections. Infections that are not sexually transmitted also can cause proctitis. Salmonella and Shigella are examples of foodborne bacteria that can cause proctitis. Streptococcal proctitis sometimes occurs in children who have strep throat.  - Anorectal trauma. Proctitis can be caused by trauma to the anorectal areawhich includes the rectum and anusfrom anal sex or the insertion of objects or harmful substances into the rectum, including the chemicals in some enemas.  - Ulcerative colitis and Crohns disease. Two forms of inflammatory bowel disease (IBD)ulcerative colitis and Crohns diseasecan cause proctitis. Ulcerative colitis causes irritation and ulcers, also called sores, in the inner lining of the colonpart of the large intestineand rectum. Crohns disease usually causes irritation in the lower small intestinealso called the ileumor the colon, but it can affect any part of the GI tract.  - Radiation therapy. People who have had radiation therapy that targets the pelvic area also may develop proctitis. Examples of those at risk are people with rectal, ovarian, or prostate cancer who have received radiation treatment directed to those areas. Symptoms of radiation proctitis, most commonly rectal bleeding, will typically occur within 6 weeks after beginning radiation therapy or more than 9 months after its completion.  - Antibiotics. Use of antibiotics may be associated with proctitis in some people. While meant to kill infectioncausing bacteria, antibiotics can also kill nonharmful, or commensal, bacteria in the GI tract. The loss of commensal bacteria can then allow other harmful bacteria known as Clostridium difficile to cause an infection in the colon and rectum. + NIDDK + Proctitis
What are the symptoms of Proctitis ?
Tenesmusan uncomfortable and frequent urge to have a bowel movementis one of the most common symptoms of proctitis. Other symptoms may include
                
- bloody bowel movements  - rectal bleeding  - a feeling of rectal fullness  - anal or rectal pain  - crampy abdominal pain  - rectal discharge of mucus or pus  - diarrhea or frequent passage of loose or liquid stools + NIDDK + Proctitis
How to diagnose Proctitis ?
To diagnose proctitis, a health care provider will take a complete medical history and do a physical exam. The health care provider will ask the patient about symptoms, current and past medical conditions, family history, and sexual behavior that increases the risk of STD-induced proctitis. The physical exam will include an assessment of the patients vital signs, an abdominal exam, and a rectal exam.
                
Based on the patients physical exam, symptoms, and other medical information, the doctor will decide which lab tests and diagnostic tests are needed. Lab tests may include blood tests such as a complete blood count to evaluate for blood loss or infection, stool tests to isolate and identify bacteria that may cause disease, and an STD screening. The doctor also may use one of the following diagnostic tests:
                
- Rectal culture. A cotton swab is inserted into the rectum to obtain a sample that can be used in tests that isolate and identify organisms that may cause disease.  - Anoscopy. This test allows examination of the anal canal and lower rectum by opening the anus using a special instrument called an anoscope.  - Flexible sigmoidoscopy and colonoscopy. These tests are used to help diagnose Crohns disease. The tests are similar, but colonoscopy is used to view the entire colon and rectum, while flexible sigmoidoscopy is used to view just the lower colon and rectum. For both tests, a health care provider will provide written bowel prep instructions to follow at home before the test. The person may be asked to follow a clear liquid diet for 1 to 3 days before the test. A laxative may be required the night before the test. One or more enemas may be required the night before and about 2 hours before the test. + NIDDK + Proctitis
What to do for Proctitis ?
Drinking plenty of fluids is important when diarrhea or frequent passage of loose or liquid stools occurs.
                
Avoiding caffeine and foods that are greasy, high in fiber, or sweet may lessen diarrhea symptoms. Some people also have problems digesting lactosethe sugar found in milk and milk productsduring or after a bout of diarrhea. Yogurt, which has less lactose than milk, is often better tolerated. Yogurt with active, live bacterial cultures may even help people recover from diarrhea more quickly.
                
If diarrhea symptoms improve, soft, bland foods can be added to the diet, including bananas, plain rice, boiled potatoes, toast, crackers, cooked carrots, and baked chicken without the skin or fat. If the diarrhea stops, a normal diet may be resumed if tolerated. + NIDDK + Proctitis
What are the treatments for Proctitis ?
Proctitis that is not treated or does not respond to treatment may lead to complications, including
                
- severe bleeding and anemiaa condition in which red blood cells are fewer or smaller than normal, which means less oxygen is carried to the bodys cells  - abscessespainful, swollen, pus-filled areas caused by infection  - ulcers on the intestinal lining  - fistulasabnormal connections between two parts inside the body + NIDDK + Proctitis
How to prevent Proctitis ?
People who receive anal sex can avoid getting STD-related proctitis by having their partner use a condom. If anorectal trauma caused proctitis, stopping the activity that triggered inflammation often will stop the inflammation and prevent recurrence.
                
Other causes of proctitis cannot always be prevented. However, their symptoms can be treated by a doctor. + NIDDK + Proctitis
What to do for Proctitis ?
- Proctitis is inflammation of the lining of the rectum, the lower end of the large intestine leading to the anus.  - Common causes of proctitis are sexually transmitted diseases (STDs), non-STD infections, anorectal trauma, ulcerative colitis and Crohns disease, radiation therapy, and antibiotic use.  - Treatment of proctitis depends on its cause; the goal of treatment is to reduce inflammation, control symptoms, and eliminate infection, if present.  - With proper medical attention, proctitis can be successfully treated.  - If infection is present with proctitis, antibiotics can be used to kill bacteria and antiviral medications can treat viral infections.  - People who receive anal sex can avoid getting STD-related proctitis by having their partner use a condom.  - If anorectal trauma caused proctitis, stopping the activity that triggered inflammation often will stop the inflammation and prevent recurrence.  - Some causes of proctitis cannot always be prevented, but their symptoms can be treated by a doctor. + NIDDK + Proctitis
What is (are) Short Bowel Syndrome ?
Short bowel syndrome is a group of problems related to poor absorption of nutrients. Short bowel syndrome typically occurs in people who have
                
- had at least half of their small intestine removed and sometimes all or part of their large intestine removed  - significant damage of the small intestine  - poor motility, or movement, inside the intestines
                
Short bowel syndrome may be mild, moderate, or severe, depending on how well the small intestine is working.
                
People with short bowel syndrome cannot absorb enough water, vitamins, minerals, protein, fat, calories, and other nutrients from food. What nutrients the small intestine has trouble absorbing depends on which section of the small intestine has been damaged or removed. + NIDDK + Short Bowel Syndrome
What is (are) Short Bowel Syndrome ?
The small intestine is the tube-shaped organ between the stomach and large intestine. Most food digestion and nutrient absorption take place in the small intestine. The small intestine is about 20 feet long and includes the duodenum, jejunum, and ileum:
                
duodenumthe first part of the small intestine, where iron and other minerals are absorbed
                
jejunumthe middle section of the small intestine, where carbohydrates, proteins, fat, and most vitamins are absorbed
                
ileumthe lower end of the small intestine, where bile acids and vitamin B12 are absorbed + NIDDK + Short Bowel Syndrome
What is (are) Short Bowel Syndrome ?
The large intestine is about 5 feet long in adults and absorbs water and any remaining nutrients from partially digested food passed from the small intestine. The large intestine then changes waste from liquid to a solid matter called stool. + NIDDK + Short Bowel Syndrome
What causes Short Bowel Syndrome ?
The main cause of short bowel syndrome is surgery to remove a portion of the small intestine. This surgery can treat intestinal diseases, injuries, or birth defects.
                
Some children are born with an abnormally short small intestine or with part of their bowel missing, which can cause short bowel syndrome. In infants, short bowel syndrome most commonly occurs following surgery to treat necrotizing enterocolitis, a condition in which part of the tissue in the intestines is destroyed.1
                
Short bowel syndrome may also occur following surgery to treat conditions such as
                
- cancer and damage to the intestines caused by cancer treatment  - Crohn's disease, a disorder that causes inflammation, or swelling, and irritation of any part of the digestive tract  - gastroschisis, which occurs when the intestines stick out of the body through one side of the umbilical cord  - internal hernia, which occurs when the small intestine is displaced into pockets in the abdominal lining  - intestinal atresia, which occurs when a part of the intestines doesn't form completely  - intestinal injury from loss of blood flow due to a blocked blood vessel  - intestinal injury from trauma  - intussusception, in which one section of either the large or small intestine folds into itself, much like a collapsible telescope  - meconium ileus, which occurs when the meconium, a newborn's first stool, is thicker and stickier than normal and blocks the ileum  - midgut volvulus, which occurs when blood supply to the middle of the small intestine is completely cut off  - omphalocele, which occurs when the intestines, liver, or other organs stick out through the navel, or belly button
                
Even if a person does not have surgery, disease or injury can damage the small intestine. + NIDDK + Short Bowel Syndrome
How many people are affected by Short Bowel Syndrome ?
Short bowel syndrome is a rare condition. Each year, short bowel syndrome affects about three out of every million people.1 + NIDDK + Short Bowel Syndrome