laomobai/llama3-1 huggingface dataset:
system: How do I know if I have gallstones?
output: !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Because other digestive problems, such as an infection of the duct, can produce symptoms similar to those of a gallstone attack, the doctor may also run other tests to determine if gallstones are in fact the culprit. If you are unable or unwilling to go through surgery for a gallstone problem that requires treatment, your doctor may recommend one of several noninvasive techniques.
system: How can reshaping your heart valve's leaflets help with treating heart valve disease?
output: Reshape leaflets: If one of the leaflets is floppy, a part of it may be cut out, and then the flap will be sewn back together. This lets the valve close more tightly. This is also called quadrangular resection.
system: How does balloon valvotomy work in treating heart valve disease?
output: Also called balloon valvuloplasty, doctors sometimes recommend it for people who have: Mitral valve stenosis (narrowing of the mitral valve) with symptoms Aortic stenosis (narrowing of the aortic valve), but aren't able to have surgery Pulmonic stenosis (narrowing of the pulmonic valve) In this procedure, a catheter is put into a blood vessel in the groin and guided to the heart. The tip is steered inside the narrowed valve. Once there, a tiny balloon is inflated and deflated several times to widen the opening. Once the cardiologist sees the valve has been made wide enough, the balloon is taken out. During this, the cardiologist may do an echocardiogram (ultrasound of your heart) to get a better look at the valve.
system: Why is minimally invasive heart valve surgery a better option than traditional surgery?
output: It's done through smaller cuts. This type of surgery lowers: Blood loss Trauma How much time you'll spend in the hospital Your surgeon will review your test results first to see if you're a candidate for this procedure.
system: What are the disadvantages of a mechanical heart valve?
output: People who get these have to take blood thinner medication for the rest of their life to prevent clots from forming in it. These clots can raise your chance of having a stroke. Also, some people hear a ticking sound. It's the valve leaflets opening and closing.
system: How can annulus support help with treating heart valve disease?
output: Annulus support: Your doctor may reshape or tighten the ring of tissue that supports your valve (called the valve annulus) if it's too wide. He'll sew a ring structure around it. The ring may be made of tissue or synthetic material.
system: What happens if my heart valve cannot be repaired?
output: If your heart valves cannot be repaired, your doctor will replace them. During the surgery, the damaged valve is removed and a new valve is sewn to the tissue that supported the original.
system: What are the types of surgery used for heart valve disease?
output: When treatment for heart valve disease includes surgery, it can be traditional or a minimally invasive procedure known as balloon valvuloplasty.
system: How can patched leaflets help with treating heart valve disease?
output: Patched leaflets: Your surgeon may use tissue patches to repair any leaflets that have tears or holes.
system: What is a mechanical heart valve?
output: The new valve can be: Mechanical: It's made totally of mechanical parts that your body will accept. Something called a bi-leaflet valve is used most often. It's two carbon leaflets in a ring covered by polyester knit fabric. Their advantage is they're designed to last many years.
system: What are the advantages of heart valve repair surgery?
output: Your heart muscle will stay strong longer. People who get these have to take blood thinner medication for the rest of their life to prevent clots from forming in it.
system: What valve is usually repaired with heart valve repair surgery?
output: Something called a bi-leaflet valve is used most often. Also called balloon valvuloplasty, doctors sometimes recommend it for people who have: Mitral valve stenosis (narrowing of the mitral valve) with symptoms Aortic stenosis (narrowing of the aortic valve), but aren't able to have surgery Pulmonic stenosis (narrowing of the pulmonic valve) In this procedure, a catheter is put into a blood vessel in the groin and guided to the heart.
system: What are some symptoms of toenail fungus?
output: It can make your nails look yellow, thick, and cracked. They might hurt when you try to wear shoes. Toenail fungus can be hard to treat. And if you don't take care of it, there's a chance it can lead to a more serious infection.
system: Can changing your socks and shoes often help prevent toenail fungus?
output: Put on a clean pair of socks every day. Give your shoes a rest and wear different pairs often, too. If your feet get sweaty when you walk or work out, change your socks and shoes as soon as you get a chance.
system: Can using foot powder help prevent toenail fungus?
output: Sprinkle some on after you shower and dry your feet. Some people like cornstarch. But medicated powder is a better choice. It will help protect you against fungus, including athlete's foot.
system: Can choosing a clean nail salon help prevent toenail fungus?
output: Look for a salon that's licensed by your state and looks well-kept. Make sure they sterilize all their tools after each use and before each new customer. Or you can bring your own sterilized tools.
system: How can wearing shoes in public help prevent toenail fungus?
output: Don't go barefoot in public. Fungus loves to grow in warm, wet places. It also spreads easily from person to person. That's why it's key to wear shower shoes or flip flops around public pools, locker rooms, and showers.
system: Can trimming your toenails help prevent toenail fungus?
output: Make sure yours aren't too snug and that they give your feet room to breathe. Don't pick at your nails or the skin next to them.
system: How can checking your feet and toes regularly help prevent toenail fungus?
output: Skip the nail polish if you can. Fungus can live in them. If you think you have another infection or fungus, like athlete's foot, talk to your doctor or pharmacist about what to do. It can turn into a toenail fungus, too, if you don't treat it.
system: How can throwing away old shoes and slippers help prevent toenail fungus?
output: You're more likely to dodge toenail fungus if you can live without polish. Use an anti-fungal cream. Never share shoes or socks with other people.
system: Can keeping your nail tools clean help prevent toenail fungus?
output: Rubbing alcohol should work. Don't share them with anyone else. Choose a clean nail salon.
system: How can using the right footwear help prevent toenail fungus?
output: Clean and dry feet and nails are less likely to pick up a fungus. Make sure yours aren't too snug and that they give your feet room to breathe. Choose materials like leather for shoes. Look for socks made of a synthetic fiber that pulls moisture away from your feet better than cotton or wool. You'll see this called wicking.
system: What kind of pollen mask do I need when I garden if I have allergies?
output: Suggest that your partner use a pollen mask, or a mask that has an â M95 filter,â when he or she works in the yard. The ones you get from a medical supplier place will filter pollen better that those from the hardware store.
system: How can cutting down on the amount of items in your home help to allergy-proof your home?
output: Cut down on knick-knacks (where dust can gather). Check on whether your furniture might be a problem: Overstuffed items often have down feathers in it, and antiques may be stuffed with horsehair or covered in fabric made from it. Curtains, too, could be a place where dust and pollen (if your windows are open) gather. A fresh new look could help keep allergens at bay.
system: How can using a microfiber cloths or an electrostatic duster help allergy-proof your home?
output: They pick up dust and pollen instead of swirling it around the air.
system: How can cleaning the air help allergy-proof your home?
output: Install a fan-based HEPA air purifier in your most-used living areas to collect dust before it settles. When you look for furnace and air-conditioning filters, chose a MERV (minimum efficiency value rating) of 8-12. Change or wash permanent filters every month.
system: Can reducing the use of scented items help to allergy-proof your home?
output: Skip the scented products. People with allergies can react to the cologne, cleaning supplies, potpourri, and beauty products. If perfume or cologne makes your main squeeze sneeze, don't wear it -- at least at home.
system: Why is carpet a problem if you have allergies?
output: It's easier to keep linoleum, hardwood, or tile dust-free than it is to remove all the dust from carpets.
system: How can you split up chores to help your partners' allergies?
output: If you don't have allergies, split up the chores based on whether they can cause an allergy flare-up. You can dust and rake while he cooks and washes ups, for instance. If he feels like he wants do some heavy cleaning or yard work, suggest that he do it on a low pollen-count day and take an antihistamine first to help prevent a flare-up.
system: Do some pillow cases help if you have allergies?
output: They act as a barrier between dust mites and your partner. Remember, a feather pillow that isn't covered can trigger your partner's allergies. It's bad for your whole body and could make your allergies worse.
system: How can using your air conditioner or fans help allergy-proof your home?
output: Cut down on knick-knacks (where dust can gather). Clean the air. They pick up dust and pollen instead of swirling it around the air.
system: What are drawbacks of using salicylic acid to treat psoriasis?
output: Shampoos with salicylic acid can make your scalp dry, and that can lead to more flaking. They also can irritate your skin, make you nauseous, or cause other problems if you use it too long and over too big of an area of your head. Talk to your doctor before trying one of these.
system: How are steroid shampoos used to treat psoriasis?
output: You'll need a prescription from your doctor for these. They're usually used for only a few weeks to help with swelling and redness. After that, your doctor may suggest you switch to a coal tar shampoo. Don't wet your hair before using this shampoo -- you put it on your scalp when your hair is dry and leave it for 15 minutes. Then wet your hair, lather in the shampoo, and rinse it out. Be sure to keep it off your face and away from your ears -- your skin is thinner in those areas. It's also important to wash your hands well afterward.
system: How does salicylic acid help treat psoriasis?
output: Salicylic acid works well for a lot of skin problems because it helps you shed dead skin. With psoriasis, it helps lift, soften, and get rid of scales on your scalp. To use one of these shampoos, wet your hair and work the shampoo into a lather. Rinse and repeat. Use it at least twice a week or follow your doctor's advice. Try not to get it in your mouth, eyes, or nose, and don't use it if you have a rash or a cut.
system: What are drawbacks of using coal tar?
output: Be aware, though, that shampoo with coal tar might make your scalp more sensitive to the sun. Tar can stay on your skin for 24 hours or longer, and your chances of sun damage go up during that time. Protect your head with a hat or stay in the shade if you're outside. If you have blond or other light-colored hair, shampoo with coal tar could make it darker. Treatments with coal tar also can stain clothes or skin. Some people don't like the way coal tar shampoos smell. You may want to use a regular shampoo and conditioner afterward to make your hair smell good and keep it shiny.
system: How does coal tar help with psoriasis?
output: It's also important to follow your doctor's instructions Coal tar has been used to treat psoriasis for more than 100 years. You can find it in shampoos as well as creams, oils, and lotions. Shampoos with coal tar help with scaling, hardening, and thickening of the skin on your scalp by slowing down the growth of skin cells. They also can ease itching and make your scalp look better overall. To use this kind of shampoo, massage it into your scalp, leave it on for 5 to 10 minutes, and then rinse.
system: What is psoriasis shampoo made out of?
output: These shampoos have some of the same ingredients as the medicines and lotions your doctor might recommend for psoriasis on other parts of your body. You can get ones that treat mild to moderate psoriasis off the shelf at your local pharmacy. The two main ingredients in those are coal tar and salicylic acid. If you need something stronger, your doctor can prescribe it for you.
system: What other uses do shampoos with salicylic acid have?
output: Some salicylic acid shampoos have sulphur, which can stop fungus. If you also have a yeast infection on your scalp, this kind of shampoo may be right for you. You may need to use it once or twice a week after the infection has gone away to keep your scalp healthy.
system: How long should psoriasis shampoo be used for?
output: Whether prescription or over-the-counter, these shampoos should only be used for short periods of time. And you'll need to be gentle with them. Your psoriasis can get worse if you scrub too hard. It's also important to follow your doctor's instructions Coal tar has been used to treat psoriasis for more than 100 years.
system: How can I easily treat psoriasis on my scalp?
output: And you'll need to be gentle with them. Shampoos with salicylic acid can make your scalp dry, and that can lead to more flaking.
system: At what age should I stop having mammogram screenings?
output: Most experts recommend you continue to have these screenings as long as you are in good health and are expected to live at least another 10 years.
system: At what age should I have a mammogram?
output: The American Cancer Society recommends women ages 40 to 44 should have a choice to start yearly screening mammograms if they would like. Women ages 45 to 54 should have a mammogram each year, and those 55 years and over should continue getting mammograms every one to two years. But not all groups agree. The U. S. Preventive Services Task Force recommends screening every 2 years from ages 50 through 74.
system: If I am high risk for breast cancer, should I have a mammogram screening?
output: When to start having mammograms is a decision between you and your doctor. If this happens to you, you may need more tests.
system: Is it normal to feel worried if my doctor found something questionable on my mammogram?
output: It can be a follow-up test after a screening mammogram that spotted something unusual. Other women may need an ultrasound, or a biopsy. These imaging tests help doctors diagnose about 75% to 85% of breast cancers.
system: What is involved in a mammogram screening?
output: A technician will position your breast between two plates. It can be uncomfortable, but the entire process takes about 20 minutes. Then the images get checked for possible signs of cancer. Women ages 45 to 54 should have a mammogram each year, and those 55 years and over should continue getting mammograms every one to two years.
system: How can someone be allergic to non-steroidal anti-inflammatory drugs (NSAIDs)?
output: They can cause allergies. Some people with asthma are sensitive to some NSAIDs. The drugs may worsen breathing, and many specialists recommend that people who have asthma not take certain NSAIDs. The risk may be greater in people with sinus problems or nasal polyps. If you have asthma, make sure your arthritis doctor knows. Some NSAIDs may be safer for you.
system: What are some precautions for using  non-steroidal anti-inflammatory drugs (NSAIDs)?
output: Use NSAIDs with caution if you have kidney or liver disease, heart failure, high blood pressure, diabetes, lupus, asthma, or ulcers. Tell your doctor about all drugs and supplements you take. NSAIDs may interact with blood thinners, cyclosporine, lithium, or methotrexate. Let your doctor know if you're sensitive to aspirin.
system: Which non-steroidal anti-inflammatory drugs (NSAIDs) raise the risk for heart attack and stroke?
output: All prescription NSAIDs are linked to a higher risk of heart attack and stroke. They carry a warning about that. While the actual risk of a heart attack and stroke with NSAIDs is unknown, medical studies are in progress to help find that answer. The risk is likely greatest for people who have heart disease risk factors, such as high blood pressure, high cholesterol, diabetes, and smoking. You and your doctor can weigh the risks and benefits.
system: What is vimovo?
output: Vimovo is a combination of naproxen and the acid blocker Nexium.
system: What are the most common side effects of non-steroidal anti-inflammatory drugs (NSAIDs)?
output: The most common ones include: Stomach problems, including pain, constipation, diarrhea, gas, nausea, and stomach ulcers Kidney problems Anemia Dizziness Swelling in the legs Abnormal liver tests (blood tests) Headaches Easy bruising Ringing in the ears Rash NSAIDs may also raise blood pressure. If you have high BP, keep a close eye on your blood pressure. Let your doctor know if it goes up. Most people take these meds with few to no side effects, though.
system: Do all nonsteroidal anti-inflammatory drugs raise the risk of having a stroke?
output: All prescription NSAIDs are linked to a higher risk of heart attack and stroke. They carry a warning about that. While the actual risk of a heart attack and stroke with NSAIDs is unknown, medical studies are in progress to help find that answer. The risk is likely greatest for people who have heart disease risk factors, such as high blood pressure, high cholesterol, diabetes, and smoking. You and your doctor can weigh the risks and benefits.
system: Can I take nonsteroidal anti-inflammatory drugs if I have high blood pressure?
output: NSAIDs can reduce blood flow to the kidneys, which may cause these organs not to work as well. This makes fluid build up in your body, which can raise your blood pressure. So, if you take these meds, you will probably get a blood test from time to time to check how well your kidneys work.
system: How serious is the risk for stomach ulcers from non-steroidal anti-inflammatory drugs (NSAIDs)?
output: The chance of getting an ulcer or stomach bleeding rises even more if you also take corticosteroids (often called "steroids") for RA or blood thinners, or anticoagulants. Also, the longer you use NSAIDs, the greater the risk of stomach bleeding and ulcers. Older adults, especially over 65, are more likely to get stomach bleeding and ulcers, as do those who drink alcohol and smoke cigarettes. If you take NSAIDs to ease the inflammation, pain, and stiffness of RA, talk with your doctor about ways to protect your stomach. If you're at high risk for stomach bleeding, you may need a strong stomach acid blocker to help prevent ulcers.
system: Is there a serious risk of stomach ulcers if I take nonsteroidal anti-inflammatory drugs to treat rheumatoid arthritis?
output: The chance of getting an ulcer or stomach bleeding rises even more if you also take corticosteroids (often called "steroids") for RA or blood thinners, or anticoagulants. Also, the longer you use NSAIDs, the greater the risk of stomach bleeding and ulcers. Older adults, especially over 65, are more likely to get stomach bleeding and ulcers, as do those who drink alcohol and smoke cigarettes. If you take NSAIDs to ease the inflammation, pain, and stiffness of RA, talk with your doctor about ways to protect your stomach. If you're at high risk for stomach bleeding, you may need a strong stomach acid blocker to help prevent ulcers.
system: What are non-steroidal anti-inflammatory drugs (NSAIDs)?
output: NSAIDs -- or nonsteroidal anti-inflammatory drugs -- are commonly used to treat rheumatoid arthritis. They help manage the chronic pain, inflammation, and swelling tied to RA. They do not slow down the disease. Most people with RA also take other types of medications, such as methotrexate or biologics, to help prevent further joint damage.
system: What are some non-steroidal anti-inflammatory drugs (NSAIDs) used to treat rheumatoid arthritis (RA)?
output: These include: Aspirin ( Bufferin, Bayer) Celecoxib ( Celebrex) Diclofenac ( Cataflam, Voltaren) Diflunisal ( Dolobid) Etodolac ( Lodine) Fenoprofen ( Nalfon) Flurbiprofen ( Ansaid) Ibuprofen ( Advil, Motrin) Indomethacin ( Indocin) Ketoprofen ( Oruvail, Orudis) Ketorolac ( Toradol) Meloxicam ( Mobic) Nabumetone ( Relafen) Naproxen ( Aleve, Anaprox, Naprelan, Naprosyn) Oxaprozin ( Daypro) Piroxicam ( Feldene) Salsalate ( Amigesic) Sulindac ( Clinoril) Tolmetin ( Tolectin) Arthrotec is an NSAID that combines diclofenac with another active ingredient, misoprostol, that helps prevent stomach irritation. Prevacid Naprapac combines naproxen with the acid blocker Prevacid to lower your chances of getting stomach ulcers. Vimovo is a combination of naproxen and the acid blocker Nexium.
system: How do non-steroidal anti-inflammatory drugs (NSAIDs) work?
output: They block your body's â Coxâ enzymes. This cuts down on inflammation and reduces pain and stiffness.
system: What nonsteroidal anti-inflammatory drugs are used to treat rheumatoid arthritis?
output: These include: Aspirin ( Bufferin, Bayer) Celecoxib ( Celebrex) Diclofenac ( Cataflam, Voltaren) Diflunisal ( Dolobid) Etodolac ( Lodine) Fenoprofen ( Nalfon) Flurbiprofen ( Ansaid) Ibuprofen ( Advil, Motrin) Indomethacin ( Indocin) Ketoprofen ( Oruvail, Orudis) Ketorolac ( Toradol) Meloxicam ( Mobic) Nabumetone ( Relafen) Naproxen ( Aleve, Anaprox, Naprelan, Naprosyn) Oxaprozin ( Daypro) Piroxicam ( Feldene) Salsalate ( Amigesic) Sulindac ( Clinoril) Tolmetin ( Tolectin) Arthrotec is an NSAID that combines diclofenac with another active ingredient, misoprostol, that helps prevent stomach irritation.
system: How do nonsteroidal anti-inflammatory drugs work?
output: They block your body's â Coxâ enzymes. This cuts down on inflammation and reduces pain and stiffness.
system: How do chest scans help diagnose idiopathic pulmonary fibrosis (IPF)?
output: An X-ray lets your doctor see the structures inside your body. It may show shadows on your lungs that suggest scar tissue. You may also need an HRCT scan (high-resolution computed tomography). It's a sharper and more detailed type of X-ray that can spot signs of IPF at an earlier stage.
system: How does pulse oximetry help diagonse idiopathic pulmonary fibrosis (IPF)?
output: Your doctor clips a small sensor to the tip of your finger or ear. It sends a painless beam of light through your skin to check the oxygen level in your arteries.
system: How do blood tests help diagnose idiopathic pulmonary fibrosis (IPF)?
output: It's used to check your oxygen and carbon dioxide levels. Your doctor takes blood from an artery on the inside of your wrist, arm, or groin. It may be slightly more painful than a regular blood test, which takes a sample from your veins. You may feel some discomfort. You'll need to sit calmly and keep pressure on the spot for a few minutes afterward to keep it from bleeding.
system: How is idiopathic pulmonary fibrosis (IPF) diagnosed?
output: If you or your doctor think you may have the disease, make an appointment as soon as possible with a pulmonologist, a specialist in lung health. He'll ask you about your family history and past medical issues. He'll want to know about things like: Whether you've ever smoked or used drugs What kind of work you do (to see if something you breathe in at your job could irritate your lungs) Other medical problems you have Whether anyone else in your family has lung disease How long you've had symptoms, such as shortness of breath or coughing He'll also give you a physical exam, which will include listening to your breathing through a stethoscope.