laomobai/llama3-1 huggingface dataset:
system: What are the recommendations for vaginal discharge during pregnancy?
output: Recommendations: Choose cotton underwear or brands made from natural fibers. Avoid tight-fitting jeans or pants. Do not douche. Douching can introduce air into your circulatory system or break your bag of waters in later pregnancy. Clean the vaginal area often with soap and water. Wipe yourself from front to back. Contact your health care provider if you have burning, itching, irritation or swelling, bad odor, bloody discharge, or bright yellow or green discharge (these symptoms could be a sign of infection).
system: What are the recommendations for pregnancy nausea or vomiting?
output: Recommendations: If nausea is a problem in the morning, eat dry foods like cereal, toast or crackers before getting out of bed. Try eating a high-protein snack such as lean meat or cheese before going to bed (protein takes longer to digest). If you are hungry but extremely nauseated, try the BRAT (bananas, rice and tea) diet as well as bland foods. Seabands offer some pregnant women comfort. Ginger may combat nausea. Eat small meals or snacks every two to three hours rather than three large meals. Eat slowly and chew your food completely. Sip on fluids throughout the day. Avoid large amounts of fluids at one time. Try cool, clear fruit juices, such as apple or grape juice. Avoid spicy, fried, or greasy foods. If you are bothered by strong smells, eat foods cold or at room temperature to minimize or avoid odors that bother you. Talk to your doctor about taking vitamin B6. Other natural treatments and prescription medications can provide relief. Contact your health care provider if your vomiting is constant or so severe that you can't keep fluids or foods down. This can cause dehydration and should be treated right away.
system: What causes pregnancy constipation?
output: Pressure on your rectum from your uterus may also cause constipation.
system: What are the recommendations for shortness of breath during pregnancy?
output: Recommendations: When walking, slow down and rest a few moments. Raise your arms over your head (this lifts your rib cage and allows you to breathe in more air). Avoid lying flat on your back, and try sleeping with your head elevated. If prolonged shortness of breathing continues or you experience sharp pain when inhaling, contact your health care provider. You could have a pulmonary embolism (blood clot in the lungs).
system: What causes pregnancy bleeding and swollen gums?
output: But your blood circulation and hormone levels can make your gums tender and swollen, and you may notice they bleed more easily. You may also develop nose bleeds. You may have a stuffy nose or feel like you have a cold.
system: What causes swelling in the feet and legs during pregnancy?
output: Pressure on your rectum from your uterus may also cause constipation. Elevate your legs and feet while sitting.
system: What causes pregnancy stretch marks?
output: Hemorrhoids are swollen veins that appear as painful lumps on the anus. Though they won't disappear completely, stretch marks will fade after delivery. Stretch marks affect the surface under the skin and are not preventable.
system: What causes pregnancy nausea or vomiting?
output: Avoid straining when you have a bowel movement. It's important to get up and move around often. Backaches are usually caused by the strain put on the back muscles, changing hormone levels, and changes in your posture.
system: What causes Braxton-Hicks contractions?
output: This will happen again in the third trimester, when the baby's head drops into the pelvis before birth. Irregular, infrequent contractions are called Braxton- Hicks contractions (also known as "false labor pains"). These are normal during pregnancy.
system: What causes pregnancy frequent urination?
output: This will happen again in the third trimester, when the baby's head drops into the pelvis before birth. More blood is also going to your growing uterus.
system: What causes abdominal pain or discomfort during pregnancy?
output: Pressure from your growing uterus can cause leg cramps or sharp pains down your legs. These pains may also travel down your thigh and into your leg.
system: What things should I do at my rheumatoid arthritis appointment?
output: Read up on RA. The more you know about RA, the more you'll get out of your talk with your doctor. Bring a record of your symptoms. What makes them worse? What makes them better? It may help to keep a log of your symptoms and when they occur for a few weeks before you go to your appointment. Bring a list of all the drugs, vitamins, and supplementsyou use. Or bring the bottles, so the doctor can see the dosage and directions for use. Ask a friend or relative to go with you. He or she can take notes and remind you of important questions. Be honest. Tell the truth about your symptoms, how much exercise you get, and any alternative treatments you're using.
system: What should I ask my rheumatoid arthritis doctor?
output: What's the goal of my treatment? Should I take methotrexate or other DMARDs? Do I need other drugs to help my symptoms right now? Could these drugs cause problems with any other medications, vitamins, or supplements I use? What will happen if I don't take my RA meds? What side effects should I watch out for? Do you advise using any nondrug treatments? Could a physical therapist or an occupational therapist help me? Can you tell if my joints have been damaged? Can you tell how quickly the disease is progressing? Aside from my joints, how else could RA affect my health? What will help with my fatigue? Can you suggest any support groups in the area? Will I be able to continue working?
system: What assistive devices can be used in the bathroom to help treat arthritis?
output: Try these options: A tub bench or shower seat lets you sit down while you get clean. Non-skid shower mats make the tub safer. Grab bars make it easier to get in and out of the bath. A raised toilet seat with side rails makes it easier to get on and off. Long-handled sponges help you wash your legs and feet without bending. Also, large sponges are easier to grip than washcloths. Easy-to-pull shower curtains are better than heavy shower doors. An electric toothbrush with a fat handle is easier than a regular toothbrush. Put a seat in front of your sink so you can avoid leaning forward. Do the same with using a freestanding mirror for grooming.
system: What are some assistive devices for the bedroom if you have RA?
output: Most people with rheumatoid arthritis have joint stiffness in the morning. A few simple changes will make it easier to get going. Switch to big buttons, button hooks, or Velcro closures. Buttons the size of a nickel or larger are easier to use. Closures in the front are better, especially for bras and dresses. Use lamps that turn on and off by touch or by your voice. And replace small, hard-to-turn switches on lamps with larger grip-and-turn knobs. Find sock aids and zipper pulls. A sock aid can help you pull up your socks without bending your legs. A zipper pull, which has a large rung that attaches to a zipper tag, makes zippers easier to grab and zip.
system: Where can you get assistive devices for RA?
output: These items and many more are available at full-service pharmacies and surgical supply stores. The Arthritis Foundation is also a great source. If you can't install something yourself, the store can often arrange it. Or check with your local hardware store to see if they can recommend someone to do it for you. Also get a referral to an occupational therapist from your rheumatologist or your regular doctor if you haven't already. Occupational therapists specialize in helping people keep their independence. They may have other ideas for assistive devices or changes to your home that could make a huge difference.
system: Where can I buy items to help me with my rheumatoid arthritis?
output: These items and many more are available at full-service pharmacies and surgical supply stores. The Arthritis Foundation is also a great source. If you can't install something yourself, the store can often arrange it. Or check with your local hardware store to see if they can recommend someone to do it for you.
system: What assistive devices can be used in the kitchen to help treat arthritis?
output: Arthritis-friendly utensils with fat foam handles are widely available and can make a world of difference. Consider these other simple ideas around the kitchen, too: Buy pots and pans with handles on both sides. They're easier to carry. Give your fingers and hands a break and use an electric jar opener and electric can opener when you prepare foods. Rearrange your kitchen so that the things you use most often are the easiest to reach. Replace small switches and doorknobs with large, easy-to-grip knobs, or levers that you don't need to turn.
system: Should I get a referral to an occupational therapist to treat rheumatoid arthritis?
output: Also get a referral to an occupational therapist from your rheumatologist or your regular doctor if you haven't already. Occupational therapists specialize in helping people keep their independence. They may have other ideas for assistive devices or changes to your home that could make a huge difference.
system: What are some aids to help you get around for RA?
output: A cane or crutch used on the opposite side of a painful knee or hip makes walking easier. Orthotics help ease painful feet. They are inserts (either ready-made, or custom-fit by a podiatrist) worn in the shoe. Other options include padded insoles or a pair of comfortable orthopedic shoes. Braces and splints support joints and lower strain. Reachers are long rods with a grip handle on one end and pincers (like a claw, used to grab) on the other. They let you pick up small objects without having to bend over or reach uncomfortably. Taller chair legs make it easier to get in and out of your seat. The chairs you have can usually be fitted with extenders.
system: How can you get started using assistive devices for RA?
output: The first step is to recognize when and where you could use some more help. Sometimes people adapt to changes in their ability level, giving up things they like to do without even realizing it. Next, take action to stay as independent as possible.
system: What are assistive devices for the bathroom if you have RA?
output: Try these options: A tub bench or shower seat lets you sit down while you get clean. Non-skid shower mats make the tub safer. Grab bars make it easier to get in and out of the bath. A raised toilet seat with side rails makes it easier to get on and off. Long-handled sponges help you wash your legs and feet without bending. Also, large sponges are easier to grip than washcloths. Easy-to-pull shower curtains are better than heavy shower doors. An electric toothbrush with a fat handle is easier than a regular toothbrush. Put a seat in front of your sink so you can avoid leaning forward. Do the same with using a freestanding mirror for grooming.
system: What assistive devices can be used in the bedroom to help treat arthritis?
output: Rearrange your kitchen so that the things you use most often are the easiest to reach. Most people with rheumatoid arthritis have joint stiffness in the morning. A few simple changes will make it easier to get going. Use lamps that turn on and off by touch or by your voice. And replace small, hard-to-turn switches on lamps with larger grip-and-turn knobs. Find sock aids and zipper pulls. A sock aid can help you pull up your socks without bending your legs. A zipper pull, which has a large rung that attaches to a zipper tag, makes zippers easier to grab and zip.
system: Are assistive devices necessary to treat rheumatoid arthritis?
output: Extra help is available if you start to have trouble with everyday activities. Most people with rheumatoid arthritis have joint stiffness in the morning.
system: How is acute insomnia treated?
output: Acute insomnia may not require treatment. Mild insomnia often can be prevented or cured by practicing good sleep habits (see below). If your insomnia makes it hard for you to function during the day because you are sleepy and tired, your health care provider may prescribe sleeping pills for a limited time. Rapid onset, short-acting drugs can help you avoid effects such as drowsiness the following day. Avoid using over-the-counter sleeping pills for insomnia, because they may have undesired side effects and tend to lose their effectiveness over time.
system: What are some helpful tips for people with insomnia?
output: Good sleep habits, also called sleep hygiene, can help you get a good night's sleep and beat insomnia. Here are some tips: Try to go to sleep at the same time each night and get up at the same time each morning. Try not to take naps during the day, because naps may make you less sleepy at night. Avoid prolonged use of phones or reading devices ("e-books") that give off light before bed. This can make it harder to fall asleep. Avoid caffeine, nicotine, and alcohol late in the day. Caffeine and nicotine are stimulants and can keep you from falling asleep. Alcohol can cause waking in the night and interferes with sleep quality. Get regular exercise. Try not to exercise close to bedtime, because it may stimulate you and make it hard to fall asleep. Experts suggest not exercising for at least three to four hours before the time you go to sleep. Don't eat a heavy meal late in the day. A light snack before bedtime, however, may help you sleep. Make your bedroom comfortable. Be sure that it is dark, quiet, and not too warm or too cold. If light is a problem, try a sleeping mask. If noise is a problem, try earplugs, a fan, or a "white noise" machine to cover up the sounds. Follow a routine to help you relax before sleep. Read a book, listen to music, or take a bath. Avoid using your bed for anything other than sleep or sex. If you can't fall asleep and don't feel drowsy, get up and read or do something that is not overly stimulating until you feel sleepy. If you find yourself lying awake worrying about things, try making a to-do list before you go to bed. This may help you to not focus on those worries overnight.
system: What are the symptoms of insomnia?
output: Causes of acute insomnia can include: Significant life stress (job loss or change, death of a loved one, divorce, moving) Illness Emotional or physical discomfort Environmental factors like noise, light, or extreme temperatures (hot or cold) that interfere with sleep Some medications (for example those used to treat colds, allergies, depression, high blood pressure, and asthma) may interfere with sleep Interferences in normal sleep schedule (jet lag or switching from a day to night shift, for example) Causes of chronic insomnia include: Depression and/or anxiety Chronic stress Pain or discomfort at night Symptoms of insomnia can include: Sleepiness during the day General tiredness Irritability Problems with concentration or memory If you think you have insomnia, talk to your health care provider.
system: What causes acute insomnia?
output: Causes of acute insomnia can include: Significant life stress (job loss or change, death of a loved one, divorce, moving) Illness Emotional or physical discomfort Environmental factors like noise, light, or extreme temperatures (hot or cold) that interfere with sleep Some medications (for example those used to treat colds, allergies, depression, high blood pressure, and asthma) may interfere with sleep Interferences in normal sleep schedule (jet lag or switching from a day to night shift, for example) Causes of chronic insomnia include: Depression and/or anxiety Chronic stress Pain or discomfort at night Symptoms of insomnia can include: Sleepiness during the day General tiredness Irritability Problems with concentration or memory If you think you have insomnia, talk to your health care provider.
system: How is chronic insomnia treated?
output: Primary insomnia: Primary insomnia means that a person is having sleep problems that are not directly associated with any other health condition or problem. If insomnia continues, your health care provider may suggest behavioral therapy. Behavioral approaches help you to change behaviors that may worsen insomnia and to learn new behaviors to promote sleep. Techniques such as relaxation exercises, sleep restriction therapy, and reconditioning may be useful.
system: Can ADHD symptoms be caused by anything else going on in my child's life?
output: The truth is, if she has the inattentive type of ADHD, she may be so distracted she just doesn't realize you're talking to her. Did the behaviors you're concerned about just pop up recently? Your child could just be shaken up because of a big life change, like a divorce, job loss, or death in the family. Medical problems, like serious ear infections, depression, or anxiety can cause ADHD-like symptoms, too.
system: How can I find out for sure if my child has ADHD?
output: There's no single test for ADHD. Your child's pediatrician will want to know her symptoms and when they started. He may also want to do some tests to rule out other health problems that could change the way your child acts. He might also want to send your child to a children's mental health specialist, like a child psychologist or psychiatrist, for a more detailed checkup. These doctors may ask to speak to other adults in your child's life, like coaches or teachers. Only then -- if your child meets the criteria for ADHD -- will she be officially diagnosed.
system: Can unresponsiveness be a sign that my child has ADHD?
output: If your child doesn't respond when you talk to her or even seem to notice you're there, you might wonder if she's hard of hearing. Or if she's simply ignoring you. The truth is, if she has the inattentive type of ADHD, she may be so distracted she just doesn't realize you're talking to her.
system: Can daydreaming be a sign that my child has ADHD?
output: Only your doctor can say for sure whether your child has it. It's hard to know if your child is more distracted, wiggly, or forgetful than other kids (they're all a little like that once in a while!). But if she has the âinattentiveâ type of ADHD, she'll daydream a lot, may be too wrapped up in her own thoughts to hear you, and often seem like she can't focus. Symptoms of ADHD usually show up when kids are young -- around age 12 on average.
system: What causes antidepressant discontinuation syndrome?
output: Your doctor may diagnose you with antidepressant discontinuation symptoms if: You suddenly develop symptoms days after stopping an antidepressant Symptoms rapidly go away when you start taking the antidepressant again There's no way to predict if you will have discontinuation symptoms after quitting an antidepressant. Scientists are not exactly sure why some people develop antidepressant discontinuation syndrome while others do not. Antidepressants help restore the normal function of naturally occurring, mood-regulating substances in the brain, called neurotransmitters, including serotonin and norepinephrine. Some mental health experts theorize that abruptly stopping an antidepressant simply does not give your brain time to adjust to the rapid changes.
system: How are antidepressant discontinuation symptoms diagnosed?
output: Your doctor may diagnose you with antidepressant discontinuation symptoms if: You suddenly develop symptoms days after stopping an antidepressant Symptoms rapidly go away when you start taking the antidepressant again There's no way to predict if you will have discontinuation symptoms after quitting an antidepressant.
system: How can I safely stop using antidepressants?
output: If you are thinking about stopping your antidepressant therapy, talk to your doctor to discuss the risks and benefits of discontinuing treatment. Never stop "cold turkey." In many cases, the best way to stop taking most antidepressants is to slowly cut back your dose under the guidance of your doctor. This is called tapering. Tapering helps your brain adjust to the chemical changes and can help prevent discontinuation symptoms. Your doctor will tell you how to lower your dose over a couple of days. Never try to do this on your own. Sometimes, doctors can prescribe medicines to help with discontinuation symptoms such as nausea or insomnia. They also may advise switching from a short- to a long-acting antidepressant to ease the transition off of a medicine for depression. Discontinuation symptoms usually go away within a few weeks.
system: Which long-acting antidepressants can lead to discontinuation symptoms?
output: Other short-acting medications that affect mainly serotonin include: Celexa (citalopram) Lexapro (escitalopram) Paxil (paroxetine) Zoloft (sertraline) Withdrawal is less common with medications that take longer for the body to clear, such as Prozac (fluoxetine) or Trintellix (vortioxetine). However, longer-acting antidepressants can still sometimes cause discontinuation symptoms. Discontinuation symptoms have also been reported in people who stop taking older types of antidepressant medications, including tricyclics and monoamine oxidase inhibitors ( MAOIs).
system: What are the symptoms of antidepressant discontinuation?
output: Symptoms of antidepressant withdrawal depend on the specific medication you have been taking. Symptoms most often occur within three days of stopping the antidepressant. They are usually mild and go away within about two weeks. Symptoms can include: Anxiety Depression and mood swings Dizziness and balance problems, possibly vertigo Electric shock sensations Fatigue Flu-like symptoms Headache Loss of coordination Muscle spasms Nausea Nightmares Tremors Trouble sleeping Vomiting In rare cases, antidepressant withdrawal may cause mania. Certain, older types of antidepressants called MAOIs can lead to confusion and psychotic symptoms.
system: What should you know about antidepressant discontinuation?
output: These symptoms are not technically the same thing as physical "withdrawal" from a drug. Physiological withdrawal happens when someone is taking a drug that can be addictive. This leads to craving and drug-seeking behavior. Antidepressants are not addictive or habit-forming. Unlike drug withdrawal, antidepressant discontinuation effects are not related to addiction but can reflect physiological consequences of stopping a drug, just as when someone with diabetes stops insulin. About one in five people who take an antidepressant for six or more weeks may experience discontinuation symptoms if they suddenly stop taking the medicine. Tapering down your medication gradually under the supervision of your health care provider can help avoid or minimize symptoms. However, it is still possible in those who decrease their dose too rapidly or sometimes even slowly quit the medicine. However, discontinuation symptoms are more likely with antidepressants that stay in your body for a shorter period of time, especially those that affect both serotonin and norepinephrine, such as Effexor (venlafaxine) and Cymbalta (duloxetine).
system: What are tips to make my hair look fuller?
output: Find a great barber or stylist. If you've always worn your hair parted on the left, try shifting it to the right or center. It's key to have a plan for upkeep, since hair color can make hair loss stand out if your roots are too noticeable. If you have mild to moderate hair loss, fiber hair cosmetics can be a quick fix for adding volume. These products use statically charged fibers that you sprinkle over your hair to make it look thicker.
system: What are the signs that an anal fissure has become chronic?
output: You may also notice: A visible tear in the anus Pain during bowel movements Blood on used toilet paper or wipes Blood on the surface of stools Bleeding that discolors toilet water Bad-smelling discharge Signs that a fissure has become chronic can include: Painful bowel movements without bleeding Itch and irritation of the skin around the anus A skin tag at the end of a fissure Acute anal fissures can also happen in babies.