laomobai/llama3-1 huggingface dataset:
system: Can I get a fake testicle if mine is removed because of testicular cancer?
output: After surgery, you may have concerns about how you look to a sexual partner, or in a locker room. Some men who have a testicle removed get a prosthetic, or artificial, testicle. A doctor can place one in the scrotum so you'll look and feel more like you did before. Most of these are made of silicone rubber on the outside. Inside they are filled with either saline, which is salt water, or a silicone gel.
system: Can lymph node removal cause issues with sex?
output: One possible problem is your nerves that control ejaculation during sex might be damaged. If that happens, it can cause something called retrograde ejaculation: Your semen spurts backward into the bladder instead of forward through the penis. Doctors have found ways of avoiding those nerves. Talk with your doctor about this before surgery.
system: Can you still father children if you have had testicular cancer?
output: If you had just one testicle taken out, you should be able to get erect and have sex after you recover. If both of them have to be removed, you can no longer make sperm or father children. And since the testicles also make the male hormone testosterone, you might have a lower sex drive.
system: What happens if I get a woman pregnant and I have testicular cancer?
output: If you need chemotherapy or radiation after surgery, you should not try to get a woman pregnant. There's a greater chance of birth defects or health problems while you're going for treatments. You may want to wear a condom. Once your treatment is done, the chance of childbirth problems goes back to normal. Ask your doctor about how long to wait before trying to father a baby.
system: Where can I go for support if I have testicular cancer?
output: Life with cancer can bring up strong emotions, even if your treatment goes well. You might have scars, lose your hair, lose weight or strength, or watch your body change in other ways that affect your mood. There are many groups that can connect you with people who have gone through the same thing. They can give advice, help you learn more about your illness or just provide moral support.
system: What are the side effects of chemotherapy for testicular cancer?
output: The side effects of chemo can differ from one person to another, but you might: Feel sick in your stomach Lose hair Have less energy Have more chance of infection Have problems with your kidneys, lungs, or nerves Your doctor has ways to ease these. Talk with him about that before you start treatment.
system: How can family therapist help?
output: Some of the things that family therapists can help with are: Conflicts between family members Substance abuse or addiction A family member's mental illness Financial problems or disagreements about money Problems in school Difficulties between siblings Children's behavior problems Caring for a family member with special needs Issues with extended family members A family member's illness or a death in the family Infidelity Separation or divorce How to plan for shared custody of children First, your therapist will talk to everyone in the family to help her understand what's going on.
system: How can you find a family therapist?
output: You may be able to find the list online. Check the website of the American Association for Marriage and Family Therapy and search for a marriage and family therapist near you. Search the Internet for a family therapist in your area. To see if a family therapist is a good fit for you, ask her these questions: Are you trained in family therapy? Do you take my health insurance?
system: What is family therapy?
output: She can help you find new ways to manage struggles, conflicts, and challenges. Your therapist will help family members communicate better, solve problems, and find new ways to work together. Family therapy can't always make a problem go away.
system: How can you tell if the family therapist is a good fit for you?
output: How often you meet with a family therapist and how many sessions you'll need will depend on the specific issues you focus on in therapy. See if friends have a family therapist to recommend. What are your hours? How long does each session last? How many sessions do you think we'll need? Do you take my health insurance? How much does each session cost? Do I need to pay up front, or do I pay per session?
system: Can stress trigger asthma?
output: When you're stressed, you may notice an increase more signs of anxiety and asthma. As your wheezing and coughing get worse, you get more anxious, which only ramps up your asthma symptoms. This makes for a vicious cycle that can spiral downward quickly. Learn about the link between anxiety and asthma, and talk to your doctor or a professional counselor about ways to reduce your anxiety to better control your asthma.
system: What are the different types of attention deficit hyperactivity disorder?
output: Mental health professionals in the United States use the Diagnostic and Statistical Manual of Mental Disorders ( DSM) to diagnose all psychiatric conditions, including ADHD. The latest version divides it into three types: ADHD predominantly inattentive presentation (what used to be called ADD) ADHD predominantly hyperactive-impulsive presentation ADHD combined presentation Your child's diagnosis will depend on her specific symptoms.
system: What are the symptoms of attention deficit hyperactivity disorder predominantly hyperactive/impulsive presentation?
output: Symptoms include: Blurting out answers before a question is finished Constantly interrupting others Trouble waiting his turn Talks too much Fidgeting, tapping, and squirming Gets up when it's not appropriate (such as when the teacher is talking or in the middle of dinner) Running or climbing in inappropriate situations Unable to play quietly A child with this type has symptoms of both inattention and hyperactivity/impulsivity.
system: What are the symptoms of attention deficit hyperactivity disorder?
output: ADHD is a brain-based disorder. It can interfere with your child's everyday activities at home and at school. Kids who have it have trouble paying attention and controlling their behavior, and are sometimes hyperactive. Before she's diagnosed, you will want to note your child's symptoms. The CDC offers an ADHD checklist for children that may help you keep track of them.
system: When is attention deficit disorder diagnosed?
output: ADD is diagnosed if a child under age 16 has 6 or more symptoms of inattention (5 or more for older teens) for at least 6 consecutive months but no signs of hyperactivity/impulsivity.
system: What does it mean if your child has attention deficit disorder?
output: Kids with this condition aren't hyperactive. They don't have the high energy level seen in others with ADHD. In fact, children with this form may seem shy or "in their own world."
system: What is attention deficit disorder?
output: ADD is a type of ADHD that doesn't involve constant movement and fidgeting.
system: What are ways to ease discomfort from fibromyalgia while pregnant?
output: If you suffer with fatigue and ache all over, make sure you rest 20 to 30 minutes at least two or three times a day. To ease the achiness of tender point pain, try moist heat applications twice a day. A warm shower or bath is a good way to apply moist heat. Just make sure that the water temperature is 100 degrees Fahrenheit or lower and limit use to 15 -20 minutes at a time. Water that is warm enough to raise your body temperature to 101 ° F or higher, may cause birth defects. Also, use gentle stretching exercises and exercises recommended by your doctor for relief.
system: What medications can I take for fibromyalgia during pregnancy?
output: For women who ache all over because of fibromyalgia during pregnancy, acetaminophen ( Tylenol and others) is often recommended. Still, it's best to avoid all medications without approval from your fibromyalgia doctor and obstetrician.
system: Does lack of exercise make me grumpy?
output: Too much stress can lead to permanently low levels of serotonin. That, in turn, can lead to aggression and feelings of depression. Lack of exercise can aggravate low serotonin levels. On the other hand, increased levels of serotonin in the brain are associated with a calming, anxiety reducing effect. In some cases they are also associated with drowsiness. Having stable function in the brain circuits that use serotonin to send messages is linked with a positive mood. Talk to your health care provider about the level of activity that is right for you.
system: How does fibromyalgia affect pregnancy?
output: Managing fibromyalgia during pregnancy is possible. Pregnant women with fibromyalgia may experience significant pain, fatigue, and psychological stress, especially in the first three months. With pregnancy, there are changes in the levels of estrogen, progesterone, and other hormones. For women who ache all over because of fibromyalgia during pregnancy, acetaminophen ( Tylenol and others) is often recommended.
system: Are fibromyalgia medications safe during pregnancy?
output: There are few studies on fibromyalgia in pregnant women. Also, fibromyalgia symptoms seemed to be exacerbated during pregnancy. However, be sure you talk with your doctor before you stop any medicines.
system: How are fibromyalgia and pregnancy connected?
output: As a result, they may be undertreated. In addition, the added stress of having a baby may cause fibromyalgia symptoms to flare, making you feel much worse. Is it any wonder that fibromyalgia symptoms are often misdiagnosed and thought to be a normal part of pregnancy? Learn all you can about fibromyalgia and pregnancy before you get pregnant.
system: Where do cases of Lyme disease happen?
output: â It won't stop in the foreseeable future.â Most cases are clustered in 14 states in the Northeast and Upper Midwest, but Lyme has been reported as far south as Mexico, and increasingly, in Canada.
system: What is the best way to prevent a tick bite to avoid Lyme disease?
output: Ticks can't fly or jump, but instead live in shrubs and bushes, and grab onto someone when they pass by. To avoid getting bitten: Wear pants and socks in the woods, areas with lots of trees, and while handling fallen leaves Wear a tick repellent on your skin and clothing that has DEET, lemon oil, or eucalyptus. For even more protection, use the chemical permethrin on clothing and camping gear. Shower within 2 hours after coming inside, if possible. Look at your skin and wash ticks out of your hair. Put your clothing and any exposed gear into a hot dryer to kill whatever pests might remain.
system: What do I do if there's a tick under my skin with Lyme disease?
output: If parts of the tick remain in the skin, also try to remove them with the tweezers. After everything is out, clean the bite area with rubbing alcohol or soap and water. Mead says you're not likely to get infected if you remove the tick within 36 to 48 hours. Some people have an allergic reaction to ticks, so they'll notice a bite right away.
system: How is Lyme disease diagnosed?
output: Doctors diagnose it based on symptoms and a history of tick exposure. Two-step blood tests are helpful if used correctly. But the accuracy of the test depends on when you got infected. In the first few weeks of infection, the test may be negative, as antibodies take a few weeks to develop. Tests aren't recommended for patients who don't have Lyme disease symptoms.
system: What affects the prevalence of Lyme disease?
output: In some cases, symptoms can appear months after the bite. But the deer population has rebounded as reforestation took place over several decades, meaning the tick population has risen and expanded as well. Deer and white-footed mice, which transmit Lyme disease to ticks that bite them, are moving closer to humans as their habitats disappear, says Taege. Another reason: Warmer weather and mild winters may bring more people outside, raising their chances of being bitten, particularly in Lyme-prone areas, Taege says. â We've seen an expansion [of ticks] in areas in which the vectors live, and we've slowly seen more Lyme disease.â That doesn't mean you should be afraid of outdoor activities, as long as you take precautions to avoid tick bites, Aucott says.
system: How prevalent is Lyme disease?
output: The CDC estimates there are more than 300,000 cases of Lyme infection in the U. S. each year -- or 10 times as many as what is reported. Infection is more common in males up to age 15 and between the ages of 40 and 60, says Taege. â These are people who are more likely to play outside, and go camping, hunting, and hiking,â he says.
system: What areas have the most cases of Lyme disease?
output: Cases of Lyme disease -- traditionally more prevalent in the Northeast -- have now been found in all 50 states and the District of Columbia, a new study from Quest Diagnostics found. The CDC says 95% of confirmed cases in 2016 were in 14 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Wisconsin. In the Southern U. S., which is more prone to hot weather, ticks tend to stay under leaf litter and don't come up higher to feed much, Aucott says -- âticks don't like to dry out.â This means Southern ticks don't transmit Lyme as frequently because they don't tend to feed on humans.
system: What symptoms does Lyme disease cause?
output: â Ten percent of people don't get better after antibiotics,â Aucott says. Scientists point to a variety of causes for the spread of Lyme infection.
system: What are the early signs and symptoms of Lyme disease?
output: Early signs and symptoms include fever, chills, headache, fatigue, muscle and joint pain, and swollen lymph nodes -- all common in the flu. In up to 80% of Lyme infections, a rash is one of the first symptoms, Aucott says. Heart palpitation or an irregular heartbeat Inflammation of the brain and spinal cord Shooting pains, numbness, or tingling in the hands or feet About 20% to 30% of Lyme rashes have a âbull's-eyeâ appearance -- concentric circles around a center point -- but most are round and uniformly red and at least 5 centimeters (about 2 inches) across, Aucott says. â Most are just red,â he says. â They do not have the classic ring within a ring like the Target logo.â The rash expands gradually over a period of days and can grow to about 12 inches across, the CDC says. It may feel warm to the touch, but it rarely itches or is painful, and it can appear on any part of the body.
system: What should I do if a tick with Lyme disease bites my dog?
output: The more ticks in your region, the likelier it is that your furry pal will bring them home. â On the flip side, low rates of exposure in dogs is a good indicator that Lyme is not a problem in the area.â And they can get sick. About 10% of dogs with Lyme disease will become ill. Common symptoms, which may show up 7-21 days after a tick bite, are lameness -- your dog will appear to be walking on eggshells -- a fever, lethargy, and enlarged lymph nodes. Dogs also get antibiotics for treatment.
system: What are tips to help me recover from oral surgery?
output: After your appointment, plan to spend the rest of the day resting. Bottom line is to follow directions and keep the area clean of food bits to prevent infection. For the first 24 hours, apply ice to your jaw for 30 minutes, remove it for 15 minutes, then do it again. Call your doctor or oral surgeon right away. Gently bite on folded gauze for a bit to help slow the flow. If the bleeding continues for more than 24 hours or is so heavy that the gauze needs to be changed more often, call your dentist or oral surgeon. Cool, soft foods after surgery are good. Look for infection, fever, swelling that lasts more than 2 days, and trouble swallowing or breathing.
system: How does a food diary help track allergy triggers?
output: But one thing that can help is to keep a food diary. All you have to do is record what you eat and when you get allergy symptoms. Then look for patterns. Share the diary with your doctor or dietitian to help figure out the cause of your problems.
system: What are moderate allergic reactions?
output: Moderate allergic reactions can include symptoms that spread to other parts of the body, including: Widespread itching Difficulty breathing Anaphylaxis is a rare, life-threatening emergency in which the response to the allergen is sudden and affects the whole body.
system: What are symptoms of mild allergy?
output: Mild allergy symptoms can include: Rash Localized itching Congestion Mild allergic reactions do not spread to other parts of the body. Moderate allergic reactions can include symptoms that spread to other parts of the body, including: Widespread itching Difficulty breathing Anaphylaxis is a rare, life-threatening emergency in which the response to the allergen is sudden and affects the whole body.
system: What are symptoms of severe allergy?
output: Moderate allergic reactions can include symptoms that spread to other parts of the body, including: Widespread itching Difficulty breathing Anaphylaxis is a rare, life-threatening emergency in which the response to the allergen is sudden and affects the whole body. Allergy symptoms may within minutes progress to more serious symptoms, including: Itching of eyes or face Varying degrees of swelling of the mouth, throat, and tongue that can make breathing and swallowing difficult Hives Abdominal pain Cramps Vomiting Diarrhea Mental confusion or dizziness
system: What's normal for a newborn girl's genitals?
output: Among other things, these hormones may have: Made the outside of the vagina ("labia majora" and the "clitoris") a little swollen and prominent Caused a thick, milky discharge in the vagina Most dramatically, at 2 or 3 days of age, your daughter may have a little bit of bleeding from her vagina. This is perfectly normal; it is caused by the withdrawal of the hormones she was exposed to in the womb. It will be her first and last menstrual period for another decade or so.
system: How should you care for your baby girl's genitals?
output: Spread the labia and gently wash out the creases; there is no need to go any deeper. Nature takes care of naturally cleaning the inside of the vagina. Use warm water only -- there's no need for soaps. Wipe from front to back to avoid contamination of the vaginal area from stool. Remember, this sensitive tissue is the same as that inside the mouth.
system: What aromatherapy essential oils should be avoided while pregnant?
output: Avoid these aromatherapy essential oils: calamus, mugwort, pennyroyal, sage, wintergreen, basil, hyssop, myrrh, marjoram, and thyme.
system: What are alternative therapies for nausea in early pregnancy?
output: Nausea in early pregnancy: acupuncture, acupressure, ginger root (250 milligram capsules 4 times a day), and vitamin B6 (pyridoxine, 25 milligram two or three times a day) work well.
system: What are alternative therapies for backache during pregnancy?
output: Backache: chiropractic manipulation and physical therapy should be considered.
system: What supplements should be avoided while pregnant?
output: Avoid these oral supplements: Arbor vitae, Beth root, Black cohosh, Blue cohosh, Cascara, Chaste tree berry, Chinese angelica ( Dong Quai), Cinchona, Cotton root bark, Feverfew, Ginseng, Golden seal, Juniper, Kava kava, Licorice, Meadow saffron, Pennyroyal, Poke root, Rue, Sage, St. John's wort, Senna, Tansy, White peony, Wormwood, Yarrow, Yellow dock, vitamin A (large doses can cause birth defects).
system: What are safe alternative therapies for turning a breech baby?
output: Turning a breech baby: exercise, hypnosis, and traditional Chinese treatment (burning incense-like substance on the fifth toe) have proven beneficial.
system: Are natural products safe during pregnancy?
output: Many pregnant women believe "natural" products can be safely used to relieve nausea, backache, and other annoying symptoms of pregnancy, but many of these so-called natural products have not been tested for their safety and effectiveness in non-pregnant women, much less in pregnant women. Therefore, it is very important to check with your doctor before taking any alternative therapies. He or she will not recommend a product or therapy until it is shown to be safe and effective.
system: Should you inform your doctor about new medications if you are pregnant?
output: If you were taking prescription medications before you became pregnant, be sure to ask your doctor about the safety of continuing these medications as soon as you find out that you are pregnant. Be sure to discuss the risks and benefits of the newly prescribed medication with your doctor before taking the medication.
system: How can staying slim affect chronic heartburn?
output: Another reason to lose weight: You'll respond better to heartburn medications.
system: How is endoscopic treatment used for chronic heartburn?
output: The goal of this treatment is the same as surgery. But instead, your doctor puts a thin tube called an endoscope down your throat and into your esophagus. He then use stitches or heat to create scar tissue to tighten the sphincter and stop stomach acid from leaking. Newer treatments involve using implants (almost like a retaining wall) to keep acid from seeping out of the stomach. There's not a lot of information yet on how safe they are or how well they work in the long run.
system: How can limiting alcohol affect chronic heartburn?
output: Alcohol can relax the muscles around the lower end of your esophogas, making it easier for acid to bubble up.
system: How can wearing loose clothing affect chronic heartburn?
output: Tight clothing, including belts, can cause stomach contents to push upward.
system: Which foods trigger chronic heartburn?
output: For many people, these are spicy and high-fat foods, chocolate, peppermint and other mints, coffee, citrus fruits or juices, tomato products, carbonated drinks, and onions.
system: How can eating several small meals during the day affect chronic heartburn?
output: Your stomach produces acid based on how much food you eat. Less food means less acid. Don't overload your stomach.
system: How can relaxing affect chronic heartburn?
output: Alcohol can relax the muscles around the lower end of your esophogas, making it easier for acid to bubble up.
system: How can cigarettes affect chronic heartburn?
output: Smoking causes your body to make less saliva, a liquid that helps stamp out stomach acid. That can lead to burning in your esophagus. Tobacco may also cause your stomach to make more acid and relax the muscles at the lower end of your esophogas that can shut down the opening between the stomach and the esophagus. Chewing gum and sucking on lozenges can help you make more saliva.
system: When is surgery needed to treat chronic heartburn?
output: The most common surgery for extreme heartburn is fundoplication. The surgeon wraps the top of your stomach around the bottom of your esophagus to strengthen it and help keep the acid where it belongs. This often can be done laparoscopically -- it involves only a small cut and typically lets you go home in 3 days or less.
system: What is chronic heartburn?
output: That can lead to burning in your esophagus. Tobacco may also cause your stomach to make more acid and relax the muscles at the lower end of your esophogas that can shut down the opening between the stomach and the esophagus. If you have chronic severe heartburn, you may need medications. Make sure you're aware of the side effects of all the medication you take.
system: How can raising the head of your bed affect chronic heartburn?
output: You can get them over the counter or with a prescription. The surgeon wraps the top of your stomach around the bottom of your esophagus to strengthen it and help keep the acid where it belongs.