laomobai/llama3-1 huggingface dataset:
system: What are the warning signs of a gout flare-up?
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(); }); } Some people with gout, also known as gouty arthritis, say an attack begins with a burning, itching, or tingling feeling in a joint maybe an hour or two before the flare-up starts. The joint may feel a little stiff or a bit sore. Not long after, the telltale signs of gout begin. If you get repeated attacks, you'll learn your body's signals that one is about to begin. Sometimes, people with gout have no early signs that a flare is about to start. They may just wake up in the middle of the night with a very painful joint.
system: When should you get help for a gout flare-up?
output: Your doctor will likely have given you something to take if this happens, too. It's a good idea to rest it until the pain eases up. Call your doctor if: This is your first flare-up. There are several other conditions, such as a joint infection, that have some of the same symptoms as gout attacks. You have a high fever and chills . Gout attack symptoms may include a mild fever, but a higher temperature may be a sign of an infection. Your symptoms don't get any better after 48 hours or don't end after about a week. If you don't start to feel somewhat better after a few days, call your doctor. She may suggest a different treatment. Most gout attacks will go away by themselves in several weeks, even without treatment.
system: Can rheumatoid arthritis affect your knees or other joints?
output: Rheumatoid arthritis ( RA) can affect your knees and any other joint in your body.
system: Will I need knee surgery if I have rheumatoid arthritis?
output: Knee replacement surgery is usually a last resort when damage to the knee is severe and irrepairable. Some people get surgery to remove the inflamed joint lining. Your doctor may call that lining the âsynoviumâ and the procedure a âsynovectomy.â The operation, which is performed less frequently than in the past because of better medications, can relieve knee pain for up to 5 years.
system: How does a doctor diagnose rheumatoid arthritis?
output: You may also get blood tests to help see if you have RA. Those check for: Anemia (low red blood cell count) Rheumatoid factor ( RF), found in about 70% to 80% of people with RA â Sedâ rate (erythrocyte sedimentation rate). High levels are a sign of inflammation. Antibodies to a chemical called CCP High levels of CRP ( C-reactive protein) You may also get an X-ray or, less frequently, an MRI to check on possible joint damage. And your doctor may take a sample of your synovial fluid, which comes from your joints.
system: When would someone need surgery for rheumatoid arthritis?
output: Your doctor may recommend physical therapy and occupational therapy, too. Your doctor will recommend other treatments first. Knee replacement surgery is usually a last resort when damage to the knee is severe and irrepairable. Some people get surgery to remove the inflamed joint lining. Your doctor may call that lining the âsynoviumâ and the procedure a âsynovectomy.â The operation, which is performed less frequently than in the past because of better medications, can relieve knee pain for up to 5 years.
system: How do doctors treat rheumatoid arthritis?
output: There are different kinds of RA medications. Some ease pain. Others curb inflammation or stop the disease from getting worse. You may need to take more than one -- for instance, a pain medication and another to stop the disease's progress. It's best to start early, to help protect your joints.
system: Is rheumatoid arthritis an immune system disorder?
output: Doctors don't know exactly what causes it. Your doctor may call that lining the âsynoviumâ and the procedure a âsynovectomy.â The operation, which is performed less frequently than in the past because of better medications, can relieve knee pain for up to 5 years.
system: Is regular exercise used to treat rheumatoid arthritis?
output: Your doctor will recommend other treatments first. Your doctor may call that lining the âsynoviumâ and the procedure a âsynovectomy.â The operation, which is performed less frequently than in the past because of better medications, can relieve knee pain for up to 5 years.
system: How does exercise affect blood sugar related to type 2 diabetes?
output: Remember how much exercise does for you, including: Helps your body use insulin, which controls your blood sugar Burns extra body fat Strengthens muscles and bones Lowers blood pressure Cuts LDL (âbadâ) cholesterol Raises HDL (âgoodâ) cholesterol Improves blood flow Makes heart disease and stroke less likely Boosts energy and mood Tames stress When you exercise, your body needs extra energy from blood sugar, also called glucose. When you do something quickly, like a sprint to catch the bus, your muscles and liver release glucose for fuel. The big payoff comes when you do moderate exercise for a longer time, like a hike. Your muscles take up much more glucose when you do that. This helps lower your blood sugar levels. If you're doing intense exercise, your blood sugar levels may rise, temporarily, after you stop.
system: Where should I exercise if I have diabetes?
output: You can lift weights or work with resistance bands. Make it a habit. Work out with someone who knows you have diabetes and knows what to do if your blood sugar gets too low. It's more fun, too. Also wear a medical identification tag, or carry a card that says you have diabetes, just in case.
system: How can I be proactive about kidney disease (diabetic nephropathy) if I have diabetes?
output: If you have diabetes, get your urine tested every year to look for kidney disease. Your doctor should do a creatinine blood test to check how these organs are working. He'll also check your blood pressure regularly. It's key to slowing this disease. Your reading should be less than 130/80.
system: How can you prevent skin problems if you have diabetes?
output: Many people with diabetes will have a skin condition related to it at some time in their lives. The sugar in your blood provides a perfect breeding ground for bacteria and fungi. It also lowers your body's ability to heal itself. Fortunately, most of these problems can be prevented and treated if caught early on. If you have type 2 diabetes and don't take care of yourself, a minor scratch could turn into a serious infection.
system: How can I be proactive about heart disease if I have diabetes?
output: This is one of the most common diabetes complications. In office visits, your doctor may do tests that screen for heart disease to help you prevent serious problems. At every visit, he'll check your blood pressure. He'll probably test your blood for cholesterol level and triglycerides at your first visit. And he should do an EKG as part of a complete medical record. Learn more about your risks for heart disease. Does it run in your family? Do you smoke? Make a prevention plan that includes weight loss, regular exercise, and stress management, as well as keeping your blood pressure, cholesterol, and triglycerides at normal levels.
system: How can I be proactive about nerve damage (diabetic neuropathy) if I have diabetes?
output: Over time, diabetes can cause nerve damage. You might feel numbness, burning, or pain in your hands, feet, or legs. If your skin loses feeling, you may not notice small wounds that could grow to become bigger ones. Check these parts of your body daily for redness, calluses, cracks, or other damage. If you notice any of these symptoms, tell your doctor right away.
system: Does diabetes cause dental problems?
output: The less controlled your blood sugar is, the more likely you'll have problems in your mouth. This is one of the reasons that the disease harms white blood cells, which are your body's main defense against oral infections. Brush, floss and rinse with antiseptic mouthwash each day.
system: How can I be proactive about diabetes-related erectile dysfunction?
output: Sometimes all you need to do is adopt a healthier lifestyle, quit smoking, exercise regularly, and reduce stress. It's important to talk to your doctor about these problems. He can suggest medications or remedies like a vacuum constriction device and other products. For more detail, see Erectile Dysfunction & Diabetes.
system: How can you prevent kidney disease (diabetic nephropathy) if you have diabetes?
output: If you have diabetes, get your urine tested every year to look for kidney disease. Your doctor should do a creatinine blood test to check how these organs are working. He'll also check your blood pressure regularly. It's key to slowing this disease. Your reading should be less than 130/80.
system: How can you prevent erectile dysfunction if you have diabetes?
output: Sometimes all you need to do is adopt a healthier lifestyle, quit smoking, exercise regularly, and reduce stress. It's important to talk to your doctor about these problems. He can suggest medications or remedies like a vacuum constriction device and other products. For more detail, see Erectile Dysfunction & Diabetes.
system: How can you prevent nerve damage (diabetic neuropathy) if you have diabetes?
output: Over time, diabetes can cause nerve damage. You might feel numbness, burning, or pain in your hands, feet, or legs. If your skin loses feeling, you may not notice small wounds that could grow to become bigger ones. Check these parts of your body daily for redness, calluses, cracks, or other damage. If you notice any of these symptoms, tell your doctor right away.
system: How can you prevent eye damage (diabetic retinopathy) if you have diabetes?
output: To protect your vision, see an eye doctor at least once a year. He might dilate your pupils while you're there. People with type 1 diabetes who are older than 10 should start these visits within 3 to 5 years of diagnosis. If you have type 2 diabetes, make an appointment as soon as you're diagnosed. If you have problems, you'll need to go more often. If you get pregnant, schedule a comprehensive exam during the first trimester and a follow-up later in your pregnancy.
system: Can diabetes cause complications?
output: Learn what you can do to prevent these problems. Over time, diabetes can cause nerve damage. If you have problems, you'll need to go more often.
system: Does diabetes cause infections?
output: It also lowers your body's ability to heal itself. High sugar levels in your body's tissues means bacteria grow more easily and infections set in more quickly. Common sites for them are your bladder, kidneys, vagina, gums, feet, and skin. Early treatment can prevent serious complications.
system: How can you prevent heart disease from diabetes?
output: In office visits, your doctor may do tests that screen for heart disease to help you prevent serious problems. At every visit, he'll check your blood pressure. He'll probably test your blood for cholesterol level and triglycerides at your first visit. And he should do an EKG as part of a complete medical record. Learn more about your risks for heart disease. Does it run in your family? Do you smoke? Make a prevention plan that includes weight loss, regular exercise, and stress management, as well as keeping your blood pressure, cholesterol, and triglycerides at normal levels. This is one of the reasons that the disease harms white blood cells, which are your body's main defense against oral infections.
system: What are the symptoms of a stroke?
output: He may refer you to a neurologist or other stroke specialist. If you notice any of these symptoms, tell your doctor right away.
system: Which conditions can cause spotting between periods?
output: A number of things can cause it to happen. These are the most common: Hormone-based birth control. Other health conditions, like hypothyroidism, liver disease, or chronic kidney disease. Fibroids or polyps.
system: Can you prevent separation anxiety disorder?
output: There is no known way to prevent separation anxiety disorder, but recognizing and acting on symptoms when they appear can minimize distress and prevent problems associated with not going to school. In addition, reinforcing a child's independence and self-esteem through support and approval may help prevent future episodes of anxiety.
system: How common is separation anxiety disorder?
output: Separation anxiety affects approximately 4%-5% of children in the U. S. ages 7 to 11 years. It is less common in teenagers, affecting about 1.3% of American teens. It affects boys and girls equally.
system: Can separation anxiety disorder be cured?
output: Most children with separation anxiety disorder get better, although their symptoms may recur for many years, particularly when stressful events or situations occur. When treatment is started early and involves the family as well as the child, the child's chance of recovery improves.
system: What causes separation anxiety disorder?
output: Following are some of the most common symptoms of separation anxiety disorder: An unrealistic and lasting worry that something bad will happen to the parent or caregiver if the child leaves An unrealistic and lasting worry that something bad will happen to the child if he or she leaves the caregiver Refusal to go to school in order to stay with the caregiver Refusal to go to sleep without the caregiver being nearby or to sleep away from home Fear of being alone Nightmares about being separated Bed wetting Complaints of physical symptoms, such as headaches and stomachaches, on school days Repeated temper tantrums or pleading Separation anxiety often develops after a significant stressful or traumatic event in the child's life, such as a stay in the hospital, the death of a loved one or pet, or a change in environment (such as moving to another house or a change of schools). Children whose parents are over-protective may be more prone to separation anxiety. In fact, it may not necessarily be a disease of the child but a manifestation of parental separation anxiety as well -- parent and child can feed the other's anxiety.
system: What are symptoms of separation anxiety disorder?
output: Following are some of the most common symptoms of separation anxiety disorder: An unrealistic and lasting worry that something bad will happen to the parent or caregiver if the child leaves An unrealistic and lasting worry that something bad will happen to the child if he or she leaves the caregiver Refusal to go to school in order to stay with the caregiver Refusal to go to sleep without the caregiver being nearby or to sleep away from home Fear of being alone Nightmares about being separated Bed wetting Complaints of physical symptoms, such as headaches and stomachaches, on school days Repeated temper tantrums or pleading Separation anxiety often develops after a significant stressful or traumatic event in the child's life, such as a stay in the hospital, the death of a loved one or pet, or a change in environment (such as moving to another house or a change of schools).
system: How do you diagnose separation anxiety disorder?
output: If symptoms are present, the doctor will begin an evaluation by performing a complete medical history and physical exam. Although there are no laboratory tests to specifically diagnose separation anxiety disorder, the doctor may use various tests -- such as blood tests and other laboratory measures -- to rule out physical illness or medication side effects as the cause of the symptoms. If no physical illness is found, the child may be referred to a child and adolescent psychiatrist or psychologist, mental health professionals who are specially trained to diagnose and treat mental illness in children and teens. Psychiatrists and psychologists use specially designed interview and assessment tools to evaluate a child for a mental illness. The doctor bases his or her diagnosis on reports of the child's symptoms and his or her observation of the child's attitude and behavior.
system: What is the treatment for separation anxiety disorder?
output: Most mild cases of separation anxiety disorder do not need medical treatment. In more severe cases, or when the child refuses to go to school, treatment may be needed. Medication: Antidepressant or other anti-anxiety medications may be used to treat severe cases of separation anxiety disorder.
system: How is biopsy used to diagnose bile duct cancer?
output: The doctor removes a sample of bile duct cells or tissue and checks them under a microscope to confirm your diagnosis. You may not always get one before surgery. If other tests suggest a bile duct tumor, you may go straight to surgery.
system: Why is a physical exam needed to make a bile duct cancer diagnosis?
output: Symptoms may differ according to the location, but they usually include: Jaundice Pain in your belly or sides Nausea and vomiting Fever Loss of appetite/weight loss Weakness Itching Light-colored stools Dark urine Your doctor will use several methods to figure out if you have bile duct cancer. Physical exam . He'll do a complete medical checkup and ask about your general health, family history of cancer and liver disease, lifestyle, and habits, including drinking alcohol and smoking. He'll also look for symptoms of bile duct cancer, like jaundice, which can appear as a yellowish tint to your skin and eyes.
system: How are liver transplants used to treat bile duct cancer?
output: This is a rare treatment option. It may be hard to get a new liver, but it can cure the cancer. You might benefit from other treatments, too. Ask your doctor about your options.
system: What are my surgical treatment options for bile duct cancer?
output: Bile duct cancer treatment may include a combination of these: Surgery. There are two types. Curative means the surgeon can get all the cancer out. Palliative means the disease is too widespread to be completely removed, but the operation will relieve symptoms or treat complications. The recovery time can last several weeks.
system: Should I expect treatment of bile duct cancer to be successful?
output: The chances of successfully treating this type of cancer depend on its location and how far along it is when you're diagnosed. The bile duct is deep within your body, so unlike other cancers you won't see or feel problems in the early stages. There are no good screening tests, so most cases aren't found until after the tumors are big enough to cause symptoms. Only a small number of bile duct cancers are found early enough to be completely removed by surgery. People with cancers outside the liver fare better than those whose are inside the organ. But if the cancer has spread to other organs, the outcome is about the same. For information and support, visit the American Cancer Society at www.cancer.org.
system: How is surgery used to treat bile duct cancer?
output: There are two types. Curative means the surgeon can get all the cancer out. Palliative means the disease is too widespread to be completely removed, but the operation will relieve symptoms or treat complications. The recovery time can last several weeks.
system: How is a physical exam used to diagnose bile duct cancer?
output: He'll do a complete medical checkup and ask about your general health, family history of cancer and liver disease, lifestyle, and habits, including drinking alcohol and smoking. He'll also look for symptoms of bile duct cancer, like jaundice, which can appear as a yellowish tint to your skin and eyes. He'll check for masses, tenderness, or fluid buildup in your belly.
system: When is chemotherapy used to treat bile duct cancer?
output: This treatment is mostly used before surgery to shrink the tumor and raise the chances that the operation will be successful. It may be used afterward to lower odds that the cancer will return. You can take chemo by mouth or an injection into a vein.
system: What conditions can increase risk for bile duct cancer?
output: A long-term inflammation makes you more likely to get this cancer. Some conditions that can bring this on include: Primary sclerosing cholangitis: This inflammation of the bile duct leads to scarring.
system: Why are blood tests needed to make a bile duct cancer diagnosis?
output: Some make sure your liver is working like it should. Others look for signs of tumors, called markers, that show up when you have bile duct cancer. Your doctor may also check levels of bilirubin, the substance in your blood that causes jaundice.
system: How is cholangioscopy used in the diagnosis of bile duct cancer?
output: These imaging tests check your bile ducts for problems. In ERCP, or endoscopic retrograde cholangiopancreatography, the doctor can look for tumors there. You'll be lightly sedated.
system: Why is an abdominal ultrasound used in the diagnosis of bile duct cancer?
output: Abdominal ultrasound .
system: Who does bile duct cancer affect most often?
output: Bile duct cancer, also called cholangiocarcinoma, affects men slightly more than women. It tends to develop in people who are between 50 and 70.
system: What are symptoms of bile duct cancer?
output: Some other conditions that can make you more likely to get bile duct cancer include: Inflammatory bowel disease (including Crohn's disease and ulcerative colitis) Obesity Diabetes Viral hepatitis Drinking alcohol Cancer can grow in any part of the bile duct. There are three types: intrahepatic (inside the liver), perihilar (where the ducts leave the liver), and distal (closer to the intestine). Symptoms may differ according to the location, but they usually include: Jaundice Pain in your belly or sides Nausea and vomiting Fever Loss of appetite/weight loss Weakness Itching Light-colored stools Dark urine Your doctor will use several methods to figure out if you have bile duct cancer.
system: How is a CT scan or magnetic resonance imaging used to diagnose bile duct cancer?
output: A CT scan is a powerful X-ray that makes detailed pictures inside your body. An MRI uses high-powered magnets to make images of organs and structures inside your body. These show the tumor and pinpoint its size and location in your liver. They also help gauge how healthy the organ is. Your doctor will decide whether you need one or both.
system: What is bile duct cancer?
output: This is a thin tube about 4 to 5 inches long that moves a fluid called bile from your liver and gallbladder to your small intestine. When it gets there, it helps digest fat in the food you eat.
system: How is endoscopy used in the diagnosis of bile duct cancer?
output: It lets your doctor see inside your body without surgery. He can examine your esophagus, stomach, and the beginning of the lower intestine.
system: How is radiation used to treat bile duct cancer?
output: This method uses high-energy rays or particles to kill cancer cells. Your doctor may use it before surgery to shrink the tumor and make the operation easier. After surgery it can kill any cancer cells that remain. If the cancer can't be surgically removed but hasn't spread throughout your body, radiation can help keep the disease under control.
system: How is an ultrasound used to diagnose bile duct cancer?
output: You'll be asleep when the doctor does this test because it requires an incision in your belly.
system: How is stent placement used to treat bile duct cancer?
output: A tube called a stent can go into a blocked duct. It allows bile to drain more easily from the liver to your intestine.
system: What other conditions can make you more likely to get bile duct cancer?
output: Some other conditions that can make you more likely to get bile duct cancer include: Inflammatory bowel disease (including Crohn's disease and ulcerative colitis) Obesity Diabetes Viral hepatitis Drinking alcohol Cancer can grow in any part of the bile duct.
system: Where can you get support if you have bile duct cancer?
output: For some people, treatment can destroy the cancer.