laomobai/llama3-1 huggingface dataset:
system: What are the benefits and risks of hormone replacement therapy?
output: Many studies have looked at the association between hormone replacement therapy and breast cancer. The best evidence for the benefits and risks of hormone replacement therapy come from the Women's Health Initiative ( WHI), a large study involving more than 27,000 post-menopausal healthy women. The results published in July 2002 showed the risks of combined HRT with estrogen plus progestin outweigh the benefits. These risks included an increase in breast cancer, heart disease, stroke, and blood clots. Not only does combined HRT increase the risk of developing breast cancer, but it also increases the chances that the cancer will be discovered at a more advanced stage. This is due to its influence in reducing the effectiveness of mammography by creating denser breast tissue.
system: How does washing your hands prevent sickness?
output: 1: Wash Your Hands There's no mystery about how cold and flu viruses spread. Someone who's sick sneezes in his hand and then touches the telephone, the keyboard, or a kitchen glass. You can pick up the germ when you touch that object, even hours later. So wash your hands often. If you can't get to a sink, rub them with a hand sanitizer that's got alcohol in it.
system: How does primary progressive multiple sclerosis (MS) differ from other types of multiple sclerosis?
output: A few things make it different from other types of MS: People with primary progressive MS are usually older when they're diagnosed -- an average age of 40. Roughly equal numbers of men and women get it. In other types of the disease, women outnumber men 3 to 1. It usually leads to disability earlier than the most common type, relapsing-remitting MS. You may have heard PPMS referred to as progressive relapsing multiple sclerosis ( PRMS), but this terminology is no longer used.
system: What is the outlook for people with relapsing-remitting multiple sclerosis (MS)?
output: Eventually, most people with relapsing-remitting MS will move on to a secondary progressive phase of MS. After living with relapsing-remitting MS for many years, most people will get secondary progressive MS.
system: What are the symptoms of secondary progressive multiple sclerosis (MS)?
output: Eventually, most people with relapsing-remitting MS will move on to a secondary progressive phase of MS. After living with relapsing-remitting MS for many years, most people will get secondary progressive MS. In this type, symptoms begin a steady march without relapses or remissions. ( In this way, it's like primary progressive MS.) The change typically happens between 10 and 20 years after you're diagnosed with relapsing-remitting MS.
system: What causes the shift from relapsing-remitting multiple sclerosis (MS) to secondary progressive multiple sclerosis (MS)?
output: But scientists know a few things about the process: The older a person is when she's first diagnosed, the shorter the time she has before the disease becomes secondary progressive. People who don't fully recover from relapses generally move to secondary progressive MS sooner than those who do. The process of ongoing nerve damage changes. After the transformation, there's less inflammation and more of a slow decline in how well the nerves work.
system: Are there different types of multiple sclerosis?
output: Doctors have identified a few major types of MS. The categories are important, because they help predict how severe the disease can be and how well treatment will work.
system: How effective are treatments for secondary progressive multiple sclerosis (MS)?
output: Secondary progressive MS is tough to treat, and the disease can be hard to handle day to day. Symptoms get worse at a different rate for each person. Treatments work moderately well, but most people will have some trouble using their body like they used to.
system: What is progressive relapsing multiple sclerosis?
output: Most people with multiple sclerosis -- around 85% -- have this type. ( In this way, it's like primary progressive MS.) The change typically happens between 10 and 20 years after you're diagnosed with relapsing-remitting MS. Symptoms get worse at a different rate for each person. In addition, MS treatments don't work as well with this type of MS. About 10% of people with MS have this type. It usually leads to disability earlier than the most common type, relapsing-remitting MS. You may have heard PPMS referred to as progressive relapsing multiple sclerosis ( PRMS), but this terminology is no longer used.
system: Is multiple sclerosis different for everyone?
output: Although nerve damage is always a part of the disease, the pattern is unique for everyone. Symptoms get worse at a different rate for each person.
system: Is secondary-progressive multiple sclerosis hard to treat?
output: Eventually, most people with relapsing-remitting MS will move on to a secondary progressive phase of MS. After living with relapsing-remitting MS for many years, most people will get secondary progressive MS. Symptoms get worse at a different rate for each person. Treatments work moderately well, but most people will have some trouble using their body like they used to.
system: What is relapsing-remitting multiple sclerosis?
output: They usually have their first signs of the disease in their early 20s. After that, they have attacks of symptoms (called relapses) from time to time, followed by weeks, months, or years of recovery (called remissions). The nerves that are affected, how severe attacks are, the degree of recovery, and the time between relapses all vary widely from person to person. Eventually, most people with relapsing-remitting MS will move on to a secondary progressive phase of MS. After living with relapsing-remitting MS for many years, most people will get secondary progressive MS. In addition, MS treatments don't work as well with this type of MS. About 10% of people with MS have this type.
system: What are the warning signs of relapsing-remitting multiple sclerosis (MS)?
output: They usually have their first signs of the disease in their early 20s. After that, they have attacks of symptoms (called relapses) from time to time, followed by weeks, months, or years of recovery (called remissions). The nerves that are affected, how severe attacks are, the degree of recovery, and the time between relapses all vary widely from person to person. In addition, MS treatments don't work as well with this type of MS. About 10% of people with MS have this type.
system: Is wheatgrass safe to take?
output: There isn't really any harm in trying a small amount of wheatgrass from a reputable company. Children, pregnant or nursing women, and anyone who has compromised immunity should avoid it because of the potential for bacteria.
system: What is a multiple sclerosis (MS) hug?
output: If you have multiple sclerosis, an autoimmune disease that affects the brain and spinal cord, you might have felt a band of pain around your torso. It's often called the â MS hug.â Like most MS symptoms, it's different for each person.
system: What are the symptoms of a multiple sclerosis (MS) hug?
output: It's often called the â MS hug.â Like most MS symptoms, it's different for each person. You might feel it right under your rib cage, in your chest, or anywhere between your neck and waistline. It can be: Burning Dull and achy pain Hard to breathe Pain on one side of your body Pressure Sharp pain Tickling Tightness Tingling or pins and needles Vibration It can last a few seconds to a few hours, and in rare cases, a few days. People often say it's like wearing a girdle around the middle of your body. For that reason, you may also hear it called by a number of names, like: Banding Girdle-band Girdling MS girdle You might feel it in your head, hands, or feet instead.
system: How does a multiple sclerosis (MS) hug happen?
output: They hold your rib cage together and help it expand when you move, bend, or breathe. If these muscles have spasms, you feel painful, tightening pressure.
system: What is happening when I feel pain from an MS hug?
output: They hold your rib cage together and help it expand when you move, bend, or breathe. If these muscles have spasms, you feel painful, tightening pressure.
system: What should you do if you have a multiple sclerosis (MS) hug?
output: If you think you're having an MS hug, talk to your neurologist or main doctor right away. The symptoms can seem like those of a heart attack, so it's important to make sure that's not the case and to rule out any other causes of the pressure. Your doctor will most likely give you an MRI to look for other things, like gallbladder problems or lung disease. MS hug can also happen to people with other rib and spinal cord conditions.
system: What does it feel like to have an MS hug?
output: It's often called the â MS hug.â Like most MS symptoms, it's different for each person. You might feel it right under your rib cage, in your chest, or anywhere between your neck and waistline. It can be: Burning Dull and achy pain Hard to breathe Pain on one side of your body Pressure Sharp pain Tickling Tightness Tingling or pins and needles Vibration It can last a few seconds to a few hours, and in rare cases, a few days. People often say it's like wearing a girdle around the middle of your body. For that reason, you may also hear it called by a number of names, like: Banding Girdle-band Girdling MS girdle You might feel it in your head, hands, or feet instead.
system: What is "the MS hug?"
output: If you have multiple sclerosis, an autoimmune disease that affects the brain and spinal cord, you might have felt a band of pain around your torso. It's often called the â MS hug.â Like most MS symptoms, it's different for each person.
system: What is the treatment for a multiple sclerosis (MS) hug?
output: If you think you're having an MS hug, talk to your neurologist or main doctor right away. The symptoms can seem like those of a heart attack, so it's important to make sure that's not the case and to rule out any other causes of the pressure. You can try these things at home: Apply a warm compress. ( Be careful: Heat might make your pain worse.) Drink plenty of water. Eat healthy food. Get a massage. Stay rested. Wear loose, comfortable clothing.
system: What things can I try to treat an MS hug?
output: You can try these things at home: Apply a warm compress. ( Be careful: Heat might make your pain worse.) Drink plenty of water. Eat healthy food. Get a massage. Stay rested. Wear loose, comfortable clothing.
system: What are symptoms of mononucleosis in teens?
output: What mono feels like: It's easy to mistake mono for the flu at first. Symptoms include fever, sore throat, body aches, fatigue, and swollen lymph nodes. If you have flu symptoms that don't seem to be going away, talk to your doctor.
system: What are athlete's foot and jock itch in teens?
output: What they feel like: Athlete's foot causes itchy, cracking sores between the toes and sometimes on the soles of the feet. Jock itch causes similar itchy, cracking sores in the groin. The sores may weep and smell nasty. Athlete's foot can also cause redness on the bottom and sides of the foot. This form is called moccasin athlete's foot.
system: What does strep throat feel like for a teen?
output: What strep throat feels like: Strep throat feels like a really bad sore throat. Your teen may notice that her tonsils are inflamed. She may also see yellow or white patches at the back of her throat. Strep often causes a fever.
system: What should I do if my teen has strep throat?
output: What to do: If you think your teen may have strep, call your doctor. Strep throat needs to be treated with antibiotics. Otherwise, it can lead to serious problems. Gargling with salt water or sucking on throat lozenges will help ease the pain. Acetaminophen or ibuprofen will reduce a fever.
system: Where did my teen pick up Athlete's foot and jock itch?
output: Your teen can try to protect himself by avoiding kissing if he suspects someone is sick.
system: What helps manage athlete's foot and jock itch in teens?
output: What to do: Use an over-the-counter antifungal cream, spray, or powder to get rid of athlete's foot or jock itch. If that's not enough to get rid of the symptoms, talk to your doctor about prescription-strength medication. To prevent getting athlete's foot or jock itch again, tell your teen to wash and carefully dry his feet and groin area after showering. Change socks and underwear every day. Alternate wearing different pairs of shoes to allow the insides to fully dry out. Dust the insides of socks and shoes with medicated foot powder.
system: What causes mononucleosis in teens?
output: Mono shows up most often between the ages of 10 and 19. The culprit is herpes simplex virus, which spreads through kissing or close contact.
system: Can you live with essential tremor nerve disorder?
output: Essential Tremor is not a life-threatening disorder, unless it prevents a patient from caring for him/herself. Most people are able to live normal lives with this condition -- although they may find everyday activities like eating, dressing, or writing difficult, which leads them to withdraw socially. But it is only when the tremors become severe that they actually cause disability.
system: What does essential tremor nerve disorder (ET) affect?
output: Essential Tremor, sometimes referred to as ET, is a nerve disorder characterized by uncontrollable shaking -- or "tremors" -- in different parts and on different sides of the body. Areas affected often include the hands, arms, head, larynx, or voice box (making the voice sound shaky), tongue, chin, and other areas. The lower body is rarely affected.
system: If I have tremors, does that mean I have essential tremor nerve disorder?
output: The term "tremor" is used to describe the uncontrollable shaking associated with ET, but that's a symptom that can be caused by a multitude of different factors and diseases -- including Parkinson's disease, multiple sclerosis, fatigue after exercise, extreme emotional distress, brain tumors, some prescription drugs, metabolic abnormalities, and alcohol or drug withdrawal.
system: How are tremors in essential tremor classified?
output: A person is not moving (rest tremor). A person attempts to maintain posture against gravity (postural tremor), as in holding arms out in front of his/her body. Tremor lessens with rest.
system: What are the symptoms that are more unique to essential tremor?
output: Tremors that worsen during periods of emotional stress. Tremors are the only symptom, although rarely a person with essential tremor may suffer from balance problems.
system: What other magnesium tests are available?
output: There are other tests. Some of them: Test how much magnesium you get rid of in your pee. Test the level of magnesium in your red blood cells ( RBC). Test the magnesium in your cells, not in your blood. This test is known as an â EXA Test,â and is done through a sample of your mouth cells. It is not easy to get this test because it is not commonly known and it is very expensive. Add magnesium to your blood, then see how much goes into your urine.
system: Who usually gets high levels of magnesium?
output: High levels of magnesium are much less common than low levels. This happens to people who have damaged kidneys, or take certain drugs. It is a serious problem that can cause your heart to stop.
system: How can I tell if I have low magnesium levels?
output: Some people don't get enough magnesium. If you're basically healthy, you probably wouldn't have symptoms from low magnesium unless it went on for a long time. Your doctor may want to test your magnesium level. This is important because too much or too little can make both adults and children sick.
system: What could it mean to have low magnesium levels?
output: This happens to people who have damaged kidneys, or take certain drugs. It can also be a sign of diabetes, thyroid trouble, a problem with your pregnancy, or other health issues.
system: How do blood tests measure magnesium levels?
output: A nurse or other health worker will clean your skin, insert a needle into a vein in your arm or hand, and take a sample of blood. It should feel like a pinprick, but not much more. Afterward, the nurse will take the needle out and may cover the area with a bandage in case it bleeds a little. Within a few days, the doctor will look at the test results and should talk to you about what they mean. Low levels might mean you don't get enough magnesium in your diet and need to take extra. Some experts don't think a blood test is the best way to find out your magnesium level. This can make it seem like you have more magnesium in your body than you really have if you simply have a blood test.
system: When do I need other magnesium tests?
output: A blood test is the most common way to find out your magnesium level. This can make it seem like you have more magnesium in your body than you really have if you simply have a blood test. Test the magnesium in your cells, not in your blood.
system: What should I know about magnesium?
output: Some of these are peanut butter, nuts, spinach, beans, whole grains, bananas, milk, and salmon. It's added to some breakfast cereals, bottled water, and other foods that you can buy. If you're basically healthy, you probably wouldn't have symptoms from low magnesium unless it went on for a long time. That's because much of the magnesium in your body is stored in your bones and other places, not in the blood.
system: How can low magnesium levels affect your body?
output: It can also lead to low levels of other important minerals like calcium and potassium. This can make it seem like you have more magnesium in your body than you really have if you simply have a blood test.
system: What are some tips to help you choose the right treatment for breast cancer?
output: Talk with your doctor about all the risks and benefits of each treatment option and how they will affect your lifestyle. Think about joining a support group. Other people with breast cancer know what you're going through and can give you advice and understanding. They might help you decide on a treatment, too. Ask your doctor if you should join a clinical trial, a research study that tests new treatments before they're available to everyone.
system: What are the types of breast cancer treatment?
output: Some treatments remove or destroy the disease within the breast and nearby tissues, such as lymph nodes. These include: Surgery to remove the whole breast, called a mastectomy, or to remove just the tumor and tissues around it, called a lumpectomy or breast-conserving surgery. There are different types of mastectomies and lumpectomies. Radiation therapy, which uses high-energy waves to kill cancer cells.
system: How do you know which breast cancer treatment to choose?
output: No matter which ones you choose, all breast cancer treatments have two main goals: To rid the body of as much of the cancer as possible To prevent the disease from coming back Your doctor will think about a few things before she recommends a treatment for you: The type of breast cancer you have The size of your tumor and how far the cancer has spread in your body, called the stage of your disease If your tumor has things called "receptors" for HER2 protein, estrogen, and progesterone, or other specific features. Your age, if you've gone through menopause, other health conditions you have, and your personal preferences also play a role in this decision-making process.
system: How can I protect my skin from psoriasis outbreaks?
output: Skin damage is a known trigger for psoriasis flares. Scratches, scrapes, cuts, and burns all can set you up for a psoriasis outbreak on the area of damaged skin. Below are tips for preventing skin damage and psoriasis outbreaks: Keep your skin moist. Dry skin is more prone to injury. Wear protective clothing when doing yard work or household chores. Treat itching with lotions and creams -- scratching feels good at first, but it damages skin. Consider skipping a day between shaves, changing razors frequently, or using an electric razor, if facial psoriasis is a problem.
system: Are there proven triggers for psoriasis?
output: But many people with psoriasis feel a connection between certain activities or exposures and their psoriasis outbreaks.
system: What are some possible triggers of psoriasis?
output: Although these psoriasis triggers aren't all proven, individual people have found triggers they feel spark their own psoriasis outbreaks: Emotional stress Medications, including beta-blockers, anti-malaria drugs, NSAIDs such as ibuprofen, and lithium Winter climates Shaving or any injury to your skin such as from vaccinations, scratches, or sunburns Caffeine Alcohol Infection (strep throat) Smoking Fatty meats Write down any associations you can think of.
system: When should I talk to my doctor about my psoriasis outbreaks?
output: Once you have a handle on what causes your psoriasis to flare, it's time to talk to your doctor. There may not be time to go through every detail in a short visit, so the most important information is your response to psoriasis treatment. Have you applied topical therapies and taken other drugs consistently? Your treatment log will let you answer with certainty. Are there associations between your other medications and your psoriasis outbreaks? Discuss any possible psoriasis triggers with your doctor. Are your psoriasis treatments working? Your drawings or photographs over time will show the details that memory alone can't.
system: How can I track patterns with my psoriasis?
output: Using either a digital camera or smartphone - or for the more artistically inclined, a piece of paper - record changes in the psoriasis plaques on your body to see where and how much skin is affected by flares. Keep at it each week, and make notes about events such as doctor visits and new treatment to see patterns over time.
system: How can I track my psoriasis triggers?
output: Although these psoriasis triggers aren't all proven, individual people have found triggers they feel spark their own psoriasis outbreaks: Emotional stress Medications, including beta-blockers, anti-malaria drugs, NSAIDs such as ibuprofen, and lithium Winter climates Shaving or any injury to your skin such as from vaccinations, scratches, or sunburns Caffeine Alcohol Infection (strep throat) Smoking Fatty meats Write down any associations you can think of. Over time, looking back through your records may reveal patterns that help identify your own triggers for psoriasis outbreaks.
system: How can I tell what triggers my psoriasis?
output: Any time there is a change in your psoriasis -- for better or worse -- look for associations. Did the weather change? Was your skin recently injured? Did you run out of a psoriasis medicine? Did you start taking a new medicine? Are there associations between your other medications and your psoriasis outbreaks?
system: Can medications cause indigestion?
output: An individual's risk increases with: Excess alcohol consumption Use of drugs that may irritate the stomach, such as aspirin and other pain relievers Conditions where there is an abnormality in the digestive tract, such as an ulcer Emotional problems, such as anxiety or depression Indigestion has many causes, including: Diseases: Ulcers GERD Stomach cancer (rare) Gastroparesis (a condition where the stomach doesn't empty properly; this often occurs in people with diabetes) Stomach infections Irritable bowel syndrome Chronic pancreatitis Thyroid disease Pregnancy Medications: Aspirin and other painkillers, such as NSAIDs like ibuprofen ( Motrin, Advil), and naproxen ( Naprosyn) Estrogen and oral contraceptives Steroid medications Certain antibiotics Thyroid medicines Lifestyle: Eating too much, eating too fast, eating high-fat foods, or eating during stressful situations Drinking too much alcohol Cigarette smoking Stress and fatigue Indigestion is not caused by excess stomach acid.
system: What are the symptoms of GERD?
output: The symptoms of indigestion can include: Burning in the stomach or upper abdomen Abdominal pain Bloating (full feeling) Belching and gas Nausea and vomiting Acidic taste Growling stomach These symptoms may increase in times of stress.