laomobai/llama3-1 huggingface dataset:
system: What causes motor neuropathy (MMN)?
output: Multifocal motor neuropathy ( MMN) is a disease that affects your body's motor nerves. No one knows what causes MMN. Scientists do know it's an autoimmune disease, meaning your immune system mistakenly attacks your nerve cells as if they were invaders. Researchers are studying the disease to try to find out why it happens.
system: What should I expect if I have multifocal motor neuropathy (MMN)?
output: Multifocal motor neuropathy ( MMN) is a disease that affects your body's motor nerves. If you get treatment for MMN early, you're more likely to have few symptoms or long-term problems. If you have trouble with certain activities, you may want to see an occupational or physical therapist. They can help you keep your muscles strong and show you how to do daily tasks more easily if your muscles are bothering you. Many people with MMN can continue most or at least some of their normal activities. If your hand muscles are weak, you may have trouble eating, typing, writing, or buttoning clothes. If your leg muscles are affected, you could have trouble walking. Some people with severe MMN have trouble in all these areas.
system: How is phototherapy used to treat palmoplantar pustulosis (PPP)?
output: This treatment uses medication along with ultraviolet light to slow down skin growth and help with symptoms for long periods of time.
system: Who gets palmoplantar pustulosis (PPP)?
output: Any adult can get the condition. But more women have it than men, and it's most often found in people between 40 and 60.
system: Who can get palmoplantar pustulosis (PPP)?
output: But more women have it than men, and it's most often found in people between 40 and 60. As many as 24% of people with PPP also have psoriasis. Psoriasis happens when skin cells build up rapidly with thick, silvery scales and itchy, dry, red patches.
system: What causes palmoplantar pustulosis (PPP)?
output: The cause is unclear, but there's a known link between PPP and smoking. Studies show that up to 90% of people with the skin condition smoke or once did. Nicotine in tobacco products can affect your skin cells and cause inflammation in your sweat glands, especially on your hands and feet. If you stop smoking, your symptoms may get better.
system: What can you do to manage palmoplantar pustulosis (PPP)?
output: Here are some tips to help you feel better: If you smoke, stop. Don't use bubble bath or shower gel. Do use a soap with moisturizer. Protect your skin. Wear vinyl gloves when you work with water, use household cleaners, or work in your garden. Wear 100% cotton socks, and avoid shoes made from man-made products. Be careful. Any injuries, even minor ones, can be hard on your skin. If you have an injury, use waterproof bandages. Keep the affected areas clean. Rest your hands and feet often.
system: How are topical steroids used to treat palmoplantar pustulosis (PPP)?
output: These creams, used with a sterile bandage or vinyl dressing, are anti-inflammatory treatments. They can help with inflammation, swelling, tenderness, and pain.
system: Is there a link beteween palmoplantar pustolisis and smoking?
output: The cause is unclear, but there's a known link between PPP and smoking. Studies show that up to 90% of people with the skin condition smoke or once did. Nicotine in tobacco products can affect your skin cells and cause inflammation in your sweat glands, especially on your hands and feet. If you stop smoking, your symptoms may get better.
system: What things can I do to treat palmoplantar pustulosis (PPP)?
output: Here are some tips to help you feel better: If you smoke, stop. Don't use bubble bath or shower gel. Do use a soap with moisturizer. Protect your skin. Wear vinyl gloves when you work with water, use household cleaners, or work in your garden. Wear 100% cotton socks, and avoid shoes made from man-made products. Be careful. Any injuries, even minor ones, can be hard on your skin. If you have an injury, use waterproof bandages. Keep the affected areas clean. Rest your hands and feet often.
system: How is palmoplantar pustulosis (PPP) diagnosed?
output: To see if you have PPP, your doctor will check your skin. Most often, they'll take a painless scrape or swab of the area. Sometimes, they'll need to remove a small piece of skin to confirm PPP. The area will be numbed, and you may need a few stitches afterward. Your doctor will look at the tissue under a microscope to see if you have PPP.
system: How are acitretin tablets used to treat palmoplantar pustulosis (PPP)?
output: Made from , these can help you manage PPP. But acitretin can have strong side effects, so it's not for everyone. Women who are pregnant or may become pregnant shouldn't use it. Men who want to have children should talk to their doctor before taking it.
system: Is there a link between palmoplantar pustulosis (PPP) and psoriasis?
output: As many as 24% of people with PPP also have psoriasis. Psoriasis happens when skin cells build up rapidly with thick, silvery scales and itchy, dry, red patches.
system: What are the treatments for palmoplantar pustulosis (PPP)?
output: The blisters and sores can make it hard for you to walk comfortably or to use your hands without pain. Though nothing will cure PPP, treatment can help. Yours may include: Topical steroids . These creams, used with a sterile bandage or vinyl dressing, are anti-inflammatory treatments. They can help with inflammation, swelling, tenderness, and pain. Coal tar also slows the production of your skin cells and helps shed cells so your skin doesn't become thick. Acitretin tablets. Made from , these can help you manage PPP. But acitretin can have strong side effects, so it's not for everyone. Women who are pregnant or may become pregnant shouldn't use it. Men who want to have children should talk to their doctor before taking it. Photo therapy or PUVA. This treatment uses medication along with ultraviolet light to slow down skin growth and help with symptoms for long periods of time.
system: What should I do if I have blisters or cracks on the palms of my hands or soles of my feet?
output: Palmoplantar pustulosis is an autoimmune disorder that causes blister-like sores to show up on the palms of your hands and the soles of your feet. To see if you have PPP, your doctor will check your skin.
system: What is palmoplantar pustulosis (PPP)?
output: Palmoplantar pustulosis is an autoimmune disorder that causes blister-like sores to show up on the palms of your hands and the soles of your feet. Sometimes it comes back. But it could go away and never return. To see if you have PPP, your doctor will check your skin.
system: Which adults should get the MMR vaccine?
output: The CDC says most adults born in 1957 or later should get at least one dose of the MMR vaccine. Because of the risk of birth defects, all women of childbearing age should have the MMR vaccine unless they're pregnant or have proof of immunity, or proof of already being vaccinated for rubella.
system: Should someone ever get more than one dose of the MMR vaccine?
output: The CDC says adults at greater risk of measles or mumps should get two doses of MMR vaccine, the second one 4 weeks after the first. This includes adults who: Have been exposed to measles or mumps or live in an area where an outbreak has happened Are students in colleges or trade schools Travel internationally Work in health care For measles, the CDC advises a second dose for adults who: Were previously given a vaccine made with "killed" measles (instead of the live-type of vaccine used today) Were given an MMR vaccine between 1963 and 1967, but there's no record of what type.
system: What's in the MMR vaccine?
output: Adults should talk with their doctor if they: Have HIV Have any other immune system disorder Have cancer or are being given cancer drugs or X-rays Are taking steroids or other drugs that affect the immune system Have had a low platelet count (a blood disorder) Have had a blood transfusion or took blood products Have a moderate or severe illness As with many vaccines, the MMR vaccine works with the immune system to build up protection by putting a small amount of the virus into the body. The safest and most effective ingredients in the MMR vaccine used today include "attenuated" forms of each virus, which means they're live forms of the virus that have been made weak in medical labs.
system: What side effects can the MMR vaccine cause?
output: A few people develop a short-term mild rash, fever, swollen glands, or pain and stiffness in the joints after getting the shot. More serious, and rare, side effects include a temporary low platelet count or serious allergic reaction. Call your doctor if you have trouble breathing, dizziness, rapid heartbeat, hives, weakness, or other problems after vaccination.
system: Who should avoid the MMR vaccine?
output: Adults who have had a life-threatening allergic reaction to gelatin, a previous MMR vaccine, or a medication called neomycin should not get the vaccine. Medical conditions. Adults should talk with their doctor if they: Have HIV Have any other immune system disorder Have cancer or are being given cancer drugs or X-rays Are taking steroids or other drugs that affect the immune system Have had a low platelet count (a blood disorder) Have had a blood transfusion or took blood products Have a moderate or severe illness As with many vaccines, the MMR vaccine works with the immune system to build up protection by putting a small amount of the virus into the body.
system: Which diseases are covered by the MMR  vaccine?
output: The MMR vaccine protects against measles, mumps, and rubella ( German measles). They can pass from person to person through coughing, sneezing, or just breathing. Because of the risk of birth defects, all women of childbearing age should have the MMR vaccine unless they're pregnant or have proof of immunity, or proof of already being vaccinated for rubella.
system: Who does not need to get the MMR vaccine?
output: The CDC advises most adults born in 1957 or afterward who can't show that they've had all 3 diseases get an MMR vaccine, whether they had one as a child or not. Because of the risk of birth defects, all women of childbearing age should have the MMR vaccine unless they're pregnant or have proof of immunity, or proof of already being vaccinated for rubella.
system: Why do adults need the MMR vaccine?
output: And not everyone gets vaccinated as a child. Many adults move to the U. S. from countries without immunization programs. World travel increases the chances of these diseases spreading. Rubella ( German measles).
system: Do spermicides help prevent HIV and other STDs?
output: This can make it easier for you to get HIV and other STDs. If your penis or vagina gets irritated, stop using the spermicide and see your doctor. Other than not having sex, condoms are the best way to prevent STDs.
system: What are spermicides?
output: Spermicide is a chemical that prevents pregnancy by killing sperm so they can't fertilize an egg. The only spermicide available in the U. S. is nonoxynol-9 ( N-9).
system: How effective are spermicides?
output: Spermicide used alone is about 70% to 80% effective, but when used together and properly, spermicide and condoms are about 97% effective in preventing pregnancy.
system: What is birth control?
output: Some condoms have spermicide. Other than not having sex, condoms are the best way to prevent STDs.
system: What causes skier's thumb?
output: A fall on an outstretched hand with a ski pole in the palm of your hand creates the force necessary to stress the thumb and stretch or tear the ligament. A simple fall on an outstretched hand with an empty palm usually does not create this same force. However, your thumb can also be injured if it jams into packed snow at high velocity. Another less common cause of this injury is an automobile crash when the driver has the thumb alone draped over the steering wheel.
system: What is the surgery for skier's thumb?
output: If you elect to have surgery, then operative exploration and ligament repair using something called a "suture anchor" will most likely be performed. After the operation, your hand may be placed in a lightweight cast to hold your thumb still while your ligament heals. You will have to remain in this cast for some time based on your orthopedic surgeon's preferences, although some surgeons now advocate early gentle motion. If you have an associated fracture with your skier's thumb, then it may be treated with a modified cast. Surgical stabilization of the fracture might be needed if a piece of bone has broken off.
system: What are symptoms of skier's thumb?
output: These symptoms may occur minutes to hours after the fall that created the injury: Pain at the base of the thumb in the web space between thumb and index finger Swelling of your thumb Inability to grasp or weakness of grasp between your thumb and index finger Tenderness to the touch along the index finger side of your thumb Blue or black discoloration of the skin over the thumb Thumb pain that worsens with movement in any or all directions Pain in the wrist (which may be referred pain from your thumb) If you experience any of the symptoms of skier's thumb following an injury, call your doctor as soon as possible.
system: Should I see a doctor about skier's thumb?
output: Follow your doctor's instructions about special home care considerations and find out when your thumb can be checked. If you determine that skier's thumb is possible, considering the way your accident happened, then you should be taken by car to a hospital's emergency department. There is no need to go by ambulance unless that is your only means of transportation or there is another more serious injury associated with the accident. ( You should see your doctor as soon as possible after the injury and then follow a doctor's directions for ice therapy.)
system: Are there home treatments for skier's thumb?
output: How soon after the injury did the pain and swelling begin? Apply ice to the thumb for 35 minutes at a time, up to 4 times per day. Do not apply ice directly to your skin. Continue to use ice until the pain stops. ( You should see your doctor as soon as possible after the injury and then follow a doctor's directions for ice therapy.) Take acetaminophen for pain relief or ibuprofen for anti-inflammatory action.
system: How can I prevent getting skier's thumb?
output: If you determine that skier's thumb is possible, considering the way your accident happened, then you should be taken by car to a hospital's emergency department. Skiers should be taught to consciously discard the ski pole during all falls. Falling onto an outstretched hand while skiing without the ski pole in hand should minimize the chance of injury.
system: How is skier's thumb treated?
output: If the doctor determines that you have a skier's thumb, then referral to an orthopedic or hand surgeon will be the next step. Typically, partial injuries to the ligament are immobilized for several weeks, while complete rupture of the ligament usually requires surgical repair. The doctor will decide if you need to continue to immobilize your thumb or if you need physical therapy to regain movement in it.
system: How can human immunodeficiency virus (HIV) affect tuberculosis?
output: When your immune system is weak, TB germs can multiply and cause symptoms. Someone infected with both HIV and TB is at least 10 times more likely to develop active TB, especially when their CD4 count is under 200. Regardless of your CD4 count, having both infections also means you have AIDS, the advanced stage of HIV. Worldwide, TB is a leading cause of death for people with HIV.
system: How do drugs for human immunodeficiency virus (HIV) and tuberculosis (TB) interact?
output: To treat active tuberculosis, you'll take a combination of drugs for several months that commonly include: Ethambutol, or EMB ( Myambutol) Isoniazid, or INH ( Nydrazid) Pyrazinamide, or PZA ( Tebrazid) Rifampin, or RIF ( Rifadin) Drugs for HIV and for TB don't always work well together. Your doctor will decide which combination of medications will be best for you. If you have active TB, your TB must be treated immediately. If you are already on ART, your doctor may have to adjust your HIV drugs. If you are not already on ART, your doctor will decide how soon you should start ART.
system: What are some other symptoms someone with migraines may feel?
output: There are still more ways you might feel when you get a migraine. Some things to watch out for: Increased appetite Sweating or cold hands Pale facial color Drowsiness or depression Restlessness Sense of well-being Surge of energy Excessive yawning No matter how you feel, it's a good idea to keep a diary of your symptoms. Take it with you when you see your doctor so you can give him an accurate update on what's been going on. It will help him make the right diagnosis and put you on the road to relief.
system: What should I do if my prescribed medications are not treating my atrial fibrillation (AFib)?
output: Continue Reading Below Medicines are one option for treating AFib. If they don't work or you can't live with the side effects, you do have other choices, including surgery. Discuss all of your options with your doctor.
system: If I am treating atrial fibrillation (AFib), will I need to take blood-thinning medicine before starting a heart rhythm medicine?
output: You might need to take a blood-thinning medicine for a few weeks before you start on one of these drugs to prevent a clot.
system: What other blood pressure medications are used to treat atrial fibrillation (AFib)?
output: These are another type of blood pressure medicine. They relax blood vessels in your heart and slow your heart rate. Examples are: Diltiazem ( Cardizem, Dilacor) Verapamil ( Calan, Calan SR, Covera- HS, Isoptin SR, Verelan) Some of the possible side effects of calcium channel blockers: Feeling tired Red skin Swelling of the belly, ankles, or feet Heartburn Precautions: Skip grapefruits and grapefruit juice if you're taking calcium channel blockers.
system: How can I be prescribed heart rhythm medications to treat my atrial fibrillation (AFib)?
output: Options include: Sodium channel blockers, which slow your heart's ability to conduct electricity: Flecainide ( Tambocor) Propafenone ( Rythmol) Quinidine Potassium channel blockers, which slow the electrical signals that cause AFib: Amiodarone ( Cordarone, Nexterone, Pacerone), Dofetilide ( Tikosyn) Sotalol ( Betapace, Sorine, Sotylize) You'll get this type of treatment in a hospital or at your doctor's office. Your doctor will watch your heart rhythm during treatment to see how well the medicine is working.
system: I am treating my atrial fibrillation (AFib), what are my options for heart rhythm medications?
output: Your doctor might recommend one of these medicines if rate control drugs alone haven't helped you. Heart rhythm medications work best if you just recently started having AFib. Options include: Sodium channel blockers, which slow your heart's ability to conduct electricity: Flecainide ( Tambocor) Propafenone ( Rythmol) Quinidine Potassium channel blockers, which slow the electrical signals that cause AFib: Amiodarone ( Cordarone, Nexterone, Pacerone), Dofetilide ( Tikosyn) Sotalol ( Betapace, Sorine, Sotylize) You'll get this type of treatment in a hospital or at your doctor's office.
system: I am treating atrial fibrillation (AFib), can blood thinning medications increase my chances of bleeding?
output: Some examples of these drugs are: Apixaban ( Eliquis) Aspirin Clopidogrel ( Plavix) Dabigatran ( Pradaxa) Enoxaparin ( Lovenox) Heparin Rivaroxaban ( Xarelto) Warfarin ( Coumadin, Jantoven) All of these medicines can raise your chances of bleeding. Be very careful when you play sports or do activities that could cause you to injure yourself and bleed.
system: What are my options of blood thinning medicines to treat my atrial fibrillation (AFib)?
output: Blood-thinning medicines help prevent blood clots. They can lower your chances of a stroke by 50% to 70%. Some examples of these drugs are: Apixaban ( Eliquis) Aspirin Clopidogrel ( Plavix) Dabigatran ( Pradaxa) Enoxaparin ( Lovenox) Heparin Rivaroxaban ( Xarelto) Warfarin ( Coumadin, Jantoven) All of these medicines can raise your chances of bleeding.
system: Is blood pressure medication used to treat atrial fibrillation (AFib)?
output: One group of AFib medications alters the electrical signals in your heart to slow your heart rate. These medicines don't fix the abnormal heart rhythm, but they can help you feel better. Beta-blockers are a type of blood pressure medicine. Some of them are: Atenolol ( Tenormin) Bisoprolol ( Zebeta, Ziac) Carvedilol ( Coreg) Metoprolol ( Lopressor, Toprol) Propranolol ( Inderal, Innopran) Timolol ( Betimol, Istalol) Side effects of beta-blockers can include: Feeling tired Cold hands and feet Weakness and dizziness Dry mouth, eyes, and skin Precautions: Beta-blockers don't work for everyone: Don't take them if you have asthma.
system: What are the side effects of calcium channel blockers when treating atrial fibrillation (AFib)?
output: Examples are: Diltiazem ( Cardizem, Dilacor) Verapamil ( Calan, Calan SR, Covera- HS, Isoptin SR, Verelan) Some of the possible side effects of calcium channel blockers: Feeling tired Red skin Swelling of the belly, ankles, or feet Heartburn Precautions: Skip grapefruits and grapefruit juice if you're taking calcium channel blockers.
system: What are the side effects of digoxin (Digox, Lanoxin) when treating atrial fibrillation (AFib)?
output: Slow your heart rate . Side effects include: Nausea and vomiting Diarrhea Stomach pain Appetite loss Slow or fast heartbeat Confusion These medications control your heart rhythm by slowing the electrical signals through your heart.
system: How can an inhaler help me quit smoking?
output: Inhaler : Just like the asthma treatment, you place this cartridge into your mouth and breathe in a puff of nicotine. It's by prescription only, and you'll use it for about 12 weeks.
system: How can nicotine replacement products help when you quit smoking?
output: Nicotine Replacement Products These slowly break your addiction with controlled doses of nicotine. They let you manage your cravings and provide some relief from withdrawal symptoms. The doses get lower and lower as you take them, so you get used to less and less nicotine before you stop altogether. You may have up to a 70% greater chance of quitting if you use one of these products. If you're pregnant or breastfeeding, check with your doctor before you start.
system: How can bupropion (Zyban) help when you quit smoking?
output: Bupropion is an antidepressant that lowers your desire to smoke. You're most likely to get it if varenicline doesn't work or if there's a reason you can't take it. Don't take it with nicotine products unless your doctor tells you to. Common side effects are insomnia, nightmares, and a dry mouth.
system: How can counseling help me quit smoking?
output: Other Methods Counseling : You can use it as your main method or a support tool. Brief sessions, even as short as 3 minutes, have been shown to help. Programs differ, but in general, they help you pick a quit date, give you techniques to make the change, and teach you how to manage the process and prevent a relapse. Many hospitals and clinics offer solo and group sessions with counselors for free or at a low cost. If that isn't an option, every state has a quit-smoking hotline you can call.
system: How can nicotine lozenges help me quit smoking?
output: Lozenge: You take these OTC capsules after meals. They dissolve in your mouth. Your dose depends on how much you smoke. Treatment should take 12 weeks.
system: How can hypnosis help me quit smoking?
output: Hypnosis: A trained hypnotherapist will place you into trance-like state. He'll then make suggestions that will help you get rid of the urge to smoke. Doctors still don't know how effective this method is or if it works at all. Some studies say that it works better than using nicotine products, while others say there's no benefit.