laomobai/llama3-1 huggingface dataset:
system: Can NSAIDs be used to treat psoriatic arthritis?
output: They're painkillers that ease joint pain and swelling from psoriatic arthritis. But they also can trigger psoriasis flare-ups. Naproxen ( Aleve) and indomethacin ( Tivorbex) are NSAIDs that have been linked to the skin condition. Others also might cause problems. If you have trouble with NSAIDs, ask your doctor if you can try a different kind of pain reliever, such as acetaminophen ( Tylenol).
system: How can mental health medicines cause your psoriasis to be worse?
output: Some drugs that treat mental health issues like depression or bipolar disorder can make your psoriasis worse. They include fluoxetine ( Prozac, Sarafem) and lithium. A few medications that treat anxiety, panic disorders, and sleep problems may affect your skin condition, too: Alprazolam ( Niravam, Xanax) Clonazepam ( Klonopin) Diazepam ( Valium) Your doctor may lower the dose of these medicines to see if that helps. You might, though, need to switch to something else.
system: What blood pressure medicines can make psoriasis worse?
output: If you have heart disease or a heart rhythm problem, you might take a medicine that's been linked to psoriasis flares. These drugs include: Amiodarone Digoxin ( Lanoxicaps, Lanoxin) Gemfibrozil ( Lopid) Quinidine Talk with your doctor if you take one of these meds.
system: What other medicines could trigger a flare?
output: A few other drugs to discuss with your doctor include: Antibiotics like tetracycline. They're often used to treat infections like pneumonia. Drugs called interferons. They help your body fight off viruses like hepatitis C. Terbinafine ( Lamisil, Terbinex). This medicine treats infections caused by a fungus such as toenail fungus.
system: How can antimalarial drugs cause your psoriasis to be worse?
output: If your plans include travel to southern Africa or another part of the world where malaria is common, you might need medicine to protect yourself against the mosquito-borne disease. But be aware. If you have psoriasis, chloroquine ( Aralen) and hydroxychloroquine ( Plaquenil) can cause problems.
system: How can blood pressure meds cause your psoriasis to be worse?
output: If that happens, your doctor may suggest other treatments that don't cause flare-ups to manage your health problems. If you have heart disease or a heart rhythm problem, you might take a medicine that's been linked to psoriasis flares.
system: What drugs that treat heart conditions can make psoriasis worse?
output: If you have trouble with NSAIDs, ask your doctor if you can try a different kind of pain reliever, such as acetaminophen ( Tylenol). These drugs include: Amiodarone Digoxin ( Lanoxicaps, Lanoxin) Gemfibrozil ( Lopid) Quinidine Talk with your doctor if you take one of these meds. If your plans include travel to southern Africa or another part of the world where malaria is common, you might need medicine to protect yourself against the mosquito-borne disease.
system: How can heart drugs cause your psoriasis to get worse?
output: If you have trouble with NSAIDs, ask your doctor if you can try a different kind of pain reliever, such as acetaminophen ( Tylenol). If you have heart disease or a heart rhythm problem, you might take a medicine that's been linked to psoriasis flares. These drugs include: Amiodarone Digoxin ( Lanoxicaps, Lanoxin) Gemfibrozil ( Lopid) Quinidine Talk with your doctor if you take one of these meds.
system: What causes ocular migraines?
output: It tends to: Affect one side of your head Feel moderately or very painful Throb or pulsate Feel worse when you move around Other symptoms include: Nausea Vomiting Being sensitive to light or sound Experts aren't sure what causes ocular migraine. Some feel that the problem is linked to: Spasms in blood vessels in the retina, the lining in the back of the eye Changes that spread across the nerve cells in the retina It's rare, but people who have these types of migraine may have a higher risk of permanent vision loss in one eye.
system: How do you know if your headache is a sign of an ocular migraine?
output: A headache that lasts from 4 to 72 hours. It tends to: Affect one side of your head Feel moderately or very painful Throb or pulsate Feel worse when you move around Other symptoms include: Nausea Vomiting Being sensitive to light or sound Experts aren't sure what causes ocular migraine.
system: What medications can you use to treat ocular migraines?
output: There's been little research on the best way to treat or prevent ocular migraine. Your doctor may recommend one or more drugs: Drugs that treat epilepsy, such as sodium ( Depakote, Depakene) or ( Topamax) Tricyclic antidepressants, such as amitriptyline ( Elavil) or nortriptyline ( Pamelor) Blood pressure medicines called beta-blockers
system: What can happen if you have ocular migraines?
output: Some feel that the problem is linked to: Spasms in blood vessels in the retina, the lining in the back of the eye Changes that spread across the nerve cells in the retina It's rare, but people who have these types of migraine may have a higher risk of permanent vision loss in one eye. Experts don't know if medications that prevent migraines -- such as tricyclic antidepressants or anti-seizure medications -- can help prevent that vision loss. But if you have ocular migraine, even if they go away on their own, it's a good idea to talk to your doctor about your symptoms.
system: What extended headache symptoms are warning signs of an ocular migraine?
output: It tends to: Affect one side of your head Feel moderately or very painful Throb or pulsate Feel worse when you move around Other symptoms include: Nausea Vomiting Being sensitive to light or sound Experts aren't sure what causes ocular migraine.
system: What is the treatment for ocular migraines?
output: Other blood vessel problems related to autoimmune diseases Drug abuse Conditions that keep your blood from clotting normally, like sickle cell disease and polycythemia Ocular migraine symptoms usually go away on their own within 30 minutes, so most people don't need treatment for them. It's best to stop what you're doing and rest your eyes until your vision goes back to normal. If you have a headache, take a pain reliever that your doctor recommends.
system: What medications treat ocular migraines?
output: There's been little research on the best way to treat or prevent ocular migraine. Your doctor may recommend one or more drugs: Drugs that treat epilepsy, such as sodium ( Depakote, Depakene) or ( Topamax) Tricyclic antidepressants, such as amitriptyline ( Elavil) or nortriptyline ( Pamelor) Blood pressure medicines called beta-blockers
system: How do you know if you have ocular migraines?
output: See your doctor to find out if you have ocular migraine. He can rule out other conditions that can cause similar symptoms. Be ready to describe what you went through as completely as you can to help him figure out what's really going on.
system: Are there warning signs of an ocular migraine?
output: Warning signs that it's coming on are: Vision problems that affect just one eye.
system: Can doctors diagnose ocular migraine?
output: He can rule out other conditions that can cause similar symptoms. Be ready to describe what you went through as completely as you can to help him figure out what's really going on. But if you have ocular migraine, even if they go away on their own, it's a good idea to talk to your doctor about your symptoms.
system: How common are ocular migraines?
output: It's a rare problem. Some research suggests that in many cases, the symptoms are due to other problems. Some feel that the problem is linked to: Spasms in blood vessels in the retina, the lining in the back of the eye Changes that spread across the nerve cells in the retina It's rare, but people who have these types of migraine may have a higher risk of permanent vision loss in one eye.
system: What is an ocular migraine?
output: If you have ocular migraine, you may get vision loss or blindness in one eye for a short time -- less than an hour. You can have it along with or after a migraine headache. You may hear your doctor call ocular migraine by some other names, such as visual, retinal, ophthalmic, or monocular migraines.
system: What vision problems affecting one eye are warning signs of an ocular migraine?
output: Regular migraine attacks can also cause vision problems, called an aura, which can involve flashing lights and blind spots. Warning signs that it's coming on are: Vision problems that affect just one eye. It might happen for only a few minutes or up to 30 minutes. It can be hard to tell whether you're having symptoms in one eye only. If you're not sure, cover one eye and then the other.
system: How do you know if your vision problem is a sign of ocular migraines?
output: Warning signs that it's coming on are: Vision problems that affect just one eye. It might happen for only a few minutes or up to 30 minutes. It can be hard to tell whether you're having symptoms in one eye only. If you're not sure, cover one eye and then the other.
system: What health history affects your risk for uveitis?
output: If you've had trauma to your eye or surgery on it, you may be more likely to get uveitis. You're also at greater risk if you have: AIDS Ankylosing spondylitis, a type of arthritis Lupus Multiple sclerosis Psoriasis Rheumatoid arthritis Shingles Tuberculosis Ulcerative colitis Your doctor may: Put special drops in your eyes to make your pupils bigger (they may say âdilateâ).
system: What happens in an eye pressure check for uveitis?
output: Ask you to use your eyes to follow an object that moves up and down, left and right, without turning your head Have you read an eye chart Test your peripheral (side) vision Your doctor may use special tools to check that the pressure within your eye is healthy and that fluids are able to drain out of your eyes well. You may hear them call it a âtonometry test.â Eyes with uveitis become inflamed.
system: How is a special dye used to treat uveitis?
output: They might want to look at the blood vessels in your uvea, since they may be inflamed. Your doctor may inject you with a special dye that glows green in fluorescent light. The dye goes into a vein in your arm. Once it reaches your eye, the doctor can take a picture of your lit-up blood vessels. If they're damaged or inflamed, your doctor will see it.
system: What other tests are used to treat uveitis?
output: In some cases, your doctor may order tests like an MRI, CT scan, X-ray, or even a skin test to find the cause of your uveitis. If these tests find that another disease is causing it, your eye doctor should send you to a specialist for a follow-up.
system: What does it mean if you have uveitis?
output: With the proper care, your eye doctor can help prevent the glaucoma, cataracts, or blindness uveitis can cause. Ask you to use your eyes to follow an object that moves up and down, left and right, without turning your head Have you read an eye chart Test your peripheral (side) vision Your doctor may use special tools to check that the pressure within your eye is healthy and that fluids are able to drain out of your eyes well.
system: What are symptoms of burning mouth syndrome (BMS)?
output: Your mouth can feel like you just drank hot coffee or had some hot soup. You also might have trouble swallowing, a dry mouth, a sore throat, or a bad taste of metal in your mouth. If the painful burning doesn't go away or gets worse, see your dentist or doctor.
system: What is burning mouth syndrome (BMS)?
output: Most often, the pain is on the tip of your tongue or roof of your mouth. But sometimes it's in the front of your mouth or on the inner part of your lips. It often lasts for many years. About a third of people who have BMS say it started after some kind of dental work, an illness, or a course of medication. But most can't link it to any unusual event.
system: What is secondary Burning Mouth Syndrome (BMS)?
output: These include: Allergy test to see if you have a reaction to a product or medication Biopsy (a small piece of tissue taken from your mouth and tested) Blood tests to see if you have thyroid problems or diabetes CT (computerized tomography) scan -- several X-rays taken from different angles then put together to show a more complete picture MRI (magnetic resonance imaging) -- powerful magnets and radio waves used to make detailed images Salivary flow tests to measure your saliva If your doctor finds a health problem or other cause for your burning mouth, then you have what's called secondary BMS. She'll treat the issue, and your symptoms should get better. If not, there's no known cure specifically for BMS, but there are ways to ease and control your symptoms.
system: How will doctors diagnose psoriasis?
output: In most cases, your primary care doctor or dermatologist will be able to diagnose psoriasis by examining your skin. However, since psoriasis can look like eczema and other skin diseases, diagnosing it can sometimes be difficult. If your doctor isn't sure whether you have psoriasis, he or she may order a biopsy.
system: How often should a child with type 2 diabetes have their blood sugar checked?
output: Your child should get a hemoglobin A1c test every 3 months. This test measures her average blood sugar levels over that period. She'll need to check her blood sugar: When she starts or changes treatment If she doesn't meet her treatment goals If she has to take insulin If she takes a sulfonylurea drug The doctor will teach you both how to test blood sugar and tell you how often. Most experts suggest three or more times a day if she's on insulin. If she's not, she can check less often, but should do it after meals. She can use a traditional finger stick test or a continuous glucose monitor.
system: What symptoms are caused by ketoacidosis associated with brittle diabetes?
output: It can cause: Breath that smells fruity Nausea and vomiting Shortness of breath Weakness Confusion Abdominal pain Coma Brittle diabetes isn't common.
system: What are symptoms of low blood sugar if you have brittle diabetes?
output: Depending on which way your blood glucose level in swinging, your symptoms can be different. They're "very low" at below 70 mg/dl. Symptoms can include: Feeling shaky Nervousness or anxiety Sweating, chills Irritability Confusion Fast heart rate Dizziness Nausea Blurred vision Weakness Headache Seizures Unconsciousness When your blood sugar shoots up above 200 mg/dl, your symptoms will likely include: Frequent urination Extreme thirst Blurred vision Fatigue Headache If you don't treat high blood sugar, it can turn into a more serious condition called ketoacidosis.
system: What are symptoms of high blood sugar if you have brittle diabetes?
output: Symptoms can include: Feeling shaky Nervousness or anxiety Sweating, chills Irritability Confusion Fast heart rate Dizziness Nausea Blurred vision Weakness Headache Seizures Unconsciousness When your blood sugar shoots up above 200 mg/dl, your symptoms will likely include: Frequent urination Extreme thirst Blurred vision Fatigue Headache If you don't treat high blood sugar, it can turn into a more serious condition called ketoacidosis.
system: What can you do if your brittle diabetes keeps you from doing the work you did before?
output: If your brittle diabetes keeps you from doing work you did before, you may be able to claim Social Security Disability benefits. Check with your local Social Security Administration office for more information.
system: Who is more likely to get brittle diabetes?
output: It can cause: Breath that smells fruity Nausea and vomiting Shortness of breath Weakness Confusion Abdominal pain Coma Brittle diabetes isn't common. About 3 out of every 1,000 people who take insulin for diabetes will get it. People of all ages can have brittle diabetes. Women get it a bit more often than men. If you often have bouts of low blood sugar, you may be raising your odds, as well. The more often you're hypoglycemic, the less you may recognize it. That can make each episode worse and lead to brittle diabetes.
system: How can an insulin pump help with treating brittle diabetes?
output: You may get: An insulin pump: A small machine that stays connected to you throughout the day to give you steady adjustments in insulin.
system: What will happen if you don't treat high blood sugar associated with brittle diabetes?
output: Symptoms can include: Feeling shaky Nervousness or anxiety Sweating, chills Irritability Confusion Fast heart rate Dizziness Nausea Blurred vision Weakness Headache Seizures Unconsciousness When your blood sugar shoots up above 200 mg/dl, your symptoms will likely include: Frequent urination Extreme thirst Blurred vision Fatigue Headache If you don't treat high blood sugar, it can turn into a more serious condition called ketoacidosis. That's when toxins called ketones build up in your blood and urine.
system: What is brittle diabetes?
output: The words brittle and labile can both mean âunstableâ or âeasily changed.â When you have brittle diabetes, your blood glucose levels often swing from very low (hypoglycemic) to very high (hyperglycemic). It's almost always associated with type 1 diabetes. It isn't a separate kind of diabetes, but more like a complication, or subset of the disease. That can make each episode worse and lead to brittle diabetes. It can also be fatal.
system: What do you need to do during your treatment for brittle diabetes?
output: To treat you, your doctor will work on any immediate blood sugar needs you have first. You may get: An insulin pump: A small machine that stays connected to you throughout the day to give you steady adjustments in insulin. Follow your nutrition guidelines. Stick to your medication schedule. Most of all, stay in touch with your diabetes team so you have both the medical and emotional support you need.
system: What is the goal of phlebotomy for polycythemia vera (PV)?
output: The goal is to lower your hematocrit level. Hematocrit is the percentage of red blood cells compared with the total amount of blood.
system: How does interferon-alfa help treat polycythemia vera (PV)?
output: Interferon-alfa ( Intron A, Roferon- A) works on your immune system. It targets quickly dividing red blood cells to slow their production.
system: Can low-dose aspirin help treat polycythemia vera (PV)?
output: Treatments lower the number of red blood cells and prevent blood clots. It also eases symptoms such as burning in your hands and feet, itching, and bone pain. Your doctor might recommend that you take a low dose of aspirin every day.
system: What is your vision like after an epi-on procedure of corneal cross-linking?
output: With epi-on, your doctor loosens your epithelium with eyedrops or a sponge before she puts the eyedrops in.
system: What are side effects epi-on corneal cross-linking?
output: There may be fewer side effects, but some experts question whether the epi-on treatment can stop keratoconus.
system: What is the goal of corneal cross-linking?
output: The goal of corneal cross-linking is to slow your disease and prevent future vision problems, but in some cases, your eyesight may get better over time.
system: What are side effects of epi-off corneal cross-linking?
output: Like most surgeries, corneal cross-linking can sometimes cause problems, such as: An eye infection Eye pain or swelling Damage to the cornea or epithelium Blurred vision, hazy vision, or other vision problems Before you have the procedure, ask your doctor about your chances of having these issues.
system: Who should get corneal cross-linking?
output: The procedure doesn't reverse cornea changes that have already happened -- it just keeps them from getting worse. Your doctor can let you know if this treatment would help you. Once you've had corneal cross-linking, you might need new glasses or contacts.
system: What happens during corneal cross-linking?
output: Corneal cross-linking is the only treatment that can stop progressive keratoconus from getting worse. First, you'll get drops that numb your eyes and a medicine to calm you. Then, she'll put in riboflavin (vitamin B2) eyedrops, which allow your cornea to better absorb light. Then, you'll lie back in a chair and look up at a light. You shouldn't feel any pain during the procedure because your eyes will be numb. The entire treatment takes about 60-90 minutes.
system: What do doctors use in corneal cross-linking?
output: In corneal cross-linking, doctors use eyedrop medication and ultraviolet ( UV) light from a special machine to make the tissues in your cornea stronger. Corneal cross-linking is the only treatment that can stop progressive keratoconus from getting worse.
system: Where does a feeding tube go?
output: Depending on your situation, the tube will run either through your nose or into your stomach or intestines. You don't need surgery for a nasal tube. They're often used if the need is temporary. You'll need surgery for a gastric tube, the most common type, to run it through your belly.
system: How can you prevent infections if you have a feeding tube?
output: It's important to keep the spot on your skin where the tube goes into your stomach -- the stoma -- clean and dry. Check it every day for irritation, redness, swelling, or infection. Apply an antibacterial ointment after cleaning the area.
system: What liquids can go into a feeding tube?
output: Other liquids can go into a tube, too: Almost anything clear, such as water and club soda Enzyme treatments Fluids that replace electrolytes, like sports drinks Juice Most meds can go through a tube.
system: How do you seek support with a feeding tube?
output: Family and friends can give you confidence to adjust to your new life. You need support, but also encouragement to stay independent. You might want to get advice and help from a specialist who works with feeding tube users. This can be a psychologist, a nurse, or someone else in the community.
system: How do you stay active with a feeding tube?
output: Key things to keep in mind for most kinds of feeding tubes include: Clean your hands. You can run or walk, but talk to your doctor about yoga or other exercises that work your abdomen muscles. Even swimming is fine if your incision site has healed and the water is clean. Nasal feeding tubes have no restrictions on swimming, other than making sure the tube is closed, clamped, and not hooked up to a feeding pump. Ocean water and well-maintained private pools are your best bets if you have a feeding tube in your abdomen.
system: What are tips for eating out if you have a feeding tube?
output: If you're comfortable at social meals, others likely will be, too. Some people hook up their pump and eat along with everyone. Others even travel with a blender and ask the kitchen to blend the dishes. If you aren't comfortable using your feeding tube in public, ask the manager if there's a private place for you to go. Under the Americans with Disabilities Act, the restaurant legally must fill any reasonable requests. For instance, schedule a time together for when you're not taking in food.
system: How do you clean your hands when you use feeding tube?
output: Use alcohol-based hand sanitizer or soap and water before you work with the tube. Make sure your hands are dry. It's important to keep the spot on your skin where the tube goes into your stomach -- the stoma -- clean and dry.
system: What is living with a feeding tube like?
output: If your doctor tells you that you need a feeding tube, it can be a lot to process. You can go out to restaurants with friends, have sex, and exercise. A feeding tube can remain in place as long as you need it. You might need to rethink how you do everyday things like dining in restaurants and traveling. This can be a tricky adjustment.
system: What kind of formula will you use with a feeding tube?
output: You'll need to flush it even on days you don't use it. You can buy what's called an enteral formula in a can. Most are made to flow well through a tube. With your doctor's OK, you can make your own formula in the blender. You'll need to make sure it has the recommended calories, vitamins, minerals, fiber, and fluids.