laomobai/llama3-1 huggingface dataset:
system: Can canker sores be prevented?
output: Although there is no cure for canker sores, and they often recur, you may be able to reduce their frequency by: Avoiding foods that irritate your mouth, including citrus fruits, acidic vegetables, and spicy foods Avoiding irritation from gum chewing Brushing with a soft-bristled brush after meals and flossing daily, which will keep your mouth free of foods that might trigger a sore You should call your dentist about canker sores if you have: Unusually large sores Sores that are spreading Sores that last 3 weeks or longer Intolerable pain despite avoiding trigger foods and taking over-the-counter pain medication Difficulty drinking enough fluids A high fever with the appearance of the canker sores
system: How are canker sores treated?
output: You may have a canker sore if you have: A painful sore or sores inside your mouth -- on the tongue, on the soft palate (the back portion of the roof of your mouth), or inside your cheeks A tingling or burning sensation before the sores appear Sores in your mouth that are round, white or gray, with a red edge or border In severe canker sore attacks, you may also experience: Fever Physical sluggishness Swollen lymph nodes Pain from a canker sore generally lessens in a few days, and the sores usually heal without treatment in about a week or two. Cankers sores treated with dental lasers exhibit almost complete relief of the symptoms immediately. Talk to your dentist about the procedure.
system: How does lupus affect my heart and lungs?
output: This is probably due to the long-term inflammation that comes with lupus. Some lupus medicines, such as steroids, may also increase the risk. Lupus causes inflammation of the heart or the sac that surrounds it. This can cause sharp pain in the chest. Lupus also may inflame the outside lining of your lungs. Pain often gets worse with deep breaths. This is called pleurisy. Sometimes, the lungs can develop scarring from the inflammation and cause shortness of breath. What you can do: Avoid smoking. Smoking makes lung infections and heart disease much more likely.
system: What are things that I can do for my kidneys to help lessen the effects of lupus?
output: What you can do: Tell your doctor if you have symptoms of kidney problems, such as swelling in your ankle or lower leg, foamy urine, or blood in your urine. Keep up with checkups with your lupus doctor, or rheumatologist, who will do blood tests to make sure your kidneys are working well.
system: What are things that I can do for my brain and central nervous system to help lessen the effects of lupus?
output: If it does, you may have: Clouded thinking, confusion, or memory loss Headaches Depression and anxiety Seizures Rarely, strokes What you can do: Ease stress. Try yoga or tai chi to reduce stress and relax muscles. Use reminders. Pillboxes, Post-its, your cell phone voice recorder, labels, and other aids can help you remember and organize. Get help. Build a strong support network. Consider cognitive therapy to manage thinking issues, or counseling if you are anxious or depressed. Lupus medicine may help memory and thinking.
system: How does lupus affect my kidneys?
output: Lupus can inflame the kidneys, causing permanent damage. This can lead to swelling in the legs and high blood pressure. Your doctor will look for protein or blood cells in your urine, which are signs of kidney damage. Sometimes, lupus can lead to kidney failure and require dialysis.
system: What are things that I can do for my joints and muscles when they hurt if you have lupus?
output: What you can do: Take anti-inflammatory drugs like ibuprofen or naproxen. Try a warm shower or bath, a heating pad, or cold packs to ease pain and stiffness. Avoid high-intensity exercises when you have joint pain, but try to stay active with walking or yoga.
system: What are things that I can do for my skin to help lessen the effects of lupus?
output: You may also have skin trouble in other areas, such as: Mouth or nose sores (ulcers) Hair loss (but not baldness), called alopecia White or blue fingers and toes in response to cold, known as Raynaud's phenomenon What you can do: Protect your skin from the sun. Use a sunscreen with a sun protection factor ( SPF) of 50 or higher, and avoid the sun in the middle of the day. Wear wide-brimmed hats and protective clothing in the sun. Be gentle on your hair. Use a baby shampoo and conditioner. Avoid harsh chemicals on your hair. Wear mittens and thick socks when it's cold. If you have lupus, Raynaud's is usually related to being in the cold. So do what you can to keep your hands warm.
system: How does lupus affect my skin?
output: You may become sensitive to the ultraviolet ( UV) rays in sunlight, which can cause many skin changes. A common skin problem you might develop is a butterfly-shaped rash on your nose and cheeks. Red, scaly bumps or patches can develop on your body. Coin-like patches called discoid lesions can appear on your body or scalp. You may also have skin trouble in other areas, such as: Mouth or nose sores (ulcers) Hair loss (but not baldness), called alopecia White or blue fingers and toes in response to cold, known as Raynaud's phenomenon What you can do: Protect your skin from the sun.
system: How does lupus affect my joints and muscles?
output: Be gentle on your hair. Lupus can also damage nerves in the muscles that control your eye movements. Try a warm shower or bath, a heating pad, or cold packs to ease pain and stiffness.
system: What are things that I can do for my heart and lungs to help lessen the effects of lupus?
output: Get regular exercise. Get up to date on vaccinations.
system: Does lupus cause eye problems?
output: A common skin problem you might develop is a butterfly-shaped rash on your nose and cheeks. Rarely, blood vessel changes in the retina can weaken your vision. Lupus can also damage nerves in the muscles that control your eye movements.
system: What is the first step in diffusing a child's temper tantrum?
output: The first step in diffusing a temper tantrum is to keep your own temper in check. You're not going to get anywhere with your child if both of you are screaming at each other. Spanking your child is also not a good option, and it will only make the tantrum worse. Take a deep breath, gain control over your emotions, and then discipline your child by calmly but firmly letting him know that tantrums are not acceptable behavior.
system: How is multiple sclerosis (MS) treated?
output: Medicines that slow MS and prevent flare-ups include: Alemtuzumab ( Lemtrada) Dimethyl fumarate ( Tecfidera) Fingolimod ( Gilenya) Glatiramer acetate ( Copaxone, Glatopa) Interferon ( Avonex, Betaseron, Extavia, Rebif) Mitoxantrone ( Novantrone) Natalizumab ( Tysabri) Ocrelizumab ( Ocrevus) Teriflunomide ( Aubagio) Doctors also prescribe steroid medicines to ease inflammation during MS flare-ups.
system: How does Guillain-BarrÃ© syndrome (GBS) affect your nervous system?
output: GBS damages the peripheral nervous system. That's the nerves outside the brain and spinal cord. They help the central nervous system communicate with the rest of your body, including the skin, heart, and muscles. Chronic inflammatory demyelinating polyneuropathy ( CIDP) shares many of the same symptoms as GBS, but CIDP lasts much longer, and if not caught early enough, can cause lasting damage.
system: How are Guillain-BarrÃ© syndrome (GBS) and chronic inflammatory demyelinating polyneuropathy (CIDP) treated?
output: The two main treatments for GBS and CIDP are: Plasma exchange: Blood is removed from your body. Plasma -- the liquid part of blood -- is separated from the white and red blood cells. Then the cells are returned to your body along with donor plasma or a plasma substitute. Getting rid of the plasma takes out antibodies. They are part of that immune system response that damages nerves. Immunoglobulin therapy: This uses an IV to deliver proteins the body normally uses to attack viruses and bacteria. That eases the immune system's attack on nerves. Still, doctors aren't sure how they work.
system: How does chronic inflammatory demyelinating polyneuropathy (CIDP) start?
output: CIDP starts much like GBS but as the disease progresses, the myelin which protects the nerves is damaged or removed entirely, causing nerves to either function abnormally or stop working altogether, With MS, a few things might be at play, including: Infections, such as from the Epstein- Barr virus, herpes, or Chlamydia pneumoniae Genes Too little vitamin D Smoking MS, GBS, and CIDP each affect nerve signals.
system: What is the outlook for Guillain-BarrÃ© syndrome (GBS) and chronic demyelinating polyneuropathy (CIPD)?
output: People with GBS can have severe symptoms, but they usually make a full recovery. GBS often gets better after a few weeks, but the weakness it causes can continue for years. Sometimes, the numbness and tingling will come back years after the first attack of symptoms. Early recognition is key to halting the progression of CIDP. Up to 30% of CIDP patients will progress to wheelchair dependence.
system: How does Guillain-BarrÃ© syndrome start?
output: GBS often starts a few days or weeks after an infection like the cold, flu, or stomach illness. Recently, experts have seen a rise in the number of people with the mosquito-borne Zika virus who also have GBS.
system: What is the timeframe for the onset of multiple sclerosis, Guillain-BarrÃ© syndrome (GBS), and chronic demyelinating polyneuropathy (CIPD)?
output: Common symptoms of both include: Weakness Numbness Tingling in the arms and legs GBS symptoms usually start within a day and spread from the legs to the upper body. Unlike GBS where symptoms eventually ease and patients can recover, CIDP progresses and patients could have permanent disabilities. MS often starts in a few days, but sometimes symptoms don't show up for a while.
system: What are the differences between multiple sclerosis and Guillain-BarrÃ© syndrome?
output: Each condition affects a different part of your nervous system: MS damages the central nervous system. That's the brain and spinal cord.
system: How does multiple sclerosis (MS) affect your nervous system?
output: Each condition affects a different part of your nervous system: MS damages the central nervous system. That's the brain and spinal cord.
system: What is the outlook for Guillain-BarrÃ© syndrome (GBS) and multiple sclerosis (MS)?
output: MS is a lifelong disease. Although its symptoms can come and go, there is no cure. Some people have more frequent and severe attacks of symptoms. The future for people with MS has improved a lot, thanks to new medicines. Today, most people with MS are still able to walk 20 years after they're diagnosed. People with GBS can have severe symptoms, but they usually make a full recovery. GBS often gets better after a few weeks, but the weakness it causes can continue for years. Sometimes, the numbness and tingling will come back years after the first attack of symptoms.
system: What is Guillain-BarrÃ© syndrome (GBS) and multiple sclerosis (MS)?
output: They're not the same, but they do have a lot of similarities. Both MS and GBS are autoimmune diseases. This means they cause your body's immune system to attack its own tissues. They both start when the immune system attacks and damages something called myelin. That's a layer of insulation that surrounds nerves. It also helps nerves transmit their messages.
system: What cause multiple sclerosis (MS), Guillain-BarrÃ© syndrome (GBS), and chronic inflammatory demyelinating polyneuropathy (CIDP)?
output: Doctors don't know exactly what causes MS, GBS, or CIDP.
system: What symptoms are caused by the numbness from multiple sclerosis?
output: But the condition can also cause: Bladder problems Dizziness Fatigue Pain Tight muscles Trouble speaking and swallowing Vision problems GBS brings weakness that may last years.
system: What medicines slow multiple sclerosis and prevent flare-ups?
output: Medicines that slow MS and prevent flare-ups include: Alemtuzumab ( Lemtrada) Dimethyl fumarate ( Tecfidera) Fingolimod ( Gilenya) Glatiramer acetate ( Copaxone, Glatopa) Interferon ( Avonex, Betaseron, Extavia, Rebif) Mitoxantrone ( Novantrone) Natalizumab ( Tysabri) Ocrelizumab ( Ocrevus) Teriflunomide ( Aubagio) Doctors also prescribe steroid medicines to ease inflammation during MS flare-ups.
system: How is plasma exchange used to treat Guillain-BarrÃ© syndrome (GBS) and chronic demyelinating polyneuropathy (CIPD)?
output: Plasma -- the liquid part of blood -- is separated from the white and red blood cells. Then the cells are returned to your body along with donor plasma or a plasma substitute. Getting rid of the plasma takes out antibodies.
system: What causes Guillain-BarrÃ© syndrome (GBS)?
output: A few people have developed Guillain- BarrÃ© syndrome a few days or weeks after a vaccination. They are part of that immune system response that damages nerves.
system: Can you contract both multiple sclerosis and Guillain-BarrÃ© syndrome?
output: It's very rare for someone to have MS and GBS at the same time. But both diseases share causes that might trigger them together.
system: Can you have multiple sclerosis (MS) and Guillain-BarrÃ© syndrome (GBS) at the same time?
output: It's very rare for someone to have MS and GBS at the same time. But both diseases share causes that might trigger them together.
system: What are the symptoms of multiple sclerosis (MS), Guillain-BarrÃ© syndrome (GBS), and chronic inflammatory demyelinating polyneuropathy (CIDP)?
output: Multiple sclerosis ( MS) and Guillain- BarrÃ© syndrome ( GBS) are diseases of the nervous system. Common symptoms of both include: Weakness Numbness Tingling in the arms and legs GBS symptoms usually start within a day and spread from the legs to the upper body. Unlike GBS where symptoms eventually ease and patients can recover, CIDP progresses and patients could have permanent disabilities. MS often starts in a few days, but sometimes symptoms don't show up for a while. The numbness from MS usually isn't severe. But the condition can also cause: Bladder problems Dizziness Fatigue Pain Tight muscles Trouble speaking and swallowing Vision problems GBS brings weakness that may last years. For CIDP, symptoms are the same as GBS as is most often marked with difficulty walking and symptoms progress longer.
system: How do I calm a person who is having panic attacks?
output: Ask the person what you can do to help. Reassure the person that the attack will probably pass in a few minutes. Encourage the person to take slow, even breaths. Do not minimize the person's symptoms. If unable to calm the person, take him or her to see a health care provider right away.
system: What are symptoms of bunions?
output: To determine if you may have a bunion, look for an angular, bony bump on the side of the foot at the base of the big toe. Sometimes hardened skin or a callus covers the bump.
system: When should I call my doctor about my bunions?
output: If you have persistent pain when walking normally in otherwise comfortable, flat-soled shoes, you may be developing a bunion, bursitis, gout, or a bone spur in your foot. It's time to call the doctor.
system: How do bunions feel?
output: There's often swelling, redness, unusual tenderness, and/or pain at the base of the big toe and in the ball of the foot. Eventually, the area becomes shiny and warm to the touch.
system: Can hormone replacement therapy raise my chances of heart disease?
output: There are no heart related dangers associated with taking hormone replacement therapy ( HRT) and there are indications of some possible benefits, depending on your age. Women who became menopausal less than 10 years before starting HRT have no increased risk of a heart attack. The same holds true for those who were between the ages of 50 and 59 while taking it. Younger women also show no risk and may even find their risks lowered. Still, women over the age of 60 or who became menopausal more than 10 years ago, coulld have a slightly increased risk of a heart attack.
system: How are heart disease and menopause linked?
output: Once a woman reaches the age of 50, about the age of natural menopause, her risk for heart disease increases dramatically. In young women who have undergone early or surgical menopause, who do not take estrogen, their risk for heart disease is also higher.
system: How can menopausal women lower their odds of heart disease?
output: Incorporating the following tips into your everyday life may help you reduce your risk of heart disease during and after menopause: Avoid or quit smoking. Maintain a healthy body weight. Activity and exercise also help reduce many other risk factors. Treat and control medical conditions. Diabetes, high cholesterol, and high blood pressure are known risk factors for heart disease.
system: Who is commonly affected by myasthenia gravis?
output: Though anyone can develop myasthenia gravis, those most likely to do so are women between age 20 and 40 or men between age 50 and 70. If a woman with myasthenia gravis gives birth, the baby may have some temporary, and potentially life-threatening, muscle weakness (neonatal myasthenia) because of antibodies that have transferred from the mother's bloodstream. Typically, during the baby's first weeks of life, the antibodies are cleared from the baby's circulation and the baby develops normal muscle tone and strength.
system: What are the first symptoms of myasthenia gravis?
output: The disease most commonly affects muscles that control eye and eyelid movement, so the first symptoms you notice may be eyelid drooping and/or blurred or doubled vision. The majority will go on to develop weakness in other muscle groups within one or two years.
system: What percentage of people with myasthenia gravis patients have thymoma?
output: Although most thymomas are benign (not cancerous), the thymus is usually removed (thymectomy) to prevent the potential spread of cancer. In fact, thymectomy seems to improve symptoms of myasthenia gravis in some patients, even if no tumor is present.
system: is myasthenia gravis an autoimmune disorder?
output: Myasthenia gravis is considered to be an autoimmune disorder. In an autoimmune disease, some of the body's antibodies (special proteins in your body that are supposed to be programmed to fight foreign invaders such as bacteria, viruses, or fungi) mistake a part of your own body as foreign, resulting in its destruction. In the case of myasthenia gravis, antibodies block, attack or destroy the acetylcholine receptors needed for muscle contraction.
system: What is generalized myasthenia gravis?
output: Other common muscle groups that are affected may make it difficult for you to chew, swallow, smile, shrug, lift your arm up, grip, rise to a stand, or walk up stairs. When the muscles necessary for breathing are affected, a patient is said to be in myasthenic crisis. This is a life-threatening situation. Myasthenia gravis is considered to be an autoimmune disorder.
system: What is myasthenia gravis?
output: For example, if you have myasthenia gravis, you may notice that during a meal, your jaw muscles become tired and weak, interfering with your ability to chew food. After you have rested for a little while, the muscles may become strong again, allowing you to resume eating. !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(); }); } This waxing-and-waning weakness of muscles, worsening with use and improving with rest, is a hallmark of this particular disease. There typically are periods when you may notice more symptoms (called an exacerbation), interspersed with periods when symptoms decrease or disappear (remission). Myasthenia gravis is considered to be an autoimmune disorder.
system: How is secondary hypertension diagnosed?
output: Secondary hypertension, on the other hand, is less common and is the result of another condition, such as: Disorders of the adrenal gland (small organs, located above the kidneys, that create hormones), including Cushing's syndrome (a condition caused by an overproduction of cortisol); hyperaldosteronism (too much aldosterone); and pheochromocytoma (a rare tumor that causes oversecretion of hormones like adrenaline) Kidney disease, which may include polycystic kidney disease, kidney tumor, kidney failure, or a narrow or blocked main artery supplying the kidney Drugs such as corticosteroids (anti-inflammatory drugs like prednisone), nonsteroidal anti-inflammatory drugs ( Motrin, Aleve, Naprosyn, Celebrex), weight loss drugs (such as phentermine), cold medications that include decongestants such as pseudoephedrine, birth control pills (the estrogen component), and migraine medications (such as Imitrex). Sleep apnea, a condition in which a person has brief spells in which he or she stops breathing during sleep; about half of patients with this condition have high blood pressure. Coarctation of the aorta, a birth defect in which the aorta is narrowed Preeclampsia, a condition related to pregnancy Thyroid and parathyroid problems After you are diagnosed with hypertension, your doctor may perform other tests such as blood and urine screening to make sure you don't have secondary hypertension.
system: How is secondary hypertension treated?
output: Secondary hypertension, on the other hand, is less common and is the result of another condition, such as: Disorders of the adrenal gland (small organs, located above the kidneys, that create hormones), including Cushing's syndrome (a condition caused by an overproduction of cortisol); hyperaldosteronism (too much aldosterone); and pheochromocytoma (a rare tumor that causes oversecretion of hormones like adrenaline) Kidney disease, which may include polycystic kidney disease, kidney tumor, kidney failure, or a narrow or blocked main artery supplying the kidney Drugs such as corticosteroids (anti-inflammatory drugs like prednisone), nonsteroidal anti-inflammatory drugs ( Motrin, Aleve, Naprosyn, Celebrex), weight loss drugs (such as phentermine), cold medications that include decongestants such as pseudoephedrine, birth control pills (the estrogen component), and migraine medications (such as Imitrex). In order to treat secondary hypertension, your doctor will address the condition or disorder that is causing the hypertension (adrenal gland disorder, kidney disease, sleep apnea, etc.) Your doctor may also choose to treat you with antihypertensive drug therapy, in addition to addressing the underlying health issues. If you have secondary hypertension that is caused by a drug, your doctor may suggest that you stop taking or decrease the dose of the drug.
system: What should you expect in a dilated eye exam for vitreomacular adhesion?
output: Dilated eye exam: Drops will be put on your eye to enlarge your pupil. That'll give your doctor a look at your retina, macula, and optic nerve at the back of your eye. It's a good way to find things like a macula hole or detached retina. VMA can cause both of those. This painless procedure also shows problems with blood vessels, like swelling or leaking. Because your pupils are dilated, your vision will be blurry for several hours afterward. You may need someone to drive you home from your appointment. If you wear contact lenses, you'll need to remove them before the test.
system: What should you expect in an optical coherence tomography for vitreomacular adhesion?
output: Optical coherence tomography: This gives your doctor a 3- D view of the cell layers inside the retina. It uses light to take pictures of the back of your eye. It shows the thickness of the retina and can also show swelling in the macula. This test can also see how well you are healing after treatment for VMA. Like with the fluorescein angiogram, you may have your pupils dilated and will sit with your head motionless on a special chin rest.