laomobai/llama3-1 huggingface dataset:
system: What are some risks associated with using biologics to treat rheumatoid arthritis (RA)?
output: Biologics include: Abatacept ( Orencia) Adalimumab ( Humira) Adalimumab-atto ( Amjevita), a biosimilar to Humira Anakinra ( Kineret) Baricitinib ( Olumiant) Certolizumab ( Cimzia) Etanercept ( Enbrel) Etanercept-szzs ( Ereizi), a biosimilar to Enbrel Golimumab ( Simponi, Simponi Aria) Infliximab ( Remicade) Infliximab-dyyb ( Inflectra), a biosimilar to Remicade Rituximab ( Rituxan) Sarilumab ( Kevzara) Tocilizumab ( Actemra) Tofacitinib ( Xeljanz) Since biologics suppress the immune system, they raise the risk of infection. Severe infections have been reported with biologics.
system: How are steroids used to treat rheumatoid arthritis (RA)?
output: For severe RA or when RA symptoms flare, your doctor may recommend steroids to ease the pain and stiffness of affected joints. In most cases, they can be used temporarily to calm a symptom flare. But some people need to take steroids for a longer time to control pain and inflammation. You can get steroids as a shot directly into an inflamed joint or take them as a pill. These are not the type of steroids that bulk up your muscles. Potential side effects of long-term steroid use include high blood pressure, osteoporosis, and diabetes. But when used appropriately, steroids quickly improve pain and inflammation.
system: How can exercise help with rheumatoid arthritis (RA)?
output: When your joints are stiff and painful, exercise might be the last thing on your mind. Yet with RA, exercising regularly is one of the best things you can do. People who work out live longer, with or without rheumatoid arthritis. Regular exercise can cut down on RA pain. Your bones will be stronger. Thinning of the bones can be a problem with rheumatoid arthritis, especially if you need to take steroids. Stronger muscles help you move better. Your mood and energy level will benefit.
system: Is exercise useful in treating rheumatoid arthritis?
output: When your joints are stiff and painful, exercise might be the last thing on your mind. Yet with RA, exercising regularly is one of the best things you can do. People who work out live longer, with or without rheumatoid arthritis. Regular exercise can cut down on RA pain. Your bones will be stronger. Thinning of the bones can be a problem with rheumatoid arthritis, especially if you need to take steroids. Stronger muscles help you move better. Your mood and energy level will benefit.
system: What are the main treatment goals of rheumatoid arthritis?
output: The main treatment goals with rheumatoid arthritis are to control inflammation, relieve pain, and reduce disability associated with RA..
system: Is acupuncture used to treat rheumatoid arthritis?
output: Acupuncture: Studies show that acupuncture curbs pain, may lower the need for painkillers, and is good for flexibility in affected joints.
system: How can smoking affect your treatment for rheumatoid arthritis (RA)?
output: If you smoke, make it a priority to quit. If you keep smoking, it may make your RA treatment less effective.
system: How are disease-modifying antirheumatic drugs (DMARDs) used to treat rheumatoid arthritis (RA)?
output: â DMARDsâ stands for disease-modifying antirheumatic drugs. They help slow or stop RA from getting worse. Doctors usually first prescribe methotrexate to treat rheumatoid arthritis. If that alone doesn't calm the inflammation, doctors may try or add a different type of DMARD. Other DMARDs include hydroxychloroquine ( Plaquenil), leflunomide ( Arava) and sulfasalazine ( Azulfidine). In rheumatoid arthritis, an overactive immune system targets joints and other areas of the body. DMARDs curb the immune system, but they aren't selective in their targets. They can lead to infection and a wide variety of other side effects. DMARDs, particularly methotrexate, have made dramatic improvements in severe rheumatoid arthritis and can help save your joints.
system: Are there side effects from nonsteroidal anti-inflammatory drugs?
output: There are many prescription NSAIDs that your doctor will consider. All of them carry a warning about the increased risk of heart attack and stroke. NSAIDs can also raise blood pressure and can cause stomach irritation, ulcers, and bleeding. You and your doctor can weigh the benefits of NSAIDs against the potential risks. You may have to try a few different ones to find the one that's right for you.
system: Is surgery necessary to treat rheumatoid arthritis?
output: If joint pain and inflammation become unbearable or joints are severely damaged, some people need joint replacement surgery. The hips and knees, and sometimes the shoulders, are the most common joints that get replaced. Surgery can dramatically improve pain and mobility. Most people wait until after age 50, because artificial joints tend to wear down after 15 to 20 years. Some joints, such as the ankles, don't respond well to artificial replacement and do better with joint fusion, which is a different operation.
system: Is cognitive therapy used to treat rheumatoid arthritis?
output: Because one of the most trying aspects of rheumatoid arthritis is learning to live with pain, many doctors recommend pain management training. They may call it âcognitive therapy.â The goal is to improve your emotional and psychological well-being as you develop ways to relax, handle stress, and pace yourself. For instance, it may include activity scheduling, guided imagery, relaxation, distraction, and creative problem-solving.
system: What over-the-counter nonsteroidal anti-inflammatory drugs are used to treat rheumatoid arthritis?
output: Over-the-counter NSAIDs include ibuprofen and naproxen. Most people with RA need a prescription NSAID as they offer a higher dose with longer-lasting results and require fewer doses throughout the day.
system: What does the treatment for rheumatoid arthritis (RA) include?
output: And with today's treatments, joint damage can be slowed or stopped in many cases. If joint pain and inflammation become unbearable or joints are severely damaged, some people need joint replacement surgery. Physical and occupational therapy make a big difference to your daily life. They are a key part of any rheumatoid arthritis treatment plan.
system: How can physical and occupational therapy help with rheumatoid arthritis (RA)?
output: Physical and occupational therapy make a big difference to your daily life. They are a key part of any rheumatoid arthritis treatment plan. They can also check on whether any gadgets would help you. This can help you handle pain.
system: Are there natural treatments for rheumatoid arthritis?
output: There are some complementary medicine treatments that might help your RA. It's a good idea to talk it over with your doctor. You'll still need to take your medicine and keep up with the other parts of your treatment plan. Nutritional supplements: Keep in mind that even natural supplements can interact with medicines.
system: What are complications of rheumatoid arthritis (RA)?
output: It can cause: Dry eyes and dry mouth Rheumatoid nodules or lumps under your skin near the joints that usually don't hurt Shortness of breath and chest pain Tiredness, which sometimes, but not always, happens if you don't have enough red blood cells, a problem called anemia Weight loss Numbness and tingling in your hands Lupus can appear slowly or suddenly.
system: Which exercises can help with rheumatoid arthritis (RA) symptoms?
output: It can be mild or severe. Rest is better when you're in the middle of a flare. If you've had a lot of joint damage, your doctor may suggest surgery to replace a joint or to fuse joints together.
system: How is lupus treated?
output: But lupus, the symptoms of which can vary widely from person to person, can affect many other parts of the body as well. NSAIDs may be the first thing you try if your joints are the main problem. Approved drugs for lupus include corticosteroids. These are powerful drugs and you should take the lowest dose needed for your symptoms. Your doctor likely will prescribe hydroxychloroquine ( Plaquenil), an antimalarial drug. You doctor may also want you to try drugs used for RA, such as DMARDs like methotrexate.
system: What is mandibular/maxillary advancement surgery?
output: The surgeon moves the jaw bone and face bones forward to make more room in the back of the throat. It's an intricate procedure that doctors only do for people who have severe sleep apnea and problems with their head or face.
system: What are symptoms of obstructive sleep apnea in children?
output: Symptoms in children may not be as obvious. They may include: Bedwetting Choking or drooling Sweating a lot at night Ribcage moves inward when they exhale Learning and behavior disorders Problems at school Sluggishness or sleepiness (often misinterpreted as laziness in the classroom) Snoring Teeth grinding Restlessness in bed Pauses or absence of breathing Unusual sleeping positions, such as sleeping on the hands and knees, or with the neck hyperextended Talk to your doctor if you notice any of these problems.
system: Can surgery be used to treat obstructive sleep apnea?
output: Surgery is for people who have extra or misshapen tissue that blocks airflow through the nose or throat. For example, a person with a deviated nasal septum, enlarged tonsils and adenoids, or a small lower jaw that causes the throat to be too narrow might benefit from surgery. Doctors usually try other treatments first.
system: How is obstructive sleep apnea diagnosed?
output: Other risk factors include: Smoking Diabetes High blood pressure Being at risk for heart failure or stroke Your doctor will give you a checkup and ask about your sleep. He may also want to ask people who live with you about your shut-eye habits. You may need to spend a night in a sleep lab or have a sleep study done at your house. You'll wear monitors to measure things such as: Air flow Blood oxygen levels Breathing patterns Electrical activity of the brain Eye movements Heart rate Muscle activity The study will track how many times your breathing was impaired during sleep.
system: What are symptoms of obstructive sleep apnea in adults?
output: The most common obstructive sleep apnea warning signs include: Daytime sleepiness or fatigue Dry mouth or sore throat when you wake up Headaches in the morning Trouble concentrating, forgetfulness, depression, or irritability Night sweats Restlessness during sleep Problems with sex Snoring Waking up suddenly and feeling like you're gasping or choking Trouble getting up in the mornings If you share a bed with someone, they'll probably notice it before you do.
system: What are oral devices for treating obstructive sleep apnea?
output: For some people with mild sleep apnea, dental appliances or oral "mandibular advancement" devices that prevent the tongue from blocking the throat or advance the lower jaw forward can be made.
system: What is a somnoplasty?
output: Doctors use radiofrequency energy to tighten the soft palate at the back of the throat.
system: What is an upper airway stimulator?
output: This device, called Inspire, has a small pulse generator that the surgeon places under the skin in your upper chest. A wire leading to the lung detects your natural breathing pattern. Another wire, leading up to the neck, delivers mild stimulation to nerves that control airway muscles, keeping them open. A doctor can program the device from an external remote. Also, people who have Inspire use a remote to turn it on before bed and turn it off when they wake up in the morning.
system: What is a CPAP machine for treating obstructive sleep apnea?
output: This device includes a mask that you wear over your nose or mouth, or both. An air blower forces constant and continuous air through the nose or mouth.
system: What is a UPPP, or UP3?
output: UPPP, or UP3, is a procedure that removes soft tissue in the back of the throat and palate, increasing the width of the airway at the throat opening. ( UPPP stands for uvulopalatopharyngoplasty, if you were wondering.)
system: Who gets obstructive sleep apnea?
output: It's more likely if you're overweight or obese, have a thick or large neck, or have smaller airways in your nose, throat, or mouth. The condition is more common among men than women, and it becomes more likely as you get older. Other risk factors include: Smoking Diabetes High blood pressure Being at risk for heart failure or stroke Your doctor will give you a checkup and ask about your sleep.
system: Does diabetes put you at risk for heart disease?
output: Manage your diabetes. If not controlled, it can contribute to significant heart damage, including heart attacks and death. Control diabetes through a healthy diet, exercise, keeping a healthy weight, and medications prescribed by your doctor.
system: What's the link between smoking, secondhand smoke, and heart disease?
output: Smokers have more than twice the chance of having a heart attack as nonsmokers. If you smoke, quit. Nonsmokers who are exposed to constant smoke (like those who live with a spouse who smokes) also have increased risk. Eliminating exposure to smoke is important.
system: What are the risks of buying  ED drugs without a prescription  online?
output: The ED drugs and herbal remedies you buy on the internet aren't always what they seem. An FDA investigation found that more than one-third of "dietary supplements" sold for ED actually contained prescription drugs, including sildenafil, the medicine in Viagra. Some ED drugs sold online contained entirely different medicines, such as the antibiotic metronidazole and the fertility drug clomiphene. Even if a drug contains the right medicine, it may not be the right dose. When samples of 100-milligram Viagra tablets purchased online were tested, only 10% were even close to the advertised strength. When you buy from an unknown company, you run the risk of getting counterfeit medicines. By some estimates, more than half of all ED drugs sold online are fakes. Some of these drugs include ingredients you wouldn't want to put in your body -- things like talcum powder, paint, and printer ink.
system: What are health concerns associated with erectile dysfunction (ED) medication bought without a prescription online?
output: Among them are: 4 EVERON Actra- Rx Actra- Sx Adam Free Blue Steel Energy Max Erextra Hero HS Joy of Love Lady Shangai Libidus Liviro3 Lycium Barbarum L. Nasutra NaturalÃ« Super Plus Natural Up Neophase Rhino V Max Shangai Regular, also marketed as Shangai Chaojimengnan Shangai Ultra Shangai Ultra X Strong Testis Super Shangai True Man V. Max Vigor-25 Xiadafil VIP tablets ( Lots 6 K029 and 6 K209- SEI only) Yilishen Zimaxx Erectile dysfunction drugs that are approved by the FDA work by increasing blood flow to the penis. Just like any other medicine, these drugs can have side effects. If you purchase them online -- without a prescription -- you won't get a chance to discuss this with your doctor before you take them. ED drugs can also be dangerous if you have certain conditions, like heart disease. They can interact with other medicines you take, such as blood thinners and some alpha blockers, which are used to treat high blood pressure and prostate conditions. If you buy an "herbal remedy" online that turns out to contain ingredients from real ED drugs, you could also put your health at risk.
system: What are tips for safely buying  ED medication online?
output: The ED drugs and herbal remedies you buy on the internet aren't always what they seem. It just takes a little bit of work to find them. Here's what to look for when you buy ED drugs online: A licensed pharmacy with an address in the U. S. ( Check with your state board of pharmacy or the National Association of Boards of Pharmacy.) A pharmacy that asks for a prescription from your doctor Drugs that are approved by the FDA Containers that are clearly labeled with the name of the drug and the dose A licensed pharmacist who is available to answer your questions Phone number to call if you have questions or problems Clearly stated privacy policy that protects your credit card number and other personal information
system: What are some ED products the FDA has released warnings about?
output: Among them are: 4 EVERON Actra- Rx Actra- Sx Adam Free Blue Steel Energy Max Erextra Hero HS Joy of Love Lady Shangai Libidus Liviro3 Lycium Barbarum L. Nasutra NaturalÃ« Super Plus Natural Up Neophase Rhino V Max Shangai Regular, also marketed as Shangai Chaojimengnan Shangai Ultra Shangai Ultra X Strong Testis Super Shangai True Man V. Max Vigor-25 Xiadafil VIP tablets ( Lots 6 K029 and 6 K209- SEI only) Yilishen Zimaxx Erectile dysfunction drugs that are approved by the FDA work by increasing blood flow to the penis. A pharmacy that asks for a prescription from your doctor Drugs that are approved by the FDA Containers that are clearly labeled with the name of the drug and the dose A licensed pharmacist who is available to answer your questions Phone number to call if you have questions or problems Clearly stated privacy policy that protects your credit card number and other personal information
system: What causes acrocyanosis?
output: Acrocyanosis is caused by narrowing (constriction) of small arterioles (tiny arteries) toward the end of the arms and legs.
system: Is herpetic eye disease painful?
output: Unfortunately, herpetic eye disease can be painful even after several days of treatment and even when the eye is starting to look better. This can be discouraging, but it does not mean that the treatment is a failure. The medications are working, and the pain will go away eventually.
system: When might eye drops be recommended for herpes zoster ophthalmicus?
output: If the infection is affecting the cornea, eye drops called corticosteroids might also be recommended. Corticosteroids will help control the disease, but they can also raise the pressure in the eyes of some people. If corticosteroids are being used, it is important for the patient to come back to the doctor's office so the pressure can be checked. Another type of eye drop might also be prescribed to keep the pupil dilated. This will help the eye's natural fluids flow, which prevents the pressure from increasing.
system: What are symptoms of herpes zoster ophthalmicus?
output: The problem is likely to be herpes zoster ophthalmicus if your doctor finds some or all of these symptoms: Pain in and around only one eye Headache and fever Redness, rash, or sores on the eyelids and around the eyes, especially on the forehead A rash on the tip of the nose Redness of the eye Blurry vision Swelling and cloudiness of the cornea The problem is likely to be herpes simplex keratitis if your doctor sees these symptoms: Pain in and around only one eye Redness of the eye Feeling of dirt or "grit" in the eye Overflowing tears Pain when looking at bright light Swelling or cloudiness of the cornea Your doctor might want to use special tests if it looks like herpetic eye disease might be present.
system: How is herpes simplex keratitis treated?
output: Because herpes is a virus, antibiotics such as penicillin are not an effective treatment. The only drugs that will work against herpes infections are antiviral medications. Your doctor will likely recommend antiviral pills to quicken healing and decrease the severity of the condition. It is important to keep using the medicine for as long as your doctor recommends. Even though the eye might start to look or feel better, the infection could come back if you stop taking your medicine too soon.
system: How does herpetic eye disease happen?
output: The other virus that causes herpetic eye disease is called herpes simplex type 1. Like many viruses, the herpes simplex 1 and varicella-zoster viruses are present in most adults. Occasionally, the viruses will start to multiply, or they will move from one area of the body to another, and that is when herpetic disease breaks out. This often happens when the immune system of the body is weakened by some other health problem.
system: Does keeping a health journal help with maintaining weight loss?
output: Be honest and accurate; otherwise, the journal is not as helpful. The journal will help you see when you're reaching for higher-calorie foods, so you can make adjustments. You can also record when you exercise (and how long). Notice any trends -- for example, if you're gaining weight because you're eating the same but stopped exercising. Stay committed to a healthy diet.
system: Is weighing yourself bad if you are trying to maintain weight loss?
output: Weigh yourself daily. A daily weigh-in may seem like overkill, but research shows the method is more effective than getting on the scales less frequently.
system: Does being active help maintain weight loss?
output: You still want to exercise most days of the week. Physical activity is one of the most important aspects of keeping weight off, so make sure you're building it into your daily routine.
system: Is skipping meals bad if you are trying to maintain weight loss?
output: Use these five tips to help you stay on track: Don't skip meals. Skipping meals can slow your metabolism down. Skipping meals can also cause overeating later in the day.
system: Does staying committed to a healthy diet help maintain weight loss?
output: To ensure you're sticking to your healthy goals, write down everything you eat or drink. Include choices from whole grains, fruits, vegetables, and lean protein sources.
system: What over-the-counter medicines are used to treat gastroesophageal reflux disease (GERD)?
output: She may suggest you start with over-the-counter medicines like: Antacids, which neutralize acid in your stomach H2 blockers, which keep your body from making as much acid Proton-pump inhibitors, which can reduce the amount of acid your body makes Sometimes, though, you need prescription medication to get GERD symptoms under control.
system: How does acid reflux make your asthma symptoms worse?
output: There are two ways acid reflux can trigger asthma or make symptoms worse: Acid touches the nerves in your esophagus. This sets off a chain reaction. The nerves tell your brain to tell your airways to protect themselves from the acid. Your airways narrow to keep the acid out, and asthma symptoms start. Stomach acid gets into your lungs directly. The acid irritates your airways, which makes you wheeze, cough, and feel tightness in your chest.
system: What happens inside my body when I get heartburn?
output: The faulty opening lets acid in your stomach get into the esophagus. You may hear your doctor call this "acid reflux." Prednisone and albuterol may affect the muscles that control the opening between your esophagus and your stomach.
system: How do you break the cycle of gastroesophageal reflux disease (GERD) symptoms and asthma symptoms?
output: There are two ways acid reflux can trigger asthma or make symptoms worse: Acid touches the nerves in your esophagus. If GERD makes asthma symptoms worse, and asthma medication makes GERD worse, how do you break the cycle?
system: Can asthma drugs raise the chances of getting acid reflux?
output: You get heartburn when an opening between your stomach and your esophagus doesn't work the way it should. You may hear your doctor call this "acid reflux." This keeps track of the amount of acid in your esophagus.
system: Is there a link between asthma and heartburn?
output: And if you have frequent heartburn, it can trigger asthma symptoms or make them worse. Doctors aren't exactly sure why the conditions go together so closely, but they do know the link involves stomach acid and your airways. There are two ways acid reflux can trigger asthma or make symptoms worse: Acid touches the nerves in your esophagus.