laomobai/llama3-1 huggingface dataset:
system: How is cystic fibrosis treated if you have exocrine pancreatic insufficiency?
output: You can also eat a high-calorie, high-fat diet or take supplements to get the nutrition you need. If you have cystic fibrosis and EPI, you may also get diabetes. Keep your blood sugar levels under control, and take insulin or other medications if your doctor prescribes them.
system: How can surgery help treat EPI?
output: Surgery can open ducts that are clogged or blocked by gallstones, and decompression can widen a main pancreatic duct that's too narrow.
system: How are high triglyceride levels treated?
output: Your doctor should check on whether you do, and if so, help you get both your diabetes and your triglycerides under control. High triglyceride levels can be a clue that you have fatty liver disease.
system: Do high triglyceride levels affect your liver?
output: High triglyceride levels can be a clue that you have fatty liver disease. Poor eating habits lead not only to high levels of fat in the bloodstream (triglycerides) but increased storage of fat throughout the body, including in the liver. Elevations in liver function tests (like ALT and AST) can indicate that fatty liver is present. Fatty liver usually does not cause symptoms, but unless reversed, fatty liver can lead to permanent liver damage and cirrhosis.
system: Can high triglyceride levels cause diabetes?
output: Having high triglycerides could be a sign that you're becoming insulin-resistant, which means your body isn't using insulin (a hormone that controls blood sugar) properly. When insulin doesn't do its job, glucose can't get into your cells. That raises your blood sugar levels, which can lead to pre-diabetes and, eventually, type 2 diabetes. Having diabetes makes you much more likely to have a heart attack and other heart problems, in addition to the risk from your high triglycerides.
system: What should I know about high triglyceride levels?
output: When your triglyceride levels are too high, you may not have symptoms. If you already know that your triglyceride levels are too high, the actions you take now might even save your life. Having diabetes makes you much more likely to have a heart attack and other heart problems, in addition to the risk from your high triglycerides. To manage it well, you may need to track everything you eat, test your blood sugar, exercise, lose extra weight, take medication as directed, and keep up with your medical appointments. Your doctor should check on whether you do, and if so, help you get both your diabetes and your triglycerides under control.
system: How do men with prostate cancer get chemotherapy?
output: Generally, chemotherapy drugs are given intravenously (directly into the vein) or by mouth. Once the drugs are absorbed, they enter the bloodstream and travel to virtually all parts of the body to reach cancer cells that may have spread beyond the prostate.
system: When should I call my doctor about shingles?
output: You suspect an outbreak is beginning. If you take antiviral drugs in the early stages, you may shorten the course of the infection. You have the rash anywhere on your face. This puts you at risk of herpes zoster in the eye, which can lead to corneal damage and vision problems. The affected area becomes secondarily infected with bacteria (indicated by spreading redness, swelling, a high fever, and pus); antibiotics can help halt the spread of bacterial infection but not the shingles itself. Your rash lasts longer than 10 days without improvement. The pain becomes too great to bear; your doctor may prescribe stronger painkillers or a nerve block. You have shingles and are in contact with someone who has a weakened immune system. You develop any strange symptoms with the shingles rash, such as vertigo, buzzing in your ears, rapid onset weakness, double vision, face droop, or confusion.
system: Does exercise prevent acne?
output: When you exercise, avoid wearing clothing or using exercise equipment that rubs your skin and may cause irritation. Shower or bathe right after exercise.
system: Does what you eat and drink cause acne?
output: Most experts agree that certain foods, like chocolate, don't cause pimples. Still, it makes sense to avoid greasy food and junk food and add more fresh fruits, vegetables and whole grains to your diet. Dairy products and foods high in processed sugar may trigger acne. Avoid these.
system: How can keeping your hands off your face help prevent acne?
output: Avoid touching your face or propping your cheek or chin on your hands. Not only can you spread bacteria, you can also irritate the already inflamed facial skin. Never pick or pop pimples with your fingers, as it can lead to infection and scarring.
system: How can reducing the use of makeup help prevent acne?
output: During a breakout, avoid wearing foundation, powder, or blush. If you do wear makeup, wash it off at the end of the day. If possible, choose oil-free cosmetics without added dyes and chemicals. Choose makeup that is labeled as "noncomedogenic," meaning it should not cause acne. Read the ingredients list on the product label before buying.
system: How can moisturizing your face help prevent acne?
output: There are moisturizers made for oily, dry, or combination skin. Use these products with caution if you have sensitive skin. Look for "noncomedogenic" on the sunscreen label to make new pimples less likely.
system: Do hair products cause acne?
output: If they get on your face, they can block your skin's pores and irritate your skin. Use a gentle shampoo and conditioner. Oily hair can add to the oil on your face, so wash your hair often, especially if you're breaking out. Got long hair? Keep it pulled away from your face. Avoid touching your face or propping your cheek or chin on your hands.
system: Does stress cause acne?
output: Look for "noncomedogenic" on the label, which means it should not cause acne. Watch what you put on your hair. Stay out of the sun. Some acne medications may make your skin more sensitive to sunlight.
system: What over-the-counter acne products help prevent acne?
output: They may cause drying or peeling so start with a small amount at first. Then you can adjust how much you use and how often. Another option is a new OTC topical retinoid gel ( Differin 0.1% gel). It works to actually keep the acne from forming. Use these products with caution if you have sensitive skin. Read the ingredients list on the product label before buying. Avoid these.
system: How can keeping your face clean help prevent acne?
output: Washing more often than twice daily is not necessarily better; it may do more harm than good. Use warm, not hot, water and a mild facial cleanser. Using a harsh soap (like deodorant body soap) can hurt already inflamed skin and cause more irritation. Oily hair can add to the oil on your face, so wash your hair often, especially if you're breaking out.
system: What are questions that my doctor might ask to diagnose exocrine pancreatic insufficiency?
output: For instance, you could develop a bleeding disorder if you're not getting enough vitamin K. Or you could get bone pain if you don't get enough vitamin D. Your doctor may diagnose your condition by checking your symptoms. He may ask you questions such as: Do you have pain in your upper belly? Have you had bad-smelling bowel movements that are oily and hard to flush down the toilet? Do you have gas or diarrhea? Have you lost weight?
system: What is pancreatic enzyme replacement therapy for exocrine pancreatic insufficiency?
output: Apart from a healthy diet, the main treatment for EPI is pancreatic enzyme replacement therapy ( PERT). You take prescription pills that replace the enzymes your pancreas isn't making. These enzymes break down your food so you can more easily digest and absorb it. You have to take them during your meals. If you take them before you eat, the replacement enzymes may move through your stomach before your food gets there.
system: What inherited diseases can lead to exocrine pancreatic insufficiency?
output: You have one of these inherited diseases: Cystic fibrosis Shwachman- Diamond syndrome If you have cystic fibrosis, your body makes unusually thick and sticky mucus. Crohn's disease and celiac disease can also lead to EPI in some people.
system: What is exocrine pancreatic insufficiency (EPI)?
output: Your pancreas doesn't make enough of the enzymes that your body needs to break down and absorb nutrients. Damage to your pancreas causes EPI.
system: How important is a balanced diet in managing exocrine pancreatic insufficiency?
output: Apart from a healthy diet, the main treatment for EPI is pancreatic enzyme replacement therapy ( PERT). A dietitian can help you choose the foods that keep your energy level up and give you the nutrition you need. Here are a few tips: Eat six small meals per day. Don't drink. Alcohol can make it even harder for your body to absorb fat, and can damage your pancreas over time. Take vitamins.
system: How do you get warmth back to someone with frostbite?
output: Unless absolutely necessary, the person should not walk on frostbitten toes or feet. Do not rewarm the skin until you can keep it warm. Warming and then re-exposing the frostbitten area to cold air can cause worse damage. Gently warm the area in warm water (not hot) or with wet heat until the skin appears red and warm. If no water is nearby, breathe on the area through cupped hands and hold it next to your body. Do not use direct heat from heating pads, radiator, or fires. Do not rub or massage the skin or break blisters.
system: What is the follow-up care for frostbite?
output: Once you get medical care, the next steps depend on the particular case. At the hospital, a doctor will rewarm the area. The doctor may administer medication for pain or intravenous fluids if the person is dehydrated. The doctor may also give a tetanus vaccine. The person may be hospitalized for a few days. In severe cases they may require amputation of the frostbitten area to avoid gangrene.
system: When should you call 911 about frostbite?
output: The person shows signs of hypothermia. Do not rub or massage the skin or break blisters.
system: How can you manage irritable bowel disease (IBD) and psoriasis?
output: It's often helpful to have a specialist called a gastroenterologist as well as a dermatologist on your health care team. You and your team can decide what treatment is right for you based on what and how severe your symptoms are and the medication side effects you're willing to deal with. The same drug may work for both your psoriasis and IBD. But some biologic medications are more likely than others to trigger a flare for someone who already has an IBD. Following a gluten-free diet has helped some people clear their psoriasis lesions as well as manage celiac.
system: What is the link between psoriasis and inflammatory bowel disease (IBD)?
output: There's a strong link between psoriasis and inflammatory bowel disease, or IBD. IBD includes Crohn's disease and ulcerative colitis ( UC). Crohn's can affect any part of the stomach and intestines; UC usually affects the lower parts of your GI tract, the colon and rectum.
system: Can the symptoms of celiac disease and inflammatory bowel disease (IBD) seem similar?
output: IBD ( Crohn's disease, ulcerative colitis) symptoms include: Diarrhea Belly cramps Blood in your poop Celiac disease or gluten sensitivity symptoms in adults may include: Diarrhea Bad-smelling poop Fatigue Feeling weak, dizzy, or short of breath Cold hands and feet Sore, achy joints You might mistake celiac disease for psoriatic arthritis, because both can cause joint pain and fatigue. Your doctor can order a blood test that measures levels of antibodies to check whether gluten affects you.
system: What is the link between psoriasis and celiac disease?
output: When you have celiac disease, you can't digest gluten, a protein in wheat, rye, and barley. Celiac disease can damage your small intestine and prevent it from absorbing key nutrients. The chance of getting celiac disease is nearly 3 times higher among people with psoriasis. About 4 of every 100 have it. Research shows that the higher the levels of specific antibodies related to celiac disease, the worse psoriasis tends to be.
system: What is the link between digestive problems and psoriasis?
output: Right now, there isn't anything you can change about your lifestyle to specifically keep you from getting one of these digestive problems that's written into your genes. Research into the complex relationship is ongoing, and there's a lot more still to be learned. Some people get a digestive disorder first and psoriasis later. About 4 of every 100 have it.
system: How does cognitive behavior therapy help people with irritable bowel syndrome?
output: Cognitive behavior therapy ( CBT) trains people to identify and change inaccurate perceptions they may have of themselves and the world around them. It's also been used to help IBS patients ease symptoms and improve quality of life. Researchers gave a group of IBS patients up to 10 weekly sessions of CBT in one study. The sessions covered information on IBS, muscle relaxation training, development of a flexible set of problem-solving skills related to IBS, and ways to curb worries about the illness. Results showed that 60% to 75% of participants had improvement in their symptoms.
system: Are probiotics used to treat irritable bowel syndrome (IBS)?
output: On the other hand, there's some evidence that taking probiotics help IBS sufferers. Probiotics are bacteria that naturally live in the gut. Some people believe that several intestinal disorders may arise when there isn't enough good bacteria in the gut. One study found that probiotic treatment significantly improved IBS symptoms and quality of life. In the study, researchers primarily used the bacteria Lactobacillus acidophilusand Bifidobacteria infantis. People with IBS reported fewer symptoms and, in general, a higher quality of life after taking the probiotics for four weeks. Just as significant, the probiotic therapy did not appear to cause side effects, according to the study's author, Stephen M. Faber, MD, from Albemarle Gastroenterology Associates, PC, in Elizabeth City, North Carolina. "
system: Is acupuncture used with other treatments for irritable bowel syndrome (IBS)?
output: Acupuncture is ideally used with other treatments, says Janine Blackman, MD, Ph D, an integrative medicine physician in Santa Monica, CA. She says even in China, the therapy is never used on its own. Talk with your doctor if you are considering acupuncture.
system: What are some alternative treatments for irritable bowel syndrome?
output: Alternative treatments such as acupuncture, dietary supplements, and herbs don't always get the official scientific nod, but some patients turn to them for help with irritable bowel syndrome ( IBS).
system: How can hypnosis help people with irritable bowel syndrome?
output: Researchers have found that focusing the mind with hypnotherapy can improve the emotional and physical symptoms in some who have IBS. In one study, 20 men and 55 women received between five and seven half-hour hypnotherapy sessions over a three-month period. Afterwards, patients reported a 30% improvement in emotional quality of life and a 16% increase in overall physical health.
system: What alternative treatments are there for irritable bowel syndrome (IBS)?
output: Alternative treatments such as acupuncture, dietary supplements, and herbs don't always get the official scientific nod, but some patients turn to them for help with irritable bowel syndrome ( IBS).
system: Are herbs used to treat irritable bowel syndrome (IBS)?
output: Herbs are also popular options for people with IBS. Peppermint is used to calm muscles in the colon, which may cause some of the diarrhea and abdominal discomfort suffered by people with IBS. The Mayo Clinic advises anyone who'd like to try it to get the enteric-coated capsules, and to be aware that it may make heartburn worse. Registered herbalists never use peppermint on its own, nor do they recommend it for an extended period of time, says Jonathan Gilbert, who has a diploma in herbology and acupuncture from the National Certification Commission for Acupuncture and Oriental Medicine ( NCCAOM). If you are interested in herbal therapy, dietary supplements, acupuncture, or any other treatment for your IBS, make sure you talk with your doctor. Herbs may interact with other medications you may be taking.
system: How will a trained professional decide the best way to  remove your tattoo?
output: You should first schedule a consultation with a trained professional who can evaluate your tattoo and advise you on the process. The number of treatments you will need will depend on the age, size, and color(s) of your tattoo. The color of your skin, as well as how deep the tattoo pigment goes, will also affect the removal technique.
system: Can lasers remove tattoos?
output: Lasers remove tattoos by breaking up the pigment colors with a high-intensity light beam. Black tattoo pigment absorbs all laser wavelengths, making it the easiest color to treat. Other colors can only be treated by selected lasers based upon the pigment color.
system: Do you need anesthesia for laser tattoo removal?
output: Laser tattoo removal is uncomfortable, but most patients don't need anesthesia. Depending on the location of your tattoo, you may want to apply a topical anesthesia cream beforehand.
system: What should you expect during a laser tattoo removal session?
output: In general, this is what you should expect during a laser tattoo removal session: You'll be given a pair of protective eye shields. The technician will test your skin's reaction to the laser to determine the most effective energy for treatment. The technician uses the laser to pass pulses of intense light through the top layers of your skin that will be absorbed by the tattoo pigment only.
system: How many laser tattoo removal sessions do you need to completely get rid of your tattoo?
output: Smaller tattoos will require fewer pulses while larger ones will need more to remove them. In either case, to completely get rid of a tattoo, it will take several treatments. After each visit, your tattoo should become progressively lighter.
system: What factors should you consider before getting a laser treatment to remove your tattoo?
output: In either case, to completely get rid of a tattoo, it will take several treatments. However, you should consider these factors in your decision: Your tattoo removal site is at risk for infection. You may end up with hypopigmentation, which means the skin that is treated is paler than the skin surrounding it. You could also have hyperpigmentation, which leaves the affected skin darker than the rest of your skin. Cosmetic tattoos like lip liner, eyeliner, and eyebrows may actually get darker after treatment. They do tend to fade with additional sessions.
system: What does the term "laparoscopic" refer to?
output: Doctors use it to treat the following conditions: Cancers of the colon and rectum Some types of noncancerous growths in the colon and rectum Complicated diverticulitis The term "laparoscopic" refers to a type of surgery called laparoscopy, in which the surgeon works through very small (5-millimeter to 10-millimeter) "keyhole" cuts in the abdomen.
system: How does a surgeon remove the diseased part of a bowel during laparoscopic proctosigmoidectomy?
output: The cuts used in laparoscopy are very small, so the surgeon must remove the diseased section of bowel in a special way. He will enlarge one of the cuts and place a bag into your abdominal cavity, put the diseased bowel into the bag, and then pull the bag out of the enlarged cut.
system: What is laparoscope for proctosigmoidectomy?
output: A laparoscope is a small telescope-like instrument. Your surgeon will use it in order to see inside you during the operation. There are five main steps to this surgery.
system: When can I be active after laparoscopic proctosigmoidectomy?
output: You should avoid heavy lifting and abdominal exercises such as sit-ups for 6 weeks after the surgery. Apart from that, you should steadily build up your activity level when you get home. Walking is a great exercise choice. It will help your recovery by making you stronger, keeping your blood circulating to prevent blood clots, and helping your lungs remain clear. Did you work out before the surgery? You can get back to exercising when you feel comfortable and your doctor says it's OK.
system: What is laparoscopic proctosigmoidectomy?
output: Doctors use it to treat the following conditions: Cancers of the colon and rectum Some types of noncancerous growths in the colon and rectum Complicated diverticulitis The term "laparoscopic" refers to a type of surgery called laparoscopy, in which the surgeon works through very small (5-millimeter to 10-millimeter) "keyhole" cuts in the abdomen. Your surgeon will need to cut away the diseased section of your sigmoid colon and rectum.
system: How can removing earwax properly help you prevent hearing loss?
output: A buildup of wax in your ears can muffle sound. But don't use a cotton swab to clean them out -- they can push wax deeper in. Instead, use an at-home irrigation kit to soften wax and gently wash it out. If it gets compacted in your ear, your doctor may need to remove it.
system: How can avoiding smoking help you  prevent hearing loss?
output: Tobacco can make you more likely to lose your hearing, too, research shows. So if you light up, that's one more good reason to quit. If you aren't a smoker, avoid breathing secondhand smoke.
system: How can you avoid noise to prevent hearing loss?
output: Make an appointment to get a hearing test if you: Have close relatives with hearing loss Have trouble hearing conversations Are around loud noises on a regular basis Often hear ringing in your ears If you have some hearing loss, you can avoid getting more damage by steering clear of loud noises.
system: How can wearing hearing protection help you prevent hearing loss?
output: If you know you're going to be around loud sounds for more than a few minutes, think about wearing protection, such as: Earplugs. Usually made of foam or rubber, they go in your ear canal and can reduce noise by 15 to 30 decibels. You can buy them off-the-shelf or have them custom-made to fit you. Some earplugs lower noise levels evenly across all frequencies. They're useful for people who need to make sound quieter but undistorted, such as musicians. Earmuffs. These fit completely over your ears and reduce sounds by about 15 to 30 decibels. They have to fit tightly over both ears to block sound.
system: How can you prevent more damage if you have hearing loss?
output: Make an appointment to get a hearing test if you: Have close relatives with hearing loss Have trouble hearing conversations Are around loud noises on a regular basis Often hear ringing in your ears If you have some hearing loss, you can avoid getting more damage by steering clear of loud noises. If your problem is severe enough, think about a hearing aid or other treatment. Be sure to see your doctor if you have a sudden change in what you can hear that you can't explain. It could be a symptom of other serious medical problems.
system: How can enforcing quiet help you to prevent hearing loss?
output: Think about buying appliances and devices that have low noise ratings. And if it's too loud in the movie theater, restaurant, or any other place you go often, ask the manager to turn it down.
system: What causes hearing loss?
output: Noise: A lot of loud sound over time can damage the hair cells in your ears. Here are eight tips to help keep your ears as sharp as possible.
system: How can checking your medications help prevent hearing loss?
output: A buildup of wax in your ears can muffle sound. If you must take a medication that may harm your ears, make sure your doctor checks your hearing and balance before and during your treatment.