laomobai/llama3-1 huggingface dataset:
system: What is acid reflux disease, and what are its serious consequences?
output: Three out of every 10 people experience heartburn on occasion, so it can be somewhat arbitrary to decide when heartburn should be called acid reflux disease. Also known as gastroesophageal reflux disease ( GERD), acid reflux disease is a chronic irritation of the lining of a person's esophagus by stomach acid. Usually, it's just annoying. GERD can, however, have serious consequences, including esophagitis and Barrett's esophagus. Barrett's esophagus is a condition that increases the likelihood of esophageal cancer.
system: How do doctors diagnose acid reflux disease?
output: People with acid reflux disease often have some or all of the following symptoms: Pain when or difficulty swallowing Bad breath and/or bad taste in the mouth Burping Chest pain Heartburn Hoarseness Regurgitation Sore throat Cough Asthma If you experience classic symptoms of acid reflux disease -- chronic heartburn and regurgitation -- without any troublesome complications, it may be relatively easy for your doctor to make an acid reflux diagnosis. A few people have GERD that doesn't respond to treatment. Or they may have other concerning symptoms, such as weight loss, difficulty swallowing, anemia, or black stools. If you're one of them, you may need any of the following tests.
system: What are side effects of deep brain stimulation for Parkinson's disease?
output: DBS can cause serious issues. Many go away in a few days or weeks, but some don't. You could have: Stroke symptoms, like numbness and slurred speech Changes in your mood, memory, and thinking Seizures Movement and speech problems that get worse Headache, dizziness, and tingling You might have problems with the DBS device, like a loose wire or lead in the wrong place.
system: What do I need to know about deep brain stimulation for Parkinson's disease?
output: Deep brain stimulation ( DBS) is a treatment for symptoms of Parkinson's disease, including tremors, stiffness, and trouble walking. It can also treat side effects of Parkinson's medicines. DBS isn't a cure for Parkinson's and won't stop it from getting worse. But it may be an option if you've had the disease at least 5 years and don't get enough relief from medicine. For some people, DBS is life-changing. For others, the results aren't as good. If it doesn't help you, your doctor can take the device out.
system: How should I prepare for deep brain stimulation for Parkinson's disease?
output: Find a center with doctors who are trained and skilled in the procedure. Discuss it with your doctor, and set realistic expectations for the outcome. DBS is costly, so be sure you know what your insurance plan covers. You'll need tests to check your memory, thinking, and mood. Others, like MRI and CT scans, help pinpoint the part of your brain to be targeted. Since you'll likely be awake during the brain procedure, it may be easier if you have ways to stay relaxed.
system: How does deep brain stimulation for Parkinson's disease work?
output: Deep brain stimulation ( DBS) is a treatment for symptoms of Parkinson's disease, including tremors, stiffness, and trouble walking. A small device placed inside your chest sends electrical pulses to your brain. The pulses block nerve signals that cause Parkinson's symptoms. A DBS system has four parts: A thin wire, called a lead, that's placed in the part of your brain causing symptoms A pulse generator, like a pacemaker, that sends tiny electrical signals to the lead A wire that connects the lead to the pulse generator A remote control to program the system -- the only part outside your body After the system is in place and turned on, a DBS expert will adjust it so you get the best relief for your symptoms.
system: What happens after deep brain stimulation for Parkinson's disease?
output: A small device placed inside your chest sends electrical pulses to your brain. You'll need to keep taking your usual dose of Parkinson's medicine after surgery. Your device can't be programmed until the swelling in your brain goes down, which takes about 2 to 4 weeks, and you have the pulse generator. It also takes time to get the programming right. But once you do, your symptoms could get better, and you may need less medicine.
system: What does it mean when babies walk on tiptoes?
output: Walking on tiptoes should disappear by the time a child is between ages 2 and 3. Many babies practice walking on tiptoe as they are first learning to walk. Only later, after 6 to 12 months or so of practice, will they learn to walk with a mature heel-to-toe gait.
system: Are baby's bowed legs a concern?
output: Bowed legs are a common concern of new parents who may not realize that nearly every baby has bowed legs at birth. This outward curve of the leg bones usually resolves itself by age 2. Toddlers usually sway from side to side rather than move forward, at first, making their bowed legs look even more exaggerated. Bowed legs don't cause delayed walking or affect your baby's ability to learn to walk.
system: Can flat feet delay walking in babies?
output: Just about every baby has flat feet at birth. It takes time for the foot's natural arch to develop. Flat feet rarely cause any problem with walking and often disappear by ages 2 or 3. Extremely flat feet can make your baby's ankles appear to bend inward as he or she walks. This happens if the arches don't fully develop to realign the foot and ankle. Treatment is rarely needed except in the most severe cases, and is not generally considered until a child grows past the early infant years. A tendency to flat feet can run in families.
system: When should you see a doctor about delayed walking in babies?
output: Your baby's legs, feet, and motor skills will be checked as part of the normal well-baby visit. But see your baby's doctor if you're concerned about delayed walking.
system: What are developmental milestones for walking in babies?
output: By 6 to 10 months: Most babies will pull themselves up to stand. Between 7 and 13 months: Most babies will be happily 'cruising' around the furniture (as mentioned before). Babies will be able to walk a little with support from a parent (note: early walking should not be forced). Between 11 and 14 months: Babies will start to walk alone -- by 14 months most babies will walk alone to some degree.
system: How is the hepatitis C virus (HCV) linked to hemodialysis?
output: As in the general population, co-infection with both hepatitis C and hepatitis B appears to hasten disease progression in kidney transplant patients, increasing their risk of liver failure and death. Hemodialysis patients have become infected with hepatitis C through blood transfusions, organ transplants, and, possibly, though hemodialysis equipment. About 8% of hemodialysis patients in the U. S. have HCV.
system: What should you do if you keep getting low blood sugar from exercising?
output: You'll need to make a few changes. Talk to your doctor about options like: Adjusting your insulin or medications (better if you're trying to lose weight) Eating more before you work out Changing the kind of workout you do or how long you do it
system: Is there any risk to exercising with type 2 diabetes?
output: Exercise is one of the best ways to manage type 2 diabetes. It makes your cells use insulin better and can help keep your blood sugar in a healthy range. It also helps your cells take in that sugar. But if you take insulin or certain diabetes medications, a workout can send your levels too low, a condition called hypoglycemia.
system: What level should my blood sugar be at before exercising if I have diabetes?
output: Test your sugar prior to a workout. It's generally OK if it's between 100 mg/dl and 250 mg/dl. If it's below 100, you'll need a snack. If you're planning a long workout of 2 hours or more, don't start until your reading is above 100. If it's higher than 250, check your urine for ketones. They're produced when your body burns fat instead of sugar for fuel. Don't exercise if you have them. Your blood sugar could go even higher and cause ketoacidosis, which might lead to a coma or death.
system: What symptoms during exercising may indicate low blood sugar if I have diabetes?
output: If you notice anything unusual while you're at it, check your sugar, especially if the symptoms don't normally go with exercise, like: Confusion or feeling delirious Blurry or impaired vision Tingling or numbness in your lips or tongue Lack of coordination A low might feel different for you during exercise than it does at night or if you don't eat enough for the insulin you take at meals. When in doubt, check.
system: How can I avoid blood sugar lows while exercising if I have diabetes?
output: A few tricks can help you prevent them when you exercise: Don't work out when your insulin will peak. Finish up at least 2 hours before bedtime. Skip alcohol before or right after you work out. Stay out of hot tubs, saunas, and steam rooms directly after. Get physical once or twice a day.
system: How can exercise affect your blood sugar?
output: Exercise is one of the best ways to manage type 2 diabetes. It makes your cells use insulin better and can help keep your blood sugar in a healthy range. It also helps your cells take in that sugar.
system: What can I do if I have diabetes and my blood sugar gets too low when I exercise?
output: You'll need to make a few changes. Talk to your doctor about options like: Adjusting your insulin or medications (better if you're trying to lose weight) Eating more before you work out Changing the kind of workout you do or how long you do it
system: What level should my blood sugar be at after exercising if I have diabetes?
output: Check again when you're done. That'll show you how exercise affects your diabetes. It'll also let you know if you need a snack right away (if it's below 100 mg/dl) or if you can wait until your next meal or snack. Your levels may drop for up to 24 hours after either a medium or tough workout, so test at your regular times, too.
system: What kind of snacks should diabetics keep handy while exercising?
output: These work well: Glucose tablets or gels Regular soda (not diet) or juice Sports drinks 1 tablespoon of sugar Read the labels to see how much you need to eat or drink to get 15 grams of carbs.
system: What should you do after exercising to control your blood sugar?
output: Check again when you're done. That'll show you how exercise affects your diabetes. It'll also let you know if you need a snack right away (if it's below 100 mg/dl) or if you can wait until your next meal or snack. Your levels may drop for up to 24 hours after either a medium or tough workout, so test at your regular times, too.
system: What are some tips to prevent low blood sugar when you exercise?
output: A few tricks can help you prevent them when you exercise: Don't work out when your insulin will peak. Finish up at least 2 hours before bedtime. Skip alcohol before or right after you work out. Stay out of hot tubs, saunas, and steam rooms directly after. Get physical once or twice a day.
system: Are there symptoms of low blood sugar when exercising with diabetes?
output: Not always. It can be easy to miss the warning signs of low blood sugar when you're working out. Or you can mistake them for signs of a good workout: the same as sweating, fast heartbeat, feeling tired, and getting hungry.
system: What is an emergency treatment to control your blood sugar when exercising?
output: These work well: Glucose tablets or gels Regular soda (not diet) or juice Sports drinks 1 tablespoon of sugar Read the labels to see how much you need to eat or drink to get 15 grams of carbs.
system: Can eating breakfast help with bad breath?
output: Eat breakfast: Even if you brush your teeth when you get up, your morning breath may reappear if you don't eat. Morning mouth may be associated with hunger.
system: Can chewing gum with xylitol help with bad breath?
output: Chew sugarless gum with xylitol: Gum with the natural sweetener xylitol can prevent the growth of bad-breath bacteria. The gum itself can bring more saliva to your mouth, which will naturally make your mouth fresher.
system: Can drinking water help with bad breath?
output: Drink water: If your bad breath is caused by weight loss, water can dilute the chemicals that cause the odors. Water also helps wash away bacteria and food particles.
system: Can dieting bring on bad breath?
output: Diets that lead to weight loss: We agree that it seems unjust, but when your body breaks down fat, the process releases chemicals that can give your breath an unpleasant smell.
system: Can taking care of health problems help with bad breath?
output: Take care of health problems: Work with your doctor to keep diabetes, allergies, and other conditions under control.
system: Can cleaning your teeth help with bad breath?
output: Clean those teeth: Not only do they prevent odor-causing plaque from building up in your mouth, but brushing, flossing and rinsing are healthy for your gums and teeth, too. If you can't brush after a meal, give your mouth a good rinse with water to at least loosen up and free those trapped bits.
system: Does tobacco cause bad breath?
output: Bad breath starts with what you put in your mouth. Garlic for lunch?
system: How do medications or health issues cause bad breath?
output: Medications or health issues: Drugs that cause dry mouth can also contribute to bad breath. Health problems such as seasonal allergies, chronic sinusitis, bronchitis, respiratory infections, stomach problems, diabetes, and liver and kidney diseases factor in, too. Unrelenting bad breath may also be a sign of gum disease.
system: How does dry mouth cause bad breath?
output: Dry mouth: Feeling parched? Saliva's job is to serve as a continuous rinse cycle for your mouth. If you don't have enough, your mouth loses its freshness fast. In fact, morning breath is worse for people who sleep with their mouths open.
system: How does food trapped in your mouth cause bad breath?
output: Food "trapped" in your mouth: We're not talking about just a little spinach on your teeth. After a meal, any food particles that remain between your teeth, in your gums, or on your tongue can release their odor into your breath -- which gets worse as that food decays. And without good care of your teeth and gums, this stuck food can set off a cascade of events leading to gum disease.
system: Can using mouthwash or dental rinse help with bad breath?
output: Antiseptic mouthwash can help kill bacteria that cause bad breath and plaque that can lead to gingivitis, an early, mild form of gum disease. Adding a fluoride rinse to your daily routine can help prevent tooth decay.
system: Can cleaning your tongue help with bad breath?
output: Clean that tongue: Bacteria on your tongue can contribute to bad breath. When you brush your teeth, brush your tongue, too, or use a tongue scraper.
system: Can eating hard fruits or vegetables help with bad breath?
output: Eat a hard fruit or vegetable: Apples, carrots, celery, and other hard fruits and vegetables help clear odor-causing plaque and food particles from your mouth.
system: How does food you eat cause bad breath?
output: You've suffered from bad breath. They may taste delicious, but consider yourself warned. Food you eat: Although garlic and coffee are two main offenders, other eats like onions and spicy food also can bring on bad breath. The odors of these foods enter your bloodstream and head right to your lungs, coming out with each exhale. Morning mouth may be associated with hunger.
system: What medications can treat fibromyalgia?
output: Three medications are FDA-approved to treat fibromyalgia: Cymbalta (duloxetine): Cymbalta is atype of antidepressant called a serotonin and norepinephrine reuptake inhibitor ( SNRI). Researchers aren't sure how Cymbalta works in fibromyalgia, but they think that increasing levels of serotonin and norepinephrine help control and reduce feelings of pain. Lyrica (pregabalin): Lyrica is a nerve pain and epilepsy drug. In people with fibromyalgia, it may help calm down overly sensitive nerve cells that send pain signals throughout the body. It has been effective in treating fibro pain. Savella (milnacipran): Savella is also an SNRI. While researchers aren't exactly sure how it works, studies have shown that it helps relieve pain and reduce fatigue in people with fibromyalgia.
system: How can exercise help fibromyalgia symptoms?
output: Fibromyalgia is a syndrome-- a collection of symptoms, rather than a specific disease. It is unclear how these medications work to relieve the symptoms in fibromyalgia. Low-impact aerobic exercises such as yoga, tai chi, or Pilates can also be helpful. If you want to increase the intensity of your exercise, talk with your doctor. Whatever exercise you choose, focus on three areas: range of motion, aerobic, and strength training. Some studies report that acupuncture may help ease pain, anxiety, and fatigue.
system: What are some alternative treatments for fibromyalgia?
output: Researchers aren't sure how Cymbalta works in fibromyalgia, but they think that increasing levels of serotonin and norepinephrine help control and reduce feelings of pain. In general, there hasn't been extensive research on complementary and alternative medicine ( CAM), but anecdotal evidence suggests that some may work. Popular alternative treatments include: Acupuncture. Some studies report that acupuncture may help ease pain, anxiety, and fatigue. Massage therapy. This may help reduce muscle tension, ease pain in both muscles and soft tissue,improve range of motion, and boost production of natural painkillers. Chiropractic treatment. Based on spinal adjustments to reduce pain, this popular therapy may help relieve fibromyalgia symptoms. Supplements. Some of the most popular for fibromyalgia include magnesium, melatonin, 5- HTP, and SAMe, which may affect serotonin levels. However, results of studies on these supplements are mixed. Be sure to talk with your doctor before taking any supplements. Herbs. As with supplements, scientific evidence for the effectiveness of herbs is mixed.
system: What medications are  prescribed for fibromyalgia?
output: Three medications are FDA-approved to treat fibromyalgia: Cymbalta (duloxetine): Cymbalta is atype of antidepressant called a serotonin and norepinephrine reuptake inhibitor ( SNRI). Antidepressants are also sometimes prescribed to help people manage fibromyalgia symptoms: Tricyclic antidepressants. These medications are also sometimes prescribed for fibromyalgia: Local anesthetics that are injected into especially tender areas can provide temporary relief, usually for no longer than three months. Anticonvulsants or seizure medications such as Neurontin are effective for reducing pain and anxiety. It is unclear how these medications work to relieve the symptoms in fibromyalgia. Muscle relaxants are occasionally prescribed to help alleviate pain associated with muscle strain in those with fibromyalgia.
system: How can a physical therapist help with fibromyalgia?
output: There is a blood test that can help diagnose fibromyalgia. Physical therapy can help you get control of your illness by focusing on what you can do to improve your situation rather than on your chronic symptoms.
system: Can antidepressants treat fibromyalgia?
output: Several types of medicines are used to help manage fibromyalgia symptoms such as pain and fatigue. Selective serotonin reuptake inhibitors ( SSRIs). Your doctor may prescribe one of these types of antidepressants by itself or in combination with a tricyclic antidepressant. SSRIs prevent serotonin from being reabsorbed in the brain. This may help ease pain and fatigue. This may help reduce muscle tension, ease pain in both muscles and soft tissue,improve range of motion, and boost production of natural painkillers.
system: What are symptoms of fibromyalgia?
output: Some of the most recognizable fibromyalgia symptoms are: Widespread pain Severe fatigue Tender points on the body Anxiety or depression Doctors often diagnose fibromyalgia by considering criteria such as how long you've had pain and how widespread it is, and by ruling out other causes. Exercise is an important part of managing fibromyalgia symptoms.
system: What should I do in an eye emergency?
output: Do not stop flushing your child's eye until medical help arrives unless instructed otherwise. If possible, show the chemical to health care providers. If your child is hit in the eye with a blunt object, examine the eye closely. If you see bleeding or cannot open the child's eyelids, seek immediate medical attention. If your child continues to be in pain, constantly rubs his or her injured eye, has persistent tearing, or complains of blurry or double vision, call the doctor. In the meantime, cover your child's injured eye with a cold pack for 15 minutes every hour or so. If you are using an ice pack, wrap it in a moistened cloth so the eye does not become damaged from freezing. If your child's eye is injured with a sharp object, do NOT press on the eye or eyelid. Cover the eye with a shield (the cut-out bottom of a foam cup would do) and seek immediate medical attention. If the sharp object is still in the child's eye DO NOT remove it. Instead cover the eye and call 911.
system: How often should my child's eyes be checked?
output: Some good examples are: Building or linking blocks Puzzles Stringing beads Pegboards Drawing tools like pencils, chalk, crayons, and markers Finger paints Modeling clay Experts have different opinions on vision screening and exams for children. Talk to your doctor about what's right for your child.
system: What toys improve hand-eye coordination?
output: Some good examples are: Building or linking blocks Puzzles Stringing beads Pegboards Drawing tools like pencils, chalk, crayons, and markers Finger paints Modeling clay Experts have different opinions on vision screening and exams for children.
system: How can I help my baby develop good eyesight?
output: To help your baby develop good eyesight: Place toys within focus of your baby's eyes, only 8 to 12 inches away. Encourage your baby to crawl. This helps develop hand-eye coordination. Talk to your baby as you move around the room to encourage his or her eyes to follow you. Hang a mobile above or outside of your baby's crib. Give your baby toys to hold and visualize. Make sure your baby is following moving objects with his eyes and developing eye-hand coordination. If he seems delayed, talk to your child's doctor.
system: How often should your child's eyes be checked?
output: Some good examples are: Building or linking blocks Puzzles Stringing beads Pegboards Drawing tools like pencils, chalk, crayons, and markers Finger paints Modeling clay Experts have different opinions on vision screening and exams for children. Talk to your doctor about what's right for your child.
system: How can you help your baby develop good eyesight?
output: To help your baby develop good eyesight: Place toys within focus of your baby's eyes, only 8 to 12 inches away. Encourage your baby to crawl. This helps develop hand-eye coordination. Talk to your baby as you move around the room to encourage his or her eyes to follow you. Hang a mobile above or outside of your baby's crib. Give your baby toys to hold and visualize. Make sure your baby is following moving objects with his eyes and developing eye-hand coordination. If he seems delayed, talk to your child's doctor.