laomobai/llama3-1 huggingface dataset:
system: When should you get emergency care for heart failure?
output: Call him right away if you have: Unexplained weight gain -- 2 pounds in a day or 5 pounds in a week Swelling in your ankles, feet, legs, or belly that gets worse Shortness of breath that gets worse or happens more often, especially if you wake up feeling that way Bloating with a loss of appetite or nausea Extreme fatigue or more trouble finishing your daily activities A lung infection or a cough that gets worse Fast heart rate (above 100 beats per minute, or a rate noted by your doctor) New irregular heartbeat Chest pain or discomfort during activity that gets better if you rest Trouble breathing during regular activities or at rest Changes in how you sleep,like having a hard time sleeping or feeling the need to sleep a lot more than usual Less of a need to pee Restlessness, confusion Constant dizziness or light-headedness Nausea or poor appetite Go to your local emergency room or call 911 if you have: New, unexplained, and severe chest pain that comes with shortness of breath, sweating, nausea, or weakness Fast heart rate (more than 120-150 beats per minute, or a rate noted by your doctor) -- especially if you are short of breath Shortness of breath that doesn't get better if you rest Sudden weakness, or you can't move your arms or legs Sudden, severe headache Fainting spells
system: When should I get emergency care for heart failure?
output: Call him right away if you have: Unexplained weight gain -- 2 pounds in a day or 5 pounds in a week Swelling in your ankles, feet, legs, or belly that gets worse Shortness of breath that gets worse or happens more often, especially if you wake up feeling that way Bloating with a loss of appetite or nausea Extreme fatigue or more trouble finishing your daily activities A lung infection or a cough that gets worse Fast heart rate (above 100 beats per minute, or a rate noted by your doctor) New irregular heartbeat Chest pain or discomfort during activity that gets better if you rest Trouble breathing during regular activities or at rest Changes in how you sleep,like having a hard time sleeping or feeling the need to sleep a lot more than usual Less of a need to pee Restlessness, confusion Constant dizziness or light-headedness Nausea or poor appetite Go to your local emergency room or call 911 if you have: New, unexplained, and severe chest pain that comes with shortness of breath, sweating, nausea, or weakness Fast heart rate (more than 120-150 beats per minute, or a rate noted by your doctor) -- especially if you are short of breath Shortness of breath that doesn't get better if you rest Sudden weakness, or you can't move your arms or legs Sudden, severe headache Fainting spells
system: How much salt can you have if you have heart failure?
output: If you have heart failure, you should have no more than 1,500 milligrams of salt every day.
system: What medicines are used to treat heart failure?
output: Some common types are: ACE inhibitors (angiotensin-converting enzyme inhibitors) Aldosterone antagonists ARBs (angiotensin II receptor blockers) ARNIs (angiotensin receptor-neprilysin inhibitors) Beta-blockers Blood vessel dilators Digoxin Calcium channel blockers Diuretics Heart pump medications Potassium or magnesium Selective sinus node inhibitors It's a program to help you exercise safely and keep up a heart-healthy lifestyle.
system: When should you call your doctor about heart failure?
output: If you have anything unusual, don't wait until your next appointment to discuss it with your doctor. Call him right away if you have: Unexplained weight gain -- 2 pounds in a day or 5 pounds in a week Swelling in your ankles, feet, legs, or belly that gets worse Shortness of breath that gets worse or happens more often, especially if you wake up feeling that way Bloating with a loss of appetite or nausea Extreme fatigue or more trouble finishing your daily activities A lung infection or a cough that gets worse Fast heart rate (above 100 beats per minute, or a rate noted by your doctor) New irregular heartbeat Chest pain or discomfort during activity that gets better if you rest Trouble breathing during regular activities or at rest Changes in how you sleep,like having a hard time sleeping or feeling the need to sleep a lot more than usual Less of a need to pee Restlessness, confusion Constant dizziness or light-headedness Nausea or poor appetite Go to your local emergency room or call 911 if you have: New, unexplained, and severe chest pain that comes with shortness of breath, sweating, nausea, or weakness Fast heart rate (more than 120-150 beats per minute, or a rate noted by your doctor) -- especially if you are short of breath Shortness of breath that doesn't get better if you rest Sudden weakness, or you can't move your arms or legs Sudden, severe headache Fainting spells
system: What are the symptoms of vulvodynia?
output: These are the most common symptoms of vulvodynia: Burning, stinging, or rawness Aching, soreness, or throbbing Itching You may feel symptoms of vulvodynia: All the time or just once in a while During activities such as exercise, intercourse, or walking -- or even while at rest While bicycling, inserting tampons, or even sitting In one specific area or throughout your entire vulva A burning pain is the single most common symptom of vulvodynia.
system: What are home remedies for vulvodynia pain?
output: These steps may help relieve vulvar pain: Soak in lukewarm or cool sitz baths. After intercourse, apply ice or a frozen gel pack wrapped inside a hand towel. Alternatively, topical heat applied with a heating pad can reduce pain in some women with vulvodynia. Try relaxation techniques.
system: Can surgery help vulvodynia?
output: Physical therapy, which involves exercise to strengthen pelvic muscles and lessen muscle spasms Biofeedback, which helps you learn to relax vaginal muscles to lessen pain Transcutaneous electrical nerve stimulation, a newer treatment for vulvodynia, has been used to improve pain in other chronic pain conditions If you have a type of localized vulvodynia called provoked vestibulodynia, your doctor may suggest surgery to remove painful tissue, especially if other options have not brought relief. If your doctor does not have experience with surgery for provoked vestibulodynia, consider seeing a gynecologist with a special interest in this condition. Ask your doctor for a referral.
system: What medications treat vulvodynia?
output: Medications may be administered orally, topically or by injection and can include: Local anesthetics, such as lidocaine Topical estrogen creams Tricyclic antidepressants Anticonvulsants Nerve blocks Serotonin-norepinephrine reuptake inhibitors Neurostimulation and spinal infusion pump Medications with anti-inflammatory effects such as steroids or mast cell inhibitors Botox In addition, the doctor may recommend complementary or alternative medicine.
system: How can you help ease pressure of vulvodynia?
output: Certain activities put pressure on the vulva. To ease the pressure: Use a water-soluble lubricant during sex. Avoid activities that put direct pressure on the vulva. This includes bicycling and horseback riding. Sit on a foam rubber doughnut.
system: What is vulvodynia?
output: !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(); }); } Women with vulvodynia have chronic vulvar pain with no known cause. There are two main subtypes of vulvodynia: Generalized vulvodynia is pain in different areas of the vulva at different times. Vulvar pain may be constant or occur every once in a while. Touch or pressure may or may not prompt it. But this may make the pain worse. Localized vulvodynia is pain in one area of the vulva. Often a burning sensation, this type of vulvar pain is usually provoked by touch or pressure, such as intercourse or prolonged sitting.
system: What causes vulvodynia?
output: Doctors don't know the cause of most forms of vulvodynia. And there is no evidence that infections, such as sexually transmitted diseases, cause vulvodynia. They may include: Nerve injury or irritation Abnormal response in vulvar cells to an infection or trauma Genetic factors that make the vulva respond poorly to chronic inflammation Hypersensitivity to yeast infections Muscle spasms Allergies or irritation to chemicals or other substances Hormonal changes History of sexual abuse Frequent antibiotic use A woman of any age, beginning in her teen years, may have vulvodynia. It's always a good idea to know what to ask beforehand and to take notes when with the doctor. Are there any activities I should avoid?
system: What are potential irritants to avoid if you have vulvodynia?
output: Here are a few tips: Use dermatologically approved detergent and don't use fabric softener on panties. Use unscented toilet paper that's soft and white. Wear 100% white cotton underwear, menstrual pads, and tampons. Avoid getting shampoo on the vulvar area. Avoid perfumed creams or soaps, pads or tampons, and contraceptive creams or spermicides. Avoid hot tubs or pools with lots of chlorine. Rinse the vulva with cool water after urination and intercourse. Avoid foods that make urine more irritating. Keep the vulva clean and dry. Avoid prolonged sitting in a wet swim suit or damp gym clothes. After bathing, gently pat dry and apply a vegetable or plant-based oil or preservative-free emollient to keep the vulva protected.
system: What kind of food should I feed my 11-month-old baby as they start to learn eating skills?
output: Your baby should be feeding himself by now with fingers and starting to explore use of a spoon. Fill your 11-month-old's diet with a variety of whole grains, fruit, vegetables, dairy products -- cheese and yogurt -- and protein -- beef, chicken, fish, tofu. Offer a snack in the morning and afternoon to give your baby enough energy to make it through the day. Crackers, fruit, and dry cereal are all good snack options. You will still give 16-20 ounces of milk per day, increasing the use of the sippy cup during the day.
system: What do I need to do if my baby's sense of taste is expanding?
output: Your baby's sense of taste is developing, so keep adding different flavors to the mealtime repertoire. If you have a particularly picky eater who constantly pushes away the spoon, don't give up. Keep trying new foods. Sometimes, babies have to be exposed to a food eight to 12 times before they'll eat it. At the same time, never force your baby to eat. It's better to let young children decide for themselves when they are full. Research has shown that kids who are made to clean their plates often turn into overeaters later in life.
system: What should I expect in my 11 month old in term of sense of self?
output: Eleven-month-olds realize that they're unique people. They have a strong sense of their likes and dislikes, and they've learned to use their emotions to get what they want -- like throwing a temper tantrum when you try to take away a favorite toy. Your baby may already have discovered the word âno.â If so, you'll probably be hearing it a lot.
system: What should I expect in the development of my 11-month-old?
output: At 11 months, your baby should be cruising around while holding onto the furniture or your hands. He might even let go of your hands to try out a few tentative steps alone or he might even be walking independently. Some babies at this age experiment by standing on their toes or on one leg. They'll scale counters, get over their crib railing, and put themselves into some pretty precarious situations. If you have one of these little climbers, don't provide an easy access route. Your baby will also love opening drawers and cabinets, so be sure to lock up any chemicals, cleaning products, or cosmetics that are within his reach.
system: Are there drugs available to treat migraines?
output: Some medications can ease the pain and symptoms of a migraine headache. Other medications can help prevent the headaches. Talk to your doctor about which ones are right for you.
system: What drugs stop migraines?
output: You take these drugs at the first sign of a migraine attack to stop them. They are called "abortive" drugs. They prevent common symptoms like pain, nausea, and sound and light sensitivity. Some of these should not be used during a migraine with aura, so follow your doctor's instructions.
system: What drugs causes serotonin syndrome?
output: Headache Neck pain Warning: You should not take triptans together with SSRI or SNRI antidepressants. You may get a life-threatening condition called serotonin syndrome. Check all your medications with your doctor.
system: What should you do when taking drugs for migraine prevention?
output: While you're taking these drugs, write down how often you have headaches and how bad they are to help your doctor judge how well they are working. Most need days or weeks to take full effect.
system: When do you stop taking drugs for migraine prevention?
output: Once your headaches are under control for 6 months or a year, it may be possible to taper off or stop these drugs. You may need to take the drugs for a longer time, though. Your doctor will advise you.
system: How are migraine headaches treated?
output: Some medications can ease the pain and symptoms of a migraine headache. Other medications can help prevent the headaches. Talk to your doctor about which ones are right for you.
system: When do you take drugs for migraine prevention?
output: Other medications can help prevent the headaches. You take these drugs at the first sign of a migraine attack to stop them. They lessen the number and severity of your headaches.
system: What does late stage Huntington's disease look like?
output: In this stage, people with Huntington's must depend on others for their care. Walking and speaking are not possible, Most likely you will still be aware of loved ones around you. Fidgety movements may become severe, or may subside. In children or teens, Huntington's may progress more quickly and cause symptoms like: Stiff or awkward walking Increased clumsiness Changes in speech Trouble learning new information, or loss of previously learned skills For now, treating Huntington's involves managing symptoms: Medications can help control fidgety movements.
system: What is Huntington's disease?
output: You can't "catch" it from another person. Abnormal movements may be the first thing you notice. Weight loss can be a concern at all stages. With knowledge about the HD gene, scientists have been able to learn a great deal about how the disease affects the brain.
system: What does middle stage Huntington's disease look like?
output: Staying organized may be difficult. And emotional changes may put pressure on relationships. Your doctor can work closely with you to manage any side effects and to change medications, if needed. Speech or language therapy may be helpful for any problems with speech or swallowing. If you or members of your family plan to be tested for Huntington's, it's a good idea to get professional genetic counseling first.
system: What are the symptoms of early0stage Huntington's disease?
output: Early stage. Some common early symptoms: Slight changes in coordination, affecting balance or making you more clumsy Fidgety movements that you can't control Slowing or stiffness Trouble thinking through problems Depression or irritability Middle stage. Occupational or physicaltherapy may help you learn how to better control movements.
system: How is Huntington's disease treated?
output: Speech or language therapy may be helpful for any problems with speech or swallowing. And assistive devices such as handrails can help you manage your changing physical abilities. Exercise may be very helpful. And basic strategies like breaking tasks into simpler steps may go a long way toward making these changes a bit easier for you and your family.
system: Should you check with your health care provider about your cholesterol home test kit results?
output: In addition, even if you consistently get normal results from your cholesterol home kit test strips, it's very important to consult with your health care provider. To determine your risk of heart disease, your health care provider will evaluate your cholesterol level along with other factors such as your weight, physical exam results, medical history, and family history. Your health care provider may conduct other tests aside from the cholesterol screening.
system: How do newer cholesterol home test kits work?
output: Some new cholesterol home test kits have an electronic meter. This meter functions in a similar way as a diabetes blood glucose meter. The test strips are inserted into the electronic device and a small computer measures the amount of cholesterol automatically. The electronically metered cholesterol home test kit costs more than the paper test strip method. The electronic meter kit, however, is helpful if you want to check your cholesterol level more frequently.
system: How is a cholesterol home test kit used?
output: Do you know that you can check your cholesterol level at home? They are usually priced under $20. The standard cholesterol home test kit contains a lancet for drawing blood and test strips. To use a cholesterol home test kit, you first prick your finger with the lancet. Next, you place the blood droplet on the test strip. The cholesterol home test strip has special chemicals that change colors after a few minutes. You then match the final color against a color guide that's included with the kit. This color will tell you how much cholesterol is in your droplet of blood.
system: What is a cholesterol home test kit?
output: And, rather than waiting days or weeks for cholesterol test results, the cholesterol test kit can give you results in a matter of minutes. Once you know your risk, you and your doctor can work to lower your likelihood of a heart attack or stroke. The cholesterol kit test results are only an estimate of your cholesterol level.
system: How often should I have my weight checked if I am over 50 with diabetes and why?
output: Get it done: Every time you see your doctor If you're overweight, your doctor may talk to you about your diet and exercise plan. Those extra pounds can make it harder to manage your blood sugar. Losing weight can help lower your blood pressure and your risk of heart disease. It doesn't have to be a drastic change; your health can improve if you lose even 10 or 15 pounds.
system: How often should I have a foot exam if I am over 50 with diabetes and why?
output: Get it done: Every time you see your doctor Foot problems are common with diabetes, so you and your doctor need to stay on top of your foot health. You should carefully wash, dry, and inspect your feet at home every day. Nerve damage in your feet and legs can keep you from noticing when you hurt yourself. Your doctor will want to check them at each office visit. People with diabetes also may have blood flow problems, which makes it harder for foot wounds to heal. A tiny cut, sore, or blister could grow into a foot ulcer that's tricky to treat. If it gets severely infected, your foot or leg may need to be removed.
system: How often should I have a cholesterol test if I am over 50 with diabetes and why?
output: Get it done: Every year High cholesterol levels can lead to heart disease. Your doctor will check them at least yearly to make sure they're in a healthy range. He can prescribe medicine to lower your cholesterol if you need it.
system: How often should I have a dental check up if I am over 50 with diabetes and why?
output: Get it done: Every time you see your doctor Don't neglect your mouth. When you have diabetes, you're at greater risk of gum disease. It's more likely when your blood sugar is out of whack. Even if you have it under control through brushing, flossing and rinsing with an antiseptic mouthwash, you should still see your dentist for checkups to make sure your mouth is healthy.
system: How often should I have an eye exam if I am over 50 with diabetes and why?
output: Get it done: Every year People with diabetes are at greater risk of vision problems. You're more likely to have trouble with your eyes if your blood sugar or blood pressure levels are too high. To keep tabs on your vision and eye health, see an eye doctor at least yearly for a thorough exam. He'll dilate your pupils to see whether you have any problems.
system: Why is iron important when you have UC?
output: Iron. When you have UC, you might lose iron through bleeding from the sores in your colon. If you don't have enough iron, you can get a condition called anemia, which can make you tired, dizzy, have a fast or irregular heartbeat, and have problems thinking. Your doctor can tell if you don't have enough iron with a blood test. If that's the case, he'll probably recommend you take an iron supplement.
system: How can my UC medicine affect my nutrition?
output: Finally, some medicines you take to treat ulcerative colitis interfere with your body's ability to absorb and maintain the vitamins and minerals it needs. For instance, corticosteroids such as prednisone can get rid of your body's calcium supply. Drugs like sulfasalazine lower your level of folate, an important B vitamin.
system: How can vitamin D help ulcerative colitis?
output: Even with a well-designed meal plan, you may still need some of these supplements: Vitamin D. You need it to keep your bones strong. It also plays a role in how your immune system -- your body's defense against germs -- works. If you have ulcerative colitis, especially if you need steroids, you may be at risk for having low levels of vitamin D. A good source of vitamin D is dairy foods, but a lot of people with UC cut back on dairy to help them curb symptoms of diarrhea. Experts have different views on vitamin D supplements, so ask your doctor if it it's a good idea for you to take them.
system: Why is malnutrition possible when you have ulcerative colitis?
output: When you get flares, you can get cramping pain and severe diarrhea, which can sometimes alternate with hard bowel movements and constipation. Certain foods may make your symptoms worse. So on top of a lack of appetite that goes along with flare-ups, you may be tempted to cut back on how much you eat in hopes of easing your symptoms. There's a risk you could get dehydrated if the fluid isn't replaced.
system: Why are folate and folic acid important when you have UC?
output: That's in addition to eating a healthy, well-balanced diet. It also plays a role in how your immune system -- your body's defense against germs -- works. If you have ulcerative colitis, especially if you need steroids, you may be at risk for having low levels of vitamin D. A good source of vitamin D is dairy foods, but a lot of people with UC cut back on dairy to help them curb symptoms of diarrhea. Those levels can go even lower if you need certain medications. Ask your doctor if you should be taking a folic acid supplement.